儿科艾滋病毒感染者的粮食不安全问题:了解美国面临的严峻挑战。

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES
Khaliah A Johnson, Caroline Owens, Hannah Claire Edelson, Magdalene Yonker, Shae Robinson-Mosley, Jenny Park, Miranda Cook
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引用次数: 0

摘要

要提高艾滋病病毒感染者的福利,就必须关注健康的社会决定因素,包括粮食不安全问题。通过临床和社区需求评估,我们旨在深入了解在美国东南部一家大型儿科艾滋病门诊接受治疗的患者的食物不安全经历。我们采用了多模式评估方法,包括文献综述、社区概况、关键信息提供者访谈、与员工、患者和家长的焦点小组讨论以及社区利益相关者咨询会议。我们的需求评估表明,粮食不安全是儿童、青少年和年轻成人艾滋病感染者生活经历的一个重要方面。临床医护人员一致认为,应将食物不安全筛查纳入患者护理工作流程,但最好是在提供满足其需求的资源的同时进行。我们根据优先重要性和可行性制定了解决食物不安全问题的建议矩阵。医疗保健从业者和领导者、社区组织以及地方和联邦资金来源之间的合作关系,对于加强患者获得可持续、可靠的解决方案以解决这一基本健康决定因素至关重要。我们的方法为其他诊所识别和缓解患者的食物不安全问题提供了一个经过验证的模式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Food insecurity in pediatric HIV: understanding a critical challenge in the United States.

Advancing the well-being of individuals living with HIV necessitates attention to social determinants of health, including food insecurity. Through a clinical and community-based needs assessment, we aimed to gain insight into experiences of food insecurity among patients receiving care at a large pediatric HIV outpatient clinic in the Southeastern United States. We adopted a multimodal assessment approach involving a literature review, community profiling, key informant interviews, focus group discussions with staff, patients and parents and a community stakeholder advisory meeting. Our needs assessment demonstrates that food insecurity is an important aspect of the lived experience of children, adolescents and young adults living with HIV. Clinical staff agreed that food insecurity screening should be incorporated into the patient care workflow but ideally only in concert with providing resources that meet their needs. We formulated a recommendation matrix for addressing food insecurity based on priority importance and feasibility. Collaborative relationships between healthcare practitioners and leaders, community-based organizations and local and federal funding sources are vital for enhancing patients' access to sustainable, reliable solutions to this fundamental determinant of health. Our approach provides a tested model for other clinics seeking to identify and alleviate food insecurity among patients.

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CiteScore
3.50
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