Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Feb;3(1):e153.
doi: 10.1097/pg9.0000000000000153.

Health-Related Social Needs Facing Youth with NonAlcoholic Fatty Liver Disease

Affiliations

Health-Related Social Needs Facing Youth with NonAlcoholic Fatty Liver Disease

Sarah Orkin et al. JPGN Rep. 2022 Feb.

Abstract

Background: The objective of this study was to identify the prevalence of health-related social needs among youth with nonalcoholic fatty liver disease (NAFLD).

Methods: Retrospective review of prospectively administered health-related social needs questionnaires from Steatohepatitis Clinics.

Results: Patients with NAFLD (n=271) were predominantly male (72%), and non-Hispanic (68%). The most common unmet need was food insecurity (13%, n=36). Families who endorsed food insecurity at the first visit were 27-fold more likely to have unmet health-related social needs persist at subsequent visits than those who were food-secure at their first visit (95% CI: 6.7-111).

Conclusion: Screening for social, economic, and environmental needs may identify previously unrecognized family challenges and may enhance intervention delivery, inform resource allocation, and improve outcomes.

Keywords: fatty liver; food insecurity; socioeconomic status.

PubMed Disclaimer

Conflict of interest statement

Financial Disclosure: The authors have no conflicts of interest relevant to this article to disclose

Figures

FIGURE 1.
FIGURE 1.
Maximum educational attainment of parents of patients (n = 250).
FIGURE 2.
FIGURE 2.
Breakdown of types of health-related social needs present.

References

    1. Younossi ZM, Blissett D, Blissett R, et al. . The economic and clinical burden of nonalcoholic fatty liver disease in the United States and Europe. Hepatology. 2016;64:1577–1586. - PubMed
    1. Vos MB, Abrams SH, Barlow SE, et al. . NASPGHAN clinical practice guideline for the diagnosis and treatment of nonalcoholic fatty liver disease in children: recommendations from the Expert Committee on NAFLD (ECON) and the North American Society of Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN). J Pediatr Gastroenterol Nutr. 2017;64:319–334. - PMC - PubMed
    1. Welsh JA, Karpen S, Vos MB. Increasing prevalence of nonalcoholic fatty liver disease among United States adolescents, 1988-1994 to 2007-2010. J Pediatr. 2013;162:496–500.e1. - PMC - PubMed
    1. Oliva-Hemker MM, Abadom V, Cuffari C, et al. . Nonadherence with thiopurine immunomodulator and mesalamine medications in children with Crohn disease. J Pediatr Gastroenterol Nutr. 2007;44:180–184. - PubMed
    1. Hartman C, Hino B, Lerner A, et al. . Bone quantitative ultrasound and bone mineral density in children with celiac disease. J Pediatr Gastroenterol Nutr. 2004;39:504–510. - PubMed

LinkOut - more resources