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Unmet Medical Needs and Food Insecurity in Children with Neurodevelopmental Disorders

Findings from the 2019 National Health Interview Survey (NHIS)

Bibliographic Data

ID15713376
AuthorsRose Calixte (0000-0002-2020-5906, SUNY Downstate Health Sciences University, corresponding author), Elizabeth Helzner (0000-0002-7441-0868, SUNY Downstate Health Sciences University), Sumaiya Islam (0000-0001-6901-9883, Columbia University), Marlene Camacho‐Rivera (0000-0003-2343-2941, SUNY Downstate Health Sciences University), Susmita Pati (0000-0001-9927-3698, Stony Brook University)
Year2022
Volume9
Issue12
Pages1798-1798
Publication date2022-11-23
Open AccessYes
TypeARTICLE
VenueChildren (JOURNAL)
Journal identifiersISSN: 2227-9067 • E-ISSN: 2227-9067
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children9121798
PMID36553242
OpenAlexW4309848171
LanguageEN
Citations received1
References cited16

In the United States, 17% of children ages 3−17 have a developmental disorder. The complexity of care for such children require families to provide a significant amount of health care at home, representing a substantial economic cost. Our study identifies sociodemographic characteristics of children with neurodevelopmental disorders (NDD) that are predictive of unmet medical needs and food insecurity. We modeled the outcomes using a multivariable generalized linear model and a robust Cox proportional hazard model. Among children with NDD, 7.4% reported a delay in obtaining care, 3.6% avoided getting care and 17.3% live in a household that experienced food insecurity. Lack of health insurance and lack of usual source of care increased the risk for cost-related delay in medical care and cost-related avoidance of medical care. Children with NDD whose parents have less than a college degree and those from households with income <$75,000 had increased risk for food insecurity in the past 30 days. Our results underscore the need to implement additional screening to identify children with NDD who are at greater risk for unmet medical and social needs by health care providers and care coordination organizations

Child health · Environmental health · Family medicine · Food insecurity · Food security · Geography · National Health Interview Survey · Psychiatry · Adolescent and Pediatric Healthcare · Child Nutrition and Feeding Issues · Food Security and Health in Diverse Populations · Medicine · Psychology

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Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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