FOOD INSECURITY
such as tuna and peanut butter, and healthier carbohydrate choices,
such as whole-wheat spaghetti and brown rice. The medical provider
can counsel on healthy eating while ensuring consistent access to
the foods needed for good health. In the past year, eight local clinics
have offered on site prescriptive pantries and over 12,000 people
have received nutritional assistance at these locations.
Blessings in a Backpack is another local charity that provides
backpacks full of food. The program is available every Friday to
low-income elementary school students to take home ensuring
they have access to food over the weekend. The program serves
over 4,700 students in 43 schools.
Physicians have the responsibility to help ensure no child in
the US goes hungry, both in our clinics and through advocacy to
support programs that have clear impacts on long-term health of
children as they grow. Children’s physical, developmental, academic,
psychosocial and behavioral success depends on clinician’s identi-
12. Hernandez DC, Jacknowitz A. Transient, but Not Persistent, Adult Food
Insecurity Influences Toddler Development. The Journal of Nutritiion.
2009; 139(8): 1517-1524.
13. Winicki J, Jemison K. Food Insecurity and Hunger in the Kindergarten
Classroom: Its Effect on Learning and Growth. Cont Econ Pol. 2003; 21:
145-157.
14. Kimbro RT, Denney JT. Transitions into Food Insecurty Associated with
Behavioral Problems and Worse Overall Health Among Children. Health
Aff. 2015; 34: 1949-1955.
15. Vaughn MG, Salas-Wright CP, Naeger S, et al. Childhood Reports of
Food Neglect and Impulse Control Problems and Violence in Adulthood.
International Journal of Environmental Research and Public Health.
2016; 13(4): 389.
16. Council on Community Pediatrics. Promoting Food Security for All
Children. Pediatrics. 2015: 136(5): e1431-e1438.
Dr. Jones is a Professor and Vice Chair for the Department of Pediatrics
at the University of Louisville School of Medicine, as well as Assistant
Vice President of Health Affairs.
fication of food insecurity and appropriate intervention to address
both immediate hunger and long-term food security.
Resources
1. Jefferson County Public Schools. https://www.jefferson.kyschools.us/
student-support/meals/free-and-reduced-price
2. Jefferson County Public Schools. https://www.jefferson.kyschools.us/
student-support/meals/summer
3. Dare To Care. https://daretocare.org/
4. Blessing in a Backpack. https://www.blessingsinabackpack.org/
References
1.
Shankar P, Chung R, Frank DA. Association of Food Insecurity with
Children’s Behavioral, Emotional, and Academic Outcomes: A Systematic
Review. J Dev Behav Pedatr. 2017; 38(2): 135-150.
2. Map the Meal Gap 2018: Overall Food Insecurity in Kentucky by County
in 2016. http://map.feedingamerica.org/county/2016/overall/kentucky
3. Hager ER, Quigg A, Black MM, et al. Development and Validity of a
2-item Screen to Identify Families at Risk for Food Insecurity. Pediatrics.
2010; 126(2): e26-e32.
4. Kaur J, Lamb M, Ogden C. The Association between Food Insecurity and
Obesity in Children-The National Health and Nutrition Examination
Survey. J Acad Nutr Diet. 2015; 115(5): 751-758.
5. Laraia BA. Food Insecurity and Chronic Disease. Advances in Nutrition.
C
2013; 4(2): 203-212.
M
6. Cook JT, Black M, Chilton M, et al. Are Food Insecurity’s Health Impacts
Underestimated in the U.S. Population? Marginal Food Security Also
Y
Predicts Adverse Health Outcomes in Young U.S. Children and Mothers.
CM
Advances in Nutrition. 2013; 4(1): 51-61.
MY
7. Whitaker RC, Phillips SM, Orzol S. Food Insecurity and the Risks of
Depression and Anxiety in Mothers and Behavior Problems in their Pre-
CY
school-Aged Children. Pediatrics. 2006; 118(3): e859-e868.
CMY
8. Belsky DW, Moffitt TE, Arseneault L, et al. Context and Sequelae of Food
K
Insecurity in Children’s Development. American Journal of Epidemiology.
2010; 172(7): 809-818.
9. Kleinman RE, Murphy M, Little M, et al. Hunger in Children in the
United States: Potential Behavioral and Emotional Correlates. Pediatrics.
1998; 101(1): e3.
10. Alaimo K, Olson CM, Frongillo EA. Family Food Insufficiency, but Not
Low Family income, Is Positively Associated with Dysthymia and Suicide
Symptoms in Adolescents. The Journal of Nutritiion. 2002; 132(4): 719-725.
11. McIntyre L, Williams JVA, Lavorato DH, et al. Depression and Suicide
Ideation in Late Adolescence and Early Adulthood are an Outcome of Child
Hunger. Journal of Affective Disorders, 2013. 150: 123-129.
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