PDF(Pubmed)
Abstract：
OBJECTIVE: Children\'s hospitals are implementing interventions to connect families to community-based resources. This study describes food insecurity (FI) and food resource knowledge, need, and use among families with a hospitalized child.
METHODS: Between November 2020 and June 2022, 637 caregivers of hospitalized children in an urban 42-ZIP-code area were surveyed as part of a randomized controlled trial. The United States Department of Agriculture 18-item Household Food Security Survey was used to evaluate 12-month food security (food secure [score of 0=FS]; marginally secure [1-2=MFS]; insecure [3-18=FI]). Food resource knowledge, need, and use were described by food security status and examined using Cochran-Armitage tests. The distribution of local resources was obtained from a database and mapped by ZIP code.
RESULTS: Comparing FI (35.0%) with MFS (17.6%) and FS (47.4%) groups, the rates of resource knowledge were lower (70.2% vs 78.5%, 80.5%), and the rates of need (55.1% vs 30.6%, 14.2%) and use (55.3% vs 51.4%, 40.8%) were higher. Rates of food resource knowledge increased linearly with increasing food security (FI to MFS to FS; P = .008), whereas the rates of resource need (P < .001) and use (P = .001) decreased with increasing food security. There were 311 community-based organizations across 36 ZIP codes with participants (range/ZIP code = 0-20, median = 8).
CONCLUSIONS: Half of families with a hospitalized child experienced FI or MFS. Although families exhibited high food resource knowledge, nearly half of families with FI had unmet food needs or had never used resources.
METHODS: Between November 2020 and June 2022, 637 caregivers of hospitalized children in an urban 42-ZIP-code area were surveyed as part of a randomized controlled trial. The United States Department of Agriculture 18-item Household Food Security Survey was used to evaluate 12-month food security (food secure [score of 0=FS]; marginally secure [1-2=MFS]; insecure [3-18=FI]). Food resource knowledge, need, and use were described by food security status and examined using Cochran-Armitage tests. The distribution of local resources was obtained from a database and mapped by ZIP code.
RESULTS: Comparing FI (35.0%) with MFS (17.6%) and FS (47.4%) groups, the rates of resource knowledge were lower (70.2% vs 78.5%, 80.5%), and the rates of need (55.1% vs 30.6%, 14.2%) and use (55.3% vs 51.4%, 40.8%) were higher. Rates of food resource knowledge increased linearly with increasing food security (FI to MFS to FS; P = .008), whereas the rates of resource need (P < .001) and use (P = .001) decreased with increasing food security. There were 311 community-based organizations across 36 ZIP codes with participants (range/ZIP code = 0-20, median = 8).
CONCLUSIONS: Half of families with a hospitalized child experienced FI or MFS. Although families exhibited high food resource knowledge, nearly half of families with FI had unmet food needs or had never used resources.
摘要：
儿童医院正在实施干预措施，将家庭与社区资源联系起来。这项研究描述了粮食不安全(FI)和粮食资源知识，需要,并在有住院孩子的家庭中使用。
■在2020年11月至2022年6月之间，作为一项随机对照试验的一部分，对城市42邮政编码地区的637名住院儿童护理人员进行了调查。美国农业部18项家庭粮食安全调查用于评估12个月的粮食安全（粮食安全[得分0=FS]；边际安全[1-2=MFS]；不安全[3-18=FI]）。食物资源知识，需要,和使用情况按食品安全状况进行描述，并使用Cochran-Armitage试验进行检查。本地资源的分布是从数据库中获得的，并通过邮政编码进行映射。
■比较FI（35.0％）与MFS（17.6％）和FS（47.4％）组，资源知识率较低(70.2%比78.5%，80.5%），和需求率(55.1%对30.6%，14.2%)和使用(55.3%对51.4%，40.8%）较高。粮食资源知识率随着粮食安全的增加而线性增加(FI到MFS到FS；P=.008)，而资源需求（P<.001）和使用（P=.001）的比率随着粮食安全的增加而下降。有36个邮政编码的311个社区组织与参与者（范围/邮政编码=0-20，中位数=8）。
■有住院儿童的家庭中有一半经历了FI或MFS。尽管家庭表现出很高的食物资源知识，近一半的FI家庭没有满足食物需求或从未使用过资源.
■在2020年11月至2022年6月之间，作为一项随机对照试验的一部分，对城市42邮政编码地区的637名住院儿童护理人员进行了调查。美国农业部18项家庭粮食安全调查用于评估12个月的粮食安全（粮食安全[得分0=FS]；边际安全[1-2=MFS]；不安全[3-18=FI]）。食物资源知识，需要,和使用情况按食品安全状况进行描述，并使用Cochran-Armitage试验进行检查。本地资源的分布是从数据库中获得的，并通过邮政编码进行映射。
■比较FI（35.0％）与MFS（17.6％）和FS（47.4％）组，资源知识率较低(70.2%比78.5%，80.5%），和需求率(55.1%对30.6%，14.2%)和使用(55.3%对51.4%，40.8%）较高。粮食资源知识率随着粮食安全的增加而线性增加(FI到MFS到FS；P=.008)，而资源需求（P<.001）和使用（P=.001）的比率随着粮食安全的增加而下降。有36个邮政编码的311个社区组织与参与者（范围/邮政编码=0-20，中位数=8）。
■有住院儿童的家庭中有一半经历了FI或MFS。尽管家庭表现出很高的食物资源知识，近一半的FI家庭没有满足食物需求或从未使用过资源.
