Perspectives of Caregivers Experiencing Persistent Food Insecurity at an Academic Primary Care Clinic
| Autor: | Kimberly Montez, Deepak Palakshappa, Ingrid Lorese Tablazon, Brenda Ramirez, Laurie W. Albertini, Faith C. OBrian, Joseph A. Skelton |
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| Rok vydání: | 2021 |
| Předmět: |
African american
Male medicine.medical_specialty Adolescent Primary Health Care Psychological intervention Primary care Primary care clinic Grounded theory Food Supply Food insecurity Food Insecurity Caregivers Content analysis Family medicine Pediatrics Perinatology and Child Health Social needs medicine Humans Mass Screening Female Psychology |
| Zdroj: | Academic pediatrics. 22(6) |
| ISSN: | 1876-2867 |
| Popis: | Objective Food insecurity (FI) is often transitory and instigated by changes in family circumstances or environmental events. Clinics have developed interventions to address FI, yet families may face persistent FI. Little is known about persistently food insecure families’ experiences with clinic-based interventions. The objective of this study was to evaluate the perspectives of caregivers experiencing persistent FI in a clinical setting. Methods We conducted 40 semistructured interviews at one academic primary care clinic between July 2019 and December 2019. The clinic routinely screened families for FI at every visit; families screening positive could meet with a care navigator and receive bags of nonperishable foods. Caregivers who received food bags at ≥3 visits, spoke English or Spanish, and were ≥18 years old were eligible to participate. Interviews were recorded, de-identified, transcribed, and systematically coded using inductive content analysis. A modified constant comparative method was used to iteratively review codes, identify emerging themes, and resolve differences through consensus. Results Forty caregivers were interviewed; all were women; 45% were Hispanic/Latinx and 37.5% African American/Black. Three major themes emerged: 1) unmet social and medical needs and the challenges of caregiving complicate FI; 2) social supports help address FI and other social challenges that present barriers to accessing resources; and 3) caregivers provide practical recommendations for addressing persistent FI. Conclusion Families experiencing persistent FI described important social supports that help address FI and other social challenges that present barriers to accessing resources. Clinic-based resources were welcomed interventions, but their impact may be limited; practical recommendations were made. |
| Databáze: | OpenAIRE |
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