Academic Pediatrics最新文献_第8页

The Association Between Child Food Allergy and Family Food Insecurity in a Nationally Representative US Sample 在具有全国代表性的美国样本中，儿童食物过敏与家庭食物不安全之间的关系。

IF 3 3区医学

Academic Pediatrics Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.08.010

Elsa R. Treffeisen MD, MPH , Sara J. Cromer MD , Marisela E. Dy-Hollins MD, MSCR , Sheng Y. Lin MD, MS , Hiten Naik MD, SM , Dionne A. Graham PhD , Lauren Fiechtner MD, MPH , Karen A. Kuhlthau PhD , Lynda C. Schneider MD , Kathleen E. Walsh MD, MSc

{"title":"The Association Between Child Food Allergy and Family Food Insecurity in a Nationally Representative US Sample","authors":"Elsa R. Treffeisen MD, MPH , Sara J. Cromer MD , Marisela E. Dy-Hollins MD, MSCR , Sheng Y. Lin MD, MS , Hiten Naik MD, SM , Dionne A. Graham PhD , Lauren Fiechtner MD, MPH , Karen A. Kuhlthau PhD , Lynda C. Schneider MD , Kathleen E. Walsh MD, MSc","doi":"10.1016/j.acap.2024.08.010","DOIUrl":"10.1016/j.acap.2024.08.010","url":null,"abstract":"<div><h3>Objective</h3><div>To assess whether child food allergy is associated with family food insecurity, overall, and across different income levels.</div></div><div><h3>Methods</h3><div>We used the 2011–2018 National Health Interview Survey, a nationally representative cross-sectional survey. The exposure was child food allergy, and our main outcome was odds of family food insecurity, which was calculated using multivariable logistic regression models adjusted for child demographics, family characteristics and survey year. We examined for effect modification by the ratio of family income to the poverty threshold using stratification and tests for statistical interaction.</div></div><div><h3>Results</h3><div>Among 83,287 children, 6% had food allergy and 22% experienced family food insecurity. Child food allergy was associated with a 1.39-fold (95% confidence interval [CI]: 1.26, 1.53) increased odds of family food insecurity overall. Child food allergy was associated with a 1.46-fold (95% CI: 1.29, 1.66) increased odds of family food insecurity among children whose families lived below 200% of the federal poverty level, and a 1.26-fold (95% CI: 1.05, 1.51) increased odds of family food insecurity among children whose families lived at 200 to 399% of the federal poverty level, with no association among children whose families lived at or above 400% of the federal poverty level (<em>P</em> = .04 for interaction).</div></div><div><h3>Conclusion</h3><div>There is an association between child food allergy and family food insecurity, and this association is modified by the ratio of family income to the poverty threshold. Improved availability and subsidy of allergen-free foods in nutrition assistance programs and food pantries are urgently needed.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102565"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

RESIDENTS' PERSPECTIVES ON AN INNOVATIVE CHILD LIFE ELECTIVE: PREPARING RESIDENTS TO SUPPORT THE EMOTIONAL NEEDS OF HOSPITALIZED CHILDREN

IF 3 3区医学

Academic Pediatrics Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102673

Vini Vijayan MD, FAAP, FIDSA, Marisa Ybarra Reyes MS CCLS, Athena Gonzalez DIO, Jolie Limon MD

引用次数: 0

CLOSING THE MENTAL HEALTH GAP FOR PRIMARY CARE PHYSICIANS IN PEDIATRIC COMMUNITY HEALTH CENTERS

IF 3 3区医学

Academic Pediatrics Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102644

Elizabeth Pettit MD, Yolanda Lewis-Ragland MD, Sharde Pettis PsyD, Colby Tyson MD, Theiline Gborkorquellie MD, MHS

引用次数: 0

PREP FOR FELLOWSHIP

IF 3 3区医学

Academic Pediatrics Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102682

Kelsey Thetford MD, Michele Nichols MD, Jordan Newman MD

引用次数: 0

UNCOVERING A NEED: DERMATOLOGY EDUCATION IN PEDIATRIC RESIDENCY TRAINING

IF 3 3区医学

Academic Pediatrics Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102649

Leah Lalor MD , Sonal Shah MD

引用次数: 0

ENHANCING PEDIATRIC TRAINEE UNDERSTANDING OF HEALTHCARE COSTS AND FINANCIAL TOXICITY: A NOVEL BILLING DIDACTIC AND INSURANCE SIMULATION APPROACH

IF 3 3区医学

Academic Pediatrics Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102635

Jeremy Jones MD, Michelle Rose MD, Noreena Lewis JD, Brooks Lanham MD, MBA

引用次数: 0

MORE GRADUATING RESIDENTS FROM SMALL PROGRAMS ARE READY FOR UNSUPERVISED PRACTICE FOR THE 17 ABP GENERAL PEDIATRICS EPAS WHEN COMPARED TO MEDIUM AND LARGE PROGRAMS

IF 3 3区医学

Academic Pediatrics Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102685

Daniel Schumacher MD, PhD, MEd , David Turner MD , Benjamin Kinnear MD, MEd , Ariel Winn MD , Catherine Michelson MD, MMSc , Alan Schwartz PhD

引用次数: 0

ALONE WE SURVIVE, TOGETHER WE THRIVE: INTERNATIONAL MEDICAL GRADUATE EMPOWERMENT INITIATIVE

IF 3 3区医学

Academic Pediatrics Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.102690

Elif Erkan MD, MS, Shruthi Mohan MD, Daniela Bullard-Elias MD, Laura Rangel Rodriguez MD, Jose Antonio Elizondo Leal MD

