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Identifying Food Insecurity in Health Care Settings: A Systematic Scoping Review of the Evidence.

Published on Jan 1, 2019in Family & Community Health
· DOI :10.1097/fch.0000000000000208
Emilia H. De Marchis1
Estimated H-index: 1
,
Jacqueline M. Torres10
Estimated H-index: 10
+ 1 AuthorsLaura Gottlieb15
Estimated H-index: 15
Abstract
: This systematic scoping review explores evidence on food insecurity (FI) screening measures, acceptability, and program implementation in health care settings. Validation studies on brief screening tools suggest that instruments exist that adequately measure the construct of FI. Patients and clinicians found FI screening acceptable in a range of clinical settings, though studies are not high quality and rarely reflect substantial patient diversity. Targeted interventions successfully increased screening rates and reduced screening barriers. More research is needed to understand implementation and effectiveness of FI screening in diverse populations to ensure that evolving practices in this area do not widen health inequities.
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#1Deepak Palakshappa (Wake Forest University)H-Index: 6
#2Meggan Goodpasture (Wake Forest University)H-Index: 2
Last. Joseph A. Skelton (Wake Forest University)H-Index: 20
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Abstract Objective Clinics are increasingly interested in identifying food insecurity (FI), but there is limited data on how to implement FI screening. Our objective was to determine the difference in FI disclosure rates by parents/guardians screened by a written questionnaire compared to verbally. Methods The study occurred in one pediatric primary care clinic in which we screen for FI using the 2-item Hunger Vital Sign™. We used interrupted time series to evaluate the effect of changing from t...
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#1Elena Byhoff (Tufts Medical Center)H-Index: 2
#2Emilia H. De Marchis (UCSF: University of California, San Francisco)H-Index: 1
Last. Laura Gottlieb (UCSF: University of California, San Francisco)H-Index: 15
view all 20 authors...
Introduction Despite recent growth in healthcare delivery-based social risk screening, little is known about patient perspectives on these activities. This study evaluates patient and caregiver acceptability of social risk screening. Methods This was a cross-sectional survey of 969 adult patients and adult caregivers of pediatric patients recruited from 6 primary care clinics and 4 emergency departments across 9 states. Survey items included the Center for Medicare and Medicaid Innovation Accoun...
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