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Household Food Insecurity: Associations With At-Risk Infant and Toddler Development
Abstract
OBJECTIVES: In this study, we evaluated the relationship between household food security status and developmental risk in young children, after controlling for potential confounding variables. METHODS: The Children's Sentinel Nutritional Assessment Program interviewed (in English, Spanish, or Somali) 2010 caregivers from low-income households with children 4 to 36 months of age, at 5 pediatric clinic/emergency department sites (in Arkansas, Massachusetts, Maryland, Minnesota, and Pennsylvania). Interviews included demographic questions, the US Food Security Scale, and the Parents' Evaluations of Developmental Status. The target child from each household was weighed, and weight-for-age z score was calculated. RESULTS: Overall, 21% of the children lived in food-insecure households and 14% were developmentally "at risk" in the Parents' Evaluations of Developmental Status assessment. In logistic analyses controlling for interview site, child variables (gender, age, low birth weight, weight-for-age z score, and history of previous hospitalizations), and caregiver variables (age, US birth, education, employment, and depressive symptoms), caregivers in food-insecure households were two thirds more likely than caregivers in food-secure households to report that their children were at developmental risk. CONCLUSIONS: Controlling for established correlates of child development, 4- to 36-month-old children from low-income households with food insecurity are more likely than those from low-income households with food security to be at developmental risk. Public policies that ameliorate household food insecurity also may improve early child development and later school readiness.
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“food insecurity (FI)restricted access to adequate food due to a lack of money or other resources 1 -adversely impacts health and well-being across the life course. 2-5”
From Interventions Addressing Food Insecurity in Health Care Settings: A Systematic Review (2019) · cites this paper as [3]
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- Rose-Jacobs R, Cabral H, Cook JT, Martin B, Frank DA. Household food insufficiency and Bayley Scales of Infant Development scores between 6 and 36 months. In: 14th Biennial International Conference on Infant Studies. Chicago, IL: International Society of Infant Studies; 2004
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Metadata
- Authors
- Rose-Jacobs, R., Black, M. M., Casey, P. H., Cook, J. T., Cutts, D. B., Chilton, M., Heeren, T., Levenson, S. M., Meyers, A. F., & Frank, D. A.
- Affiliations
- Department of Pediatrics, Boston University School of Medicine and Boston Medical Center, Boston, Massachusetts
- University of Maryland, Baltimore (US)
- University of Arkansas for Medical Sciences (US)
- Boston University (US)
- Hennepin County Medical Center (US)
- Drexel University (US)
- Department of Biostatistics
- ORCID
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2008-01-01
- Volume
- 121
- Issue
- 1
- Pages
- 65-72
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W2001922184
- Cited by
- 345
- References
- 55
- Citations by year
- 2026: 8 · 2025: 10 · 2024: 18 · 2023: 9 · 2022: 20 · 2021: 22 · 2020: 33 · 2019: 24 · 2018: 24 · 2017: 26 · 2016: 25 · 2015: 22 · 2014: 16 · 2013: 14 · 2012: 17
- FWCI
- 25.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- 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 › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- household food insecurity, infant development, toddler development, developmental risk, low-income households, early childhood, weight-for-age z-score, caregiver depressive symptoms, school readiness, food assistance policy
- MeSH terms
- Child Development, Developmental Disabilities, Child Welfare, Child, Preschool, Cross-Sectional Studies, Family Characteristics, Female, Food Supply, Humans, Hunger, Infant, Male, Nutritional Requirements, Poverty, Surveys and Questionnaires, Risk Factors, Socioeconomic Factors, United States, Confounding Factors, Epidemiologic, Multivariate Analysis, Logistic Models, Caregivers
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