Food and housing insecurity, COVID-19 pandemic effects on health-related activities, and care plans for children with obesity.

IF 3 3区 医学 Q1 PEDIATRICS Academic Pediatrics Pub Date : 2024-10-26 DOI:10.1016/j.acap.2024.10.010
Kelsey A Egan, Jennifer G Fiore, Man Luo, Sheila Kelly, William G Adams, Elsie M Taveras, Meg Simione, Caroline J Kistin
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Abstract

Objective: To understand the association between food insecurity (FI) and housing insecurity (HI) risk, the effects of the COVID-19 pandemic on health-related activities among children with overweight or obesity, and caregivers' and clinicians' challenges and priorities related to pediatric weight management.

Methods: We conducted surveys with caregivers of children with overweight and obesity and pediatric clinicians at two academic medical centers in the Greater Boston area. We used multivariable logistic regression models to examine associations between FI and HI risk and the effects of the COVID-19 pandemic on health-related activities and descriptive statistics to summarize caregivers' and clinicians' challenges and priorities related to pediatric weight management.

Results: We analyzed data from surveys with 344 caregivers and 100 pediatric clinicians. Overall, 37% of caregivers endorsed both FI+HI, 18% FI alone, 10% HI alone, and 35% neither FI/HI. In the adjusted logistic regression models, combined FI+HI (reference: neither FI/HI) was significantly associated with higher odds of sleeping less (aOR 2.96 [95% confidence interval (CI): 1.46, 6.01]) and higher odds of spending less time outside (aOR 2.10 [95% CI: 1.06, 4.16]). Top priorities for pediatric weight management identified by both caregivers and clinicians were related to physical activity and availability of outdoor spaces.

Conclusions: Endorsement of both FI+HI was associated with children getting less sleep and spending less time outside during the COVID-19 pandemic. Future innovations in care plans for children with overweight and obesity should be adapted to a family's social context and should incorporate caregivers' and clinicians' challenges and priorities.

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粮食和住房不安全、COVID-19 大流行病对健康相关活动的影响以及肥胖儿童护理计划。
目的了解粮食不安全(FI)与住房不安全(HI)风险之间的关联、COVID-19 大流行病对超重或肥胖儿童健康相关活动的影响,以及护理人员和临床医生在儿科体重管理方面面临的挑战和优先事项:我们对超重和肥胖儿童的看护者以及大波士顿地区两家学术医疗中心的儿科临床医生进行了调查。我们使用多变量逻辑回归模型来研究 FI 和 HI 风险之间的关联以及 COVID-19 大流行对健康相关活动的影响,并使用描述性统计来总结护理人员和临床医生在儿科体重管理方面面临的挑战和优先事项:我们对 344 名护理人员和 100 名儿科临床医生的调查数据进行了分析。总体而言,37% 的护理人员同时认可 FI+HI,18% 仅认可 FI,10% 仅认可 HI,35% 既不认可 FI 也不认可 HI。在调整后的逻辑回归模型中,同时认可 FI+HI (参考:既不认可 FI/HI)与较少睡眠(aOR 2.96 [95% 置信区间 (CI):1.46, 6.01])和较少户外活动(aOR 2.10 [95% CI:1.06, 4.16])的几率显著相关。护理人员和临床医生认为儿科体重管理的首要任务与体育锻炼和户外活动有关:结论:在COVID-19大流行期间,FI+HI的认可与儿童睡眠减少和户外活动时间减少有关。针对超重和肥胖儿童的护理计划的未来创新应适应家庭的社会环境,并应纳入护理人员和临床医生的挑战和优先事项。
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来源期刊
Academic Pediatrics
Academic Pediatrics PEDIATRICS-
CiteScore
4.60
自引率
12.90%
发文量
300
审稿时长
60 days
期刊介绍: Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.
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