Sarah Orkin1,2, Toshifumi Yodoshi1, Qin Sun3, Lin Fei3,2, Syeda Meryum1, Sanita Ley4,2, Ana Catalina Arce-Clachar1,2, Kristin Bramlage1, Stavra Xanthakos1,2, Robert Kahn5, Andrew F Beck2,6,5,7, Marialena Mouzaki1,2. 1. Division of Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center. 2. Department of Pediatrics, University of Cincinnati College of Medicine. 3. Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center. 4. Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center. 5. Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center. 6. James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center. 7. Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center.
Abstract
Background: The objective of this study was to identify the prevalence of health-related social needs among youth with nonalcoholic fatty liver disease (NAFLD). Methods: Retrospective review of prospectively administered health-related social needs questionnaires from Steatohepatitis Clinics. Results: Patients with NAFLD (n=271) were predominantly male (72%), and non-Hispanic (68%). The most common unmet need was food insecurity (13%, n=36). Families who endorsed food insecurity at the first visit were 27-fold more likely to have unmet health-related social needs persist at subsequent visits than those who were food-secure at their first visit (95% CI: 6.7-111). Conclusion: Screening for social, economic, and environmental needs may identify previously unrecognized family challenges and may enhance intervention delivery, inform resource allocation, and improve outcomes.
Background: The objective of this study was to identify the prevalence of health-related social needs among youth with nonalcoholic fatty liver disease (NAFLD). Methods: Retrospective review of prospectively administered health-related social needs questionnaires from Steatohepatitis Clinics. Results: Patients with NAFLD (n=271) were predominantly male (72%), and non-Hispanic (68%). The most common unmet need was food insecurity (13%, n=36). Families who endorsed food insecurity at the first visit were 27-fold more likely to have unmet health-related social needs persist at subsequent visits than those who were food-secure at their first visit (95% CI: 6.7-111). Conclusion: Screening for social, economic, and environmental needs may identify previously unrecognized family challenges and may enhance intervention delivery, inform resource allocation, and improve outcomes.
Entities:
Keywords:
fatty liver; food insecurity; socioeconomic status
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