The severity of household food insecurity is positively associated with mental disorders among both children and adolescents in the United States. These results suggest that improving household food security status has the potential to reduce mental disorders among US youth.

FI was associated with high risk glycemic control and more ED visits. Targeted efforts should be developed and tested to alleviate FI among YYA with type 1 diabetes.

Objective To examine the strategies and behaviors caregivers use to manage the household food supply when their children experience food insecurity as measured by the US Department of Agriculture’s Household Food Security Survey Module. Design Cross-sectional survey with open-ended questions collected in-person. Setting Urban and non-urban areas, South Carolina, United States of America. Participants Caregivers who reported food insecurity among their children (n=746). Phenomenon of Interest Strategies and behaviors used to manage the household food supply. Analysis Emergent and thematic qualitative coding of open-ended responses. Results The top three strategies and behaviors to change meals were 1) changes in foods purchased or obtained for the household; 2) monetary and shopping strategies; and 3) adaptations in home preparation. The most frequently mentioned foods that were decreased were protein foods (e.g., meat, eggs, beans), fruits and vegetables. The most frequently mentioned foods that were increased were grains and starches (e.g., noodles), protein foods (e.g., beans, hot dogs) and mixed foods (e.g., sandwiches). Conclusions and Implications Caregivers use a wide variety of strategies and behaviors to manage the household food supply when their children are food insecure. Future work should examine how these strategies might affect dietary quality and well-being of food-insecure children.

Objective To examine the association of both perceived and geographic neighborhood food access with food security status among households with children. Design This was a cross-sectional study in which participants’ perceptions of neighborhood food access were assessed by a standard survey instrument, and geographic food access was evaluated by distance to the nearest supermarket. Multinomial logistic regression models were used to examine the associations. Subjects The Midlands Family Study included 544 households with children in eight counties in South Carolina. Food security status among participants was classified into three categories: food secure (FS), food insecure (FI) and very low food security among children (VLFS-C). Results Compared to FS households, VLFS-C households had lower odds of reporting easy access to adequate food shopping. VLFS-C households also had lower odds of reporting neighborhood access to affordable fruits and vegetables compared to FS households and reported worse selection of fruits and vegetables, quality of fruits and vegetables and selection of low-fat products. FI households had lower odds of reporting fewer opportunities to purchase fast food. None of the geographic access measures was significantly associated with food security status. Conclusions Caregivers with children that experienced hunger perceived that they had less access to healthy affordably food in their community, even though grocery stores were present. Approaches to improve perceived access to healthy affordable food should be considered as part of the overall approach to improving food security and eliminating child hunger.

We see no relation between prenatal famine and adult CAD, Framingham risk, or any ECG predictors of increased cardiac disease risk.