Screening for marginal food security in young children in primary care.
Screening for marginal food security in young children in primary care.
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DOI：
10.1186/s12887-021-02674-4
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发表时间：
2021-04-23
期刊：
影响因子：
2.4
通讯作者：
Borkhoff CM
中科院分区：
文献类型：
--
作者：
Bayoumi I;Birken CS;Nurse KM;Parkin PC;Maguire JL;Macarthur C;Randall Simpson JA;Borkhoff CM
家庭粮食不安全（FI），即使在边缘水平，与儿童健康状况不佳有关。每个学龄前儿童的营养筛查工具（NutriSTEP®）是一个有效和可靠的17项家长完成的营养风险措施，包括一个单一的项目解决FI，这可能是一个有用的儿童特定的筛查工具。我们在18个月至5岁的健康儿童的初级保健人群中，使用2项饥饿生命体征™作为标准测量，评估了单个NutriSTEP® FI问题的诊断测试特性。样本包括1174个家庭，其中53个（4.5%）是勉强粮食安全。对单一NutriSTEP®问题“我很难购买我想喂养孩子的食物，因为食物很贵”的肯定回答的灵敏度为85%，特异性为91%，与饥饿生命体征™相比，证明了良好的结构效度。单一的NutriSTEP®问题可能是临床实践中的有效筛查工具，以确定有幼儿家庭的边际粮食安全，并将家庭与社区服务或包括税收优惠在内的财政援助计划联系起来。目标儿童！基于实践的研究网络（2013年6月5日在www.clinicaltrials.gov注册; NCT 01869530）; www.targetkids.ca
Household food insecurity (FI), even at marginal levels, is associated with poor child health outcomes. The Nutrition Screening Tool for Every Preschooler (NutriSTEP®) is a valid and reliable 17-item parent-completed measure of nutrition risk and includes a single item addressing FI which may be a useful child-specific screening tool. We evaluated the diagnostic test properties of the single NutriSTEP® FI question using the 2-item Hunger Vital Sign™ as the criterion measure in a primary care population of healthy children ages 18 months to 5 years. The sample included 1174 families, 53 (4.5%) of which were marginally food secure. An affirmative response to the single NutriSTEP® question “I have difficulty buying food I want to feed my child because food is expensive” had a sensitivity of 85% and specificity of 91% and demonstrated good construct validity when compared with the Hunger Vital Sign™. The single NutriSTEP® question may be an effective screening tool in clinical practice to identify marginal food security in families with young children and to link families with community-based services or financial assistance programs including tax benefits. TARGet Kids! practice-based research network (Registered June 5, 2013 at www.clinicaltrials.gov; NCT01869530); www.targetkids.ca
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影响因子：
3.4
作者：
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通讯作者：
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