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Household food insecurity: associations with at-risk infant and toddler development.
Pediatrics 2008; 121(1):65-72Ped

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.

Authors+Show Affiliations

Department of Pediatrics, Boston University School of Medicine, 91 East Concord St, Room 5106, Boston, MA 02118, USA. rrosejac@bu.eduNo 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

Language

eng

PubMed ID

18166558

Citation

Rose-Jacobs, Ruth, et al. "Household Food Insecurity: Associations With At-risk Infant and Toddler Development." Pediatrics, vol. 121, no. 1, 2008, pp. 65-72.
Rose-Jacobs R, Black MM, Casey PH, et al. Household food insecurity: associations with at-risk infant and toddler development. Pediatrics. 2008;121(1):65-72.
Rose-Jacobs, R., Black, M. M., Casey, P. H., Cook, J. T., Cutts, D. B., Chilton, M., ... Frank, D. A. (2008). Household food insecurity: associations with at-risk infant and toddler development. Pediatrics, 121(1), pp. 65-72. doi:10.1542/peds.2006-3717.
Rose-Jacobs R, et al. Household Food Insecurity: Associations With At-risk Infant and Toddler Development. Pediatrics. 2008;121(1):65-72. PubMed PMID: 18166558.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Household food insecurity: associations with at-risk infant and toddler development. AU - Rose-Jacobs,Ruth, AU - Black,Maureen M, AU - Casey,Patrick H, AU - Cook,John T, AU - Cutts,Diana B, AU - Chilton,Mariana, AU - Heeren,Timothy, AU - Levenson,Suzette M, AU - Meyers,Alan F, AU - Frank,Deborah A, PY - 2008/1/2/pubmed PY - 2008/2/6/medline PY - 2008/1/2/entrez SP - 65 EP - 72 JF - Pediatrics JO - Pediatrics VL - 121 IS - 1 N2 - 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. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/18166558/Household_food_insecurity:_associations_with_at_risk_infant_and_toddler_development_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=18166558 DB - PRIME DP - Unbound Medicine ER -