Household Food Security Discordance Among Latino Adolescents and Parents

Chavez, Fiorella L. Carlos; Hernandez, Daphne C.; Harris, Gregory J.; Grzywacz, Joseph G.

doi:10.5993/ajhb.41.6.11

Cited by 21 publications

(11 citation statements)

References 21 publications

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“…The use of self-report of child food insecurity experiences is seen as a strength of this study. Child-report of their personal experiences with food insecurity has been shown in the literature to be more representative of their actual experiences and rules out potential biases that may result from parental reporting [15,16,17,18,19]. Sample size for this study was smaller than previous studies and is only locally representative; however, the scale of this study enabled us to control for confounding variables of potential relevance to food insecurity and diet, such as body weight or BMI, which prior studies have not controlled for.…”

Section: Discussionmentioning

confidence: 99%

“…A limitation of nearly all previously mentioned studies examining the relationship between food insecurity and dietary quality is the use of parent-reported household food insecurity [3]. Consistently, research has shown that parental report of child-level food insecurity may be unrepresentative of actual child food insecurity experiences and if a parent proxy is used, prevalence of child-level food insecurity may be grossly underestimated [15,16,17,18,19]. The two studies that have used child self-report of their own food security experiences to examine associations between dietary quality and food insecurity have found no association [12,13].…”

Section: Introductionmentioning

confidence: 99%

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Child-Report of Food Insecurity Is Associated with Diet Quality in Children

et al. 2019

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Food insecurity (FI) is adversely associated with physical and mental wellbeing in children. The mechanism underlying this association is assumed to be dietary intake; however, evidence has been mixed. This study examined the relationship between self-reported FI and dietary quality among low-income children. Cross-sectional data were used from TX Sprouts, a school-based cooking, gardening, and nutrition intervention. A sample of 598 children completed two 24-h dietary recalls and a questionnaire including an adapted version of the 5-item Child Food Security Assessment (CFSA). Food security was categorized as food secure or FI based on summed CFSA scores. Dietary quality was assessed using the Health Eating Index-2015 (HEI-2015). Mixed effects linear regression models examined associations between FI and dietary quality. Children were 64% Hispanic, 55% female, and were 9.2 years old on average. Adjusting for sociodemographic characteristics, BMI percentile, and energy intake, FI was associated with lower HEI-2015 total scores (β = −3.17; 95% CI = −5.28, −1.06; p = 0.003). Compared to food secure children, FI children had lower greens and beans (2.3 vs. 1.9, p = 0.016), seafood and plant protein (2.0 vs. 1.6, p = 0.006), and added sugar (7.4 vs. 8.0, p = 0.002) component scores. Interventions targeting low-income and FI children should investigate ways to improve dietary quality.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Child-Report of Food Insecurity Is Associated with Diet Quality in Children

et al. 2019

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“…Household food security can differentially impact children when compared to adults within the same household, which is often explained as children being protected from the lack of food resources [42,43]. However, we cannot rule out potential bias in parental reporting on children’s experiences [44,45,46]. The strength of agreement between the two classification scales was lower in non-Hispanic Black and Hispanic children and those with lower family income; this may be partly due to higher food insecurity in these subgroups, but also highlights a need for special efforts in assessing food insecurity by race and Hispanic origin and family income.…”

Section: Discussionmentioning

confidence: 99%

“…Lastly, food-insecurity assessment is challenging. Neither household food security nor food security among children measures an individual child’s food insecurity, even though a child report can differ from an adult report [44,45,46]. Nonetheless, most large surveys and studies, including NHANES, interview an adult responsible for household food management about the food-security status of household members using the HFSSM.…”

