在2019冠状病毒大流行期间，有孩子的家庭在联邦合格的卫生中心寻求常规护理的粮食不安全程度很高

Journal of Pediatrics: X Pub Date : 2020-09-01 DOI:10.1016/j.ympdx.2020.100044

Steven A. Abrams MD, Ana Avalos MD, Megan Gray MD, Keli M. Hawthorne MS

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引用次数: 20

摘要

目的评估冠状病毒covid -19大流行期间儿科在联邦合格卫生中心(fqhc)就诊时的食品不安全状况。研究设计:在德克萨斯州大流行的初始阶段，在2020年4月14日至5月20日期间，使用经过验证的美国儿科学会(American Academy of Pediatrics) 2问题食品不安全筛查对德克萨斯州中部200个连续家庭进行了访谈。进行了简短的定性访谈，以确定家庭是否发现大流行期间粮食不安全状况恶化。结果总体而言，47%的家庭食品不安全筛查呈阳性。其中超过90%的人担心食物会用完，约60%的人对食物不能持久的问题持肯定态度。在粮食不安全的家庭中，94%的家庭表示，这种情况在大流行期间已经开始或恶化。在115个自愿提供就业信息的家庭中，46%的家庭报告在此期间失业。两个种族(P <.001)和参与妇女、婴儿和儿童特殊补充营养计划(WIC) (P = .03)与粮食不安全程度较高相关。在参与WIC计划的主要讲西班牙语的家庭中，64%的家庭报告粮食不安全。在冠状病毒病-19大流行期间，在FQHC接受常规儿科护理的家庭中，约有一半报告了粮食不安全，这与大流行期间的失业有关。参加WIC计划并不能防止粮食不安全。在西班牙裔和讲西班牙语的家庭中发现粮食不安全的频率增加。在FQHC筛查家庭应强烈考虑作为常规儿科护理的一部分。社区资源的知识对于提供者与患者分享是很重要的。[J] .中华儿科杂志:2020;4:100044。临床试验注册网站:NCT04378595

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High Level of Food Insecurity among Families with Children Seeking Routine Care at Federally Qualified Health Centers during the Coronavirus Disease 2019 Pandemic

Objective

To assess food insecurity during pediatric visits to federally qualified health centers (FQHCs) during the coronavirus disease-19 pandemic.

Study design

Interviews using the validated American Academy of Pediatrics 2-question food insecurity screen were performed with 200 consecutive families presenting for pediatric care to 2 FQHC in Central Texas from April 14 to May 20, 2020, during the initial phase of the pandemic in Texas. Brief qualitative interviews were conducted to determine whether families found a worsening of food insecurity during the pandemic.

Results

Overall, 47% of families had a positive food insecurity screen. More than 90% of these were worrying about food running out and about 60% were positive for the question related to food not lasting. Among families with food insecurity, 94% indicated this had begun or worsened during the pandemic. Of the 115 families volunteering information about employment, 46% reported job loss during this time period. Both ethnicity (P < .001) and Special Supplementation Nutrition Program for Women, Infants and Children (WIC) participation (P = .03) were associated with greater levels of food insecurity. Among primarily Spanish-speaking families participating in the WIC program, 64% reported food insecurity.

Conclusions

Approximately one-half of families receiving routine pediatric care at a FQHC during the coronavirus disease-19 pandemic reported food insecurity and this was associated with loss of jobs during the pandemic. Participation in the WIC program was not protective against food insecurity. Increased frequency of food insecurity was detected in Hispanic and Spanish-speaking families. Screening of families at an FQHC should be strongly considered as a part of routine pediatric care. Knowledge of community resources is important for providers to share with patients. (J Pediatr: X 2020;4:100044).