Health  Vol.6 No.18 , October 2014
Food Insecurity in US Families with Children with Limiting Health Conditions
Abstract: Food insecurity in US households with children with limiting health conditions was compared to households with children without limiting health conditions, controlling for demographic variables. Multivariable logistic regression was used to calculate the odds ratios. Data from the 2008-2011 Making Connections Survey (N = 1940) of households with children in seven high poverty communities in the US were used. Having a child with a limiting health condition made a household’s odds 1.41 times (95% C.I., 1.110, 1.790) more likely to be food insecure. When there are two or more children with limiting conditions in the household, the odds of food insecurity are 1.67 times (95% CI, 1.16, 2.40), higher than a family with no children with a disabling health condition. Families with children with limiting health conditions in high poverty communities are especially at risk of experiencing food insecurity, which can complicate health conditions. Nutrition assistance programs are vital to keep children and families food secure.
Cite this paper: DeRigne, L. , Quinn, L. , Stoddard-Dare, P. and Mallett, C. (2014) Food Insecurity in US Families with Children with Limiting Health Conditions. Health, 6, 2461-2468. doi: 10.4236/health.2014.618283.

[1]   United States Department of Agriculture (2012) Annual Report on Food Security in the United States. Washington DC.

[2]   Cook, J.T., Frank, D.A., Levenson, S.M., et al. (2006) Child Food Insecurity Increases Risks Posed by Household Food Insecurity to Young Children’s Health. Journal of Nutrition, 136, 1073-1076.

[3]   Cook, J.T. and Frank, D.A. (2008) Food Security, Poverty, and Human Development in the United States. In: Kaler, S.G. and Rennert, O.M., Eds., Reducing the Impact of Poverty on Health and Human Development: Scientific Approaches, Blackwell, Boston, 193-209.

[4]   Casey, P.H., Szeto, M.S., Robbins, J.M., et al. (2005) Child Health-Related Quality of Life and Household Food Security. Archives of Pediatrics and Adolescent Medicine, 159, 51-56.

[5]   Hampton, T. (2007) Food Insecurity Harms Health, Well-Being of Millions in the United States. JAMA, 298, 1851-1853.

[6]   Ryu, J. and Bartfeld, J. (2012) Household Food Insecurity during Childhood and Subsequent Health Status: The Early Childhood Longitudinal Study—Kindergarten Cohort. American Journal of Public Health, 102, 50-55.

[7]   Howard, L. (2011) Does Food Insecurity at Home Affect Non-Cognitive Performance at School? A Longitudinal Analysis of Elementary Student Classroom Behavior. Economics of Education Review, 30, 157-176.

[8]   Emerson, E. and Hatton, C. (2009) Socioeconomic Positions, Poverty and Family Research. International Review of Research in Mental Retardation, 37, 97-129.

[9]   Fujiura, G.T. and Yamaki, K. (2000) Trends in Demography in Childhood Poverty and Disability. Exceptional Children, 66, 187-199.

[10]   Parish, S.L., Rose, R., Grinstein-Weiss, M., Richman, E. and Andrews, M. (2008) Material Hardship in U.S. Families Raising Children with Disabilities. Exceptional Children, 75, 71-92.

[11]   DeRigne, L. and Porterfield, S. (2010) Employment Change and the Role of the Medical Home for Married and Single-Mother Families with Children with Special Health Care Needs. Social Science & Medicine, 70, 631-641.

[12]   Kuhlthau, K.A., Hill, K.S., Yucel, R. and Perrin, J. (2005) Financial Burden for Families of Children with Special Health Care Needs. Maternal and Child Health Journal, 9, 207-218.

[13]   Ghosh, S. and Parish, S. (2013) Prevalence and Economic Well-Being of Families Raising Multiple Children with Disabilities. Children and Youth Services Review, 35, 1431-1439.

[14]   Severson, K. and Hu, W. (2013) Cut in Food Stamps Forces Hard Choices on Poor. New York Times, 8 November 2013, A1.

[15]   Braveman, P.A., Cubbin, C., Egerter, S., Chideya, S., Marchi, K.S., Metzler, M. and Posner, S. (2005) Socioeconomic Status in Health Research: One Size Does Not Fit All. JAMA, 294, 2879-2888.

[16]   Messer, E. and Ross, E.M. (2002) Talking to Patients about Food Insecurity. Nutrition in Clinical Care, 5, 168-181.

[17]   Tscholl, E. and Holben, D. (2006) Knowledge and Practices of Ohio Nurse Practitioners Regarding Food Access of Patients. Journal of the American Academy of Nurse Practitioners, 18, 335-342.

[18]   Kleinman, R.E., Murphy, J.M., Wieneke, K.M., Desmond, M.S., Schiff, A. and Gapinski, J.A. (2007) Use of a Single-Question Screening Tool to Detect Hunger in Families Attending a Neighborhood Health Center. Ambulatory Pediatrics, 7, 278-284.

[19]   Okumura, M., Cleave, J., Gnanasekaran, S. and Houtrow, A. (2009) Understanding Factors Associated with Work Loss for Families Caring for Children with a Special Health Care Need. Pediatrics, 124, S392-S398.

[20]   Turchi, R., Zekarias, B., Bethell, C., Pomponio, A., Antonelli, R. and Minkovitz, C. (2009) Care Coordination for Children with Special Health Care Needs: Associations with Family-Provider Relations and Family/Child Outcomes. Pediatrics, 124, S428-S434.

[21]   Looman, W., O’Connor-Von, S., Ferski, G. and Hildenbrand, D. (2009) Financial and Employment Problems in Families of Children with Special Health Care Needs: Implications for Research and Practice. Journal of Pediatric Health Care, 23, 117-125.

[22]   Dean, S. and Rosenbaum, D. (2013) SNAP Benefits Will Be Cut for Nearly All Participants in November 2013. Center on Budget and Policy Priorities, Washington DC.

[23]   Food Research and Action Center (2013) Food Stamp Participation. Washington DC.

[24]   Nixon, R. (2014) Senate Passes Long-Stalled Farm Bill, with Clear Winners and Losers. New York Times, 4 February 2014, A15.

[25]   Adach, J. (2014) Farm Bill Means Less Food for Struggling Households. Food Research and Action Center, Washington DC.

[26]   Alden, E. (2013) AAP Press Statement Opposing Senate Farm Bill’s Cuts to Food Stamp Program. American Academy of Pediatrics, Washington DC.

[27]   National Medical Association. African American Physicians (2014) Cuts in Food Stamps Are Detrimental to the Health of African Americans and the Underserved. Silver Spring.

[28]   Ettinger de Cuba, S., Harker, L., et al. (2013) Punishing Hard Work: The Unintended Consequences of Cutting SNAP Benefits. Children’s Health Watch, Washington DC.

[29]   Seligman, H., Bolger, A., Guzman, D., Lopez, A. and Bibbens-Domingo, K. (2013) Exhaustion of Food Budgets at Month’s End and Hospital Admissions for Hypoglycemia. Health Affairs, 33, 116-123.

[30]   Think Progress. Newark Passes the Country’s Eighth Paid Sick Leave Law.

[31]   National Partnership for Women and Families. State and Local Action on Paid Sick Days.