School of Biological and Population Health Sciences and OSU Extension Service, Oregon State University, Corvallis, OR 97331, USA.
Prev Med. 2012 Sep;55(3):219-22. doi: 10.1016/j.ypmed.2012.06.007. Epub 2012 Jun 16.
To determine the extent to which physicians and nurse practitioners monitor household food insecurity (FI) of families with children, and to examine factors that influence FI monitoring.
A 2007 mail survey of family practice and pediatric physicians and nurse practitioners in the Portland, Oregon, region yielded 186 responses. Factor analysis was used to identify barriers to asking about FI. Regression analysis was used to determine whether monitoring of household food status was predicted by those barriers, attentiveness to potential FI indicators, and other variables.
Most respondents did not routinely inquire about household FI during clinic visits. However, 88.8% expressed willingness to use a standardized screening question, if available. Monitoring of household food nutritional quality was significantly predicted by one of three identified barriers (providers' time availability). Monitoring of household food sufficiency was predicted by years in practice, attentiveness to FI indicators, and the remaining two identified barriers (inadequate knowledge about FI, discomfort in discussing FI).
Routine monitoring of patients' household FI by health care providers is an underutilized strategy for reducing this condition, which poses serious risks to children's health and development. Addressing providers' concerns and introducing standardized screening procedures can increase their monitoring behaviors.
确定医生和护士从业者监测有儿童家庭的家庭食物不安全（FI）的程度，并探讨影响 FI 监测的因素。
2007 年对俄勒冈州波特兰地区的家庭医生和儿科医生及护士从业者进行了邮件调查，共收到 186 份回复。采用因子分析来确定询问 FI 存在的障碍。回归分析用于确定是否由这些障碍、对潜在 FI 指标的关注以及其他变量来预测家庭食物状况的监测。
大多数受访者在就诊期间并未常规询问家庭 FI。然而，88.8%的受访者表示如果有标准化的筛查问题，他们愿意使用。对家庭食物营养质量的监测显著受到三个已识别障碍之一（提供者的时间可用性）的预测。对家庭食物充足性的监测由以下因素预测：实践年限、对 FI 指标的关注度以及另外两个已识别障碍（对 FI 的了解不足、对讨论 FI 的不适）。
医疗保健提供者对患者家庭 FI 的常规监测是减少这种状况的一种未充分利用的策略，而这种状况对儿童的健康和发育构成严重威胁。解决提供者的担忧并引入标准化筛查程序可以增加他们的监测行为。
