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Screening for Food Insecurity in a Pediatric Diabetes Program: Provider and Parent/Guardian Perspectives

Yonina G Frim1,2,3, Katharine C Garvey1,2, Erin Gordon1,4

  • 1Division of Endocrinology, Boston Children's Hospital, Boston, MA, USA.

Clinical Pediatrics
|January 20, 2024
PubMed

Insights

Pediatric diabetes care providers rarely screen for food insecurity (FI) due to time and knowledge barriers. Most parents are open to FI screening during endocrinology visits, highlighting a need for better integration and provider education.

Area of Science:

  • Pediatric Endocrinology
  • Public Health Nutrition
  • Healthcare Disparities

Background:

  • Food insecurity (FI) is linked to adverse health outcomes in children.
  • Children with diabetes mellitus exhibit higher rates of food insecurity.
  • Effective screening for FI in pediatric diabetes settings is crucial.

Purpose of the Study:

  • To evaluate provider and parent/guardian perspectives on food insecurity screening.
  • To identify barriers and facilitators for implementing FI screening in pediatric diabetes care.
  • To inform strategies for sustainable FI screening integration.

Main Methods:

  • Cross-sectional survey assessing provider and parent/guardian views on FI screening.
  • Data collected from 22 healthcare providers and 207 parent/guardians in a pediatric diabetes program.
  • Analysis of response rates, screening practices, perceived importance, and barriers.

Main Results:

  • Most providers rarely or never screened for FI, citing lack of time, memory, and knowledge as key barriers.
  • While only 24.1% of parents reported being asked about FI, a significant majority (8.6%) did not object to screening by medical providers.
  • Providers acknowledged the importance of FI screening despite not routinely performing it.

Conclusions:

  • Current food insecurity screening practices in pediatric diabetes programs are limited.
  • Addressing provider-centric barriers like time constraints and knowledge gaps is essential for effective FI screening.
  • Parental acceptance suggests that integrating FI screening into routine endocrinology visits is feasible with appropriate support and education.

Keywords:
diabetesfood insecuritynutritionpediatricscreening

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