Screening for marginal food security in young children in primary care.

Autor: Bayoumi I; Department of Family Medicine, Queen's University, 220 Bagot St., P.O. Bag 8888, Kingston, ON, K7L5E9, Canada. bayoumi@queensu.ca.; Centre for Studies in Primary Care, Queen's University, Kingston, ON, Canada. bayoumi@queensu.ca., Birken CS; Division of Paediatric Medicine and the Paediatric Outcomes Research Team (PORT), Hospital for Sick Children, Toronto, ON, Canada.; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.; Sick Kids Research Institute, Toronto, ON, Canada.; Department of Pediatrics, Faculty of Medicine, University of Toronto, Toronto, ON, Canada., Nurse KM; Division of Paediatric Medicine and the Paediatric Outcomes Research Team (PORT), Hospital for Sick Children, Toronto, ON, Canada.; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada., Parkin PC; Division of Paediatric Medicine and the Paediatric Outcomes Research Team (PORT), Hospital for Sick Children, Toronto, ON, Canada.; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.; Sick Kids Research Institute, Toronto, ON, Canada.; Department of Pediatrics, Faculty of Medicine, University of Toronto, Toronto, ON, Canada., Maguire JL; Sick Kids Research Institute, Toronto, ON, Canada.; Department of Pediatrics, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.; Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada.; Department of Paediatrics, St. Michael's Hospital, Toronto, ON, Canada.; Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto, ON, Canada., Macarthur C; Division of Paediatric Medicine and the Paediatric Outcomes Research Team (PORT), Hospital for Sick Children, Toronto, ON, Canada.; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.; Sick Kids Research Institute, Toronto, ON, Canada.; Department of Pediatrics, Faculty of Medicine, University of Toronto, Toronto, ON, Canada., Randall Simpson JA; Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON, Canada., Borkhoff CM; Division of Paediatric Medicine and the Paediatric Outcomes Research Team (PORT), Hospital for Sick Children, Toronto, ON, Canada.; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.; Sick Kids Research Institute, Toronto, ON, Canada.
Jazyk: angličtina
Zdroj: BMC pediatrics [BMC Pediatr] 2021 Apr 23; Vol. 21 (1), pp. 196. Date of Electronic Publication: 2021 Apr 23.
DOI: 10.1186/s12887-021-02674-4
Abstrakt: Background: Household food insecurity (FI), even at marginal levels, is associated with poor child health outcomes. The Nutrition Screening Tool for Every Preschooler (NutriSTEP®) is a valid and reliable 17-item parent-completed measure of nutrition risk and includes a single item addressing FI which may be a useful child-specific screening tool. We evaluated the diagnostic test properties of the single NutriSTEP® FI question using the 2-item Hunger Vital Sign™ as the criterion measure in a primary care population of healthy children ages 18 months to 5 years.
Results: The sample included 1174 families, 53 (4.5%) of which were marginally food secure. An affirmative response to the single NutriSTEP® question "I have difficulty buying food I want to feed my child because food is expensive" had a sensitivity of 85% and specificity of 91% and demonstrated good construct validity when compared with the Hunger Vital Sign™.
Conclusion: The single NutriSTEP® question may be an effective screening tool in clinical practice to identify marginal food security in families with young children and to link families with community-based services or financial assistance programs including tax benefits.
Trial Registration: TARGet Kids! practice-based research network (Registered June 5, 2013 at www.clinicaltrials.gov ; NCT01869530); www.targetkids.ca.
Databáze: MEDLINE
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