Section: Discussionmentioning

confidence: 99%

Children’s Dietary Quality and Micronutrient Adequacy by Food Security in the Household and among Household Children

et al. 2019

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Children’s food-security status has been described largely based on either the classification of food security in the household or among household children, but few studies have investigated the relationship between food security among household children and overall dietary quality. Our goal was to examine children’s dietary quality and micronutrient adequacy by food-security classification for the household and among household children. Data from 5540 children (2–17 years) from the National Health and Nutrition Examination Survey (NHANES) 2011–2014 were analyzed. Food-security status was assessed using the U.S. Household Food Security Survey Module and categorized into high, marginal, low, and very low food security for the households and among household children. Dietary quality and micronutrient adequacy were characterized by the Healthy Eating Index (HEI) 2015 and Mean Adequacy Ratio (MAR; based on total nutrient intakes from diet and dietary supplements), respectively. The HEI 2015 scores did not substantially vary by either food-security classification, but the MAR was greater in high compared to very low food security in households and among household children; a linear relationship was found only among household children. In general, very good agreement was observed between the classifications, but the strength of agreement differed by children’s age, race/Hispanic origin, and family income. In conclusion, micronutrient adequacy, but not dietary quality, significantly differed by food-security status. While the agreement between food security in the household and among household children is very good, classification of food security among household children may be more sensitive to detecting differences in exposure to nutrients.

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“…Several studies have reported notable discordance between reports from parents and children. Previous studies have primarily focused on older child populations (>12 y old) (10–12). Other studies have utilized younger child populations; however, these studies are limited in terms of study sample size (<91 children) (8, 13, 14).…”

Section: Introductionmentioning

confidence: 99%

Child Compared with Parent Perceptions of Child-Level Food Security

Landry

Berg

Asigbee

et al. 2019

Current Developments in Nutrition

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Background There is a need to directly and accurately conceptualize and measure food insecurity in children as part of surveillance and public health efforts. Objective The aim of this study was to compare parent and child perceptions of child-level food security status via questionnaires within a large, ethnically diverse population. Methods Cross-sectional baseline data from a cluster-randomized controlled trial involving primarily low-income, Hispanic third- to fifth-grade students and their parents were used for analysis. The sample consisted of 2408 dyadic (parent and child) pairs. Parents completed the 8-item child-referenced Household Food Security Survey Module and their responses were compared with an adaption of the 5-item Child Food Security Assessment completed by their child. Levels of association between child and parent perceptions within dyads were calculated using Goodman and Kruskal's γ statistic. A mixed-effects binomial logistic regression model was used to model discordance as a function of child, parent, and household sociodemographic characteristics. Results The child sample was 53% girls, mean age of 9 y, and 63% were Hispanic. The parent sample was 86% women and 65% Hispanic. Child and parent perceptions of child-level food security agreed only 21.7% of the time. There was a weak positive association between child and parent perceptions of child-level food security (γ = 0.162, P < 0.001). Children perceived themselves as less food secure than their parents’ perception 70.1% of the time. Household receipt of Supplemental Nutrition Assistance Program benefits was associated with greater odds of discordant food security perceptions, whereas female children, older children, and parents not working were characteristics associated with lower odds of discordant perceptions. Conclusions Results, in combination with the existing literature, suggest that parent perceptions of child-level food insecurity may underestimate child-level food insecurity experiences. Inaccurate estimations or underestimations of the true prevalence of child-level food insecurity could be detrimental to maternal and child health efforts. This trial was registered at clinicaltrials.gov as NCT02668744.

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Household Food Security Discordance Among Latino Adolescents and Parents

Abstract: Discordant reports of Latino household food security suggest the burden of unequal access to sufficient foods may be underestimated. Discordant reports may follow from cultural values that may encourage adolescents to keep hunger from their parents.

Cited by 21 publications

References 21 publications

Child-Report of Food Insecurity Is Associated with Diet Quality in Children

Child-Report of Food Insecurity Is Associated with Diet Quality in Children

Children’s Dietary Quality and Micronutrient Adequacy by Food Security in the Household and among Household Children

Child Compared with Parent Perceptions of Child-Level Food Security

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