Timing of household food insecurity exposures and asthma in a cohort of US school-aged children.

BMJ Open
Lauren D ManginiMichele R Forman

Abstract

Food insecurity is positively associated with asthma, the most common chronic childhood disease, yet directionality is unclear. The objective was to determine the association between exposure to food insecurity in early childhood and the odds of asthma later in childhood. Data from four waves of the Early Childhood Longitudinal Study-Kindergarten (ECLS-K) cohort, a prospective, dual-frame, multistage probability cluster sampling study of school-aged US children were entered in multivariate logistic regression models, adjusted for covariates. Exposures to food insecurity were based on parental responses to the validated USDA 18-item module at each wave. Public and private primary and secondary schools between 1998 and 2007. At its inception (1999), the ECLS-K had 20 578 kindergarteners; by the spring of eighth grade (2007), the cohort dropped to 9725 due to attrition. Children missing an exposure, outcome or confounding variable were excluded, final n=6731. Child's diagnosis of asthma by a healthcare professional as reported by the parent. Household food insecurity (vs food security) in the year before kindergarten and in second grade had a higher odds of asthma by 18% (95% CI 1.17 to 1.20) and 55% (95% CI 1.51 to 1.55). After r...Continue Reading

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Citations

Aug 17, 2019·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Carla E Tarazona-MezaWilliam Checkley
Jul 28, 2020·Archives of Disease in Childhood·Ian P SinhaJustus Simba
Jun 19, 2019·International Journal of Environmental Research and Public Health·Seo-Hee ParkYu-Jin Kwon
Feb 10, 2021·Public Health Nutrition·Dylan B JacksonDaniel C Semenza
Jan 5, 2021·Annual Review of Public Health·Federico CastilloBrenda Eskenazi

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