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Association of the Implementation of Child Tax Credit Advance Payments With Food Insufficiency in US Households

Key Points Question: Was the introduction of advance payments for the Child Tax Credit associated with food insufficiency in US households? Findings: In this cross-sectional study using repeated surveys of a nationally representative sample of US households, the introduction of advance payments for the Child Tax Credit was associated with a significant reduction in household food […]

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The immigrant birthweight paradox in an urban cohort: Role of immigrant enclaves and ambient air pollution

Immigrants are a rapidly growing population in the United States (US). By the year 2065, immigrants and subsequent generations will account for 88% of the country’s growth or ~103 million people [1]. As such, research that investigates drivers of perinatal health outcomes among immigrants is critical for shaping the health of future generations. Low birthweight […]

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Can the Hunger Vital Sign™ act as a prescreen for other social needs?

Over the past decade, the health care community has demonstrated growing interest in and commitment to addressing social determinants of health (SDOH) and patients’ social needs – the midstream manifestations of the impact of SDOH1 – in clinical settings. Four out of 5 US hospitals demonstrate leadership commitment to systematically address social needs as part […]

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Failure to Thrive or Growth Faltering: Medical, Developmental/Behavioral, Nutritional, and Social Dimensions

Practice Gap Beyond recognizing the medical and nonmedical dimensions that often interact to cause childhood growth faltering and malnutrition, it is important to understand the role of pediatric feeding disorders, to screen for and address social determinants of health, and to understand the multidisciplinary model of treatment. Objectives After completing this article, readers should be able […]

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Housing and Neighborhoods as Root Causes of Child Poverty

Understanding how housing inequities among families with children are rooted in structural racism is important for identifying opportunities to engage in ongoing and collective work as pediatricians to lift children out of poverty. This article discusses the complex mechanisms between housing and child and family health outcomes, and offers potential solutions linking housing, health programs, […]

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The American Rescue Plan Act, A Critical Opportunity To Improve Child and Family Health

Originally posted on HealthAffairs. The American Rescue Plan Act (ARPA) provides a critical opportunity to improve child and family health and well-being by reducing the poverty and food insecurity that too many families, especially families of color, experience. The ARPA expands the benefits and eligibility of the income support programs, the Child Tax Credit (CTC) […]

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Comparing Food Security Before and During the COVID-19 Pandemic: Considerations When Choosing Measures

Food insecurity (FI) is a public health issue in the US. Over the past 25 years, national prevalence of food insecurity – encompassing both low and very low food security – has been consistently over 10 percent, and very low food security alone has persisted at over 3 percent. The onset of the COVID-19 pandemic […]

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Screening Discordance and Characteristics of Patients With Housing-Related Social Risks

Introduction Healthcare systems are increasingly interested in identifying patients’ housing-related risks, but minimal information exists to inform screening question selection. The primary study aim is to evaluate discordance among 5 housing-related screening questions used in health care. Methods This was a cross-sectional multisite survey of social risks used in a convenience sample of adults seeking […]

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SNAP Is Medicine for Food Insecurity

As we awoke this month to another dispiriting report of the numbers of coronavirus disease 2019 (COVID-19) infections and deaths, a new set of horrifying statistics hit the airwaves. By the end of April 2020, 2 in 5 households with children <12 were food insecure (meaning they were unable to afford enough food for all […]