Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Food Insecurity and Child Health

Bibliographic Data

ID23337602
AuthorsMargaret M C Thomas (0000-0003-3781-326X, aSchool of Social Work, Boston University, Boston, Massachusetts; and), Daniel P Miller (0000-0002-1455-2805, aSchool of Social Work, Boston University, Boston, Massachusetts; and), Taryn W Morrissey (0000-0002-2916-0820, bSchool of Public Affairs, American University, Washington, District of Columbia)
Year2019
Volume144
Issue4
Publication date2019-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenuePEDIATRICS (JOURNAL)
Journal identifiersISSN: 0031-4005 • E-ISSN: 1098-4275
PublisherAmerican Academy of Pediatrics (AAP) (PUBLISHER)
DOI10.1542/peds.2019-0397
PMID31501236
OpenAlexW2972400730
LanguageEN
Citations received62
References cited33

OBJECTIVES: Food insecurity is an important public health problem facing children in the United States. Although a number of previous studies suggest that food insecurity has negative impacts on health, these studies have not dealt thoroughly with issues of selection bias. We use propensity scoring techniques to approximate the causal effects of food insecurity on children's health and health care use outcomes. METHODS: = 29 341). Using inverse probability of treatment weighting, a propensity scoring method, we examine a broad range of child health outcomes and account for a comprehensive set of controls, focusing on a sample of children 2 to 17 years old. RESULTS: Household food insecurity was related to significantly worse general health, some acute and chronic health problems, and worse health care access, including forgone care and heightened emergency department use, for children. Compared to rates had they not been food insecure, children in food-insecure household had rates of lifetime asthma diagnosis and depressive symptoms that were 19.1% and 27.9% higher, rates of foregone medical care that were 179.8% higher, and rates of emergency department use that were 25.9% higher. No significant differences emerged for most communicable diseases, such as ear infections or chicken pox, or conditions that may develop more gradually, including anemia and diabetes. CONCLUSIONS: Policies used to reduce household food insecurity among children may also reduce children's chronic and acute health problems and health care needs.

Agriculture · Asthma · Emergency department · Environmental health · Food insecurity · Food security · Health care · Propensity score matching · Psychiatry · Public health · Selection bias · Agricultural risk and resilience · Child Nutrition and Water Access · Food Security and Health in Diverse Populations · Medicine · Nursing

  • Unmet Medical Needs and Food Insecurity in Children with Neurodevelopmental Disorders

    Open Access•Rose Calixte, Elizabeth Helzner et al.•Children•2022

  • Engaging Food Insecure Families on the Weekend to Improve Nutrition and Health

    Deepak Palakshappa, Melanie Tam et al.•Progress in community health…•2021

  • Latent classes and longitudinal patterns of material hardship as predictors of child well‐being

    Open Access•Margaret M C Thomas•Children & Society•2024

  • Current approaches and future directions for addressing ethics in infant and early childhood mental health

    Open Access•Paula D Zeanah, Alison Steier et al.•Infant Mental Health Journal•2023

  • Cutting more than meals

    Open Access•Ami Seivwright, Sebastian Kocar et al.•Australian Journal of Social Issues•2024

  • Evaluation of School Wellness Policies in Low‐Income California Districts After the 2016 Usda Final Rule

    Open Access•Lynnea M LoPresto, Diana Cassady et al.•Journal of School Health•2024

  • Food Insecurity and Child Health

    Margaret M C Thomas, Daniel P Miller et al.•PEDIATRICS•2019

  • Using concept mapping to co‐create implementation strategies to address maternal–child food insecurity during the first 1000 days of life

    Open Access•Amanda Castelo Saragosa, Jason D Flatt et al.•Maternal and Child Nutrition•2024

  • Parenting Stress in Households Experiencing Food Insecurity

    Open Access•Katherine Engel•Maternal and Child Health Journal•2025

  • Associations between socioeconomic status, dietary habits and health-related quality of life among children in rural riverside communities

    Open Access•Luziane de Lima Pereira, Fernando José Herkrath et al.•Quality of Life Research•2026

  • Determinants of Child Growth in Palestine (Ages 5–17)

    Open Access•Suliman Thwib, Suleiman Thwib et al.•Children•2025

  • The Effects of Food Security on Academic Performance of University Students at a Hispanic-Serving Institution

    Open Access•Eva Margarita Moya, Gregory S Schober et al.•International Journal of…•2025

