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Academy Urges Pediatricians to Screen for Childhood Hunger. By Catherine Saint Louis The New York Times October 24 th , 2015 Avadella White November 04 th , 2015. AAP Policy Change. The American Academy of Pediatrics(AAP) encourages pediatricians to screen for “Food Insecurity.”
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Academy Urges Pediatricians to Screen for Childhood Hunger By Catherine Saint Louis The New York Times October 24th, 2015 Avadella White November 04th, 2015
AAP Policy Change • The American Academy of Pediatrics(AAP) encourages pediatricians to screen for “Food Insecurity.” • Pediatricians are encouraged to become familiar with Food Banks and Nutrition programs. • Refer parents to appropriate agencies
Problem • 16 Million Children (1 in 5) are inadequately fed • Shortage of $16.28 per person per week or $24.2 Billion annually • Consequently, • They are sick more often • Poorer overall health • Hospitalized more often • Behavioral and emotional problems from preschool through adolescence.
The Tool • Two Question Parent Survey • Asks: • “Whether, in the last year, they worried that their food would run out before they had money to buy more,” and • “whether the groceries they bought lasted until they had more money available to buy more.” • 97 Percent identification of families with “food insecurity”
“The War on Poverty: 50 Years Later” • “We have declared unconditional war on poverty. Our objective is total victory. . . . I believe that thirty years from now Americans will look back upon these 1960s as the time of the great American Breakthrough . . . toward the victory of prosperity over poverty.”— Lyndon B. Johnson, My Hope for America (1964) • 92 Low Income assistance Federal Programs established ($799 Billion in fiscal year 2012): • Food Shortages • Education and training needs • Housing needs • The modest poverty rate change • 1965 17.3% • 2012 15% • The Downside • Complexity in understanding the workings of the programs • Difficulty in navigating through the programs • Some programs discourage client advancement
“The War on Poverty: 50 Years Later” • Poverty rate • Family Structure • All families 13.1%, • Single female families 34.2% • Labor Force Participation • 62.8%, a 36-year low, • Men • 1965 approximately 80% • 2013 below 70% • Working-age men(25-54) 97% in 1965 to 88% in 2013 • Women • Fell from 2000 record high of 60.3% to 56.9% in 2013 • Working-age women(> 16 years) 77% in 2000 to 74% in 2013 • Unemployment linked to food insecurity • 1 percentage point unemployment rate increase leads to a 0.51 percentage point food-insecurity rate increase
Impact of Increased Income on Individual Receiving Government Benefits
Impact of Increased Income on Individual Receiving Government Benefits
Issues Needing to be Addressed • Reduce health care costs associated with more hospitalizations due to child food insecurity • Encourage pediatricians to research childhood hunger • Address food budget shortage of $16.28 per person per week • Develop better coordination and navigation between Federally funded programs
References • https://www.aap.org/en-us/about-the-aap/aap-facts/Pages/AAP-Facts.aspx#AAPStrategicPlanAgendaforChildren • http://budget.house.gov/uploadedfiles/war_on_poverty.pdf • http://www.dol.gov/wb/stats/recentfacts.htm • https://www.federalregister.gov/articles/2015/01/22/2015-01120/annual-update-of-the-hhs-poverty-guidelines • http://www.feedingamerica.org/hunger-in-america/our-research/map-the-meal-gap/2013/map-the-meal-gap-2013-exec-summ.pdf • http://www.fns.usda.gov/fdd/food-distribution-programs • http://go.galegroup.com.proxy.lib.wayne.edu/ps/retrieve.do?sort=DA-SORT&docType=Article&tabID=T004&prodId=SPN.SP00&searchId=R2&resultListType=RESULT_LIST&searchType=AdvancedSearchForm&contentSegment=¤tPosition=1&searchResultsType=SingleTab&inPS=true&userGroupName=lom_waynesu&docId=GALE%7CA432474727&contentSet=GALE%7CA432474727 • http://map.feedingamerica.org/#/county/2013/overall • http://www.washingtonexaminer.com/record-number-of-working-age-men-are-not-working/article/2549107#!