Robinson Tamar, Bryan Leah, Johnson Veda, McFadden Terri, Lazarus Sarah, Simon Harold K
1 Children's Healthcare of Atlanta, Atlanta, GA, USA.
2 Pediatric Emergency Medicine Associates, LLC, Atlanta, GA, USA.
Clin Pediatr (Phila). 2018 Oct;57(11):1318-1325. doi: 10.1177/0009922818778044. Epub 2018 Jun 17.
The American Academy of Pediatrics and pediatric community recognize the importance of addressing social determinants of health. There are limited data on the prevalence of food insecurity or literature establishing protocols assessing food insecurity in the emergency department (ED).
Two anonymous surveys were administered, one to families during their ED visit and another to ED staff to assess perceptions on the ED's role in providing social support.
Thirty-three of 214 respondents (15.4%) reported food insecurity and are associated with economic risk factors ( P < .0001) and a lack of primary care ( P = .008). Overall, 83.2% of the ED staff believed knowing information about families' social risk factors would help patient care and 77.6% believed that the ED staff should address families' social needs.
Food insecurity affects a significant portion of ED families across income ranges. Screening for food insecurity in the ED is important given association with lack of primary care. Hospital staff supports screening and intervention.
美国儿科学会及儿科界认识到解决健康的社会决定因素的重要性。关于粮食不安全的患病率或关于制定急诊科（ED）评估粮食不安全方案的文献资料有限。
进行了两项匿名调查，一项在家庭急诊就诊期间对其进行，另一项对急诊工作人员进行，以评估对急诊在提供社会支持方面作用的看法。
214名受访者中有33名（15.4%）报告存在粮食不安全，且与经济风险因素（P <.0001）和缺乏初级保健（P =.008）相关。总体而言，83.2%的急诊工作人员认为了解家庭社会风险因素的信息有助于患者护理，77.6%的人认为急诊工作人员应满足家庭的社会需求。
粮食不安全影响了各收入范围的急诊家庭中的很大一部分。鉴于与缺乏初级保健相关，在急诊科筛查粮食不安全很重要。医院工作人员支持筛查和干预。
