Article Instance

HTTP 200 OK
Allow: GET
Content-Type: application/json
Vary: Accept

{
    "pk": 14772,
    "title": "Cross-sectional Analysis of Food Insecurity and Frequent Emergency Department Use",
    "subtitle": null,
    "abstract": "Introduction:\n Emergency department (ED) patients have higher than average levels of food insecurity. We examined the association between multiple measures of food insecurity and frequent ED use in a random sample of ED patients.\nMethods: \nWe completed survey questionnaires with randomly sampled adult patients from an urban public hospital ED (n = 2,312). We assessed food insecurity using four questions from the United States Department of Agriculture Household Food Security Survey. The primary independent variable was any food insecurity, defined as an affirmative response to any of the four items. Frequent ED use was defined as self-report of ≥4 ED visits in the past year. We examined the relationship between patient food insecurity and frequent ED use using bivariate and multivariable analyses and examined possible mediation by anxiety/depression and overall health status.\nResults:\n One-third (30.9%) of study participants reported frequent ED use, and half (50.8%) reported any food insecurity. Prevalence of food insecurity was higher among frequent vs. non-frequent ED users, 62.8% vs 45.4% (P <0.001). After controlling for potential confounders, food insecurity remained significantly associated with frequent ED use (adjusted odds ratio 1.48, 95% confidence interval, 1.20-1.83). This observed association was partially attenuated when anxiety/depression and overall health status were added to models.\nConclusion:\n The high observed prevalence of food insecurity suggests that efforts to improve care of ED patients should assess and address this need. Further research is needed to assess whether addressing food insecurity may play an important role in efforts to reduce frequent ED use for some patients.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Food Insecurity"
        },
        {
            "word": "Emergency Departments"
        },
        {
            "word": "Emergency Service"
        },
        {
            "word": "social determinants of health"
        }
    ],
    "section": "Health Equity",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/4x92d0rt",
    "frozenauthors": [
        {
            "first_name": "Alex",
            "middle_name": "",
            "last_name": "Estrella",
            "name_suffix": "",
            "institution": "UMMS-Baystate, Department of Emergency Medicine, Springfield, Massachusetts",
            "department": "None"
        },
        {
            "first_name": "Joy",
            "middle_name": "",
            "last_name": "Scheidell",
            "name_suffix": "",
            "institution": "New York University School of Medicine, NYU Langone Health, Department of Population Health, New York, New York",
            "department": "None"
        },
        {
            "first_name": "Maria",
            "middle_name": "",
            "last_name": "Khan",
            "name_suffix": "",
            "institution": "New York University School of Medicine, NYU Langone Health, Department of Population Health, New York, New York",
            "department": "None"
        },
        {
            "first_name": "Donna",
            "middle_name": "",
            "last_name": "Castelblanco",
            "name_suffix": "",
            "institution": "New York City Department of Health and Mental Hygiene, New York, New York",
            "department": "None"
        },
        {
            "first_name": "Tod",
            "middle_name": "",
            "last_name": "Mijanovich",
            "name_suffix": "",
            "institution": "New York University Steinhardt School of Culture, Education, and Human Development, Department of Applied Statistics, Social Science, and Humanities, New York, New York",
            "department": "None"
        },
        {
            "first_name": "David",
            "middle_name": "C.",
            "last_name": "Lee",
            "name_suffix": "",
            "institution": "New York University School of Medicine, Departments of Emergency Medicine and Population Health, New York, New York",
            "department": "None"
        },
        {
            "first_name": "Lillian",
            "middle_name": "",
            "last_name": "Gelberg",
            "name_suffix": "",
            "institution": "David Geffen School of Medicine at UCLA, Department of Family Medicine, Los Angeles, California; UCLA Fielding School of Public Health, Department of Health Policy and Management, Los Angeles, California; VA Greater Los Angeles Healthcare System, Office of Healthcare Transformation and Innovation, Los Angeles, California",
            "department": "None"
        },
        {
            "first_name": "Kelly",
            "middle_name": "M.",
            "last_name": "Doran",
            "name_suffix": "",
            "institution": "New York University School of Medicine, Departments of Emergency Medicine and Population Health, New York, New York",
            "department": "None"
        }
    ],
    "date_submitted": "2020-11-27T20:10:38+05:30",
    "date_accepted": "2020-11-27T20:10:38+05:30",
    "date_published": "2021-07-15T03:10:53+05:30",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/14772/galley/7515/download/"
        }
    ]
}