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Beyond Groceries

An Analysis of Referral Needs to Address Underlying Causes of Child Hunger among Households Accessing Food Pantries

Bibliographic Data

ID21835017
AuthorsMarianna S Wetherill (0000-0002-5937-4686, University of Oklahoma, corresponding author), Micah Hartwell (0000-0001-6810-6571, Oklahoma State University Center for Health Sciences), Mary B Williams (0000-0002-5068-9227, University of Oklahoma), Kayla C White (University of Oklahoma), Amanda W Harrist (0000-0002-1423-7004, Oklahoma State University), Shiraya Proffitt (Community Food Bank), Eileen Bradshaw (Community Food Bank)
Year2021
Volume36
Issue6
Pages732-748
Publication date2021-08-18
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSocial Work in Public Health (JOURNAL)
Journal identifiersISSN: 1937-190X • E-ISSN: 1937-1918
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/19371918.2021.1943099
PMID34469264
OpenAlexW3197914709
LanguageEN
Citations received1
References cited40

Very low food security among children (VLFS-C), often referred to as child hunger, can profoundly hinder child development, family well-being, and community health. Food pantries are important community resources that routinely serve at-risk families. This study investigated the influence of various candidate risk factors for VLFS-C within a food pantry population to inform the development of the "Pantry Assessment Tool against Child Hunger (PATCH)." We collected standardized surveys among a representative sample of households with children accessing food pantry services in Oklahoma (n = 188). Weighted analyses revealed a large majority of households experienced child-level food insecurity (70.6%), with nearly half reporting low food security and nearly one-quarter reporting VLFS-C. We then used logistic regression to identify factors associated with VLFS-C, followed by chi-square automatic interaction detection (CHAID) to assess if, and in what progression, significant risk factors predicted VLFS-C. In unadjusted models, annual household income <$15,000, non-urban residence, lack of health insurance, unstable housing, heavier food pantry reliance, fair or poor adult health, adult anxiety, and adult smoking to reduce hunger pangs were all positively associated with VLFS-C. Receipt of Special Supplemental Nutrition Program for Women, Infants and Children (WIC) and higher social support were protective against VLFS-C. However, in adjusted models, only receipt of WIC remained significant. CHAID analysis revealed that access to insurance best differentiated groups with and without VLFS-C. Informed by these analyses, the PATCH tool may be useful for the development of screening programs to identify and address potential root causes of VLFS-C in pantry settings

Agriculture · Business · CHAID · Economic growth · Economics · Environmental health · Food security · Geography · Health care · Health insurance · Logistic regression · Population · Receipt · Residence · Underinsured · Demography · Food Security and Health in Diverse Populations · Homelessness and Social Issues · Medicine · Obesity, Physical Activity, Diet

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Unique citing works1
Citations per year0,33
Citation span2023 - 2023 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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