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Child food insecurity increases risks posed by household food insecurity to young children’s health.
Open accessAbstract
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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“Within the Children's HealthWatch survey, food insecurity is assessed on the 18-item US Food Security Scale, a valid and reliable instrument with established clinical cutoffs.23,25”
From Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT (2015) · cites this paper as [25]
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Metadata
- 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
- Venue
- The Journal of Nutrition
- Publisher
- Elsevier BV
- Published
- 2006-04
- Volume
- 136
- Issue
- 4
- Pages
- 1073-1076
- ISSN
- 0022-3166 (ISSN-L)
- 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
- 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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