  • Adolescent-Reported Food Insecurity

    Open Access•Naomi N Duke•International Journal of…•2021

  • School food programs and food insecurity at the Reach school network

    Open Access•Keping Qiu, Kavin Qiu et al.•BMC Public Health•2025

  • Household Food Insufficiency and Chronic Pain among Children in the US

    Open Access•See Wan Tham, See Tham et al.•Children•2023

  • Effects of Welfare Reform on Household Food Insecurity Across Generations

    Open Access•Hope Corman, Dhaval M Dave et al.•Economics & Human Biology•2021

  • The association between multimorbidity and food insecurity among US parents, guardians, and caregivers

    Open Access•Claire E Branley, Melissa Goulding et al.•BMC Public Health•2025

  • The Health and Nutritional Status of Children (10–18 years) Belonging to Food Insecure Households

    Open Access•Sowon Jung, Jieun Shin et al.•International Journal of…•2023

  • New and Recurring Food Insecurity During and After the Covid-19 Pandemic

    Open Access•Elise Sheinberg, Noura Insolera et al.•JAMA Health Forum•2025

  • Food Insecurity Screening and Referral Practices of Pediatric Clinicians in Metropolitan Washington, DC

    Open Access•Kofi Essel, Michael P Burke et al.•Children•2024

  • Prevalence and correlates of the food insecurity experience among Australian adults in 2020

    Open Access•Jane Fry, Carl Pollard et al.•Food Security•2026

  • Food Insecurity and Sleep Disturbance Among 223,561 Adolescents

    Open Access•Qiuying Wang•Frontiers in Public Health•2021

  • Food and nutrition security definitions, constructs, frameworks, measurements, and applications

    Open Access•Rafael Pérez-Escamilla•Frontiers in Public Health•2024

  • Innovative Nutrition Policies and Programs to Reduce Low-Income Children’s Sodium Intake in the United States

    Open Access•Sarah Presley, Joyce Y Lee et al.•Social Work in Public Health•2025

  • The Role of Risk Perception and Information-Seeking in Acceptance of Alternative Proteins

    Mi Yeon Choi, Hye Hyun Ma et al.•Health Communication•2025

  • Investigating the linkages between food insecurity, psychological distress, and poor sleep outcomes among U.S. college students

    Open Access•Miriam C Kopels, Eric C Shattuck et al.•American Journal of Human Biology•2024

  • Food insecurity and its association with mental health among Syrian refugees resettled in Norway

    Open Access•Daria Kamelkova, Elisabeth Marie Strømme et al.•Journal of Migration and Health•2023

  • Disparities and Determinants of Food Insecurity for New Mexico’s Unique Populations

    Open Access•Katherine Gutierrez•Journal of Economics Race and…•2023

  • The expanded Child Tax Credit and economic wellbeing of low-income families

    Open Access•Natasha V Pilkauskas, Katherine Michelmore et al.•Journal of Population Economics•2024

  • Unpacking the Association Between Food Insecurity and Mental Health Disorders Among Older Adults

    Open Access•Lei Chai, Xiangnan Chai•Journal of Aging and Health•2025

  • Giving kids a boost

    Open Access•Irma Arteaga, Leslie Hodges et al.•SSM - Population Health•2021

  • Food Insecurity and Mental Health

    Open Access•Lei Chai•Canadian Review of Sociology/Revue…•2025

  • Drought, HIV Testing, and HIV Transmission Risk Behaviors

    Open Access•A Epstein, Jason M Nagata et al.•AIDS and Behavior•2022

  • If you don’t have a place to call home, how can you have good health for yourself and your children?” perceptions of housing screening among families who have experienced homelessness

    Open Access•Mary-Genevieve Moisan, Avik Chatterjee et al.•Children and Youth Services Review•2025

  • The association between children’s reported access to food and their subjective well-being

    Open Access•Daphna Gross‐mano, Sigal Tepper et al.•Children and Youth Services Review•2025

  • Is household wealth important for child behavior under persistent food insecurity? An application of longitudinal latent class analysis and generalized propensity score weight

    Open Access•Jun-Hong Chen, Julie Birkenmaier et al.•Journal of the Society for Social…•2026

  • Childhood vaccination trends among the Maasai nomadic pastoralists

    Open Access•Julius Nyerere Odhiambo, Carrie B Dolan et al.•PLOS Global Public Health•2025

