Johns Hopkins All Children's Hospital, Saint Petersburg, FL, USA.
Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Clin Pediatr (Phila). 2024 Jun;63(5):650-658. doi: 10.1177/00099228231191926. Epub 2023 Aug 9.
Food insecurity is a public health concern associated with poor health. Evidence guiding how to best implement screening for food insecurity across a pediatric health care system is lacking. We performed a single-center, multi-department, cross-sectional study of caregivers and health care providers in outpatient and inpatient settings to describe the beliefs, barriers, preferences, and preferred food insecurity screening location. Most providers and caregivers underestimated the pervasiveness of food insecurity while acknowledging the benefit of screening. Caregivers are overall receptive to food insecurity screening and disagree with feelings of discomfort or shame when disclosing food insecurity status. Providers acknowledged perceived caregiver discomfort, lack of community food resources, and lack of a validated screening tool as barriers to screening. Both caregivers and providers identified the primary care setting as the preferred screening setting.
食物不安全是一个与健康状况不佳有关的公共卫生问题。缺乏指导如何在儿科医疗保健系统中最好地实施食物不安全筛查的证据。我们在门诊和住院环境中对护理人员和医疗保健提供者进行了一项单中心、多部门、横断面研究,以描述他们对食物不安全的信念、障碍、偏好以及首选的食物不安全筛查地点。大多数提供者和护理人员低估了食物不安全的普遍性,同时承认筛查的益处。护理人员普遍接受食物不安全筛查,并且不同意在披露食物不安全状况时感到不适或羞耻。提供者承认,他们认为护理人员感到不适、缺乏社区食物资源以及缺乏经过验证的筛查工具是筛查的障碍。护理人员和提供者都认为初级保健环境是首选的筛查环境。