• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Chronic Disease

Study reveals suburban clinicians’ perspectives on screening for food insecurity

byMikhaela MontyandCordelia Ross
June 20, 2017
in Chronic Disease, Pediatrics, Public Health
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

1. In a mixed methods study of screening for food insecurity (FI) among 6 suburban practices, 3 major themes emerged. 1) time and workflow were not barriers to screening for FI, but pediatricians’ concern for embarrassing families served as a deterrent to screening. 2) Clinicians reported that families felt cared for as a result of the screening. 3) Pediatricians suggested incorporating FI screens prior to the start of the visit.

2. Children who screened positive for FI were more likely to be African American or Hispanic, younger, have asthma, and receive public insurance.

Study Rundown: Screening for, and addressing, FI is critically important as a method to improve the children’s wellbeing and long-term outcomes. Although the effect of screening for FI in urban pediatric practices has been widely studied, there is a relative dearth of research concerning suburban practices. To address this gap, this study evaluated the feasibility, clinician acceptability, and impact of screening on families. Several suburban Philadelphia practices were asked to incorporate FI screening, and positively screened families were referred to Supplemental Nutrition Assistance Program (SNAP) resources. Feasibility, clinician acceptability, and impact were all primary outcomes. Children who screened positive were more likely to be African American or Hispanic, younger, have asthma, and receive public insurance. Focus groups were conducted to assess clinician acceptability, and 3 major themes emerged. Barriers to screening included fear of embarrassing families and inability to offer adequate resources if families screened positive. However, the majority of families who screened positive were thankful for being asked. Finally, clinicians thought incorporating the screen into the intake portion of the visit was the best way to ensure screening and reduce stigma. Of the families screening positive, half declined referral to additional resources. Only 1 family ultimately received new SNAP benefits. Given patient reaction to screening, clinicians should consider incorporating FI screening into all visits. While this study breaks ground in an unexplored area, generalizability is limited due to the small geographic radius of the study population.

Click to read the study, published today in Pediatrics

Relevant Reading: Determinants of health and private pediatric practices

In-Depth [prospective mixed methods study]: This study included 6 suburban Philadelphia pediatric practices in the Children’s Hospital of Philadelphia pediatric research consortium. Each practice was approached by a study team member and asked to incorporate an FI screen in their EHR for every 2-month, 15-month, and 36-month well-child visit as part of the nutrition portion of the appointment. Families screening positive were referred to a community resource to review qualifications, apply for, and receive SNAP benefits. Of the 5645 eligible children, 4371 (77.4%) were screened. One hundred and twenty two (2.8%) screened positive for FI. Clinics with over 25% publicly insured families were more likely to have children screening positive (5.1% vs 1.7%, P< .0001). Eighteen of 37 clinicians participated in focus groups. Clinicians agreed that screening did not affect workflow. Primary barriers to screening included clinician discomfort and fear of embarrassing families. However, clinicians also reported that families were generally thankful to be screened and subsequently referred. Clinicians agreed that screening questions should be asked before the visit, in the waiting room, to reduce stigma. Of the 122 families who screened positive, 58 (48%) did not want referral services, as they were already receiving SNAP benefits or they knew they didn’t qualify. Of the rest, 17 were unable to be reached, 10 ultimately declined referral, 5 were non-English speakers, and 32 consented for referral. Of the 32, 9 spoke to the referral specialist and 1 family received new SNAP benefits.

Image: PD

RELATED REPORTS

Consumption of micro-RNA-375-3p in breast milk may reduce risk of atopic disease

School nutritional quality programs associated with lower BMI in children

Amount of unprocessed red meat consumption does not modulate weight loss maintenance

©2015 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.

Tags: federal nutritionfood insecuritygeneral pediatricsnutrition
Previous Post

Pediatric firearm injuries substantial cause of premature death, disability

Next Post

The SHIFT: Ivabradine in congestive heart failure [Classics Series]

RelatedReports

Low strength of evidence for ankyloglossia treatment outcomes
Pediatrics

Consumption of micro-RNA-375-3p in breast milk may reduce risk of atopic disease

March 7, 2023
Eating in the absence of hunger linked to toddler obesity
Chronic Disease

School nutritional quality programs associated with lower BMI in children

March 6, 2023
Sleep duration inversely related to childhood type 2 diabetes risk makers
Health

Amount of unprocessed red meat consumption does not modulate weight loss maintenance

March 6, 2023
AAP policy supports consumption of only pasteurized dairy products
Gastroenterology

Probiotic Bi-07 is non-inferior to lactase supplementation in patients with lactose intolerance

March 3, 2023
Next Post
Adverse pregnancy outcomes associated with thrombophilias [Classics Series]

The SHIFT: Ivabradine in congestive heart failure [Classics Series]

Adverse pregnancy outcomes associated with thrombophilias [Classics Series]

The FREEDOM trial: Coronary bypass graft vs. PCI in diabetic patients [Classics Series]

Appropriate use criteria for angiography may frequently miss obstructive coronary artery disease

2 Minute Medicine Rewind June 19, 2017

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Abnormal menstruation may be associated with worse cardiometabolic outcomes later in life
  • Past infection with pre-omicron variants of COVID-19 protects against re-infection
  • No difference in complete expulsion of intrauterine device between early and standard interval postpartum placement
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

Want more physician-written
medical news?

Join over 10 million yearly readers and numerous companies. For healthcare professionals
and the public.

Subscribe for free today!

Subscription options