Journal article
WIC Participation and Attenuation of Stress-Related Child Health Risks of Household Food Insecurity and Caregiver Depressive Symptoms
Archives of pediatrics & adolescent medicine, Vol.166(5), pp.444-451
01 May 2012
PMID: 22566545
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives: To examine how family stressors (household food insecurity and/or caregiver depressive symptoms) relate to child health and whether participation in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) attenuates stress-related child health risks.
Design: Cross-sectional family stress and cumulative stress models from January 1, 2000, through December 31, 2010.
Setting: Families recruited from emergency departments and/or primary care in Baltimore, Boston, Little Rock, Los Angeles, Minneapolis, Philadelphia, and Washington, DC.
Participants: Participants included 26 950 WIC-eligible caregivers and children younger than 36 months; 55.2% were black, 29.9% were Hispanic, and 13.0% were white. Caregivers' mean age was 25.6 years; 68.6% were US-born, 64.7% had completed high school, 38.0% were married, and 36.5% were employed.
Main Exposures: Of the participants, 24.0% had household food insecurity and 24.4% had depressive symptoms; 9.1% had both stressors, 29.9% had 1 stressor, and 61.0% had neither; 89.7% were WIC participants.
Outcome Measures: Caregivers reported child health, lifetime hospitalizations, and developmental risk. Weight and length were measured. We calculated weight-forage and length-for-age z scores and the risk of underweight or overweight. The well-child composite comprised good/excellent health, no hospitalizations, no developmental risk, and neither underweight nor overweight.
Results: In multivariate analyses adjusted for covariates, as stressors increased, odds of fair/poor health, hospitalizations, and developmental risk increased and odds of well-child status decreased. Interactions between WIC participation and stressors favored WIC participants over nonparticipants in dual stressor families on 3 child health indicators: (1) fair/poor health: WIC participants, adjusted odds ratio (aOR), 1.89 (95% CI, 1.66-2.14) vs nonparticipants, 2.35 (2.16-4.02); (2) well-child status: WIC participants, 0.73 (0.62-0.84) vs nonparticipants, 0.34 (0.21-0.54); and (3) overweight: WIC participants, 1.01 (0.88-1.16) vs nonparticipants, 1.48 (1.04-2.11) (P =. 06).
Conclusions: As stressors increased, child health risks increased. WIC participation attenuates but does not eliminate child health risks. Arch Pediatr Adolesc Med. 2012; 166(5): 444-451
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Details
- Title
- WIC Participation and Attenuation of Stress-Related Child Health Risks of Household Food Insecurity and Caregiver Depressive Symptoms
- Creators
- Maureen M. Black - Department of Pediatrics, University of Maryland School of Medicine, Baltimore, MD 21201, USA. mblack@peds.umaryland.eduAnna M. Quigg - Univ Maryland, Sch Med, Dept Pediat, Baltimore, MD 21201 USAJohn Cook - Boston Univ, Sch Med, Dept Pediat, Boston, MA 02118 USAPatrick H. Casey - Univ Arkansas Med Sci, Dept Pediat, Little Rock, AR 72205 USADiana Becker Cutts - Hennepin Cty Med Ctr, Dept Pediat, Minneapolis, MN 55415 USAMariana Chilton - Drexel Univ, Sch Publ Hlth, Dept Hlth Management & Policy, Philadelphia, PA 19104 USAAlan Meyers - Boston Univ, Sch Med, Dept Pediat, Boston, MA 02118 USAStephanie Ettinger de Cuba - Boston Univ, Sch Publ Hlth, Data Coordinating Ctr, Boston, MA USATimothy Heeren - Boston Univ, Sch Publ Hlth, Data Coordinating Ctr, Boston, MA USASharon Coleman - Boston Univ, Sch Publ Hlth, Data Coordinating Ctr, Boston, MA USARuth Rose-Jacobs - Boston Univ, Sch Med, Dept Pediat, Boston, MA 02118 USADeborah A. Frank - Boston Univ, Sch Med, Dept Pediat, Boston, MA 02118 USA
- Publication Details
- Archives of pediatrics & adolescent medicine, Vol.166(5), pp.444-451
- Publisher
- Amer Medical Assoc
- Number of pages
- 8
- Grant note
- Hartford Foundation for Public Giving The Claneil Foundation The Krupp Family Foundation The Annie E. Casey Foundation The Paul and Phyllis Fireman Charitable Foundation The Gryphon Fund The Anthony Spinazzola Foundation Feeding America The Larson Family Foundation The W. K. Kellogg Foundation The Eos Foundation The Pew Charitable Trusts
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Identifiers
- 991019169787504721
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