Affordable Access

deepdyve-link
Publisher Website

Exploring the Gap: Food Insecurity and Resource Engagement.

Authors
  • Cullen, Danielle1
  • Abel, Dori2
  • Attridge, Megan3
  • Fein, Joel A4
  • 1 Pediatric Emergency Medicine, The Children's Hospital of Philadelphia (D Cullen and JA Fein), Philadelphia, Pa. Electronic address: CullenD[email protected]
  • 2 New York-Presbyterian Morgan Stanley Children's Hospital (D Abel), New York, NY.
  • 3 Pediatric Emergency Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago (M Attridge), Chicago, Ill.
  • 4 Pediatric Emergency Medicine, The Children's Hospital of Philadelphia (D Cullen and JA Fein), Philadelphia, Pa.
Type
Published Article
Journal
Academic pediatrics
Publication Date
Apr 01, 2021
Volume
21
Issue
3
Pages
440–445
Identifiers
DOI: 10.1016/j.acap.2020.08.005
PMID: 32795688
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Pediatric health care institutions are increasingly implementing food insecurity (FI) screens, but there is limited information about participant interest in referral and engagement with resources provided. In this descriptive cross-sectional study, we recruited participants from a consecutive sample of adult caregivers arriving with pediatric patients in the emergency department at an urban, freestanding children's hospital. Caregivers completed a validated, 2-question screen for FI. All participants received a list of food access resources. Direct referral to a partnered community food resource agency was offered to those who screened positive for FI; that agency completed a phone call to the participant for resource provision within 2 weeks. Among the 1818 participants recruited, 20.6% (375) screened positive for FI, consistent with the area's reported child FI rate. Of those who screened positive, 54.9% (206) opted to receive a direct-referral via phone call to a food resource agency, and 35.9% (74) of these were reached by phone. About 31.1% (23) of those contacted were no longer interested in food resource referrals, 10.8% (8) were signed up for the Supplemental Nutrition Assistance Program, and 59.5% (44) were referred to local food pantries. Through hospital-community partnership in an initial attempt to screen and offer direct-referral for FI, we elicited considerable interest among families for connection to resource agencies. However, there was a substantial gap between referral acceptance and ultimate connection with the resource agency stemming from 2 major sources: inability to re-contact and loss of interest after contact. Copyright © 2020 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

Report this publication

Statistics

Seen <100 times