From Clinical Practice to Community Action: Addressing Diaper Insecurity Through Pediatric Primary Care.

IF 1.4 4区医学 Q3 FAMILY STUDIES

Family & Community Health Pub Date : 2026-10-01 Epub Date: 2026-06-11 DOI:10.1097/FCH.0000000000000461

Caitlin Koob, Xiaofang Lai, Emily Denman, Taneiya Dawkins, Melinda Lavallee-Turner, J Blakely Amati

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引用次数: 0

Abstract

Background and objectives: Diaper access affects child health and well-being; however, accessibility concerns have exponentially increased with 46% of families reporting diaper insecurity in 2023. This report examines the 1) reach of community-based diaper distribution events and 2) role of social drivers of health (SDOH) screening and implications in integrated primary care.

Methods: Diaper distribution event(s)' registration data (N = 6) were analyzed from July 2023 to July 2024. Mapping and statistical analyses were conducted, using ArcGIS Pro 3.2.1 and R.

Results: A total of 2793 children received diapers across 42 zip codes, and each child received 50 to 100 diapers per event. Most families spoke Spanish (54.5%), were enrolled in Women, Infants, and Children (71.28%) and Medicaid (53.46%), and identified as Hispanic (63.6%). Approximately one-third (33.6%) lived in areas with "low" educational opportunity.

Conclusions: Findings suggest that broader SDOH screening is needed in primary care, as many families face unmet needs despite living in zip codes considered to have "moderate" socio-economic opportunity.

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从临床实践到社区行动：通过儿科初级保健解决尿布不安全问题。

背景和目的：获得尿布影响儿童健康和福祉；然而，对可及性的担忧呈指数级增长，到2023年，46%的家庭报告尿布不安全。本报告探讨了1)社区尿布分发事件的范围和2)健康社会驱动因素（SDOH）筛查的作用及其在综合初级保健中的意义。方法：对2023年7月至2024年7月尿布分发事件登记数据（N = 6）进行分析。使用ArcGIS Pro 3.2.1和r软件进行制图和统计分析。结果：42个邮政编码共有2793名儿童获得纸尿裤，每个儿童每次事件获得50 - 100个纸尿裤。大多数家庭说西班牙语（54.5%），参加妇女，婴儿和儿童（71.28%）和医疗补助（53.46%），并确定为西班牙裔（63.6%）。大约三分之一（33.6%）的人生活在教育机会“低”的地区。结论：研究结果表明，在初级保健中需要更广泛的SDOH筛查，因为许多家庭尽管生活在被认为具有“中等”社会经济机会的邮政编码地区，但仍面临未满足的需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Family & Community Health Multiple-

CiteScore

2.70

自引率

4.30%

发文量

期刊介绍： Family & Community Health is a practical quarterly which presents creative, multidisciplinary perspectives and approaches for effective public and community health programs. Each issue focuses on a single timely topic and addresses issues of concern to a wide variety of population groups with diverse ethnic backgrounds, including children and the elderly, men and women, and rural and urban communities.