Development and Validation of a Child Report Assessment of Child Food Insecurity and Comparison to Parent Report Assessment

Fram, Maryah Stella; Frongillo, Edward A.; Draper, Carrie; Fishbein, Eliza M.

doi:10.1080/19320248.2013.790775

Cited by 80 publications

(111 citation statements)

References 19 publications

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“…These challenges to parent reporting of child experiences are reflected in disparities between parent and child report of children's food insecurity, and between parent report and direct assessment of the consequences of children's diets. Parents report that their children experience food insecurity less frequently than children report their own food insecurity [16], and parent report underestimates child outcomes including stunting, wasting, and underweight [59].…”

Section: Parents Cannot Accurately or Reliably Report What Their Chilmentioning

confidence: 99%

“…For instance, the United States has sufficient food supply and systems for distribution to ensure that all children are food secure, and yet many US children experience food insecurity [16,48]. Beginning with measurement of actual child experiences allows for aggregation to higher levels of analysis, and can thus meet the purposes of a global monitoring system to compare prevalence within and across countries and over time.…”

Section: Level Of Measurementmentioning

confidence: 99%

“…In terms of measurement, existing systems do not tap children's perspectives on their own lives, nor do they flow from a conceptualization of food insecurity that is grounded in children's experiences, their roles within households, or the ways in which they make sense of their environments. Adult survey respondents tend to under-report child food insecurity, missing as many as half of children who, themselves report going hungry because there is not enough food [16]. In terms of delivery, these systems rely on household samples, which exclude children in institutional settings and homeless children, and can substantially under-represent them in highly vulnerable household situations (migrant workers, those living in urban slums, distant rural households, those living in refugee camps, multi-family or extended family households) [17].…”

Section: The Need For a Global Monitoring System For Child Food Insecmentioning

confidence: 99%

“…For the child-level approach (i.e., directly measuring child food insecurity) to work, information is needed that builds on and expands the existing qualitative [48,53] and quantitative research [3,8,16] that has been done in the United States and Venezuela. The required process for developing a base of knowledge about domains and potential indicators across countries has been successfully implemented previously to develop international measures and indicators of household food insecurity [41] and of family care [65].…”

Section: Child-level Approachmentioning

confidence: 99%

“…This can be accomplished quickly and efficiently through focus group or individual interview strategies, added on to existing food-related projects. Fram et al [16] and Bernal et al [3] developed and validated questionnaires to assess child food insecurity asked directly to children that were based on previous qualitative research in the United States and Venezuela. Whether the domains of child experiences of food insecurity that were found in that qualitative research and the questionnaire items developed to assess them are applicable across cultures and contexts needs to be tested.…”

Section: Analysis Of Gshs Data On Going Hungrymentioning

confidence: 99%

See 4 more Smart Citations

The Measurement of Food Insecurity Among Children

Fram¹,

Bernal²,

Frongillo³

2015

Innocenti Working Papers

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Section: Parents Cannot Accurately or Reliably Report What Their Chilmentioning

confidence: 99%

Section: Level Of Measurementmentioning

confidence: 99%

Section: The Need For a Global Monitoring System For Child Food Insecmentioning

confidence: 99%

Section: Child-level Approachmentioning

confidence: 99%

Section: Analysis Of Gshs Data On Going Hungrymentioning

confidence: 99%

See 3 more Smart Citations

The Measurement of Food Insecurity Among Children

Fram¹,

Bernal²,

Frongillo³

2015

Innocenti Working Papers

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Greater social adversity is associated with more disordered eating attitudes and behaviors among children from Southeast Michigan

McGowan

Barry

Sonneville

et al. 2022

Intl J Eating Disorders

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Objective: The objective of this study is to examine the association between indicators of social adversity, including socioeconomic status and race/ethnicity, and children's disordered eating behaviors and attitudes.Methods: Children ages 8-10 years old (n = 183) were recruited from Michigan.Data were collected through in-home surveys. The Children's Eating Attitudes Test (ChEAT-24) measured disordered eating attitudes and behaviors in the sample.Cumulative social adversity was considered the sum of four binary variables: caregiver race/ethnicity, caregiver education, household income, and child-reported food security status. Linear mixed models examined the association between social adversity indicators and ChEAT-24 scores.Results: Children of primary caregivers of color had significantly higher ChEAT-24 scores than children of white caregivers (p = .03). Children who reported food insecurity had significantly higher ChEAT-24 scores compared to children who reported food security (p = .01). Compared to children with the lowest social adversity score, children with the highest score had a 4.8-unit higher ChEAT-24 score (95% CI .3-9.4), after adjusting for covariates. A significant trend was observed for greater social adversity and higher ChEAT-24 score (p-trend = .02). Conclusion:A linear association was observed between greater social adversity and more disordered eating behaviors and attitudes among children in this sample. These findings emphasize the need for eating disorder research in children from racial/ ethnic minorities and socioeconomically disadvantaged populations to support future prevention efforts.Public Significance: Greater exposure to social adversity was associated with more disordered eating behaviors among preadolescent children. Given that eating disorders are understudied in lower-income and minority racial/ethnic populations, this study highlights the need for additional research to better support prevention and treatment efforts among children from socioeconomically diverse backgrounds.

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Caregiver‐reported household food insecurity and child‐reported food insecurity in relation to eating disorder risk factors and symptoms among preadolescent children

Barry

Sonneville

McGowan

et al. 2022

Intl J Eating Disorders

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Objective: To examine the relation of caregiver-reported household food insecurity (FI) and child-reported FI with eating disorder (ED) risk factors and symptoms, including effect modification by gender, in preadolescent children.Method: Data were from the Family Food Study, a cross-sectional study of households with incomes ≤200% of the federal poverty line in southeastern Michigan.Children aged 8-10 years (n = 194) and their female primary caregivers reported separately on FI status. Children reported ED risk factors/symptoms via the 24-item Children's Eating Attitudes Test (ChEAT-24), with higher scores indicating more ED risk factors/symptoms. Linear mixed models were used to examine associations between FI measures with the ChEAT-24 total score, plus subscale scores for dieting, food preoccupation, weight preoccupation, vomiting, and social pressure to eat/gain weight. Models were adjusted for child age, child gender, caregiver race/ethnicity, caregiver education, and household income.Results: Among all children, child-reported FI, but not caregiver-reported household FI, was associated with more ED risk factors/symptoms. Child-reported FI (vs. no FI) was associated with higher average ChEAT-24 total score (β = 2.41, 95% CI: 0.57, 4.25). Child-reported FI was also associated with more food preoccupation, more weight preoccupation, and more social pressure to eat. Caregiver-reported household FI was marginally associated with less dieting in girls, and child-reported FI was associated with more dieting in boys.

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Development and Validation of a Child Report Assessment of Child Food Insecurity and Comparison to Parent Report Assessment

Cited by 80 publications

References 19 publications

The Measurement of Food Insecurity Among Children

The Measurement of Food Insecurity Among Children

Greater social adversity is associated with more disordered eating attitudes and behaviors among children from Southeast Michigan

Caregiver‐reported household food insecurity and child‐reported food insecurity in relation to eating disorder risk factors and symptoms among preadolescent children

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