Financial impacts and community resources utilization of children with feeding difficulties
Abstract Background To examine the extent to which financial impacts and community resources utilization are associated with pediatric feeding difficulties. We hypothesize that children with feeding difficulties will have more financial impacts and community resources utilization than children witho...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | BMC Pediatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12887-022-03566-x |
| _version_ | 1811285866931290112 |
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| author | June Okada Erin Wilson John Wong Man Luo Lauren Fiechtner Meg Simione |
| author_facet | June Okada Erin Wilson John Wong Man Luo Lauren Fiechtner Meg Simione |
| author_sort | June Okada |
| collection | DOAJ |
| description | Abstract Background To examine the extent to which financial impacts and community resources utilization are associated with pediatric feeding difficulties. We hypothesize that children with feeding difficulties will have more financial impacts and community resources utilization than children without feeding difficulties. Methods We conducted a secondary analysis of cross-sectional data from the 2017–2018 National Survey of Children’s Health (NSCH) regarding 14,960 children 0–5 years. NSCH utilized random sampling of families across the United States to collect nationally representative data. Outcomes included out-of-pocket costs, caregivers leaving a job due to the child’s health, food insufficiency, receival of food or cash assistance, and receival of special education and/or developmental services. We used a multivariable logistic regression controlling for sociodemographic factors to examine the associations of feeding difficulties with financial impacts and community resources utilization outcomes. Results Out of 14,690 respondents, children were a mean (SD) age of 2.53(0.03) years and 1.7% reported feeding difficulties. These children had higher odds of having out-of-pocket costs of ≥$1000 (OR: 3.01; 95% CI: 1.61, 5.62), having a caregiver that left a job due to their child’s health (OR: 3.16; 95% CI: 2.01, 4.98), experiencing food insufficiency (OR: 1.67; 95% CI: 1.03, 2.71), and receiving special education and/or developmental services (OR 3.98; 95% CI: 2.46, 6.45) than children without feeding difficulties. Conclusions Children with feeding difficulties are more likely to have financial impacts and community resources utilization than children without feeding difficulties. This information can be used to tailor interventions to improve family-centered care and outcomes for children. |
| first_indexed | 2024-04-13T02:50:26Z |
| format | Article |
| id | doaj.art-622bd9240835482a98097e1d54d8fdf6 |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-04-13T02:50:26Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-622bd9240835482a98097e1d54d8fdf62022-12-22T03:05:51ZengBMCBMC Pediatrics1471-24312022-08-012211710.1186/s12887-022-03566-xFinancial impacts and community resources utilization of children with feeding difficultiesJune Okada0Erin Wilson1John Wong2Man Luo3Lauren Fiechtner4Meg Simione5MGH Institute of Health ProfessionsMGH Institute of Health ProfessionsMGH Institute of Health ProfessionsDivision of General Pediatrics, MassGeneral Hospital for ChildrenDivision of General Pediatrics, MassGeneral Hospital for ChildrenDivision of General Pediatrics, MassGeneral Hospital for ChildrenAbstract Background To examine the extent to which financial impacts and community resources utilization are associated with pediatric feeding difficulties. We hypothesize that children with feeding difficulties will have more financial impacts and community resources utilization than children without feeding difficulties. Methods We conducted a secondary analysis of cross-sectional data from the 2017–2018 National Survey of Children’s Health (NSCH) regarding 14,960 children 0–5 years. NSCH utilized random sampling of families across the United States to collect nationally representative data. Outcomes included out-of-pocket costs, caregivers leaving a job due to the child’s health, food insufficiency, receival of food or cash assistance, and receival of special education and/or developmental services. We used a multivariable logistic regression controlling for sociodemographic factors to examine the associations of feeding difficulties with financial impacts and community resources utilization outcomes. Results Out of 14,690 respondents, children were a mean (SD) age of 2.53(0.03) years and 1.7% reported feeding difficulties. These children had higher odds of having out-of-pocket costs of ≥$1000 (OR: 3.01; 95% CI: 1.61, 5.62), having a caregiver that left a job due to their child’s health (OR: 3.16; 95% CI: 2.01, 4.98), experiencing food insufficiency (OR: 1.67; 95% CI: 1.03, 2.71), and receiving special education and/or developmental services (OR 3.98; 95% CI: 2.46, 6.45) than children without feeding difficulties. Conclusions Children with feeding difficulties are more likely to have financial impacts and community resources utilization than children without feeding difficulties. This information can be used to tailor interventions to improve family-centered care and outcomes for children.https://doi.org/10.1186/s12887-022-03566-xPediatric feeding disordersPediatric feeding difficultiesSocial determinants of healthDysphagia |
| spellingShingle | June Okada Erin Wilson John Wong Man Luo Lauren Fiechtner Meg Simione Financial impacts and community resources utilization of children with feeding difficulties BMC Pediatrics Pediatric feeding disorders Pediatric feeding difficulties Social determinants of health Dysphagia |
| title | Financial impacts and community resources utilization of children with feeding difficulties |
| title_full | Financial impacts and community resources utilization of children with feeding difficulties |
| title_fullStr | Financial impacts and community resources utilization of children with feeding difficulties |
| title_full_unstemmed | Financial impacts and community resources utilization of children with feeding difficulties |
| title_short | Financial impacts and community resources utilization of children with feeding difficulties |
| title_sort | financial impacts and community resources utilization of children with feeding difficulties |
| topic | Pediatric feeding disorders Pediatric feeding difficulties Social determinants of health Dysphagia |
| url | https://doi.org/10.1186/s12887-022-03566-x |
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