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在入院儿童中对粮食不安全查的差异和偏见

Mary M Orr¹, Adolfo L Molina¹, Cassandra N Smola¹

¹Division of Pediatric Hospital Medicine, Department of Pediatrics, University of Alabama at Birmingham Heersink School of Medicine, Birmingham, Alabama.

Hospital pediatrics

|June 20, 2024

概括

使用电子医疗记录 (EMR) 对住院儿童进行食品不安全 (FI) 查显示了差异. 较年轻的,非白人和没有保险的儿童被查的频率较低,突出了FI查中的潜在实施偏见.

科学领域:

儿科健康儿科健康
公共卫生营养公共卫生营养
医疗信息学医疗信息学

背景情况:

住院患者越来越担心粮食不安全 (FI),但儿童的最佳查方法仍然不清楚.
电子病历 (EMR) 系统为综合查提供了潜力,但它们在儿科住院患者环境中的有效性需要评估.

研究的目的:

评估一项简短的EMR嵌入式查工具的结果,用于在儿科住院患者中发现粮食不安全 (FI).
为了确定与查完成和住院儿童的积极FI识别相关的人口因素.

主要方法:

一项横截面研究分析了从2020年8月到2022年9月的31,553次儿科住院患者遭遇.
饥饿生命体征,一个经过验证的2个问题的屏幕,在EMR护理摄入表格内口服.
统计分析检查了查比例和积极FI率,考虑了年龄,性别,种族,种族,语言和保险等共变量.

主要成果:

81.7%的儿科患者进行FI查;3.4%的查结果呈阳性.
较年轻 (0-2岁),非白人和没有保险的儿童被查的可能性明显较小 (P < .001).
在老年,非白人,西班牙裔,非英语语言和非私人保险患者中观察到更高的FI患病率 (P < .001).

结论:

嵌入EMR的FI选工具,尽管旨在实现普遍性,但却表现出实施偏见.
查差异表明,可能错过了脆弱的儿科患者群体,阻碍了及时干预.

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