BACKGROUND AND OBJECTIVES Pediatric hospitals are adopting strategies to address food insecurity (FI), a stigmatizing condition, among families with children. We hypothesized that parents and other caregivers ("caregivers") from households with FI or marginal food security (MFS) are more likely to experience discrimination during their child's hospitalization. METHODS We analyzed data from 319 caregivers of children admitted to an urban, academic children's hospital and randomly assigned to the control arm of the double-blind randomized controlled CommunityRx-Hunger trial (November 2020 to June 2022, NCT R01MD012630). Household food security in the 30 days before admission and discrimination during hospitalization were measured with the US Household Food Security Survey and the Discrimination in Medical Settings Scale, respectively. We used logistic regression to model the relationship between food security status and discrimination, adjusting for gender, race, ethnicity, income, and partner status. RESULTS Most participants were African American or Black (81.5%), female (94.7%), and the parent of the hospitalized child (93.7%). FI and MFS were prevalent (25.1% and 15.1%, respectively). Experiences of discrimination during a child's hospitalization were prevalent (51.9%). Caregivers with FI had higher odds than caregivers with food security of experiencing discrimination (adjusted odds ratio = 2.0, 95% confidence interval 1.1-3.6, P = .03); MFS was not significantly associated with discrimination (P = .25). Compared with food secure caregivers, those with FI had higher odds of 5 of 7 experiences of discrimination assessed. CONCLUSIONS Among parents and other caregivers, household FI is associated with experiences of discrimination during a child's hospitalization.

中文翻译：

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住院儿童护理人员的粮食不安全和歧视经历。

背景和目标 儿科医院正在采取策略来解决食品不安全（FI）这一有儿童家庭中的耻辱状况。我们假设来自 FI 或边缘粮食安全 (MFS) 家庭的父母和其他照顾者（“照顾者”）更有可能在孩子住院期间遭受歧视。方法 我们分析了入住城市学术儿童医院的 319 名儿童护理人员的数据，这些护理人员被随机分配到双盲随机对照 CommunityRx-Hunger 试验（2020 年 11 月至 2022 年 6 月，NCT R01MD012630）的对照组。分别采用美国家庭食品安全调查和医疗环境歧视量表衡量入院前30天的家庭食品安全和住院期间的歧视情况。我们使用逻辑回归来模拟粮食安全状况与歧视之间的关系，并根据性别、种族、民族、收入和伴侣状况进行调整。结果 大多数参与者是非裔美国人或黑人 (81.5%)、女性 (94.7%) 和住院儿童的家长 (93.7%)。FI 和 MFS 很常见（分别为 25.1% 和 15.1%）。儿童住院期间遭受歧视的经历很普遍（51.9%）。患有 FI 的护理人员比具有食品安全问题的护理人员遭受歧视的几率更高（调整后的优势比 = 2.0，95% 置信区间 1.1-3.6，P = 0.03）；MFS 与歧视没有显着相关性 (P = .25)。与食品安全护理人员相比，患有 FI 的护理人员在评估的 7 次歧视经历中有 5 次的几率更高。结论 在父母和其他照顾者中，家庭 FI 与儿童住院期间的歧视经历有关。