Affiliation:
1. John G. Rangos School of Health Sciences Duquesne University Pittsburgh Pennsylvania USA
Abstract
SUMMARYBackgroundFood insecurity is linked to an increased risk of childhood obesity and other adverse health issues.ObjectivesTo examine the disproportionate impact of food insecurity on childhood obesity among children with special healthcare needs (CSHCN).MethodsIn this cross‐sectional study, we pooled data from 4 years (2016 to 2019) of the National Survey of Children's Health (NSCH) for a nationally representative sample of 10 to 17 years old noninstitutionalized U.S. children (N = 68 942). Using logistic regression models, we examined the odds of childhood obesity or overweight by including an interaction between family food situation and CSHCN status.ResultsAmong 10–17 years old U.S. children, 31% (95% confidence interval [CI]: 30.1%–31.9%) had obesity or overweight, 24.1% had special healthcare needs, 27.2% were from families with food insecurity, and 6.4% were from families with food insufficiency. CSHCN were more likely to be impacted by obesity or overweight than non‐CSHCN (Odds Ratio [OR] = 1.29, 95% CI = 1.18–1.141). Moreover, children living in food insecurity (OR = 1.75, 95% CI = 1.52–1.92) and food insufficiency (OR = 2, 95% CI = 1.67–2.4) were more likely than those living in food‐secure families to be impacted by obesity or overweight. CSHCN living in food insecurity were significantly more likely to be impacted by obesity or overweight than non‐CSHCN in similar households.ConclusionsIt appears that food insecurity can put CSHCN at disproportionately greater risk of obesity or overweight than non‐CSHCN. The findings underscore considering CSHCN status in conjunction with household food insecurity in designing and implementing medical interventions or public policies targeted at childhood obesity or overweight.
Subject
Public Health, Environmental and Occupational Health,Nutrition and Dietetics,Health Policy,Pediatrics, Perinatology and Child Health
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献