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Food insecurity is associated with adverse health outcomes among human infants and toddlers.
J Nutr. 2004 Jun; 134(6):1432-8.JN

Abstract

The U.S. Household Food Security Scale, developed with federal support for use in national surveys, is an effective research tool. This study uses these new measures to examine associations between food insecurity and health outcomes in young children. The purpose of this study was to determine whether household food insecurity is associated with adverse health outcomes in a sentinel population ages < or = 36 mo. We conducted a multisite retrospective cohort study with cross-sectional surveys at urban medical centers in 5 states and Washington DC, August 1998-December 2001. Caregivers of 11,539 children ages < or = 36 mo were interviewed at hospital clinics and emergency departments (ED) in central cities. Outcome measures included child's health status, hospitalization history, whether child was admitted to hospital on day of ED visit (for subsample interviewed in EDs), and a composite growth-risk variable. In this sample, 21.4% of households were food insecure (6.8% with hunger). In a logistic regression, after adjusting for confounders, food-insecure children had odds of "fair or poor" health nearly twice as great [adjusted odds ratio (AOR) = 1.90, 95% CI = 1.66-2.18], and odds of being hospitalized since birth almost a third larger (AOR = 1.31, 95% CI = 1.16-1.48) than food-secure children. A dose-response relation appeared between fair/poor health status and severity of food insecurity. Effect modification occurred between Food Stamps and food insecurity; Food Stamps attenuated (but did not eliminate) associations between food insecurity and fair/poor health. Food insecurity is associated with health problems for young, low-income children. Ensuring food security may reduce health problems, including the need for hospitalizations.

Authors+Show Affiliations

Boston University School of Medicine, Department of Pediatrics, MA, USA. John.Cook@bmc.orgNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

15173408

Citation

Cook, John T., et al. "Food Insecurity Is Associated With Adverse Health Outcomes Among Human Infants and Toddlers." The Journal of Nutrition, vol. 134, no. 6, 2004, pp. 1432-8.
Cook JT, Frank DA, Berkowitz C, et al. Food insecurity is associated with adverse health outcomes among human infants and toddlers. J Nutr. 2004;134(6):1432-8.
Cook, J. T., Frank, D. A., Berkowitz, C., Black, M. M., Casey, P. H., Cutts, D. B., Meyers, A. F., Zaldivar, N., Skalicky, A., Levenson, S., Heeren, T., & Nord, M. (2004). Food insecurity is associated with adverse health outcomes among human infants and toddlers. The Journal of Nutrition, 134(6), 1432-8.
Cook JT, et al. Food Insecurity Is Associated With Adverse Health Outcomes Among Human Infants and Toddlers. J Nutr. 2004;134(6):1432-8. PubMed PMID: 15173408.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Food insecurity is associated with adverse health outcomes among human infants and toddlers. AU - Cook,John T, AU - Frank,Deborah A, AU - Berkowitz,Carol, AU - Black,Maureen M, AU - Casey,Patrick H, AU - Cutts,Diana B, AU - Meyers,Alan F, AU - Zaldivar,Nieves, AU - Skalicky,Anne, AU - Levenson,Suzette, AU - Heeren,Tim, AU - Nord,Mark, PY - 2004/6/3/pubmed PY - 2004/7/16/medline PY - 2004/6/3/entrez SP - 1432 EP - 8 JF - The Journal of nutrition JO - J Nutr VL - 134 IS - 6 N2 - The U.S. Household Food Security Scale, developed with federal support for use in national surveys, is an effective research tool. This study uses these new measures to examine associations between food insecurity and health outcomes in young children. The purpose of this study was to determine whether household food insecurity is associated with adverse health outcomes in a sentinel population ages < or = 36 mo. We conducted a multisite retrospective cohort study with cross-sectional surveys at urban medical centers in 5 states and Washington DC, August 1998-December 2001. Caregivers of 11,539 children ages < or = 36 mo were interviewed at hospital clinics and emergency departments (ED) in central cities. Outcome measures included child's health status, hospitalization history, whether child was admitted to hospital on day of ED visit (for subsample interviewed in EDs), and a composite growth-risk variable. In this sample, 21.4% of households were food insecure (6.8% with hunger). In a logistic regression, after adjusting for confounders, food-insecure children had odds of "fair or poor" health nearly twice as great [adjusted odds ratio (AOR) = 1.90, 95% CI = 1.66-2.18], and odds of being hospitalized since birth almost a third larger (AOR = 1.31, 95% CI = 1.16-1.48) than food-secure children. A dose-response relation appeared between fair/poor health status and severity of food insecurity. Effect modification occurred between Food Stamps and food insecurity; Food Stamps attenuated (but did not eliminate) associations between food insecurity and fair/poor health. Food insecurity is associated with health problems for young, low-income children. Ensuring food security may reduce health problems, including the need for hospitalizations. SN - 0022-3166 UR - https://www.unboundmedicine.com/medline/citation/15173408/Food_insecurity_is_associated_with_adverse_health_outcomes_among_human_infants_and_toddlers_ L2 - https://academic.oup.com/jn/article-lookup/doi/10.1093/jn/134.6.## DB - PRIME DP - Unbound Medicine ER -