Food insufficiency and American school-aged children's cognitive, academic, and psychosocial development.

Published on Jul 1, 2001in Pediatrics7.125
Katherine Alaimo22
Estimated H-index: 22
(UM: University of Michigan),
Christine M. Olson52
Estimated H-index: 52
(Cornell University),
Edward A. Frongillo95
Estimated H-index: 95
(Cornell University)
Sources
Abstract
Objective. This study investigates associations between food insufficiency and cognitive, academic, and psychosocial outcomes for US children and teenagers ages 6 to 11 and 12 to 16 years. Methods. Data from the Third National Health and Nutrition Examination Survey (NHANES III) were analyzed. Children were classified as food-insufficient if the family respondent reported that his or her family sometimes or often did not get enough food to eat. Regression analyses were conducted to test for associations between food insufficiency and cognitive, academic, and psychosocial measures in general and then within lower-risk and higher-risk groups. Regression coefficients and odds ratios for food insufficiency are reported, adjusted for poverty status and other potential confounding factors. Results. After adjusting for confounding variables, 6- to 11-year-old food-insufficient children had significantly lower arithmetic scores and were more likely to have repeated a grade, have seen a psychologist, and have had difficulty getting along with other children. Food-insufficient teenagers were more likely to have seen a psychologist, have been suspended from school, and have had difficulty getting along with other children. Further analyses divided children into lower-risk and higher-risk groups. The associations between food insufficiency and children9s outcomes varied by level of risk. Conclusions. The results demonstrate that negative academic and psychosocial outcomes are associated with family-level food insufficiency and provide support for public health efforts to increase the food security of American families.
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#1Katherine Alaimo (Cornell University)H-Index: 22
#2Christine M. Olson (UM: University of Michigan)H-Index: 52
Last. Ronette Briefel (UM: University of Michigan)H-Index: 26
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Objectives. This study investigated associations between family income, food insufficiency, and health among US preschool and school-aged children. Methods. Data from the third National Health and Nutrition Examination Survey were analyzed. Children were classified as food insufficient if the family respondent reported that the family sometimes or often did not get enough food to eat. Regression analyses were conducted with health measures as the outcome variables. Prevalence rates of health var...
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#1Katherine Alaimo (Cornell University)H-Index: 22
#2Christine M. Olson (Cornell University)H-Index: 52
Last. Edward A. Frongillo (Cornell University)H-Index: 95
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Abstract Cognitive testing is a useful tool for the development of questionnaire items and can also provide valuable information for the analysis and/or interpretation of preexisting survey data. This paper explains cognitive testing methods and demonstrates the benefits of cognitive testing on existing hunger, food insecurity, and food insufficiency questionnaire items. Semistructured interviews were conducted using retrospective verbal probing techniques. Each interview consisted of two parts:...
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#1Stephen J. Blumberg (CDC: Centers for Disease Control and Prevention)H-Index: 59
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OBJECTIVES: On the basis of an 18-item Household Food Security Scale, a short form was developed to assess financially based food insecurity and hunger in surveys of households with and without children. METHODS: To maximize the probability that households would be correctly classified with respect to food insecurity and hunger, 6 items from the full scale were selected on the basis of April 1995 Current Population Survey data. RESULTS: The short form classified 97.7% of households correctly and...
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#1Donald Rose (MSU: Michigan State University)H-Index: 21
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Environment plays an important role in shaping development from the newborn period through adolescence. Many individual environmental risk factors may impinge on development (poverty, mental illness, minority status, and many others), but the most detrimental effects are caused when multiple risk factors act on a single infant. These effects were revealed by the Rochester Longitudinal Study, an ongoing comprehensive investigation of environmental risk factors, summa rized in this article.
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#2Ronette Briefel (CDC: Centers for Disease Control and Prevention)H-Index: 26
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OBJECTIVES: The purpose of this study was to estimate the prevalence of food insufficiency in the United States and to examine sociodemographic characteristics related to food insufficiency. METHODS: Data were analyzed from the third National Health and Nutrition Examination Survey, a cross-sectional representative sample of the civilian noninstitutionalized population living in households. Individuals were classified as "food insufficient" if a family respondent reported that the family sometim...
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Abstract Objective Using large-scale surveys from nine states, the Community Childhood Hunger Identification Project (CCHIP) estimates that 8% of American children under the age of 12 years experience hunger each year. CCHIP operationalizes child hunger as multiple experiences of parent-reported food insufficiency due to constrained resources. The current study examined the relationship between food insufficiency and school-age, low-income children's psychosocial functioning. The study also asse...
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