Food Insecurity Screening in Pediatric Clinical Settings: A Caregivers' Perspective.
Objectives: Food insecurity (FI) has serious academic, social, and physical health consequences for children. A recent clinical recommendation suggests FI screening during child well visits. While FI screening research has considered clinician feedback, little is known about caregivers' experience o...
| Publicado en: | Maternal & Child Health Journal Vol. 24; no. 1; pp. 101 - 110 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jan2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141192202&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141192202 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Jan2020 vid: 24 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 141192202 141192202 141192202 10.1007/s10995-019-02785-6 141192202 ppf: 101 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Food Insecurity Screening in Pediatric Clinical Settings: A Caregivers' Perspective. aug: au: Barnidge, Ellen Krupsky, Kathryn LaBarge, Gene Arthur, Joshua affil: College for Public Health and Social Justice, Saint Louis University, 3545 Lafayette Avenue, 63104, St. Louis, MO, USA sug: subj: Primary Health Care Pediatric Care Food Security Evaluation Health Screening Methods Caregiver Attitudes Truth Disclosure Human Male Female Child Adult Missouri Exploratory Research Qualitative Studies Random Sample Questionnaires Semi-Structured Interview Thematic Analysis Content Analysis Descriptive Statistics Caregivers Psychosocial Factors Socioeconomic Factors Shame Stigma Child Custody Fear Physician-Patient Relations Body Language Empathy Communication Privacy and Confidentiality Child: 6-12 years Adult: 19-44 years Male Female ab: Objectives: Food insecurity (FI) has serious academic, social, and physical health consequences for children. A recent clinical recommendation suggests FI screening during child well visits. While FI screening research has considered clinician feedback, little is known about caregivers' experience of disclosing FI to health care providers. Our paper explores caregivers' barriers and facilitators to FI disclosure. Methods: A survey on factors influencing FI disclosure was completed in a pediatric clinic waiting room in St. Louis, MO. Among households with FI, 15 caregivers participated in a qualitative interview. Caregivers were asked about experiences discussing FI with health care providers. We calculated frequencies for survey responses and analyzed interview data using thematic content analysis. Results: Caregivers highlighted stigma, fear of child being taken away, and shame as barriers to FI disclosure. Caregivers identified strong interpersonal skills, open body language, and empathy as facilitators to disclosure at the interpersonal level. Provider initiated conversations, consideration of FI disclosure in the presence of a child, and normalization of FI discussions within the clinic were described as ways to encourage FI disclosure at the organizational level. In response to FI disclosure, caregivers would like providers to offer resources including referrals to community-based resources extending beyond food. Conclusions for Practice: Our study identifies considerations for FI screening in health care settings, spanning the social-ecological model, from the perspective of caregivers. To successfully screen and address FI, multifaceted health care interventions should address barriers and promote facilitators across multiple levels and in consideration of multiple social needs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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