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Journal article
Stability of food insecurity status in paediatric primary care
Public health nutrition, v 24(5), pp 845-850
01 Apr 2021
PMID: 32811587
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective:
The American Academy of Pediatrics recommends screening for food insecurity (FI) at all well-child visits due to well-documented negative effects of experiencing FI in childhood. Before age 3, children have twelve recommended primary care visits at which screening could occur. Little is known regarding the stability of FI status at this frequency of screening.
Design:
Data derived from electronic health records were used to retrospectively examine the stability of household FI status. Age-stratified (infant v. toddler) analyses accounted for age-based differences in visit frequency. Regression models with time since last screening as the predictor of FI transitions were estimated via generalised estimating equations adjusting for age and race/ethnicity.
Setting:
A paediatric primary care practice in Philadelphia.
Participants:
3451 distinct patients were identified whose health record documented two or more household FI screens between April 1, 2012 and July 31, 2018 and were aged 0-3 years at first screen.
Results:
Overall, 9 center dot 5 % of patients had a transition in household FI status, with a similar frequency of transitioning from food insecure to secure (5 center dot 0 %) and from food secure to insecure (4 center dot 5 %). Families of toddlers whose last screen was more than a year ago were more likely to experience a transition to FI compared with those screened 0-6 months prior (OR 1 center dot 91 (95 % CI 1 center dot 05, 3 center dot 47)).
Conclusions:
Screening more than annually may not contribute substantially to the identification of transitions to FI.
Metrics
Details
- Title
- Stability of food insecurity status in paediatric primary care
- Creators
- Kelly A. Courts - Drexel UniversityRebecca A. Hubbard - University of PennsylvaniaHans B. Kersten - Drexel UniversityHeather Klusaritz - Community Initiatives
- Publication Details
- Public health nutrition, v 24(5), pp 845-850
- Publisher
- Cambridge Univ Press
- Number of pages
- 6
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics; Epidemiology and Biostatistics
- Web of Science ID
- WOS:000637104900009
- Scopus ID
- 2-s2.0-85093509838
- Other Identifier
- 991019168269204721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Nutrition & Dietetics
- Public, Environmental & Occupational Health