Hospitalization: Are We Missing an Opportunity to Identify Food Insecurity in Children?

Banach, Laurie P.

doi:10.1016/j.acap.2016.01.002

Cited by 24 publications

(16 citation statements)

References 19 publications

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“…The findings from research on adolescent‐specific health outcomes provide a strong rationale for further research on food insecurity among adolescents. Evidence shows that adolescents with food insecurity or in households with food insecurity have higher rates of overall poorer general health and asthma (Coleman‐Jensen et al, 2013 ; Kirkpatrick, McIntyre, & Potestio, 2010 ), a lack of preventive health and dental care (Duke & Borowsky, 2018 ), hospitalization (Banach, 2016 ), untreated dental caries (Chi, Masterson, Carle, Mancl, & Coldwell, 2014 ), iron deficiency anemia (Eicher‐Miller, Mason, Weaver, McCabe, & Boushey, 2009 ), depression and suicidal ideation (McIntyre, Williams, Lavorato, & Patten, 2013 ), mental disorders (Burke, Martini, Çayır, Hartline‐Grafton, & Meade, 2016 ), dyslipidemia (Tester, Laraia, Leung, & Mietus‐Snyder, 2016 ), and lower bone mass among early adolescent males (Eicher‐Miller, Mason, Weaver, McCabe, & Boushey, 2011 ). Food security also affects glycemic control among adolescents and young adults with type 1 diabetes (Mendoza et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Adolescent food insecurity: A review of contextual and behavioral factors

Dush

2020

Public Health Nursing

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Objective The purpose of this review is to examine recent research on contextual and behavioral factors that will lead to better understanding of adolescent food insecurity and health outcomes. Design A literature search for peer‐reviewed, English language, research articles published between 2009 and 2019, using CINAHL, Embase®, Pubmed, and the Cochrane Library. Sample The final sample represents thirty studies on food insecurity with a sample including adolescents, and that employ a measure of food insecurity. Results Variables of interest and results on topics such as weight‐related factors, maternal parenting and behaviors, mental health, and adolescent‐level behavioral factors are summarized. Conclusion Food insecurity is associated with poor adolescent health and mental health. All adolescents should be screened for food insecurity, involving pediatric and mental health care settings. Future research on adolescent food insecurity should explore parent and parenting factors, household composition and family dynamics, psychological factors, health behaviors, and stress; peer influences might also be an important area of research with adolescents. While previous research has relied on parents’ reports, adolescents'experiences are unique, and they are willing and reliable research participants; they should be included in future food insecurity research.

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Section: Introductionmentioning

confidence: 99%

Adolescent food insecurity: A review of contextual and behavioral factors

Dush

2020

Public Health Nursing

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“…3,4 Statistics suggest that medical providers who care for children may be missing the opportunity to screen for and intervene with SDH. 5 Despite many children coming into contact with the health care system, ∼30% of hospitalized children do not access the food assistance programs for which they are eligible. 5 The importance of screening for SDH at well-child visits in the primary care setting has recently been emphasized, and an increasing number of studies reveal that such screening is effective, is endorsed by patients and families, and improves family access to community resources.…”

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confidence: 99%

“…5 Despite many children coming into contact with the health care system, ∼30% of hospitalized children do not access the food assistance programs for which they are eligible. 5 The importance of screening for SDH at well-child visits in the primary care setting has recently been emphasized, and an increasing number of studies reveal that such screening is effective, is endorsed by patients and families, and improves family access to community resources. [6][7][8][9] Screening for SDH may also increase maternal employment and lower a family' s odds of living in a homeless shelter.…”

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confidence: 99%

Screening for Social Determinants of Health in Hospitalized Children

Schwartz

Herrmann

Librizzi

et al. 2020

Hospital Pediatrics

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Outpatient screening for social determinants of health (SDH) improves patient access to resources. However, no studies have examined if and how inpatient pediatric providers perform SDH screening. We aimed to identify inpatient pediatric provider screening practices for SDH, barriers to screening, and the acceptability of screening for hospitalized patients. METHODS: We conducted a multicenter descriptive study at 4 children's hospitals surveying inpatient hospitalists and nurses on the general wards about their SDH screening practices. A survey instrument was developed on the basis of literature pertaining to SDH, content expert review, cognitive interviews, and survey piloting. Descriptive statistics and logistic regression analyses are reported. RESULTS: Results from 146 hospitalists and 227 nurses were analyzed (58% and 26% response rate, respectively). Twenty-nine percent of hospitalists and 41% of nurses reported screening for $1 SDH frequently or with every hospitalized patient. Only 26% of hospitalists reported consistently communicating SDH needs with primary care providers. Most respondents (97% of hospitalists and 65% of nurses) reported they do not use a specific screening tool, and only 34% of hospitalists and 32% of nurses reported feeling competent screening for SDH. Lack of time, resources, and a standardized inpatient screening tool were reported as barriers to screening. CONCLUSIONS: Hospitalization provides an opportunity for SDH screening and connecting patients to resources; however, a minority of pediatric providers currently report screening. Professional development activities training inpatient providers in SDH screening, using a screening instrument, and communicating identified needs to primary care providers may improve the effectiveness of SDH screening in the hospital.

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“…For reviews of these determinants in households with children see Gundersen and Ziliak () and for a broader review see Gundersen, Kreider, and Pepper (); work since those reviews includes Anderson et al (), Banach (), Corman et al (), Cox and Wallace (), Fiese et al (), Fitzpatrick and Coleman‐Jensen (), Noonan, Corman, and Reichman (), and Turney ().…”

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confidence: 99%

The Determinants of Food Insecurity among Food Bank Clients in the United States

Gundersen¹,

Engelhard²,

Hake³

2017

Journal of Consumer Affairs

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The majority of poor households in the United States are food secure which is both surprising and not well-understood. We increase our understanding by looking at a particularly vulnerable group-people visiting food pantries-through the use of the Hunger in America (HIA) 2014 data set. Along with providing information on households often overlooked in other data sets, HIA has a wide array of questions. We find, in comparison to food secure households, that food insecure households are more likely to have challenges paying their bills and are more likely to use coping mechanisms. These effects are large, especially when compared to the standard set of explanatory variables. We also find that the impact of the standard set of covariates change dramatically when we include variables that are often unobserved, suggesting that there may be biases in some of the central findings on the determinants of the food insecurity.

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Hospitalization: Are We Missing an Opportunity to Identify Food Insecurity in Children?

Cited by 24 publications

References 19 publications

Adolescent food insecurity: A review of contextual and behavioral factors

Adolescent food insecurity: A review of contextual and behavioral factors

Screening for Social Determinants of Health in Hospitalized Children

The Determinants of Food Insecurity among Food Bank Clients in the United States

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