Increased Food Insecurity Among Mothers of 2 Year Olds with Special Health Care Needs

Elizabeth Adams, Laurel M. Hoffmann, Kenneth D. Rosenberg, Dawn Peters, Melissa Pennise

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)2206-2214
Number of pages9
JournalMaternal and Child Health Journal
Volume19
Issue number10
DOIs
StatePublished - Oct 26 2015

Fingerprint

Food Supply
Mothers
Delivery of Health Care
Pregnancy
Food
Marital Status
Live Birth
Postpartum Period
Logistic Models
Odds Ratio
Confidence Intervals
Education
Health

Keywords

  • Children with special health care needs (CSHCN)
  • Food security
  • Oregon
  • PRAMS
  • Social determinants of health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology
  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

Increased Food Insecurity Among Mothers of 2 Year Olds with Special Health Care Needs. / Adams, Elizabeth; Hoffmann, Laurel M.; Rosenberg, Kenneth D.; Peters, Dawn; Pennise, Melissa.

In: Maternal and Child Health Journal, Vol. 19, No. 10, 26.10.2015, p. 2206-2214.

Research output: Contribution to journalArticle

Adams, Elizabeth ; Hoffmann, Laurel M. ; Rosenberg, Kenneth D. ; Peters, Dawn ; Pennise, Melissa. / Increased Food Insecurity Among Mothers of 2 Year Olds with Special Health Care Needs. In: Maternal and Child Health Journal. 2015 ; Vol. 19, No. 10. pp. 2206-2214.
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