Document Detail


Poverty, food insecurity, and the behavior for childhood internalizing and externalizing disorders.
MedLine Citation:
PMID:  20431464     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This study investigated the associations of poverty and food insecurity over a 2-year period with internalizing and externalizing problems in a large, community-based sample. METHOD: A total of 2,810 children were interviewed between ages 4 and 14 years at baseline, and between ages 5 and 16 years at follow-up. Primary caregivers reported on household income, food insecurity, and were administered the Child Behavior Checklist, from which we derived indicators of clinically significant internalizing and externalizing problems. Prevalence ratios for the associations of poverty and food insecurity with behavior problems were estimated. RESULTS: At baseline, internalizing and externalizing problems were significantly more prevalent among children who lived in poor households than in nonpoor households, and among children who lived in food insecure households than in food-secure households. In adjusted analyses, children from homes that were persistently food insecure were 1.47 (95% CI = 1.12 to 1.94) times more likely to have internalizing problems and 2.01 (95% CI = 1.21 to 3.35) times more likely to have externalizing problems compared with children from households that were never food insecure. Children from homes that moved from food secure to insecure were 1.78 (95% CI = 1.07 to 2.94) times more likely to have externalizing problems at follow-up. CONCLUSIONS: Persistent food insecurity is associated with internalizing and externalizing problems, even after adjusting for sustained poverty and other potential confounders. These results implicate food insecurity as a novel risk factor for child mental well-being; if causal, this represents an important factor in the etiology of child psychopathology, and potentially a new avenue for prevention.
Authors:
Natalie Slopen; Garrett Fitzmaurice; David R Williams; Stephen E Gilman
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the American Academy of Child and Adolescent Psychiatry     Volume:  49     ISSN:  1527-5418     ISO Abbreviation:  J Am Acad Child Adolesc Psychiatry     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-30     Completed Date:  2010-08-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8704565     Medline TA:  J Am Acad Child Adolesc Psychiatry     Country:  United States    
Other Details:
Languages:  eng     Pagination:  444-52     Citation Subset:  IM    
Affiliation:
Department of Society, Harvard School of Public Health, Boston, MA 02115, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Child Behavior
Child Behavior Disorders* / epidemiology
Child Nutritional Physiological Phenomena
Child, Preschool
Family Characteristics
Female
Food*
Humans
Poverty
Risk Factors
Grant Support
ID/Acronym/Agency:
200610MDR-168591-163832//Canadian Institutes of Health Research
Comments/Corrections
Comment In:
J Am Acad Child Adolesc Psychiatry. 2010 May;49(5):437-8   [PMID:  20431461 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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