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Module

Iron Deficiency and Iron Deficiency Anemia

Published: February 2024
... with when diagnosing anemia and iron deficiency within the first 1,000 days of life. Keywords: nutrient deficiency ; diet ; vitamin c ; anemia of prematurity ; food insecurity 1a. Definitions Anemia is defined as a decreased hemoglobin (Hb) concentration 2 standard deviations below the mean...)
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Module

Obesity

Published: November 2023
... up. 2b. Food Insecurity Food insecurity is associated with obesity in certain subgroups of children, and it is important to assess to improve interventions and outcomes. 2c. Risk Factors in Pregnancy Risk factors in pregnancy that can influence the child’s BMI: ● Excessive weight gain during...)
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Module

9 Month Well Visit

Published: July 2024
... factors. ● Intimate Partner Violence: National Domestic Violence Hotline 1-800-799- SAFE (7233) ● Food Insecurity Resources (see below): ...)
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Module

Social Determinants of Health

Published: June 2023
... ; mental health ; resiliency ; racism ; assistance programs ; food insecurity 1a. Frameworks There are different frameworks for understanding SDoH; one is conceptualized by the WHO (Figure 141.1) and one conceptualized by Healthy People 2030 from the CDC (Figure 141.2).  SDoH can also be grouped...)
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Module

18 Month Well Visit

Published: December 2023
... from food insecurity. Assess if this child is one of them and then introduce them to services/programs which help to address this. ● Caregivers can establish positive eating patterns for their child by providing healthy foods at regular intervals throughout the day, giving appropriate amounts...)
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Book Chapter

Social Determinants of Health and the Hospitalized Child

Published: April 2022
10.1542/9781610026376-part02-social
EISBN: 978-1-61002-637-6
ISBN: 978-1-61002-636-9
... impact on children s health, well-being, and outcomes. For example, 15 million US households were food insecure in 2017, with 14% of US children experiencing food insecurity in the previous month.2,3 Food-insecure children and households are more likely to suffer from worse health status, impaired...
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Book Chapter

Front Matter

Published: May 2022
10.1542/9781610026390-frontmatter
EISBN: 978-1-61002-639-0
ISBN: 978-1-61002-638-3
... such as Providing Care for Children and Adolescents Facing Homelessness and Housing Insecurity, Child Health and Poverty in the United States, and Food Security for All Children (and its companion, Food Insecurity Toolkit for Pediatricians there has been exponential growth in innovative interventions...
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Book Chapter

Social Determinants of Health Part 3: Promoting Health Equity

Published: May 2022
10.1542/9781610026390-part03-promoting_health_equity
EISBN: 978-1-61002-639-0
ISBN: 978-1-61002-638-3
... Academy of Pediatrics (AAP) food insecurity Extension for Community Healthcare Outcomes (ECHO) session, I was reminded by Dr. RJ Gillespie, an AAP fellow and colleague, that when establishing goals for social needs screening, the aim should be building trust between clinicians and families rather than...
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Module

2 Year (24 Month) Well Visit

Published: August 2024
... in the Context of Food Insecurity As disussed in Chapter 49 : Preventing Food Insecurity – Available Community Nutrition Programs, food insecurity is common and substantially affect children’s nutrition and well-being. Food insecurity has a signficant effect on parents’ ability to implement feeding...)
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Book Chapter

Climate Change as a Social Determinant of Health

Published: March 2022
10.1542/9781610026352-part01-climate
EISBN: 978-1-61002-635-2
ISBN: 978-1-61002-634-5
..., caanld localof money, power, and resources at global, national, and local levels.levels. lTevhelsli.sTt hoef lpisotteonftipaoltSeDntOiaHlsSiDsOeHxpsainsseivxepaannsdiviencalnuddeinscflouoddes foodThe list of potential SDOHs is expansive and includes food insecurity,insecurinitsye, chuoruitsyi...
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Journal Articles

Cognitive Development

Jennifer E. Crotty, MD, Susanne P. Martin-Herz, MD, PhD, Rebecca J. Scharf, MD, MPH
Publication: Pediatrics In Review
Pediatr Rev (2023) 44 (2): 58–67.
Published: February 2023
... stress responses, particularly when a supportive environment is missing for the child. This state is sometimes referred to as “toxic stress.” ( 4 )( 5 ) Finally, more general social determinants of health, including insecure or inappropriate housing, food insecurity, poverty, etc, can also have an effect...
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Includes: Supplementary data
Journal Articles

