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Re-Opening Schools Safely: The Case for Collaboration, Constructive Disruption of Pre-COVID Expectations, and Creative Solutions

In the US, 40% of families have school-aged children and in more than 90% of these households, at least one parent is employed outside the home. Schools play an important role in these working families. Yet schools have been closed for approximately 2 months in an effort to curb the COVID-19 pandemic and closing has had […]

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Electronic Medical Record–Based Referrals to Community Nutritional Assistance for Food-Insecure Patients

Food insecurity, defined as the lack of consistent access to enough food for an active, healthy life, has consistently been associated with poor health outcomes and higher health care costs. To address this issue, a food resource referral was integrated into Hennepin County Medical Center’s (HCMC) electronic medical record (EMR) at the hospital, outpatient clinics, […]

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Housing As A Prescription For Health, Now And In The Future

Even before the COVID-19 pandemic, housing instability and homelessness were linked to poor physical and mental health outcomes for children and adults. But the COVID-19 pandemic and subsequent economic crisis highlight the critical intersection between where you live and health in myriad ways. Solutions that respond to the complex nature of these interlocking issues are needed more […]

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Housing Intervention For Medically Complex Families Associated With Improved Family Health: Pilot Randomized Trial

Abstract The effects of housing instability and homelessness on child and adult health are well documented. However, few studies have explored health and housing interventions for families with children with the objective of health improvement. Housing Prescriptions as Health Care is a randomized controlled trial that is investigating the impact on physical and mental health […]

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Associations Between Federal Rental Housing Assistance and Childhood Asthma—A Renewed Call for Investing in Housing for Health

In this issue of JAMA Pediatrics, the findings of Boudreaux et al1 suggest that federal rental assistance for families with low incomes may be important for reducing emergency department visits for asthma. This study adds to the increasing body of research on the ways in which housing assistance is associated with health and has implications for housing […]

Prenatal Ambient Particulate Matter Exposure and Longitudinal Weight Growth Trajectories in Early Childhood

Abstract Air pollution exposure during pregnancy has been associated with impaired fetal growth and postnatal weight gain, but few studies have examined the effect on weight growth trajectories. We examine the association between validated 1 km2 resolution particulate matter (PM2.5) concentrations, averaged over pregnancy, and sex-specific growth trajectories from birth to age six of participants […]

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Maternal place of birth, socioeconomic characteristics, and child health in US-Born Latinx children in Boston

Abstract Objectives: Among US-born children of Latina US (USB) and Latina foreign-born mothers (FBM), to determine whether 1) household and child characteristics differ; 2) child health outcomes differ; 3) these differences diminish for children of FBM with longer duration of residence (DOR) in the US; and 4) these differences can be explained by food insecurity […]

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Effects of Maternal Homelessness, Supplemental Nutrition Programs, and Prenatal PM2.5 on Birthweight

Abstract: Few studies examined the impact of maternal socioeconomic status and of its combined effects with environmental exposures on birthweight. Our goal was to examine the impact of maternal homelessness (mothers ever homeless or who lived in shelters during pregnancy) and participation in the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) during […]

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Part II: A Qualitative Study of Social Risk Screening Acceptability in Patients and Caregivers

Abstract Introduction: This study aimed to better understand patient and caregiver perspectives on social risk screening across different healthcare settings. Methods: As part of a mixed-methods multisite study, the authors conducted semistructured interviews with a subset of adult patients and adult caregivers of pediatric patients who had completed the Center for Medicare and Medicaid Innovation […]

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Part I: A Quantitative Study of Social Risk Screening Acceptability in Patients and Caregivers

Abstract Introduction: Despite recent growth in healthcare delivery-based social risk screening, little is known about patient perspectives on these activities. This study evaluates patient and caregiver acceptability of social risk screening. Methods: This was a cross-sectional survey of 969 adult patients and adult caregivers of pediatric patients recruited from 6 primary care clinics and 4 […]