Associations Between Prenatal Food Insecurity and Prematurity, Pediatric Health Care Utilization, and Postnatal Social Needs
| Autor: | Ashaki Jackson, Lynne M. Smith, Vida S. Sandoval, Adam Schickedanz, Erin Saleeby |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Prenatal care Rate ratio Article Odds 03 medical and health sciences 0302 clinical medicine Pregnancy 030225 pediatrics Environmental health Pandemic Odds Ratio Medicine Humans 030212 general & internal medicine Longitudinal Studies Poverty business.industry Infant Newborn Infant Odds ratio Patient Acceptance of Health Care medicine.disease Child development Confidence interval Hospitalization Pregnancy Complications Food Insecurity Premature birth Pediatrics Perinatology and Child Health Female business Infant Premature Needs Assessment |
| Zdroj: | Acad Pediatr |
| ISSN: | 1876-2867 |
| Popis: | Objective Childhood food insecurity endangers child development and health outcomes. Food insecurity will grow increasingly common in the economic wake of the coronavirus pandemic and prenatal care represents an early, clinical opportunity to identify families at risk. However, longitudinal relationships between clinically-identified prenatal food insecurity and prematurity, pediatric health care utilization, and postnatal social needs have not been described. Methods We examined longitudinal data from mother-child dyads who received prenatal and pediatric care and social needs screening at a large academically-affiliated safety net medical center between October 2018 and July 2019. Associations among household food insecurity and premature birth, pediatric inpatient and outpatient utilization, missed immunizations, and postnatal social needs were estimated using adjusted regression. Results Among the 268 mothers, those who experienced prenatal household food insecurity had 3 times higher odds of having a child born prematurely (95% confidence interval [CI] 1.0–8.9, P = .05) and had children with higher inpatient hospitalizations (incidence rate ratio [IRR] 2.4, 95% CI 1.0–5.6, P = .04) and missed immunizations (IRR 3.4, 95% CI 1.1–10.3, P = .03) in the first 6 months of the child's life. These mothers also had higher odds of having any social needs in the pediatric setting (odds ratio 3.4; 95% CI 1.5–8.0, P = .004). Conclusions Prenatal household food insecurity was linked to future adverse perinatal and pediatric outcomes in low-income mother-child dyads. Food insecurity identifies children at social and medical risk, providing an early clinical opportunity to intervene. |
| Databáze: | OpenAIRE |
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