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Abstract Details

Feasibility of Screening for Food Insecurity in an Outpatient Stroke Care Setting
Health Care Disparities
P6 - Poster Session 6 (5:30 PM-6:30 PM)

FI, defined as limited or uncertain access to adequate food due to economic hardship and social condition, is a SDOH resulting in barriers to a healthy diet. Stroke survivors at risk for FI are at higher risk for a recurrent stroke event. FI screening may help identify patients needing access to food resources as a preventive measure to reduce stroke reoccurrence.

To assess the feasibility of food insecurity (FI) screening and prevalence of other social determinants of health (SDOH) associated with FI among stroke survivors attending outpatient clinic visits in the Stroke Transitions Education and Prevention clinical program.

Cross-sectional design. Patients presenting for their initial telemedicine, or in-person clinic visit were screened using the 2-item Hunger Vital Scale through electronic and paper-based self-report surveys between February 1-July 31, 2021. Multivariable logistic regression examined associations between SDOH and FI.

Among 476 stroke patients within the stroke clinic, 415 (87.2%) surveys were completed; 258 (62.2%) electronically and 157 (37.8%) paper-based. Overall, 13.9% of the patients experienced FI, and a higher prevalence of FI was observed among those who completed paper-based compared to electronic surveys (21.4% vs 9.9%, P=0.002). More Black patients (36.5%) reported FI compared to White (21.1%) and Hispanic (30.8%) patients (P<0.05). Those who reported disability or unemployment had higher rates of FI compared to employed and retired patients (P=0.000). Black patients had higher odds of reporting FI compared to White patients (AOR=3.02, 95% CI: 1.04; 8.79).

FI screening is feasible. FI is more prominent in the current sample of stroke survivors compared to the national average. SDOH prevalent characteristics, Black and unemployed patients, align with the literature on structural disparities affecting communities. The results provide information needed to create a social-risk informed index that can be used to target care in stroke survivors.

Mariam Ahmed (Smith College)
Ms. Ahmed has nothing to disclose.
Maha Almohamad Ms. Almohamad has nothing to disclose.
Dania Mofleh, MBBCh, MPH (UTHealth) Dr. Mofleh has nothing to disclose.
No disclosure on file
Joseph Fries, MD (University of Texas, Houston) Dr. Fries has nothing to disclose.
Munachi N. Okpala, NP (McGovern Medical School-Division of Adult Neurology, Stroke Team) Ms. Okpala has nothing to disclose.
No disclosure on file
No disclosure on file
Anjail Sharrief, MD (University of Texas) The institution of Dr. Sharrief has received research support from NIH. The institution of Dr. Sharrief has received research support from University of Houston . Dr. Sharrief has a non-compensated relationship as a Consultant with Abbott that is relevant to AAN interests or activities.