Health care providers' attention to food insecurity in households with children

A. T. Hoisington, M. T. Braverman, D. E. Hargunani, Elizabeth Adams, C. L. Alto

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Objective: To determine the extent to which physicians and nurse practitioners monitor household food insecurity (FI) of families with children, and to examine factors that influence FI monitoring. Method: A 2007 mail survey of family practice and pediatric physicians and nurse practitioners in the Portland, Oregon, region yielded 186 responses. Factor analysis was used to identify barriers to asking about FI. Regression analysis was used to determine whether monitoring of household food status was predicted by those barriers, attentiveness to potential FI indicators, and other variables. Results: Most respondents did not routinely inquire about household FI during clinic visits. However, 88.8% expressed willingness to use a standardized screening question, if available. Monitoring of household food nutritional quality was significantly predicted by one of three identified barriers (providers' time availability). Monitoring of household food sufficiency was predicted by years in practice, attentiveness to FI indicators, and the remaining two identified barriers (inadequate knowledge about FI, discomfort in discussing FI). Conclusion: Routine monitoring of patients' household FI by health care providers is an underutilized strategy for reducing this condition, which poses serious risks to children's health and development. Addressing providers' concerns and introducing standardized screening procedures can increase their monitoring behaviors.

Original languageEnglish (US)
Pages (from-to)219-222
Number of pages4
JournalPreventive Medicine
Volume55
Issue number3
DOIs
StatePublished - Sep 2012

Fingerprint

Food Supply
Health Personnel
Pediatric Nurse Practitioners
Physicians
Food
Nurse Practitioners
Family Practice
Nutritive Value
Postal Service
Physiologic Monitoring
Ambulatory Care
Child Development
Statistical Factor Analysis
Regression Analysis

Keywords

  • Cross-sectional survey
  • Health care providers
  • Hunger
  • Nutrition assessment
  • Nutrition status

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology

Cite this

Health care providers' attention to food insecurity in households with children. / Hoisington, A. T.; Braverman, M. T.; Hargunani, D. E.; Adams, Elizabeth; Alto, C. L.

In: Preventive Medicine, Vol. 55, No. 3, 09.2012, p. 219-222.

Research output: Contribution to journalArticle

Hoisington, A. T. ; Braverman, M. T. ; Hargunani, D. E. ; Adams, Elizabeth ; Alto, C. L. / Health care providers' attention to food insecurity in households with children. In: Preventive Medicine. 2012 ; Vol. 55, No. 3. pp. 219-222.
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