Role of Family Stressors on Rural Low-Income Children’s Behaviors

Greder, Kimberly A.; Peng, Chew Fong; Doudna, Kimberly; Sarver, Susan L.

doi:10.1007/s10566-017-9401-6

Cited by 13 publications

(12 citation statements)

References 52 publications

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“…For studies that summarized the effect size with estimators other than ORs, whenever possible, the estimators were converted to ORs, and the 95% CI was calculated (Deeks, Altman, & Bradburn, 2008). For four studies, the conversion to OR was not possible due to lack of information; therefore, they were excluded from the meta-analysis (Fuller et al, 2002;Greder, Peng, Doudna, & Sarver, 2017;King, 2018;Zaslow et al, 2009). When adjusted estimates were available, they were included; otherwise, crude estimators were considered (Gill et al, 2018;Obradovíc et al, 2016).…”

Section: Effect Sizementioning

confidence: 99%

“…Only four studies were conducted in LMICs: Kenya (Milner et al, 2018), Pakistan (Finch et al, 2018;Obradovíc et al, 2016), and Bangladesh (Saha et al, 2010). In the majority of studies, HFI and ECD were measured at the same time or in an interval up to 24 months, and six studies did not present this information (Black et al, 2012;Drennen et al, 2019;Gill et al, 2018;Greder et al, 2017;Hobbs & King, 2018;Mickens, 2019). Information regarding HFI and ECD status was usually reported by the mothers.…”

Section: Characteristics Of Studiesmentioning

confidence: 99%

“…Fifteen studies had longitudinal design, however nine of these studies presented cross-sectional analysis for the purposes of this review (Fuller et al, 2002;Greder et al, 2017;Hobbs & King, 2018;Huang et al, 2018;Nagata et al, 2018;Obradovíc et al, 2016;Saha et al, 2010;Whitaker et al, 2006;Zaslow et al, 2009). Four studies had cross-sectional design (Black et al, 2012;Drennen et al, 2019;Gill et al, 2018;Rose-Jacobs et al, 2008).…”

Section: Characteristics Of Studiesmentioning

confidence: 99%

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Household food insecurity and early childhood development: Systematic review and meta‐analysis

Oliveira

Almeida

Gubert

et al. 2020

Maternal & Child Nutrition

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Household food insecurity (HFI) is a powerful stressor negatively associated with early childhood development (ECD). However, no comprehensive review has examined the association of HFI and ECD. Therefore, this systematic review and meta‐analysis investigated the association between HFI and ECD domains and subdomains in children under 5 years old. Peer‐reviewed and grey literature were systematically searched in electronic databases with no year or language restrictions. Studies were eligible if they assessed the association between HFI and one or more ECD domains. Data were extracted using a standard predefined protocol. Meta‐analysis was performed, and the heterogeneity across studies was explored. Nineteen studies were included in the systematic review and 14 in the meta‐analysis. Of the studies, 15 were from high income countries (HICs) and four from low–middle income countries (LMICs). For developmental risk and the cognitive/math and cognitive/school readiness and reading subdomains, the only studies available were conducted in HICs. The meta‐analysis showed that HFI was associated with developmental risk (OR 1.28; 95% CI [1.14, 1.45]), cognitive/vocabulary (OR 0.94; 95% CI [0.90, 0.98]), and cognitive/math (OR 0.84; 95% CI [0.73, 0.96]). HFI was marginally associated with cognitive/school readiness and reading (OR 0.91; 95% CI [0.82, 1.00]) and motor development (OR; 0.91, 95% CI [0.80, 1.04]). HFI was associated with poor ECD in children under 5 years old. Specifically, HFI was associated with developmental risk and poor math skills in studies conducted in HICs and with poor vocabulary skills in studies conducted in both HICs and LMICs. Prospective studies examining HFI and ECD are needed in LMICs.

