Dual Food and Energy Hardship and Associated Child Behavior Problems

Academic Pediatrics
Cristina R FernándezDiana Hernández

Abstract

To examine dual food and energy hardship and internalizing and externalizing behavior problems in 9-year-old children. We conducted a cross-sectional analysis of the Fragile Families and Child Wellbeing Study, a prospective national urban birth cohort, when the children were 9 years old. Maternal-reported "food hardship" (ever hungry and/or ever received free food) and "energy hardship" (ever unable to pay utility bill and/or utility shutoff) within the past year, and child behavior using the Child Behavior Checklist for Ages 6-18 were assessed. Multiple logistic regression analyses estimated associations between individual and dual food and energy hardship and child behavior problems, adjusting for a priori covariates (ie, child sex, health insurance, maternal sociodemographic characteristics, poverty, reported health, attention deficit hyperactivity disorder, depressive symptoms, smoking, and substance and alcohol abuse). Approximately 10% of households reported dual food and energy hardship. Children experiencing dual food and energy hardship had 3 times greater odds of withdrawn/depressed behaviors (adjusted odds ratio [AOR], 2.8; 95% confidence interval [CI], 1.4-5.5), threefold greater odds of somatic complaints (AOR, 3.2...Continue Reading

Citations

Jan 11, 2020·Frontiers in Public Health·Sonal JesselDiana Hernández
Oct 17, 2020·Journal of the Academy of Nutrition and Dietetics·Che Young LeeDaphne C Hernandez
Jul 3, 2021·International Journal of Environmental Research and Public Health·Laura OliverasMarc Marí-Dell'Olmo
Aug 11, 2020·Children and Youth Services Review·Sarah Gold

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