Pabalan Laura, Dunn Rachel, Gregori Kellen, Olson Emily, Thomas Lauren, Willis Earnestine, Simpson Pippa, Brousseau David C
WMJ. 2015 Aug;114(4):148-51.
Food insecurity is associated with adverse health outcomes and the emergency department may be an ideal location to identify food insecure children and families.
To determine the prevalence of food insecurity in families with children that present to an urban pediatric emergency department (ED) in Milwaukee, Wisconsin.
We conducted a cross-sectional survey of caregivers of children 0-18 years between June and August, 2013. The questionnaire included 2 validated statements about food insecurity and demographic and community resource questions. Participant rooms were approached during predefined shifts in an order determined by random number generation.
The primary outcome was the prevalence of caregivers who identified as food insecure. A secondary outcome was the percentage of food insecure caregivers who accessed community resources.
We enrolled 309 caregivers; 141 (45.6%) reported food insecurity. Nearly 60% (56.8%) of nonwhite caregivers were food insecure compared to 27.4% of non-Hispanic white caregivers (P < 0.0001). Among caregivers who identified as food insecure, 82% reported using at least 1 community resource for food.
Almost half of caregivers presenting to the ED reported food insecurity. The ED is an excellent location for targeted intervention to identify and link food insecure families with community resources.
粮食不安全与不良健康后果相关，急诊科可能是识别粮食不安全儿童和家庭的理想场所。
确定前往威斯康星州密尔沃基市一家城市儿科急诊科就诊的有孩子家庭中粮食不安全的患病率。
我们于2013年6月至8月对0至18岁儿童的照顾者进行了一项横断面调查。问卷包括2条关于粮食不安全的有效陈述以及人口统计学和社区资源问题。在预先确定的轮班期间，按照随机生成的顺序进入参与调查者的房间。
主要结果是被认定为粮食不安全的照顾者的患病率。次要结果是获取社区资源的粮食不安全照顾者的百分比。
我们招募了309名照顾者；141名（45.6%）报告存在粮食不安全。近60%（56.8%）的非白人照顾者粮食不安全，而非西班牙裔白人照顾者这一比例为27.4%（P < 0.0001）。在被认定为粮食不安全的照顾者中，82%报告至少使用过1种社区粮食资源。
前往急诊科就诊的照顾者中近一半报告存在粮食不安全。急诊科是进行有针对性干预以识别粮食不安全家庭并将其与社区资源联系起来的理想场所。