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

Margot N. Tang, MD, MPH, Soukaina Adolphe, MD, Stephen R. Rogers, MD, Deborah A. Frank, MD
Publication: Pediatrics In Review
Pediatr Rev (2021) 42 (11): 590–603.
Published: November 2021
... conditions of poverty and inequality, including but not limited to food insecurity. Demonstrate cultural competence when counseling families regarding growth, nutrition, and feeding. Understand multidisciplinary treatment, including medical, nutritional, and often behavioral/feeding therapy...
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Includes: Supplementary data
Module

Early Childhood Development

Published: May 2024
... and associated risk factors, such as food insecurity and caregiver depression, adds risk for developmental delays. Children who have these adverse experiences would meet the federal Maternal and Child Health definition of being at risk for having special health care needs. 60 Using the strength...)
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Book Chapter

Addressing Parent Employment as an Essential Issue in Child Health

Published: March 2022
10.1542/9781610026352-part01-addressing
EISBN: 978-1-61002-635-2
ISBN: 978-1-61002-634-5
... beyond the specific day-to-day care of the child affected, driving additional key concerns such as food insecurity and access to shelter, increasing the risk of negative health outcomes. The national aggregate lost income is staggering, estimated at $9 to $19 billion annually. However, the consequences...
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Book Chapter

Addressing Social Determinants of Health: Challenges and Opportunities in a Value-Based Model

Published: May 2022
10.1542/9781610026390-part03-addressing_social
EISBN: 978-1-61002-639-0
ISBN: 978-1-61002-638-3
... EW. Food insecurity screening in pediatric primary care: can offering referrals help identify families in need? Acad Pediatr. 2017; 17(5):497 503 5. Health Resources and Services Administration; Maternal and Child Health Bureau. Early childhood comprehensive systems. Available at: httpsmchb.hrsa.gov...
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Module

Trauma-Informed Care

Published: October 2023
..., or acculturation leading to conflicts within immigrant families 89 ) may benefit from an array of interventions that mitigate specific risk factors. For example, the AAP currently recommends screening parents for postpartum depression 90 and food insecurity. 87 , 88 Similarly...)
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Book Chapter

The Health Impact of Evictions

Published: April 2022
10.1542/9781610026376-part02-the_health
EISBN: 978-1-61002-637-6
ISBN: 978-1-61002-636-9
... of stress, depression, and poor health in the year after eviction.4 Children s health is also directly impacted by evictions. Women who experienced eviction during pregnancy have a greater risk of low birth weight or preterm birth.4 Childhood eviction has been associated with food insecurity and worse...
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Book Chapter

Environmental Neglect and Social Determinants of Health

Published: October 2019
10.1542/9781610023597-part03-ch14
EISBN: 978-1-61002-359-7
ISBN: 978-1-61002-358-0
... is thought to be related to increased caloric needs during winter months due to cold stress and infections.24 Food Insecurity Food insecurity is also closely associated with poverty and may be linked both directly and indirectly to child maltreatment. Severe child hunger has been directly linked to overall...
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Book Chapter

Cross-Sector Approach Expands Screening and Addresses Health-Related Social Needs in Primary Care

Published: May 2022
10.1542/9781610026390-part03-cross_sector_approach
EISBN: 978-1-61002-639-0
ISBN: 978-1-61002-638-3
..., Lewis VA, Beidler LB, Murray GF, Colla CH. Prevalence of screening for food insecurity, housing instability, utility needs, transportation needs, and interpersonal violence by US physician practices and hospitals. JAMA Netw Open. 2019;2(9):e1911514 22. Tandon SD, Leis JA, Mendelson T, Perry DF, Kemp K...
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Module

4 Year Well Visit

Published: December 2023
... . Pediatrics . 2002 ; 109 ( 6 ): 1028 – 1035 176 Feinberg   E , Kavanagh   PL , Young   RL , Prudent   N . Food insecurity and compensatory feeding practices among urban black families . Pediatrics . 2008 ; 122 ( 4 ): e854 – e860 177 Drewnowski   A , Specter   SE...)
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