A5000866088- Food Security and Health in Diverse Populations
- Homelessness and Social Issues
- Child and Adolescent Health
- Gender, Labor, and Family Dynamics
- Obesity, Physical Activity, Diet
- Child Nutrition and Water Access
- Migration, Health and Trauma
- Health disparities and outcomes
- International Development and Aid
- Migration and Labor Dynamics
- Esophageal and GI Pathology
- Health and Conflict Studies
- Urbanization and City Planning
- Congenital Anomalies and Fetal Surgery
- Income, Poverty, and Inequality
- Human Rights and Development
- Geriatric Care and Nursing Homes
- Urban, Neighborhood, and Segregation Studies
- Noise Effects and Management
- Obesity and Health Practices
- Environmental Justice and Health Disparities
- Healthcare Policy and Management
- Childhood Cancer Survivors' Quality of Life
- COVID-19 Pandemic Impacts
Boston Medical Center
2019-2025
Boston University
2022-2025
Hennepin County Medical Center
2022
Social determinants affect health, yet there are few systematic clinical strategies in primary care that leverage electronic health record (EHR) automation to facilitate screening for social needs and resource referrals. An EHR-based of (SDOH) referral model, adapted from the WE CARE model pediatrics, was implemented urban adult care.This study aimed to: (1) understand burden SDOH among patients at Boston Medical Center; (2) evaluate feasibility implementing a strategy screen new SDOH, use...
<h3>Importance</h3> A key component of the American Rescue Plan Act 2021 included an expansion Child Tax Credit with advance payments beginning in July 2021, a “child allowance” that was projected to dramatically reduce child poverty. Food insufficiency has increased markedly during economic crisis spurred by COVID-19 pandemic, disparities among marginalized populations, and may be associated substantial health care social costs. <h3>Objective</h3> To assess whether introduction for mid-July...
The Supplemental Nutrition Assistance Program (SNAP) helps working families meet their nutritional needs. Families whose earned income increases in a given month may have SNAP benefits abruptly reduced or cut off the following month. Using sentinel sample data from 2007–15 for with children younger than age four, we investigated how benefit reductions cutoffs resulting increased were related to economic hardships (food and energy insecurity, unstable housing, forgone health and/or dental...
The effects of housing instability and homelessness on child adult health are well documented. However, few studies have explored interventions for families with children the objective improvement. Housing Prescriptions as Health Care is a randomized controlled trial that investigating impact physical mental integrating priority placement in affordable provision services (case management, financial, legal), compared to standard care (providing resource guides hospital-based social work or...
Advance Child Tax Credit (CTC) monthly payments administered to more than 35 million households with children in the US between July and December 2021 were associated a substantial decrease food insufficiency. These expired January 2022 after Congress failed extend policy, subsequent impact on insufficiency is currently unknown.To assess whether expiration of CTC was changes children.This study used repeated cross-sectional, nationally representative data from multiple waves Household Pulse...
Immigrant families are known to be at higher risk of food insecurity compared non-immigrant families. Documented immigrants in the U.S. <5 years ineligible for Supplemental Nutrition Assistance Program (SNAP). Immigration enforcement, anti-immigrant rhetoric, and policies negatively targeting have increased recent years. Anecdotal reports suggest immigrant forgo assistance, even if eligible, related fear deportation or future ineligibility citizenship. In period January 2007–June 2018,...
Abstract The COVID-19 pandemic brought increases in economic shocks due to poor health and lost employment, which reduced well-being, especially households with children. American Rescue Plan Act of 2021 expanded Child Tax Credit (CTC) payments include eligibility for the lowest income households, boosted benefit levels, provided monthly advance Using Census Household Pulse Survey respondent data from January July 2022, we evaluated association between these CTC food insufficiency among...
Importance Even brief periods of hardship during early childhood may have lifelong consequences. Prior cross-sectional research limited to respondents with English proficiency and internet access the COVID-19 crisis documented families young children that struggled afford basic needs like food rent. Few studies examined experiences by race ethnicity maternal nativity. Objective To examine association relief programs mitigation household insecurity among children, as well being behind on rent...
Families with versus without children are at greater eviction risk. Eviction is a perinatal, pediatric, and adult health concern. Most studies evaluate only formal evictions.Using cross-sectional surveys of 26 441 caregiver or young child (<48 months) dyads from 2011 to 2019 in emergency departments (EDs) primary care clinics, we investigated relationships 5 year history (court-involved) informal (not court-involved) evictions health, hospitalizations, hospital admission the ED on day...
Widespread fear among immigrants from hostile 2016 presidential campaign rhetoric decreased social and health care service enrollment (chilling effect). Health utilization effects immigrant families with young children are unknown. We examined whether former President Trump's election had chilling on well-child visit (WCV) schedule adherence, hospitalizations, emergency department (ED) visits of vs US-born mothers in 3 US cities. Cross-sectional surveys <4 years receiving hospitals were...
Children with special health care needs (SHCNs) have significant medical and educational expenses affecting household finances. Housing instability can be detrimental to family well-being. Our objective was evaluate housing in households of children without SHCNs.Cross-sectional surveys (2013-2017) English Spanish caregivers <4 years old were conducted at 5 hospitals. The SHCN screener caregiver report child Supplemental Security Income (SSI) receipt used categorize into the following...
Abstract Hardships in early childhood impact health. Few longitudinal studies have examined pandemic-related hardships among families with young children by race/ethnicity or nativity. We used prospective data from 1,165 caregivers of < 4 years surveyed English and Spanish face-to-face 5 urban hospitals 1/2018 to 3/2020 (pre-pandemic) again telephone 9/2020 3/2021 (during pandemic). Caregivers reported (household food insecurity [HFI], child [CFI]), behind on rent [BOR]) maternal During...
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Objective: To test whether household food insecurity (HFI) was associated with total annual hospitalization charges, days hospitalized, and charges per day, among low-income infants (months) any non-neonatal hospital stays.