Evidence map›Paper›PMID 35067225›Full record

ArticleBMC nutrition2022

Missed opportunities to improve food security for pregnant people: a qualitative study of prenatal care settings in Northern New England during the COVID-19 pandemic.

Chelsey R Canavan, Tiffany D'cruze, Meaghan A Kennedy, Kayla E Hatchell, Maureen Boardman, Arvind Suresh, Daisy Goodman, Alka Dev

Open access · goldAbstract read
In one paragraph

Article in BMC nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Chelsey R CanavanDepartment of Population Health, Dartmouth-Hitchcock Medical Center, Medical Center Drive, Lebanon, NH, 03766, USA. chelsey.r.canavan@hitchcock.org.
Tiffany D'cruzeDepartment of Community and Family Medicine, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Meaghan A KennedyDepartment of Community and Family Medicine, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Kayla E HatchellDepartment of Community and Family Medicine, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Maureen BoardmanDepartment of Community and Family Medicine, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Arvind SureshDepartment of Community and Family Medicine, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Daisy GoodmanDepartment of Obstetrics and Gynecology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Alka DevThe Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Hanover, NH, USA.
Dartmouth College · USDartmouth–Hitchcock Medical Center · USDartmouth Institute for Health Policy and Clinical Practice · US

Funding

Dartmouth Northern New England Primary Care Research Network NAHitchcock Foundation NA
6 · The paper itself

Abstract

backgroundFood insecurity during pregnancy has important implications for maternal and newborn health. There is increasing commitment to screening for social needs within health care settings. However, little is known about current screening processes or the capacity for prenatal care clinics to address food insecurity among their patients. We aimed to assess barriers and facilitators prenatal care clinics face in addressing food insecurity among pregnant people and to identify opportunities to improve food security among this population.

methodsWe conducted a qualitative study among prenatal care clinics in New Hampshire and Vermont. Staff and clinicians engaged in food security screening and intervention processes at clinics affiliated with the Northern New England Perinatal Quality Improvement Network (NNEPQIN) were recruited to participate in key informant interviews. Thematic analysis was used to identify prominent themes in the interview data.

resultsNine staff members or clinicians were enrolled and participated in key informant interviews. Key barriers to food security screening and interventions included lack of protocols and dedicated staff at the clinic as well as community factors such as availability of food distribution services and transportation. Facilitators of screening and intervention included a supportive culture at the clinic, trusting relationships between patients and clinicians, and availability of clinic-based and community resources.

conclusionPrenatal care settings present an important opportunity to identify and address food insecurity among pregnant people, yet most practices lack specific protocols for screening. Our findings indicate that more systematic processes for screening and referrals, dedicated staff, and onsite food programs that address transportation and other access barriers could improve the capacity of prenatal care clinics to improve food security during pregnancy.

Indexed as

Food securityMaternal healthNutritionPrenatal careSocial determinants of health

Identifiers

PMID35067225
PMCPMC8784232
OpenAlexW4207036743

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.