Cited by 324Food Security and Health in Diverse PopulationsChild Nutrition and Water AccessObesity, Physical Activity, Diet

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Child food insecurity increases risks posed by household food insecurity to young children’s health.

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Cook, John T, Frank, Deborah A, Levenson, Suzette M, Neault, Nicole B, Heeren, Tim C, Black, Maurine M, Berkowitz, Carol, Casey, Patrick H, Meyers, Alan F, Cutts, Diana B, Chilton, Mariana·2006·The Journal of Nutrition

DOI 10.1093/jn/136.4.1073

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Abstract

The US Food Security Scale (USFSS) measures household and child food insecurity (CFI) separately. Our goal was to determine whether CFI increases risks posed by household food insecurity (HFI) to child health and whether the Food Stamp Program (FSP) modifies these effects. From 1998 to 2004, 17,158 caregivers of children ages 36 mo were interviewed in six urban medical centers. Interviews included demographics, the USFSS, child health status, and hospitalization history. Ten percent reported HFI, 12% HFI and CFI (H&CFI). Compared with food-secure children, those with HFI had significantly greater adjusted odds of fair/poor health and being hospitalized since birth, and those with H&CFI had even greater adverse effects. Participation in the FSP modified the effects of FI on child health status and hospitalizations, reducing, but not eliminating, them. Children in FSP-participating households that were HFI had lower adjusted odds of fair/poor health [1.37 (95% CI, 1.06-1.77)] than children in similar non-FSP households [1.61 (95% CI, 1.31-1.98)]. Children in FSP-participating households that were H&CFI also had lower adjusted odds of fair/poor health [1.72 (95% CI, 1.34-2.21)] than in similar non-FSP households [2.14 (95% CI, 1.81-2.54)]. HFI is positively associated with fair/poor health and hospitalizations in young children. With H&CFI, odds of fair/poor health and hospitalizations are even greater. Participation in FSP reduces, but does not eliminate, effects of FI on fair/poor health.

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Food insecurity is associated with adverse health outcomes among human infants and toddlers.
Cook, J. T., Frank, D. A., Meyers, A. F., Berkowitz, C., Black, M. M., Casey, P. H., Cutts, D. B., Zaldivar, N., Skalicky, A., Levenson, S., et al. (2004) · The Journal of Nutrition · doi:10.1093/jn/134.6.1432 · Cited by 665
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Self-citation
Food Insecurity in US Families with Children with Limiting Health Conditions
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Authors: Cook, J. T., Frank, D. A., Levenson, S. M., Neault, N. B., Heeren, T. C., Black, M. M., Berkowitz, C., Casey, P. H., Meyers, A. F., Cutts, D. B., & Chilton, M.
Affiliations: Boston University (US)
Hennepin County Medical Center (US)
University of Maryland, Baltimore (US)
Harbor–UCLA Medical Center (US)
University of Arkansas for Medical Sciences (US)
Drexel University (US)
Corresponding author: Cook, John T
ORCID: Cook, John T
Frank, Deborah A
Berkowitz, Carol
Meyers, Alan F
Cutts, Diana B
Chilton, Mariana
Venue: The Journal of Nutrition
Publisher: Elsevier BV
Published: 2006-04
Volume: 136
Issue: 4
Pages: 1073-1076
ISSN: 0022-3166 (ISSN-L)
DOI: 10.1093/jn/136.4.1073
OpenAlex: W1933067397
Cited by: 324
References: 17
Citations by year: 2026: 4 · 2025: 15 · 2024: 16 · 2023: 12 · 2022: 23 · 2021: 18 · 2020: 52 · 2019: 22 · 2018: 10 · 2017: 14 · 2016: 19 · 2015: 17 · 2014: 19 · 2013: 14 · 2012: 17
FWCI: 18.02
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 6152 d)
Locations: Journal of Nutrition (publishedVersion)
PubMed (publishedVersion)
Funders: Hartford Foundation for Public Giving
Arnold P. Gold Foundation
Wilson Foundation
W.K. Kellogg Foundation
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Food Security and Health in Diverse Populations
Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords: child food insecurity, household food insecurity, Supplemental Nutrition Assistance Program, food aid, pediatric hospitalization, child health status
MeSH terms: Child Welfare, Child, Preschool, Family Characteristics, Food Services, Health Status, Hospitalization, Humans, Poverty, Risk Factors, United States, Urban Population, Nutrition Assessment, Odds Ratio

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Child food insecurity increases risks posed by household food insecurity to young children’s health.

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