PurposeTo evaluate the congruence between food insecurity screening outcome and clinic-based food pantry utilization and to examine caregiver reported comfort, motivation, and benefits of utilization.DesignMixed-methods study.SettingAcademic pediatric obesity treatment clinic.SubjectsConvenience sample of caregivers.InterventionClinic-based food pantry offered irrespective of food insecurity screening outcome.MeasuresFood insecurity screening (Hunger Vital Sign) and severity, self-rated caregiver health, willingness to disclose food insecurity and receive food, and food-related stress.AnalysisChi-square and t-tests were utilized to examine associations and descriptive analysis explored benefits. Rapid qualitative analysis was utilized to identify themes.ResultsCaregivers of 120 children were included (child mean age 11.8; 56.7% female, 67.6% Non-Hispanic Black), with 47 of 59 eligible completing follow-up surveys and 14 completing in-depth interviews. Approximately half (N = 30/59, 50.8%) of families utilizing the food pantry screened negative for food insecurity. Families utilizing the food pantry were more likely to report severe food insecurity (N = 23/59; 38.9%) compared to those declining (N = 3/61; 4.9%, P < .001). Caregivers accepting food were able to meet a child health goal (N = 30/47, 63.8%). Caregivers reported feeling comfortable receiving food (N = 13/14) and felt utilizing the food pantry led to consumption of healthier foods (N = 7/14).ConclusionsFamilies who screened both positive and negative for food insecurity utilized and benefited from a clinic-based food pantry. Clinics should consider strategies offering food resources to all families irrespective of screening outcome.

中文翻译：

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无论儿童肥胖治疗计划中的食品不安全经历如何，家庭在使用基于诊所的食品储藏室后都会受益

目的评估食品不安全筛查结果与临床食品储藏室利用之间的一致性，并检查护理人员报告的使用舒适度、动机和益处。设计混合方法研究。设置学术儿科肥胖治疗诊所。受试者护理人员的方便样本。干预临床​​食品无论食品不安全筛查结果如何，食品储藏室都会提供。措施食品不安全筛查（饥饿生命体征）和严重程度、自评护理人员健康状况、披露食品不安全和接受食物的意愿以及与食品相关的压力。利用卡方和 t 检验进行分析检查关联性和描述性分析探讨的好处。利用快速定性分析来确定主题。结果纳入了 120 名儿童的照顾者（儿童平均年龄 11.8 岁；56.7% 为女性，67.6% 非西班牙裔黑人），其中 59 名符合条件的人中有 47 人完成了后续调查，14 人完成了深度访谈。使用食品储藏室的家庭中约有一半（N = 30/59，50.8%）的食品不安全筛查呈阴性。与下降的家庭 (N = 3/61; 4.9%, P < .001) 相比，使用食品储藏室的家庭更有可能报告严重的粮食不安全 (N = 23/59; 38.9%)。接受食物的护理人员能够实现儿童健康目标（N = 30/47，63.8%）。护理人员表示，他们在接受食物时感觉很舒服（N = 13/14），并认为利用食品储藏室可以消费更健康的食物（N = 7/14）。 结论 对食品不安全状况进行阳性和阴性筛查的家庭利用并受益于诊所基于食品储藏室。诊所应考虑向所有家庭提供食物资源的策略，无论筛查结果如何。