Orr Colin J, Chauvenet Christina, Ozgun Holly, Pamanes-Duran Claudia, Flower Kori B
University of North Carolina at Chapel Hill, Chapel Hill NC, USA.
Clin Pediatr (Phila). 2019 Dec;58(14):1484-1492. doi: 10.1177/0009922819850483. Epub 2019 May 23.
We explored caregivers' experiences with food insecurity screening in a primary care setting and the impact of resources provided. English- and Spanish-speaking food insecure caregivers of children aged 1 to 5 years were recruited. In-depth individual semistructured interviews were conducted (n = 17) eliciting caregivers' experiences with food insecurity, clinic screening, and resources provided. Interviews were audio-recorded and transcribed verbatim. Interviews were double-coded and thematic analysis was used to identify themes and subthemes. All caregivers described multiple and repeat experiences with food insecurity. Food insecurity screening was acceptable, but families were not always connected with resources. Caregivers described WIC (Women, Infants, and Children) as the most commonly used program to address food insecurity and infrequently utilized other food insecurity resources. Screening for food insecurity in primary care was generally well accepted by this sample of food insecure caregivers. Future studies are needed to determine how to improve connecting resources with families most in need.
我们探讨了照顾者在初级保健机构中进行粮食不安全筛查的经历以及所提供资源的影响。招募了说英语和西班牙语的1至5岁儿童的粮食不安全照顾者。进行了深入的个人半结构化访谈(n = 17),以了解照顾者在粮食不安全、诊所筛查和所提供资源方面的经历。访谈进行了录音并逐字转录。访谈进行了双重编码,并使用主题分析来确定主题和子主题。所有照顾者都描述了多次和反复出现的粮食不安全经历。粮食不安全筛查是可以接受的,但家庭并不总是能与资源建立联系。照顾者将妇女、婴儿和儿童营养补充计划(WIC)描述为解决粮食不安全问题最常用的项目,而很少使用其他粮食不安全资源。初级保健中的粮食不安全筛查在这个粮食不安全照顾者样本中总体上得到了很好的接受。未来需要进行研究,以确定如何改善将资源与最需要的家庭联系起来的情况。