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Updated: Dec 12, 2025

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Errors as a Means of Reducing Impulsive Food Choice
Published on: June 5, 2016
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Exploring the Gap: Food Insecurity and Resource Engagement.
Danielle Cullen1, Dori Abel2, Megan Attridge3
1Pediatric Emergency Medicine, The Children's Hospital of Philadelphia (D Cullen and JA Fein), Philadelphia, Pa.
Academic Pediatrics
|August 16, 2020
Summary
Many caregivers screened for food insecurity (FI) in pediatric EDs are interested in resources, but connecting them proves challenging due to missed contacts and waning interest. This highlights gaps in food access interventions.
Area of Science:
- Public Health
- Pediatric Healthcare
- Nutrition Security
Background:
- Pediatric healthcare settings are increasingly adopting food insecurity (FI) screening.
- Limited data exists on patient interest and engagement with referred resources.
Purpose of the Study:
- To assess caregiver interest in food resource referrals after FI screening in a pediatric emergency department.
- To identify barriers to successful resource connection.
Main Methods:
- A descriptive, cross-sectional study was conducted in a pediatric emergency department.
- Adult caregivers of pediatric patients completed a 2-question FI screen.
- Positive screens received a resource list and an offer for direct referral to a community agency.
Main Results:
- 20.6% of 1818 participants screened positive for FI.
- 54.9% of those positive opted for direct referral; 35.9% were successfully contacted.
- Among contacted individuals, 31.1% lost interest, 10.8% enrolled in SNAP, and 59.5% were referred to food pantries.
Conclusions:
- Hospital-community partnerships can generate interest in food resource referrals.
- Significant gaps exist between referral acceptance and successful connection, primarily due to contact issues and lost interest.
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