Duh-Leong Carol, Tomopoulos Suzy, Nastro Andrew, Sharif Iman, Gomez Laura Ibanez, Di Caprio Cecilia, Nagpal Nikita, Fierman Arthur H
Division of General Pediatrics; Department of Pediatrics, NYU Grossman School of Medicine, 462 First Avenue, New York, NY 10016, USA.
Division of Child & Adolescent Health, Columbia University Medical Center, 622 West 168th Street, New York, NY 10032, USA.
J Child Fam Stud. 2022 Jan;31(1):211-219. doi: 10.1007/s10826-021-02182-0. Epub 2022 Jan 6.
To mitigate the negative impact of resource needs on child health, practices serving low-income immigrant families have implemented screening programs to connect families to community resources. Little is known about how duration of US residence relates to patterns of resource needs and indicators of acculturation such as community resource knowledge/experience or self-efficacy. We conducted a cross-sectional analysis of a convenience sample of immigrant families with young children at an urban primary care clinic. These families were seen 5/2018-1/2020 for well child care, screening positive for ≥1 social need using a tool derived from Health Leads. Analysis of 114 families found that newly arrived families with a shorter duration of US residence (≤5 years) were more likely to report immediate material hardships like food insecurity and need for essential child supplies. Newly arrived families were also less likely to have access to technology resources such as a computer or smartphone. Long-term families with a longer duration of US residence (≥15 years) were more likely to report chronic needs like poor housing conditions, but also reported increased community resource knowledge/experience and increased self-efficacy. Primary care pediatric practices should assess immigration contextual factors to identify subgroups such as newly arrived families with young children to target resources (e.g., increase screening frequency) or enhance services (e.g., patient navigators) to relieve resource needs.
为减轻资源需求对儿童健康的负面影响，为低收入移民家庭提供服务的医疗机构实施了筛查项目，以便让家庭获得社区资源。对于在美国的居住时长如何与资源需求模式以及诸如社区资源知识/经验或自我效能感等文化适应指标相关联，我们知之甚少。我们对一家城市初级保健诊所中带有幼儿的移民家庭便利样本进行了横断面分析。这些家庭在2018年5月至2020年1月期间因儿童健康检查前来就诊，使用源自“健康引领”的工具筛查出≥1项社会需求呈阳性。对114个家庭的分析发现，在美国居住时长较短（≤5年）的新移民家庭更有可能报告即时的物质困难，如粮食不安全和对儿童基本用品的需求。新移民家庭也不太可能获得诸如电脑或智能手机等技术资源。在美国居住时长较长（≥15年）的长期家庭更有可能报告诸如住房条件差等长期需求，但也报告了社区资源知识/经验增加以及自我效能感增强。初级保健儿科医疗机构应评估移民背景因素，以识别出诸如带有幼儿的新移民家庭等亚组，以便针对性地提供资源（如增加筛查频率）或加强服务（如患者导航员），以缓解资源需求。
