Karina Gookin, MS4 UC Irvine School of Medicine I grew up in - - PowerPoint PPT Presentation

karina gookin ms4 uc irvine school of medicine
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Karina Gookin, MS4 UC Irvine School of Medicine I grew up in - - PowerPoint PPT Presentation

Karina Gookin, MS4 UC Irvine School of Medicine I grew up in Norwalk, California with parents who were raised with limited access to healthcare. As such, I have a strong interest in underserved medicine and the development of greater


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Karina Gookin, MS4 UC Irvine School of Medicine

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 I grew up in Norwalk, California with parents

who were raised with limited access to healthcare.

 As such, I have a strong interest in

underserved medicine and the development

  • f greater access to quality healthcare.

 Therefore, I chose to work with the UC Irvine

Outreach Clinic, a clinic providing primary care services to uninsured patients, for my project.

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 USDA definition of Food Insecurity:

  • Households that are “uncertain of having, or unable

to acquire, enough food to meet the needs of all their members because they had insufficient money

  • r other resources for food”

 14.5% of households, 39 million individuals

were food insecure in 2012

 Higher percentage in Latino and low-income

households

 In Orange County, CA, 12.2% food insecure

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 Associated with increased hospitalizations and

postponing needed health care, regardless of access to care

 Associated with chronic conditions, such as

hypertension, hyperlipidemia, diabetes

 Associated with poor glycemic control in

diabetics

  • Food availability, emotional distress, difficulties with diet

management

 Associated with decreased consumption of

vegetables, fruits, dairy products and nutrients

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 UC Irvine’s

student-run free clinic based out of Lestonnac Free Clinic in Orange, CA

 Provides no-cost

primary care services to uninsured patients

 Primarily Spanish-

speaking Latino patients below the federal poverty line

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 Used 2-question survey adapted from USDA 18-

question food insecurity survey

 Each UCIOC patient was asked to answer often

true, sometimes true, or never true to the following two statements over the last 12 months:

  • Statement 1: “I worried whether my food would run
  • ut before I got money to buy more.”
  • Statement 2: “The food that I bought just didn’t last

and I didn’t have money to get more.”

 Surveys conducted orally and provided in Spanish

and English

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 Large percent of UCIOC patients experienced

food insecurity in the last 12 months

  • Supports data showing increased food insecurity in

Latino and low-income households

 Currently developing map with up-to-date

information about food banks and community food resources

 Will discuss possibility of storing non-perishable

food items with UCIOC board at August meeting

 Limitations to study

  • Small number of patients, unknown demographics,

screening tool but not level of food insecurity

 Survey able to be easily implemented into patient

care for quick screening

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 National Medical Fellowships California

Community Service-Learning Program

 Dr. Emily Dow, site and faculty mentor  All of the student volunteers at the UC Irvine

Outreach Clinic, especially the floor managers and Spanish translators Thank you!!