TY - JOUR
AU - C. Koob
AU - X. Lai
AU - E. Denman
AU - T. Dawkins
AU - M. Lavallee-Turner
AU - J. B. Amati
A1 - 
AB - BACKGROUND AND OBJECTIVES: Diaper access affects child health and well-being; however, accessibility concerns have exponentially increased with 46% of families reporting diaper insecurity in 2023. This report examines the 1) reach of community-based diaper distribution events and 2) role of social drivers of health (SDOH) screening and implications in integrated primary care. METHODS: Diaper distribution event(s)' registration data (N = 6) were analyzed from July 2023 to July 2024. Mapping and statistical analyses were conducted, using ArcGIS Pro 3.2.1 and R. RESULTS: A total of 2793 children received diapers across 42 zip codes, and each child received 50 to 100 diapers per event. Most families spoke Spanish (54.5%), were enrolled in Women, Infants, and Children (71.28%) and Medicaid (53.46%), and identified as Hispanic (63.6%). Approximately one-third (33.6%) lived in areas with "low" educational opportunity. CONCLUSIONS: Findings suggest that broader SDOH screening is needed in primary care, as many families face unmet needs despite living in zip codes considered to have "moderate" socio-economic opportunity.
AD - Author Affiliations: Department of Healthcare Leadership and Management, Medical University of South Carolina, Charleston, South Carolina (Koob); Department of Public Health Sciences, Clemson University, Clemson, South Carolina (Lai); and Bradshaw Institute for Community Child Health and Advocacy, Prisma Health Children's Hospital, Greenville, South Carolina (Lai, Denman, Dawkins, Lavallee-Turner, and Amati).
AN - 42360228
BT - Fam Community Health
C5 - Healthcare Disparities
DA - 06/2026
DO - 10.1097/fch.0000000000000461
DP - NLM
ET - 20260611
JF - Fam Community Health
LA - eng
N2 - BACKGROUND AND OBJECTIVES: Diaper access affects child health and well-being; however, accessibility concerns have exponentially increased with 46% of families reporting diaper insecurity in 2023. This report examines the 1) reach of community-based diaper distribution events and 2) role of social drivers of health (SDOH) screening and implications in integrated primary care. METHODS: Diaper distribution event(s)' registration data (N = 6) were analyzed from July 2023 to July 2024. Mapping and statistical analyses were conducted, using ArcGIS Pro 3.2.1 and R. RESULTS: A total of 2793 children received diapers across 42 zip codes, and each child received 50 to 100 diapers per event. Most families spoke Spanish (54.5%), were enrolled in Women, Infants, and Children (71.28%) and Medicaid (53.46%), and identified as Hispanic (63.6%). Approximately one-third (33.6%) lived in areas with "low" educational opportunity. CONCLUSIONS: Findings suggest that broader SDOH screening is needed in primary care, as many families face unmet needs despite living in zip codes considered to have "moderate" socio-economic opportunity.
PY - 2026
SN - 0160-6379
ST - From Clinical Practice to Community Action: Addressing Diaper Insecurity Through Pediatric Primary Care
T1 - From Clinical Practice to Community Action: Addressing Diaper Insecurity Through Pediatric Primary Care
T2 - Fam Community Health
TI - From Clinical Practice to Community Action: Addressing Diaper Insecurity Through Pediatric Primary Care
U1 - Healthcare Disparities
U3 - 10.1097/fch.0000000000000461
VO - 0160-6379
Y1 - 2026
ER -