Increased Food Insecurity Among Mothers of 2 Year Olds with Special Health Care Needs
| Autor: | Laurel M. Hoffmann, Kenneth D. Rosenberg, Elizabeth J. Adams, Melissa Pennise, Dawn Peters |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Gerontology
medicine.medical_specialty Epidemiology Mothers Risk Assessment Food Supply Odds Oregon Surveys and Questionnaires medicine Humans Social determinants of health Food security business.industry Public health Child Health Public Health Environmental and Occupational Health Obstetrics and Gynecology Odds ratio United States Logistic Models Child Preschool Pediatrics Perinatology and Child Health Marital status Female Residence Risk assessment business Demography |
| Zdroj: | Maternal and Child Health Journal. 19:2206-2214 |
| ISSN: | 1573-6628 1092-7875 |
| DOI: | 10.1007/s10995-015-1735-9 |
| Popis: | The objective of this study is to explore the association between having a child with special health care needs (CSHCN) and food insecurity when the child is 2 years old. We studied women who had a live birth in 2004-2005 and responded to Oregon's Pregnancy Risk Assessment Monitoring System (PRAMS) survey 3 months postpartum (Time 1) and the follow-up survey (PRAMS-2), when the child was 2 years old (Time 2). Women answering affirmatively to the PRAMS-2 question, "In the last 12 months, did you ever eat less than you felt you should because there was not enough money for food?" were considered food insecure. CSHCN status was identified by affirmative responses to questions about needs for ongoing services (Time 2). PRAMS and PRAMS-2 responses were weighted for study design and non-response. Results report weighted analyses, unless noted. Among 1812 mothers completing PRAMS-2, 13.6 % (unweighted) had a 2-year-old CSHCN and 11.9 % (unweighted) were food insecure at Time 2. The estimated prevalence of food insecurity at 2-year follow-up was 20.7 % among families of CSHCN and 9.7 % for others. After adjustment for Time 2 marital status, education, lifetime U.S. residence, income and health conditions, multivariable logistic regression revealed that odds of food insecurity were more than two times as great for CSHCN mothers 2 years post-partum compared to non-CSHCN mothers (adjusted odds ratio 2.6, 95 % confidence interval 1.3, 4.6). Families of CSHCN face increased risk for food insecurity. Improved understanding of causal determinants of food insecurity among households of CSHCN is needed. |
| Databáze: | OpenAIRE |
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