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Section: Effect Sizementioning

confidence: 99%

Section: Characteristics Of Studiesmentioning

confidence: 99%

Section: Characteristics Of Studiesmentioning

confidence: 99%

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Household food insecurity and early childhood development: Systematic review and meta‐analysis

Oliveira

Almeida

Gubert

et al. 2020

Maternal & Child Nutrition

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“…Previous studies conducted in the United States observed similar findings, with caregivers' mental health mediating the relation between HFI and child's development and behavior problems. 14,[38][39][40] Household food insecurity is a chronic stressor and worries about the availability of food for the family-and especially for the offspring-can increase the rates of anxiety and depression in mothers living in food insecure households. 5,13 In this context, maternal poor mental health can affect parenting skills including the ability to interact and attach with the infant, which in turn can result in a poor ECD.…”

Section: Discussionmentioning

confidence: 99%

“…5,12 -14,38,41,42 Given the consequences for the health and well-being of the family and the offspring, it is important to screen mothers for HFI and mental health as a routine in health services, aiming to refer food insecure families to nutrition and food assistance programs, as well as depressed and anxious mothers to adequate health care. 5 -7,39,40,43…”

Section: Discussionmentioning

confidence: 99%

Maternal Mental Health Mediates the Relationship Between Household Food Insecurity and Early Child Development in Brazil

Pedroso

Herkrath²,

Buccini

et al. 2021

Food Nutr Bull

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Background: Optimal early child development (ECD) is fundamental for every child to achieve their developmental potential and thrive. Household food insecurity (HFI) is a risk factor for suboptimal development, but there is still a need to better understand the pathways that explain this relationship. Objective: To evaluate whether maternal mental health and infant’s diet mediate the association between HFI and ECD using structural equation modeling. Methods: Cross-sectional study with 474 mother–infant dyads. Mothers answered a questionnaire that evaluated variables through validated instruments. Structural equation modeling analyses were conducted to obtain standardized effects (β) and bias-corrected 95% CI, enabling comparisons between the magnitude of the effects. The following observed variables were included: HFI, ECD, consumption of a healthy and diverse diet, the presence of a partner in the household, wanted pregnancy, and current breastfeeding. Latent variables were included to evaluate mental health, poverty, and neonatal health. Results: Poor maternal mental health mediated the relationship between HFI and ECD (β = −.05), but a healthy and diverse diet was not a mediator in this relationship. Poverty was related to lower development scores directly (β = .21) and indirectly (β = .02). Not having a partner (β = .05) and having an unwanted pregnancy (β = .02) predicted indirectly lower development scores. Conclusions: Poor maternal mental health mediates the relationship between HFI and ECD, and ECD is influenced by poverty, single motherhood, and unwanted pregnancy through different pathways. Therefore, public policies and interventions that aim to promote an optimal ECD should also approach these aspects.

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SLC6A4 gene variants moderate associations between childhood food insecurity and adolescent mental health

Pilkay,

Nolasco,

Nunes

et al. 2024

Brain and Behavior

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BackgroundFood insecurity is a persistent concern in the United States and has been shown to affect child mental health and behavior. The SLC6A4 gene has been indicated as a moderator of the effects of chronic stress on anxiety in adolescents aged 14–21. However, it is unclear if SLC6A4 may also play a role in the effects of childhood food insecurity, a form of chronic stress, on adolescent mental health. This study aimed to identify effects of food insecurity on adolescents’ mental health and delinquent behavior when both mom and child go hungry in the child's early years, and the potential interaction with SLC6A4 variants (SS/LL).MethodsThe data and sample for this research are from the Future of Families and Child Wellbeing Study. The cohort consists of 4898 children (age 1–15 years, male = 47%, African American = 50%) and their respective caregivers sampled from large cities in the United States from 1998 to 2000.ResultsThe SLC6A4 serotonin transporter short/short allele emerged statistically significant as a moderator of childhood food insecurity and adolescent mental health. Specifically, the presence of the short/short allele increased anxiety symptoms in adolescents with exposure to food insecurity in childhood.ConclusionThe SLC6A4 short/short allele amplifies risk of anxiety‐related mental illness when children experience food insecurity. The gene–environment interaction provides insight into the mechanistic pathway of the effects of poverty‐related adversity, such as food insecurity, on developmental trajectories of mental health.

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Role of Family Stressors on Rural Low-Income Children’s Behaviors

Cited by 13 publications

References 52 publications

Household food insecurity and early childhood development: Systematic review and meta‐analysis

Household food insecurity and early childhood development: Systematic review and meta‐analysis

Maternal Mental Health Mediates the Relationship Between Household Food Insecurity and Early Child Development in Brazil

SLC6A4 gene variants moderate associations between childhood food insecurity and adolescent mental health

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