引用次数: 0

Postpartum Depression Screening in Pediatric Primary Care Clinics and Infant Receipt of Preventive or Acute Care 儿科初级保健诊所的产后抑郁症筛查与婴儿接受预防性或急性护理的关系。

IF 3 3区医学

Academic Pediatrics Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.08.001

Danielle P. Tyson MS , Leah V. Utset MD , Rose Y. Hardy PhD, MPH , Mattina A. Davenport PhD , Kierra S. Barnett PhD, MPH , Deena J. Chisolm PhD, MS , Laura J. Chavez PhD, MPH

{"title":"Postpartum Depression Screening in Pediatric Primary Care Clinics and Infant Receipt of Preventive or Acute Care","authors":"Danielle P. Tyson MS , Leah V. Utset MD , Rose Y. Hardy PhD, MPH , Mattina A. Davenport PhD , Kierra S. Barnett PhD, MPH , Deena J. Chisolm PhD, MS , Laura J. Chavez PhD, MPH","doi":"10.1016/j.acap.2024.08.001","DOIUrl":"10.1016/j.acap.2024.08.001","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the association between postpartum depression (PPD) screening results in pediatric primary care and subsequent infant preventive and acute care utilization.</div></div><div><h3>Methods</h3><div>This was a retrospective cohort analysis of 5341 infants born in 2021 whose mothers were screened for PPD at a well-child visit during the first 6 months. Logistic regression was used to examine the association between a positive PPD screen and 1) adherence to the 12-month well-child visit, and 2) any acute care visits (urgent care or emergency department visits) from 6–15 months. The association between PPD screen and number of acute care visits was examined with negative binomial regression.</div></div><div><h3>Results</h3><div>The incidence of positive PPD screens was 15.6% in the first 6 months. There was no significant difference in 12-month well-child visit adherence based on PPD screening (adjusted odds ratio (aOR): 0.91; 95% confidence interval (CI): 0.77–1.06; <em>P</em>-value: 0.206). The odds of having any acute care visit were higher among infants whose mothers screened positive for PPD (aOR: 1.2; 95% CI: 1.0–1.3; <em>P</em>-value: 0.009). There was a significant difference in the incidence rate of acute care visits based on PPD screening results (incidence rate ratio: 1.1; 95% CI: 1.0–1.2; <em>P</em>-value: 0.005).</div></div><div><h3>Conclusions</h3><div>Screening positive for PPD was associated with subsequent acute care utilization but not 12-month preventive care. Primary care providers may need to proactively follow-up after acute care visits to ensure both infant health and maternal needs are met, connecting mothers to resources as needed.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102556"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sexual Identity Is Associated With Adverse Childhood Experiences in US Early Adolescents 美国早期青少年的性别认同与童年不良经历（ACEs）有关。

IF 3 3区医学

Academic Pediatrics Pub Date : 2025-01-01 DOI: 10.1016/j.acap.2024.07.022

Julia H. Raney MD , Shayna Weinstein MPH , Alexander Testa PhD , Kyle T. Ganson PhD, MSW , Zain Memon , David V. Glidden PhD , Fiona C. Baker PhD , Claire D. Brindis DrPH , Jason M. Nagata MD, MSc

{"title":"Sexual Identity Is Associated With Adverse Childhood Experiences in US Early Adolescents","authors":"Julia H. Raney MD , Shayna Weinstein MPH , Alexander Testa PhD , Kyle T. Ganson PhD, MSW , Zain Memon , David V. Glidden PhD , Fiona C. Baker PhD , Claire D. Brindis DrPH , Jason M. Nagata MD, MSc","doi":"10.1016/j.acap.2024.07.022","DOIUrl":"10.1016/j.acap.2024.07.022","url":null,"abstract":"<div><h3>Objective</h3><div>To determine disparities in adverse childhood experiences (ACEs) by sexual identity in a national cohort of early adolescents.</div></div><div><h3>Methods</h3><div>We analyzed cross-sectional data from year 2 of the Adolescent Brain Cognitive Development study (N = 10,934, 2018–20, ages 10–14 years). Disparities in ACE scores across lesbian, gay, or bisexual (LGB), not sure, and heterosexual adolescents were assessed using multinomial logistic regression analyses. Logistic regressions estimated the associations between sexual identity and each individual ACE. Analyses were adjusted for potential confounders.</div></div><div><h3>Results</h3><div>In adjusted models, LGB adolescents had a higher risk of experiencing 2, 3, or ≥4 ACEs (relative risk ratios [RRR] = 1.57, 95% Confidence Interval (CI) 1.01–2.42), 3 (RR = 1.78, 95% CI 1.100–2.88), or ≥4 ACEs (RRR = 3.20, 95% CI 1.92–5.32), and not sure adolescents had a higher risk of having ≥4 ACEs (RRR = 2.17, 95% CI 1.22–3.87), compared to heterosexual adolescents. LGB and not sure adolescents had higher risks of reporting emotional abuse (“yes” OR = 4.21, 95% CI 1.84–9.61; “maybe” OR = 6.20, 95% CI 2.91–13.19) and parent mental illness (“yes” OR = 1.95, 95% CI 1.48–2.57; “maybe” OR = 1.63, 95% CI 1.21–2.18) compared to heterosexual adolescents.</div></div><div><h3>Conclusions</h3><div>LGB adolescents and those questioning their sexual identity were at greater risk of having higher ACE scores, with LGB adolescents experiencing the highest risk of experiencing ACEs. LGB adolescents also had higher odds of reporting emotional and parent mental illness. Recognizing this heightened risk of ACEs in early adolescence is critical for designing clinic and school-based interventions.</div></div>","PeriodicalId":50930,"journal":{"name":"Academic Pediatrics","volume":"25 1","pages":"Article 102555"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0