基于紧急部门的粮食不安全查和推计划的可行性
Victor Cisneros1, Ian Dennis Capo Olliffe2, Marco Santos Esteban2
1Eisenhower Health, Department of Emergency Medicine, Rancho Mirage, California.
The western journal of emergency medicine
|June 25, 2025
概括
紧急部门的查有效地识别了粮食不安全 (FI) 和转诊降低了参与者的FI分数. 解决交通和时间等障碍是改善对粮食援助资源的投入的关键.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 营养安全 营养安全
背景情况:
- 粮食不安全 (FI) 影响超过12.8%的美国家庭,不成比例地影响边缘化城市人口.
- 应急部门 (EDs) 是潜在的中心,以解决FI由于他们的广泛范围.
- 这项研究调查了城市学术医院基于ED的FI查和转诊计划的可行性.
研究的目的:
- 评估城市ED患者中FI的患病率.
- 评估对FI评估进行3周和6周的随访的可行性.
- 检查食物不安全的ED患者中资源利用的障碍.
主要方法:
- 在城市学术ED (2018-2024) 中进行的一项单中心观察性研究.
- 验证了初始FI查的两项问题调查,随后是USDA成人食品安全调查的积极查.
- 三周和六周的后续电话评估FI地位的变化并确定障碍.
主要成果:
- 在6,339名参与者中,16.9%的FI查结果呈阳性,非西班牙裔黑人 (24.7%) 和西班牙语 (28.7%) 个体的比率更高.
- 在被录取的参与者中,7.6%完成了6周的随访,显示平均FI分数显著下降 (6.67至4.25,P<0.001).
- 关键的障碍包括时间限制,运输问题和转介材料的错位,限制了参与.
结论:
- 基于ED的FI查和转诊计划是可行的,有效地减少了粮食不安全.
- 解决患者识别的障碍对于增强计划参与和影响至关重要.
- 包括普遍查和个性化援助在内的系统支持可以改善粮食资源的可获得性.
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