  • Food Insecurity

    Open Access•Jasmine Fledderjohann, Sophie Patterson et al.•International Journal of Sexual…•2023

  • The dietary impacts of drought in a traditional pastoralist economy

    Open Access•Sean P Prall, B A Scelza•American Journal of Human Biology•2023

  • Food insecurity and pediatric HIV

    Caroline Owens, Caroline E Owens et al.•AIDS Care•2025

  • Childhood socioeconomic position and later-life cognitive functioning in the U.S

    Open Access•Hanamori F Skoblow, Christine M Proulx et al.•Developmental Review•2024

  • Social Determinants of Health and Allergic Disease Prevalence Among Asian American Children

    Open Access•Austin Le, Vivian Bui et al.•Journal of Racial and Ethnic…•2025

  • Experiences and perceived outcomes of a grocery gift card programme for households at risk of food insecurity

    Open Access•Yun Yun Lee, Stephanie Caron-Roy et al.•Public Health Nutrition•2023

  • SNAP participation and the health and health care utilisation of low-income adults and children

    Open Access•Daniel P Miller, Taryn W Morrissey•Public Health Nutrition•2021

  • Household food insecurity is prevalent in a cohort of postpartum women who registered in the Canada Prenatal Nutrition Program in Toronto

    Open Access•Alison Mildon, Jane Francis et al.•Public Health Nutrition•2023

  • Anthropometric characteristics of children living in food-insecure households in the USA

    Open Access•Francis A Tayie, Lea Anne Lambert et al.•Public Health Nutrition•2021

  • Predictors of households at risk for food insecurity in the United States during the Covid-19 pandemic

    Open Access•Brianna N Lauren, Elisabeth R Silver et al.•Public Health Nutrition•2021

  • Living in food insecurity

    Open Access•Rowan Hevesi, Megan Downey et al.•Appetite•2024

  • Non-bank credit and food hardship

    Open Access•Katie Fitzpatrick•Children and Youth Services Review•2024

  • Grandparenting styles, childhood food insecurity, and depression among Chinese rural left-behind children

    Open Access•Fan Yang, Xiaoli Liu•Children and Youth Services Review•2020

  • Associations of food insecurity and material social support with parent and child mental health during Covid-19

    Open Access•Kaitlin P Ward, Shawna J Lee•Children and Youth Services Review•2022

  • Prevalence and factors associated with multidimensional child deprivation

    Open Access•Jihyun Oh•Children and Youth Services Review•2023

  • Bold Action Needed for Equitable Access to Nutrition Assistance by All

    Wendi Gosliner, L David Ritchie•American Journal of Public Health•2023

  • Impact of The Community Eligibility Provision of the Healthy, Hunger-Free Kids Act on Student Nutrition, Behavior, and Academic Outcomes

    Amelie A Hecht, Keshia M Pollack Porter et al.•American Journal of Public Health•2020

  • The association between household food insecurity and healthcare costs among Canadian children

    Open Access•Kristin K Clemens, Britney Le et al.•Canadian Journal of Public Health•2023

  • Food Pantries and Food Deserts

    W Lee, Janine Jurkowski et al.•Urban Social Work•2023

  • Disentangling the Consequences of Latino Immigrants’ Unauthorized Status for the Health of Their U.S.-Born Children

    Open Access•T Lai•Journal of Racial and Ethnic…•2025

  • Meal provision in early childhood education and care programs

    Open Access•Karen Thorpe, Azhar Hussain Potia et al.•Social Science & Medicine•2022

  • Cultural trauma as a fundamental cause of health disparities

    Open Access•Andrew M Subica, Bruce G Link et al.•Social Science & Medicine•2022

  • Conceptualisation, experiences and suggestions for improvement of food security amongst Aboriginal and Torres Strait Islander parents and carers in remote Australian communities

    Open Access•Stanley Booth, Caroline Deen et al.•Social Science & Medicine•2023

  • Breaking the cycle between caregiver mental health and child behavioral issues

    Open Access•Jun-Hong Chen, Jesse J Helton et al.•Social Science & Medicine•2025

  • Racial and Ethnic Disparities in Food Insufficiency in Families with Children During the Covid-19 Pandemic

    Open Access•Vincent Fusaro, Marybeth J Mattingly•Journal of Racial and Ethnic…•2025

  • Child Food Insecurity Increases Risks Posed by Household Food Insecurity to Young Children’s Health

