Child Health-Related Quality of Life and Household Food Security

Casey, Patrick H.; Szeto, Kitty L.; Robbins, James M.; Stuff, Janice E.; Connell, Carol; Gossett, Jeffery M.; Simpson, Pippa

doi:10.1001/archpedi.159.1.51

Cited by 208 publications

(149 citation statements)

References 51 publications

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“…We decided to screen for these needs because of their high prevalence among urban families, 19,27 the public availability of community resources designed to address them, and previous research demonstrating the association of these needs with negative child outcomes. 23,[28][29][30][31][32][33][34] The WE CARE clinical screening instrument was adapted from a larger family psychosocial screening instrument with test-retest reliability of .92. 19 For the current study, the survey consisted of 12 questions designed to identify the 6 basic needs and determine whether mothers wanted assistance with each need (Supplemental Appendix).…”

Section: Study Arms We Carementioning

confidence: 99%

Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT

et al. 2015

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OBJECTIVE: To evaluate the effect of a clinic-based screening and referral system (Well Child Care, Evaluation, Community Resources, Advocacy, Referral, Education [WE CARE]) on families' receipt of community-based resources for unmet basic needs. METHODS:We conducted a cluster randomized controlled trial at 8 urban community health centers, recruiting mothers of healthy infants. In the 4 WE CARE clinics, mothers completed a self-report screening instrument that assessed needs for child care, education, employment, food security, household heat, and housing. Providers made referrals for families; staff provided requisite applications and telephoned referred mothers within 1 month. Families at the 4 control community health centers received the usual care. We analyzed the results with generalized mixed-effect models.RESULTS: Three hundred thirty-six mothers were enrolled in the study (168 per arm). The majority of families had household incomes ,$20 000 (57%), and 68% had $2 unmet basic needs. More WE CARE mothers received $1 referral at the index visit (70% vs 8%; adjusted odds ratio [aOR] = 29.6; 95% confidence interval [CI], 14.7-59.6). At the 12-month visit, more WE CARE mothers had enrolled in a new community resource (39% vs 24%; aOR = 2.1; 95% CI, 1.2-3.7). WE CARE mothers had greater odds of being employed (aOR = 44.4; 95% CI, 9.8-201.4). WE CARE children had greater odds of being in child care (aOR = 6.3; 95% CI, 1.5-26.0). WE CARE families had greater odds of receiving fuel assistance (aOR = 11.9; 95% CI, 1.7-82.9) and lower odds of being in a homeless shelter (aOR = 0.2; 95% CI, 0.1-0.9).CONCLUSIONS: Systematically screening and referring for social determinants during well child care can lead to the receipt of more community resources for families. WHAT'S KNOWN ON THIS SUBJECT:Although pediatric professional guidelines emphasize addressing a child' s social environment in the context of well child care, it remains unclear whether screening for unmet basic needs at visits increases low-income families' receipt of community-based resources. WHAT THIS STUDY ADDS:This study demonstrates that systematically screening and referring for social determinants of health during primary care can lead to the receipt of more community resources for families.

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Section: Study Arms We Carementioning

confidence: 99%

Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT

et al. 2015

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“…The negative health outcomes associated with food insecurity appear to be linked to both the poorer quality of the diet in food insecure households as well as the uncertain and unpredictable nature of the food environment. Studies find a higher risk of common mental health disorders (Hadley & Patil, 2006;Patel & Kleinman, 2003), seasonal weight loss, dietary change (Rose, 1999;van Liere, Ategbo, Den Hartog, & Hautvast, 1995) and overall poorer health among members of food insecure or food insufficient households (Casey, Szeto, Robbins, Stuff, Connell, Gossett et al, 2005;Cook, Frank, Berkowitz, Black, Casey, Cutts et al, 2004;Siefert, Heflin, Corcoran, & Williams, 2004). Anthropological studies of food insecurity also document a range of social responses to food insecurity including migration, borrowing from other households, and switching to less desirable foods (Dirks, 1980;Panter-Brick & Eggerman, 1997;Shipton, 1990).…”

Section: The Biosocial Consequences Of Food Insecuritymentioning

confidence: 99%

Gender bias in the food insecurity experience of Ethiopian adolescents

Hadley

Lindstrom

Tessema

et al. 2008

Social Science & Medicine

221

204

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Food insecurity is a pressing public health concern in many developing countries. Despite widespread interest in the sociocultural determinants of food insecurity, little is known about whether youths living in food insecure households experience food insecurity. The buffering hypothesis reviewed here assumes that, to the extent possible, adult members of households will buffer younger household members from the ill effects of food insecurity. A variant of the buffering hypothesis argues that only certain members of the households will enjoy the benefits of buffering. We hypothesize that within the context of Ethiopia, where girls have historically experienced discrimination, buffering is preferentially aimed at boys, especially as the household experiences greater levels of food stress. These hypotheses are tested using data from a population-based study of 2084 adolescents living in southwestern Ethiopia. Results indicate that boys and girls were equally likely to be living in severely food insecure households. Despite no differences in their households' food insecurity status, girls were more likely than boys to report being food insecure themselves. This gender difference was the largest in severely food insecure households. This same pattern was observed when comparing malefemale sibling pairs living in the same household. These results are among the first to show that household level measures of food insecurity predict adolescent experiences of food insecurity, and that in the Ethiopian socio-cultural context, the relationship between household level food insecurity and adolescent food insecurity varies by gender. We also show that adolescent food insecurity is strongly associated with measures of general health and well-being.

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“…In addition, young people who live in households with concerns about food security get lower grades at school and are more likely to have been suspended (Alaimo et al 2001). Adolescents experiencing food insecurity experience a greater burden of mental health concerns, including greater emotional difficulties (Poole-Di Salvo et al 2016), mental disorders (Burke et al 2016), suicide behaviours (Alaimo et al 2002) and lower health related quality of life (Casey et al 2005). Though the nature of the relationship between food insecurity and poor adolescent health indicators are not fully understood, it has been hypothesised that they are likely explained either through poor nutrition, family stress or as an indicator of socio-economic deprivation (Cook and Frank 2008).…”

mentioning

confidence: 99%

Rising food security concerns among New Zealand adolescents and association with health and wellbeing

Utter

Izumi

Denny

et al. 2017

Kōtuitui: New Zealand Journal of Social Sciences Online

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Child Health-Related Quality of Life and Household Food Security

Abstract: Children who live in food insecure households have poorer HRQOL. The effect on physical or psychosocial function may differ by age, ethnicity, and gender. Food security should be considered an important risk factor for child health.

Cited by 208 publications

References 51 publications

Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT

Addressing Social Determinants of Health at Well Child Care Visits: A Cluster RCT

Gender bias in the food insecurity experience of Ethiopian adolescents

Rising food security concerns among New Zealand adolescents and association with health and wellbeing

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