Food Insecurity in U.S. Households That Include Children With Disabilities

Sonik, Rajan A.; Parish, Susan L.; Ghosh, Subharati; Igdalsky, Leah

doi:10.1177/0014402916651847

Cited by 42 publications

(26 citation statements)

References 51 publications

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“…122 Of the 109 studies included in the review, 100 were quantitative studies, 9,12,[18][19][20][21][22][23][24][26][27][28][29]33,[35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][56][57][58]60,61,[63][64][65][66][67][68][69][70][71][72][73][74][75][76][7...…”

Section: Chapter 3 Resultsmentioning

confidence: 99%

“…From the included studies, 24 considered factors related to child FI and adjusted their analyses for potentially explanatory or confounding variables. 18,[20][21][22][23][24]26,27,35,37,38,40,42,[48][49][50][51]53,54,61,65,[70][71][72] The characteristics most frequently assessed were children's demographic characteristics (e.g. age, sex or ethnicity), parental factors [e.g.…”

Section: Resultsmentioning

confidence: 99%

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Child food insecurity in the UK: a rapid review

et al. 2018

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BackgroundFood insecurity (FI) is a multifaceted, socioeconomic problem involving difficulties accessing sufficient, safe and nutritious food to meet people’s dietary requirements and preferences for a healthy life. For children experiencing FI, there are some potentially negative developmental consequences and it is, therefore, important to understand the links between FI and children’s health and well-being as well as any strategies undertaken to address FI. The overall objective of this assessment was to determine the nature, extent and consequences of FI affecting children (aged ≤ 18 years) in the UK.ObjectiveTo determine the nature, extent and consequences of FI affecting children (aged ≤ 18 years) in the UK.Data sourcesThe databases searched on 4 December 2017 included MEDLINE (including In-Process & Other Non-Indexed Citations and E-pub ahead of print files), EMBASE, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Commonwealth Agricultural Bureaux (CAB) abstracts, The Cochrane Library, Education Resources Information Centre (ERIC), PsycINFO, the Social Science Citation Index and the Applied Social Sciences Index and Abstracts (ASSIA).MethodsA rapid review of the current published and unpublished literature was conducted, including all study designs from specified high-income countries in children aged ≤ 18 years. Searches were conducted of major health-care, nutrition, education and social science databases from 1995 onwards, and websites of relevant UK and international organisations. Final searches were undertaken in December 2017.ResultsIn total, 109 studies were selected. Only five studies were conducted in the UK, four of which provided qualitative data. Possible factors associated with child FI were identified, for example socioeconomic status, material deprivation, living in public housing and having unemployed or poorly educated parents. Children’s health, well-being and academic outcomes were all negatively affected by FI. The mediating effects of family stressors and parenting practices in the relationship between FI and children’s health and well-being outcomes were not clear. Food assistance programmes were generally effective in mitigating FI and improving nutritional outcomes (including hunger) in the short term, but did not eradicate FI, eliminate its effects on children’s health or have an impact on academic outcomes. No reports assessing the prevalence of child FI in the UK or the cost-effectiveness and sustainability of interventions to tackle FI were identified.LimitationsThere was a lack of consistency in how FI was defined and measured across studies. Most of the studies used indirect measurements of child FI through parental reports. The majority of studies were conducted in North America. Only five studies were conducted in the UK. Thirty potentially relevant studies were not included in the review as a result of time and resource constraints. Most studies were observational and caution is advised in interpreting their results.ConclusionsA number of factors that were related to child FI were identified, as were negative associations between child FI and physical, mental and social outcomes. However, these findings should be interpreted with caution because of the correlational nature of the analyses and the fact that it is difficult to determine if some factors are predictors or consequences of FI.Future researchThere is an urgent requirement for the development of a reliable instrument to measure and monitor child FI in the UK and for well-designed interventions or programmes to tackle child FI.Study registrationThis study is registered as PROSPERO CRD42017084818.FundingThe National Institute for Health Research Public Health Research programme. The Health Services Research Unit is core-funded by the Chief Scientist Office of the Scottish Government Health and Social Care Directorates.