    Open Access•J Cook, John T Cook et al.•The Journal of Nutrition•2006

  • Food Insufficiency and American School-Aged Children's Cognitive, Academic, and Psychosocial Development

    Katherine Alaimo, Christine M Olson et al.•PEDIATRICS•2001

  • Poverty, food insecurity, and nutritional outcomes in children and adults

    Open Access•Jayanta Bhattacharya, Janet Currie et al.•Journal of Health Economics•2004

  • Bounding the effects of food insecurity on children’s health outcomes

    Open Access•Craig Gundersen, Brent Kreider•Journal of Health Economics•2009

  • The Food Insecurity–Obesity Paradox

    Open Access•Lauren M Dinour, Dara Bergen et al.•Journal of the American Dietetic…•2007

  • Food Insecurity Is Associated with Adverse Health Outcomes among Human Infants and Toddlers

    Open Access•J Cook, John T Cook et al.•The Journal of Nutrition•2004

  • Hunger

    Linda Weinreb, Cheryl Wehler et al.•PEDIATRICS•2002

  • Maternal Depression, Changing Public Assistance, Food Security, and Child Health Status

    Patrick H Casey, Patrick Casey et al.•PEDIATRICS•2004

  • Food Insecurity and Child Health

    Margaret M C Thomas, Daniel P Miller et al.•PEDIATRICS•2019

  • The cost of US foods as related to their nutritive value

    Open Access•Adam Drewnowski•American Journal of Clinical…•2010

  • Food Insecurity Affects School Children’s Academic Performance, Weight Gain, and Social Skills

    Open Access•Diana Federer Jyoti, Edward A Frongillo et al.•The Journal of Nutrition•2005

  • Food Insecurity And Health Outcomes

    Craig Gundersen, James P Ziliak•Health Affairs•2015

  • Moving towards best practice when using inverse probability of treatment weighting (IPTW) using the propensity score to estimate causal treatment effects in observational studies

    Open Access•Peter C Austin, Elizabeth A Stuart•Statistics in Medicine•2015

  • Food Insecurity Works through Depression, Parenting, and Infant Feeding to Influence Overweight and Health in Toddlers

    Open Access•Jacinta Bronte‐tinkew, Jacinta Bronte-Tinkew et al.•The Journal of Nutrition•2007

  • Food Insecurity Research in the United States

    Open Access•Craig Gundersen, James P Ziliak•Applied Economic Perspectives and…•2018

  • The Economics of Food Insecurity in the United States

    Open Access•Craig Gundersen, Brent Kreider et al.•Applied Economic Perspectives and…•2011

  • Child Hunger and Long-term Adverse Consequences for Health

    Sharon I Kirkpatrick, Lee Mcintyre et al.•Archives of Pediatrics and…•2010

  • The Strengths and Difficulties Questionnaire

    Open Access•Robert Goodman•Journal of Child Psychology and…•1997

  • The central role of the propensity score in observational studies for causal effects

    Paul R Rosenbaum, Donald B Rubin•Biometrika•1983

  • Short screening scales to monitor population prevalences and trends in non-specific psychological distress

    Open Access•R C Kessler, Gavin Andrews et al.•Psychological Medicine•2002

  • An Introduction to Propensity Score Methods for Reducing the Effects of Confounding in Observational Studies

    Peter C Austin•Multivariate Behavioral Research•2011

  • A Primer on Inverse Probability of Treatment Weighting and Marginal Structural Models

    Open Access•Felix Thoemmes, Anthony D Ong•Emerging Adulthood•2015

  • Do You Wanna Breathe or Eat?”

    Open Access•Molly Knowles, Jenny Rabinowich et al.•Maternal and Child Health Journal•2015

  • Material hardship and child socioemotional behaviors

    Open Access•A Zilanawala, Natasha V Pilkauskas•Children and Youth Services Review•2012

  • Household Food Insecurity During Childhood and Subsequent Health Status

    Jeong-Hee Ryu, Judith Bartfeld et al.•American Journal of Public Health•2012

  • Poverty, Material Hardship, and Depression

    Open Access•C Heflin, Colleen M Heflin et al.•Social Science Quarterly•2009

  • Psychological Stress and the Human Immune System

    Suzanne C Segerstrom, Gale E Miller et al.•Psychological Bulletin•2004

Unique citing works62
Citations per year8,86
Citation span2019 - 2026 (8)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 56
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae