Tags

Type your tag names separated by a space and hit enter

The Relationship Between Housing Instability and Poor Diet Quality Among Urban Families.
Acad Pediatr. 2019 Nov - Dec; 19(8):891-898.APed

Abstract

OBJECTIVE

To examine associations between housing instability and poor diet quality in a sample of urban parents and children.

METHODS

Cross-sectional study of 340 parent/guardian-child dyads visiting a pediatric primary care center in Boston, Massachusetts. The parent/guardian (hereafter, parent) completed 2 Harvard Service Food Frequency Questionnaires, one regarding their own dietary intake and one regarding their child's intake, and an assessment of health-related social needs. Diet quality was measured using the Healthy Eating Index-2010 (HEI-2010; score range 0-100). Housing instability was defined as: 1) homeless or in sheltered housing, 2) doubled up with another family, 3) utilities threatened or shut off, or 4) concerned about eviction. Multivariable logistic regression was used to measure associations between unstable housing and lowest-quartile HEI-2010 scores, adjusting for parent age, race/ethnicity, education, income, and child age.

RESULTS

Median (interquartile range) parent and child HEI-2010 scores were 63.8 (56.3-70.8) and 59.0 (54.2-64.7), respectively. Housing instability was found in 136 dyads (40%). In multivariable analysis, it was associated with increased odds of lowest-quartile total parent HEI-2010 scores (adjusted odds ratio [aOR], 1.9; 95% confidence interval [95% CI], 1.1-3.5) but not child scores (aOR, 1.4; 95% CI, 0.8-2.5). It also was associated with increased odds of lowest-quartile parent HEI-2010 dietary component scores for Total vegetables and Greens and beans (aOR, 2.0; 95% CI, 1.1-3.7 and aOR, 2.5; 95% CI, 1.3-4.8, respectively).

CONCLUSIONS

In this urban primary care population, housing instability is associated with lower diet quality scores for parents but not children. Lower vegetable consumption appears to drive this association.

Authors+Show Affiliations

Divisions of General Pediatrics (CJ Bottino and JE Cox); Department of Pediatrics, Boston Children's Hospital; and Harvard Medical School (CJ Bottino, EW Fleegler, JE Cox, and ET Rhodes) Boston, Mass. Electronic address: clement.bottino@childrens.harvard.edu.Emergency Medicine (EW Fleegler); Department of Pediatrics, Boston Children's Hospital; and Harvard Medical School (CJ Bottino, EW Fleegler, JE Cox, and ET Rhodes) Boston, Mass.Divisions of General Pediatrics (CJ Bottino and JE Cox); Department of Pediatrics, Boston Children's Hospital; and Harvard Medical School (CJ Bottino, EW Fleegler, JE Cox, and ET Rhodes) Boston, Mass.Endocrinology (ER Rhodes); Department of Pediatrics, Boston Children's Hospital; and Harvard Medical School (CJ Bottino, EW Fleegler, JE Cox, and ET Rhodes) Boston, Mass.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30986548

Citation

Bottino, Clement J., et al. "The Relationship Between Housing Instability and Poor Diet Quality Among Urban Families." Academic Pediatrics, vol. 19, no. 8, 2019, pp. 891-898.
Bottino CJ, Fleegler EW, Cox JE, et al. The Relationship Between Housing Instability and Poor Diet Quality Among Urban Families. Acad Pediatr. 2019;19(8):891-898.
Bottino, C. J., Fleegler, E. W., Cox, J. E., & Rhodes, E. T. (2019). The Relationship Between Housing Instability and Poor Diet Quality Among Urban Families. Academic Pediatrics, 19(8), 891-898. https://doi.org/10.1016/j.acap.2019.04.004
Bottino CJ, et al. The Relationship Between Housing Instability and Poor Diet Quality Among Urban Families. Acad Pediatr. 2019 Nov - Dec;19(8):891-898. PubMed PMID: 30986548.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Relationship Between Housing Instability and Poor Diet Quality Among Urban Families. AU - Bottino,Clement J, AU - Fleegler,Eric W, AU - Cox,Joanne E, AU - Rhodes,Erinn T, Y1 - 2019/04/13/ PY - 2018/09/06/received PY - 2019/04/04/revised PY - 2019/04/09/accepted PY - 2019/4/16/pubmed PY - 2020/9/1/medline PY - 2019/4/16/entrez KW - children KW - diet KW - diet quality KW - healthy eating index KW - housing KW - housing instability KW - parents KW - pediatrics KW - primary care KW - urban SP - 891 EP - 898 JF - Academic pediatrics JO - Acad Pediatr VL - 19 IS - 8 N2 - OBJECTIVE: To examine associations between housing instability and poor diet quality in a sample of urban parents and children. METHODS: Cross-sectional study of 340 parent/guardian-child dyads visiting a pediatric primary care center in Boston, Massachusetts. The parent/guardian (hereafter, parent) completed 2 Harvard Service Food Frequency Questionnaires, one regarding their own dietary intake and one regarding their child's intake, and an assessment of health-related social needs. Diet quality was measured using the Healthy Eating Index-2010 (HEI-2010; score range 0-100). Housing instability was defined as: 1) homeless or in sheltered housing, 2) doubled up with another family, 3) utilities threatened or shut off, or 4) concerned about eviction. Multivariable logistic regression was used to measure associations between unstable housing and lowest-quartile HEI-2010 scores, adjusting for parent age, race/ethnicity, education, income, and child age. RESULTS: Median (interquartile range) parent and child HEI-2010 scores were 63.8 (56.3-70.8) and 59.0 (54.2-64.7), respectively. Housing instability was found in 136 dyads (40%). In multivariable analysis, it was associated with increased odds of lowest-quartile total parent HEI-2010 scores (adjusted odds ratio [aOR], 1.9; 95% confidence interval [95% CI], 1.1-3.5) but not child scores (aOR, 1.4; 95% CI, 0.8-2.5). It also was associated with increased odds of lowest-quartile parent HEI-2010 dietary component scores for Total vegetables and Greens and beans (aOR, 2.0; 95% CI, 1.1-3.7 and aOR, 2.5; 95% CI, 1.3-4.8, respectively). CONCLUSIONS: In this urban primary care population, housing instability is associated with lower diet quality scores for parents but not children. Lower vegetable consumption appears to drive this association. SN - 1876-2867 UR - https://www.unboundmedicine.com/medline/citation/30986548/The_Relationship_Between_Housing_Instability_and_Poor_Diet_Quality_Among_Urban_Families_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1876-2859(18)30598-9 DB - PRIME DP - Unbound Medicine ER -