Essel Kofi, Burke Michael, Fischer Laura, Weissman Mark, Dietz William
School of Medicine and Health Sciences, George Washington University, Washington, DC 20052, USA.
Department of General & Community Pediatrics, Children's National Hospital, Washington, DC 20010, USA.
Children (Basel). 2024 Sep 23;11(9):1147. doi: 10.3390/children11091147.
BACKGROUND/OBJECTIVES: In 2022, 17.3% of US households with children experienced food insecurity (FI). The objective of this study was to examine pediatric clinicians' FI screening and management immediately following the release of the American Academy of Pediatrics (AAP) 2015 FI Policy Statement.
Data were collected in 2016 from 85 primary care pediatric clinicians via an online survey of clinicians in the Washington, DC metropolitan area. Descriptive statistics were calculated using univariate/bivariate analyses. Fisher's exact test and Chi-square tests were used to explore the association between FI screening, health insurance, and clinician demographics.
Sixty-six percent of clinicians indicated that they infrequently screened for FI. Only 13% of clinicians used a standardized FI screening tool. Forty-five percent of clinicians screened for FI only when they perceived an acute concern. About 70% of them screened for FI when a patient presented with poor weight gain or was underweight.
Immediately after the release of the AAP Policy Statement, it was found that few pediatric clinicians appropriately and frequently screened for FI in our regional sample. Our data emphasize the common misconceptions held by clinicians around FI and the necessity to incorporate training that underscores the invisibility of FI along with effective techniques to screen and intervene.
背景/目的：2022年，美国有子女家庭中17.3%经历了粮食不安全（FI）。本研究的目的是在2015年美国儿科学会（AAP）发布FI政策声明后，立即检查儿科临床医生对FI的筛查和管理情况。
2016年通过对华盛顿特区大都市地区临床医生的在线调查，收集了85名基层儿科临床医生的数据。使用单变量/双变量分析计算描述性统计数据。Fisher精确检验和卡方检验用于探讨FI筛查、医疗保险和临床医生人口统计学之间的关联。
66%的临床医生表示他们很少筛查FI。只有13%的临床医生使用标准化的FI筛查工具。45%的临床医生仅在察觉到急性问题时才筛查FI。其中约70%在患者体重增加不佳或体重过轻时筛查FI。
在AAP政策声明发布后，立即发现我们地区样本中很少有儿科临床医生对FI进行适当且频繁的筛查。我们的数据强调了临床医生对FI存在的常见误解，以及纳入强调FI隐匿性的培训以及有效筛查和干预技术的必要性。
