Obesity and Hunger Threaten the Foundations of Child Health

Hassink, Sandra G.; Fairbrother, Gerry

doi:10.1016/j.acap.2020.08.010

Cited by 3 publications

(2 citation statements)

References 48 publications

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“…Immigrant mothers have healthier prepregnancy weight, but this protective factor against childhood obesity is later offset by risks associated with their families' immigrant status-for example, food insecurity, which is associated with obesity and has been linked to exclusion from nutrition assistance programs. 22,23 'Illegality' As A Social Determinant Of Health…”

Section: Immigrant Status As a Social Determinant Of Healthmentioning

confidence: 99%

Restoring An Inclusionary Safety Net For Children In Immigrant Families: A Review Of Three Social Policies

Acevedo‐García

Joshi

Ruskin³

et al. 2021

Health Affairs

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Since the enactment of the Personal Responsibility and Work Opportunity Reconciliation Act, known as "welfare reform," in 1996, US social policy has increasingly stratified immigrants by legality, extending eligibility exclusions, benefit limitations, and administrative burdens not only to undocumented immigrants but also to lawful permanent residents and US citizens in immigrant families. This stratification is a form of structural discrimination, which is a social determinant of health. Children in immigrant families, most of whom are US citizens, have not been able to fully realize the benefits from social safety-net programs-including the 2020 Coronavirus Aid, Relief, and Economic Security Act stimulus payments. Policy deliberations over pandemic recovery, the equity focus of the Biden administration, and proposals to address child poverty provide an opportunity to reexamine immigrant exclusions, restrictions, and administrative burdens in public programs. We discuss immigrant stratification by legal status in social policy and review how it affects citizen children in mixed-status families in three safety-net programs: the Earned Income Tax Credit, Supplemental Nutrition Assistance Program, and Child Care and Development Block Grant. We provide eight policy recommendations to restore equity to the social safety net for children in immigrant families.

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Section: Immigrant Status As a Social Determinant Of Healthmentioning

confidence: 99%

Restoring An Inclusionary Safety Net For Children In Immigrant Families: A Review Of Three Social Policies

Acevedo‐García

Joshi

Ruskin³

et al. 2021

Health Affairs

View full text Add to dashboard Cite

show abstract

“…Although our previous study showed that completing the PALS by itself was feasible in a clinical setting [ 29 , 30 , 35 ], the present study and online platform did not differentiate the time of completion of the PALS from that of responding to the messages, the message evaluation, and user acceptability ratings as well as activities that may not be needed in clinical practice (e.g., time required for the consenting process, metadata collection). This study also showed that family food insecurity can be discreetly assessed via online screening—followed by emailing community resources to families directly—to minimize stigma [ 25 ] and support improved food access for obesity prevention and health [ 73 ].…”

Section: Discussionmentioning

confidence: 99%

Online Behavioral Screener with Tailored Obesity Prevention Messages: Application to a Pediatric Clinical Setting

et al. 2021

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Obesity prevention involves promoting healthy eating and physical activity across all children. Can we leverage technology to feasibly survey children’s health behaviors and deliver theory-based and user-tailored messages for brief clinical encounters? We assessed the acceptability and utility of an online pediatric-adapted liking survey (PALS) and tailored messages among children receiving non-urgent care in a pediatric emergency department (PED). Two hundred and forty-five children (average age = 10 years, racially/ethnically diverse, 34% overweight/obese from measured indices, 25% of families reporting food insecurity) and their parents/caregivers participated. Each reported the child’s activity and behaviors using the online PALS and received two to three messages tailored to the responses (aligned with elaboration likelihood and transtheoretical models) to motivate behavioral improvements or reinforce healthy behaviors. Most children and parents (>90%) agreed the PALS was easy to complete, encouraging thought about their own/child’s behaviors. The child’s PALS responses appeared reasonable (fair-to-good child–parent intraclass correlations). Most children and parents (≥75%) reported the tailored messages to be helpful and favorable for improving or maintaining the targeted behavior. Neither message type (motivating/reinforcing) nor favorability responses varied significantly by the child’s weight or family’s food security status. In summary, children and parents found the PALS with tailored messages acceptable and useful. The message types and responses could help focus brief clinical encounters.

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Cardiometabolic Risk and Dietary Behaviors in Middle-School Children Consuming School-Sourced Lunch

Sang

Visser

Krallman

et al. 2023

Academic Pediatrics

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Obesity and Hunger Threaten the Foundations of Child Health

Cited by 3 publications

References 48 publications

Restoring An Inclusionary Safety Net For Children In Immigrant Families: A Review Of Three Social Policies

Restoring An Inclusionary Safety Net For Children In Immigrant Families: A Review Of Three Social Policies

Online Behavioral Screener with Tailored Obesity Prevention Messages: Application to a Pediatric Clinical Setting

Cardiometabolic Risk and Dietary Behaviors in Middle-School Children Consuming School-Sourced Lunch

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