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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Food Insecurity, Health, and Development in Children Under Age Four Years
Pediatrics (Evanston), v 144(4)
Oct 2019
PMID: 31501233
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Food insecurity and pediatric obesity affect young children. We examine how food insecurity relates to obesity, underweight, stunting, health, and development among children <4 years of age.
Caregivers of young children participated in a cross-sectional survey at medical centers in 5 US cities. Inclusion criteria were age of <48 months. Exclusion criteria were severely ill or injured and private health insurance. The Household Food Security Survey Module defined 3 exposure groups: food secure, household food insecure and child food secure, and household food insecure and child food insecure. Dependent measures were obesity (weight-age >90th percentile), underweight (weight-age <5th percentile), stunting (height/length-age <5th percentile), and caregiver-reported child health and developmental risk. Multivariable logistic regression analyses, adjusted for demographic confounders, maternal BMI, and food assistance program participation examined relations between exposure groups and dependent variables, with age-stratification: 0 to 12, 13 to 24, 25 to 36, and 37 to 48 months of age.
Within this multiethnic sample (
= 28 184 children, 50% non-Hispanic African American, 34% Hispanic, 14% non-Hispanic white), 27% were household food insecure. With 1 exception at 25 to 36 months, neither household nor child food insecurity were associated with obesity, underweight, or stunting, but both were associated with increased odds of fair or poor health and developmental risk at multiple ages.
Among children <4 years of age, food insecurity is associated with fair or poor health and developmental risk, not with anthropometry. Findings support American Academy of Pediatrics recommendations for food insecurity screening and referrals to help families cope with economic hardships and associated stressors.
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Details
- Title
- Food Insecurity, Health, and Development in Children Under Age Four Years
- Creators
- Chloe R Drennen - University of Maryland, BaltimoreSharon M Coleman - Biostatistics and Epidemiology Data Analytics Center and Department of Biostatistics, School of Public Health andStephanie Ettinger de Cuba - Department of Pediatrics, School of Medicine, Boston University, Boston, MassachusettsDeborah A Frank - Boston UniversityMariana Chilton - Drexel UniversityJohn T Cook - Department of Pediatrics, School of Medicine, Boston University, Boston, MassachusettsDiana B Cutts - Hennepin County Medical CenterTimothy Heeren - Boston UniversityPatrick H Casey - University of Arkansas for Medical SciencesMaureen M Black - University of Maryland, Baltimore
- Publication Details
- Pediatrics (Evanston), v 144(4)
- Grant note
- R01 DK100644 / NIDDK NIH HHS T35 DK095737 / NIDDK NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000487649200053
- Scopus ID
- 2-s2.0-85072848932
- Other Identifier
- 991019168268304721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics