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From Clinical Practice to Community Action: Addressing Diaper Insecurity Through Pediatric Primary Care
Caitlin Koob1, Xiaofang Lai, Emily Denman
1Author Affiliations: Department of Healthcare Leadership and Management, Medical University of South Carolina, Charleston, South Carolina (Koob); Department of Public Health Sciences, Clemson University, Clemson, South Carolina (Lai); and Bradshaw Institute for Community Child Health and Advocacy, Prisma Health Children's Hospital, Greenville, South Carolina (Lai, Denman, Dawkins, Lavallee-Turner, and Amati).
Insights
Diaper insecurity affects many families, with community events reaching thousands of children. Integrated primary care should screen for social drivers of health to address unmet needs.
Area of Science:
- Community health
- Public health initiatives
- Social determinants of health
Background:
- Diaper insecurity impacts child health and well-being.
- 46% of families reported diaper insecurity in 2023, highlighting a growing concern.
- Community-based diaper distribution events aim to alleviate this issue.
Purpose of the Study:
- To examine the reach of community-based diaper distribution events.
- To assess the role of social drivers of health (SDOH) screening in primary care.
- To understand the implications of SDOH screening for integrated care.
Main Methods:
- Analysis of registration data from 6 diaper distribution events (July 2023 - July 2024).
- Utilized mapping and statistical analyses with ArcGIS Pro 3.2.1 and R.
- Examined reach across zip codes and demographic characteristics of recipients.
Main Results:
- 2793 children received diapers across 42 zip codes.
- Recipients were predominantly Spanish-speaking (54.5%), Hispanic (63.6%), and enrolled in WIC (71.28%) and Medicaid (53.46%).
- 33.6% of families resided in areas with low educational opportunity.
Conclusions:
- Community diaper distribution events demonstrate significant reach.
- Broader social drivers of health screening is crucial in primary care settings.
- Many families have unmet needs, even in areas with moderate socio-economic opportunity, underscoring the need for integrated care solutions.
Background And Objectives:
Diaper access affects child health and well-being; however, accessibility concerns have exponentially increased with 46% of families reporting diaper insecurity in 2023. This report examines the 1) reach of community-based diaper distribution events and 2) role of social drivers of health (SDOH) screening and implications in integrated primary care.
Methods:
Diaper distribution event(s)' registration data (N = 6) were analyzed from July 2023 to July 2024. Mapping and statistical analyses were conducted, using ArcGIS Pro 3.2.1 and R.
Results:
A total of 2793 children received diapers across 42 zip codes, and each child received 50 to 100 diapers per event. Most families spoke Spanish (54.5%), were enrolled in Women, Infants, and Children (71.28%) and Medicaid (53.46%), and identified as Hispanic (63.6%). Approximately one-third (33.6%) lived in areas with "low" educational opportunity.
Conclusions:
Findings suggest that broader SDOH screening is needed in primary care, as many families face unmet needs despite living in zip codes considered to have "moderate" socio-economic opportunity.
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