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Section: Chapter 3 Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Child food insecurity in the UK: a rapid review

et al. 2018

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“…In fact, on average, PWDs are two to six times less likely to be employed [ 38 ] and households with PWDs may experience a sharp decline in their household income, especially when income-earning household members, such as the heads of households and working-age adults, have disabilities [ 21 , 32 , 37 ]. Higher additional expenditures among PWD, including on medical care, adaptive equipment and assistive technology (e.g., wheelchairs, hearing aids, and prostheses), and other disability-related expenses, may represent another explanation [ 19 , 32 , 39 , 40 ]. Additional expenditures related to managing a disability may force households with PWDs to make trade-offs between basic needs (such as food) and disability-related expenses [ 32 , 39 ].…”

Section: Discussionmentioning

confidence: 99%

“…Higher additional expenditures among PWD, including on medical care, adaptive equipment and assistive technology (e.g., wheelchairs, hearing aids, and prostheses), and other disability-related expenses, may represent another explanation [ 19 , 32 , 39 , 40 ]. Additional expenditures related to managing a disability may force households with PWDs to make trade-offs between basic needs (such as food) and disability-related expenses [ 32 , 39 ]. In addition, several other reasons, such as various barriers (e.g., transportation) to accessing food supplies or PWD’s coping strategies for food hardship, may partially explain the unique effect of disability on food insecurity [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Household Food Insecurity: Comparison between Families with and without Members with Disabilities

Park

Kim

et al. 2020

IJERPH

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Although the high rate of food insecurity among people with disabilities and their households has emerged as an important concern in public health and nutrition policy, the available data on these issues are still too limited to fully understand this phenomenon. This study aimed to compare the prevalence of food insecurity between households with and without persons with disabilities and to explore which sociodemographic and disability characteristics are associated with household food insecurity among households with members with disabilities. The data of 2690 households with and without members with disabilities from the 2013 Korea National Health and Nutrition Examination Survey were analyzed. Household food insecurity was more prevalent among households including persons with disabilities than among those without such members. The likelihood of experiencing food insecurity was especially high in households having a female head with a disability (odds ratio (OR) = 1.98); working-age adults with disabilities (OR = 1.70); members with disabilities who were not economically active (OR = 1.53); and members with mental disabilities (OR = 2.81), disabilities involving internal organs (OR = 4.38), or severe (grades 1–3) disabilities (OR = 1.73). The findings indicate that the disability status and sociodemographic characteristics of disabled family members are closely associated with household food security status.

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“…Effects should be greater in Medicaid versus Medicare, because Medicaid recipients have greater exposure to SNAP benefits (13). Effects of SNAP should also be magnified for people with disabilities, who have elevated exposure to food insecurity and elevated SNAP and health care usage (17,18). …”

Section: Introductionmentioning

confidence: 99%

Inpatient Medicaid Usage and Expenditure Patterns After Changes in Supplemental Nutrition Assistance Program Benefit Levels

2018

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IntroductionFood insecurity worsens health outcomes and is associated with increased health care usage and expenditures. The Supplemental Nutrition Assistance Program (SNAP) reduces but does not eliminate recipients’ food insecurity. We sought to determine whether inpatient Medicaid usage and expenditure patterns responded to an April 2009 increase in SNAP benefit levels and a subsequent November 2013 decrease.MethodsInterrupted time series models estimated responses to the 2009 and 2013 SNAP changes in the Medicaid population, compared responses between Medicaid and Medicare recipients, and compared responses between Medicaid recipients with different likelihoods of having a disability. Analyses used 2006 through 2014 Healthcare Cost and Utilization Project National (previously Nationwide) Inpatient Sample data.ResultsAfter the 2009 SNAP increase, Medicaid admission growth fell nationally from 0.80 to 0.35 percentage points per month (a difference of –0.45; 95% CI, –0.72 to –0.19), adjusting for enrollment. After the 2013 SNAP decrease, admission growth rose to 2.42 percentage points per month (a difference of 2.07; 95% CI, 0.68 to 3.46). Inflation-adjusted monthly Medicaid expenditures followed similar patterns and were associated with $26.5 billion (in 2006 dollars) in reduced expenditures over the 55 months of the SNAP increase, and $6.4 billion (in 2006 dollars) in additional expenditures over the first 14 months after the SNAP decrease. Effects were elevated for Medicaid compared with Medicare recipients and among people with a high likelihood of having a disability.ConclusionAlthough alternative causal explanations warrant consideration, changes in SNAP benefit levels were associated with changes in inpatient Medicaid usage and cost patterns.

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Food Insecurity in U.S. Households That Include Children With Disabilities

Cited by 42 publications

References 51 publications

Child food insecurity in the UK: a rapid review

Child food insecurity in the UK: a rapid review

Household Food Insecurity: Comparison between Families with and without Members with Disabilities

Inpatient Medicaid Usage and Expenditure Patterns After Changes in Supplemental Nutrition Assistance Program Benefit Levels

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