在2019年冠状病毒病大流行期间，在联邦合格健康中心寻求常规护理的有孩子家庭中，粮食不安全程度很高。
High Level of Food Insecurity among Families with Children Seeking Routine Care at Federally Qualified Health Centers during the Coronavirus Disease 2019 Pandemic.
作者信息
Abrams Steven A, Avalos Ana, Gray Megan, Hawthorne Keli M
机构信息
Dell Medical School, Dell Pediatric Research Institute, Department of Pediatrics, University of Texas at Austin, Austin TX.
出版信息
J Pediatr X. 2020 Fall;4:100044. doi: 10.1016/j.ympdx.2020.100044. Epub 2020 Jun 22.
OBJECTIVE
To assess food insecurity during pediatric visits to federally qualified health centers (FQHCs) during the coronavirus disease-19 pandemic.
STUDY DESIGN
Interviews using the validated American Academy of Pediatrics 2-question food insecurity screen were performed with 200 consecutive families presenting for pediatric care to 2 FQHC in Central Texas from April 14 to May 20, 2020, during the initial phase of the pandemic in Texas. Brief qualitative interviews were conducted to determine whether families found a worsening of food insecurity during the pandemic.
RESULTS
Overall, 47% of families had a positive food insecurity screen. More than 90% of these were worrying about food running out and about 60% were positive for the question related to food not lasting. Among families with food insecurity, 94% indicated this had begun or worsened during the pandemic. Of the 115 families volunteering information about employment, 46% reported job loss during this time period. Both ethnicity ( < .001) and Special Supplementation Nutrition Program for Women, Infants and Children (WIC) participation ( = .03) were associated with greater levels of food insecurity. Among primarily Spanish-speaking families participating in the WIC program, 64% reported food insecurity.
CONCLUSIONS
Approximately one-half of families receiving routine pediatric care at a FQHC during the coronavirus disease-19 pandemic reported food insecurity and this was associated with loss of jobs during the pandemic. Participation in the WIC program was not protective against food insecurity. Increased frequency of food insecurity was detected in Hispanic and Spanish-speaking families. Screening of families at an FQHC should be strongly considered as a part of routine pediatric care. Knowledge of community resources is important for providers to share with patients. .
TRIAL REGISTRATION
ClinicalTrials.gov: NCT04378595.
目的
评估在2019冠状病毒病大流行期间，儿童前往联邦合格健康中心（FQHC）就诊时的粮食不安全状况。
研究设计
在德克萨斯州大流行初期，于2020年4月14日至5月20日期间，对连续前往德克萨斯州中部两家FQHC接受儿科护理的200个家庭进行访谈，使用经过验证的美国儿科学会的两个问题粮食不安全筛查工具。进行简短的定性访谈，以确定家庭是否发现在大流行期间粮食不安全状况有所恶化。
结果
总体而言，47%的家庭粮食不安全筛查呈阳性。其中超过90%的家庭担心食物耗尽，约60%的家庭对与食物不够吃相关的问题回答为阳性。在粮食不安全的家庭中，94%表示这种情况在大流行期间已经开始或恶化。在115个自愿提供就业信息的家庭中，46%报告在此期间失业。种族（<0.001）和妇女、婴儿和儿童特别补充营养计划（WIC）参与情况（=0.03）均与更高水平的粮食不安全相关。在主要讲西班牙语且参与WIC计划的家庭中，64%报告存在粮食不安全状况。
结论
在2019冠状病毒病大流行期间，在FQHC接受常规儿科护理的家庭中，约有一半报告存在粮食不安全状况，这与大流行期间的失业有关。参与WIC计划并不能预防粮食不安全。在西班牙裔和讲西班牙语的家庭中，粮食不安全的发生率有所增加。应强烈考虑将在FQHC对家庭进行筛查作为常规儿科护理的一部分。了解社区资源对于医疗服务提供者与患者分享很重要。
试验注册
ClinicalTrials.gov：NCT04378595。
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