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Association of Food Insecurity with Mental Health Outcomes in Parents and Children: A Systematic Review

      Abstract

      Background

      Food insecurity affects 13.7 million U.S. households and is linked to poor mental health. Families shield children from food insecurity by sacrificing their nutritional needs, suggesting parents and children experience food insecurity differentially.

      Objective

      To identify the associations of food insecurity and mental health outcomes in parents and children

      Data Sources

      PubMed, Embase, Web of Science, and PsycInfo

      Study Eligibility Criteria

      We included original research published in English from January 1990 – June 2020 that examined associations between food insecurity and mental health in children or parents/guardians in the U.S.

      Study Appraisal and Synthesis Methods

      Two reviewers screened studies for inclusion. Data extraction was completed by one reviewer and checked by a second. Bias and confounding were assessed using the Agency for Healthcare Research and Quality RTI Item Bank. Studies were synthesized qualitatively, grouped by mental health outcome, and patterns were assessed. Meta-analyses were not performed due to high variability between studies.

      Results

      We included 108 studies, assessing 250,553 parents and 203,822 children in total. Most studies showed a significant association between food insecurity and parental depression, anxiety, and stress, and between food insecurity and child depression, externalizing/internalizing behaviors, and hyperactivity.

      Limitations

      Most studies were cross-sectional and many were medium- or high-risk for bias or confounding.

      Conclusions and Implications of Key Findings

      Food insecurity is significantly associated with various mental health outcomes in both parents and children. The rising prevalence of food insecurity and mental health problems make it imperative that effective public health and policy interventions address both problems.

      Keywords

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      References

      1. U.S. Department of Agriculture Economic Research Service. Definitions of Food Security. Last updated September 2021. <https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-u-s/definitions-of-food-security/>.

      2. U.S. Department of Agriculture Economic Research Service. Key Statistics & Graphics. Last updated September 2021. <https://www.ers.usda.gov/topics/food-nutrition-assistance/food-security-in-the-u-s/key-statistics-graphics/>.

        • Chi DL
        • Masterson EE
        • Carle AC
        • Mancl LA
        • Coldwell SE.
        Socioeconomic status, food security, and dental caries in US children: mediation analyses of data from the National Health and Nutrition Examination Survey, 2007-2008.
        Am J Public Health. 2014; 104: 860-864
        • Cook JT
        • Frank DA
        • Levenson SM
        • et al.
        Child food insecurity increases risks posed by household food insecurity to young children's health.
        J Nutr. 2006; 136: 1073-1076
        • Eicher-Miller HA
        • Mason AC
        • Weaver CM
        • McCabe GP
        • Boushey CJ.
        Food insecurity is associated with iron deficiency anemia in US adolescents.
        Am J Clin Nutr. 2009; 90: 1358-1371
        • Kirkpatrick SI
        • McIntyre L
        • Potestio ML.
        Child hunger and long-term adverse consequences for health.
        Arch Pediatr Adolesc Med. 2010; 164: 754-762
        • Nagata JM
        • Palar K
        • Gooding HC
        • Garber AK
        • Bibbins-Domingo K
        • Weiser SD.
        Food Insecurity and Chronic Disease in US Young Adults: Findings from the National Longitudinal Study of Adolescent to Adult Health.
        J Gen Intern Med. 2019; 34: 2756-2762
        • Nagata JM
        • Gomberg S
        • Hagan MJ
        • Heyman MB
        • Wojcicki JM.
        Food insecurity is associated with maternal depression and child pervasive developmental symptoms in low-income Latino households.
        J Hunger Environ Nutr. 2019; 14: 526-539
        • Polsky JY
        • Gilmour H.
        Food insecurity and mental health during the COVID-19 pandemic.
        Health Rep. 2020; 31: 3-11
        • Maynard M
        • Andrade L
        • Packull-McCormick S
        • Perlman CM
        • Leos-Toro C
        • Kirkpatrick SI.
        Food Insecurity and Mental Health among Females in High-Income Countries.
        Int J Environ Res Public Health. 2018; 15
        • Raskind IG
        • Haardörfer R
        • Berg CJ.
        Food insecurity, psychosocial health and academic performance among college and university students in Georgia, USA.
        Public Health Nutr. 2019; 22: 476-485
        • Mofleh D
        • Ranjit N
        • Chuang RJ
        • Cox JN
        • Anthony C
        • Sharma SV.
        Association Between Food Insecurity and Diet Quality Among Early Care and Education Providers in the Pennsylvania Head Start Program.
        Prev Chronic Dis. 2021; 18: E60
        • Hanson KL
        • Connor LM.
        Food insecurity and dietary quality in US adults and children: a systematic review.
        Am J Clin Nutr. 2014; 100: 684-692
        • Sharma A
        • Sharma SD
        • Sharma M.
        Mental health promotion: a narrative review of emerging trends.
        Curr Opin Psychiatry. 2017; 30: 339-345
        • Wortzel JR
        • Turner BE
        • Weeks BT
        • et al.
        Trends in mental health clinical research: Characterizing the ClinicalTrials.gov registry from 2007-2018.
        PLoS ONE. 2020; 15e0233996
        • McCarthy M.
        Mental disorders common among US children, CDC says.
        BMJ. 2013; : 346
        • Clark C
        • Rodgers B
        • Caldwell T
        • Power C
        • Stansfeld S.
        Childhood and adulthood psychological ill health as predictors of midlife affective and anxiety disorders: the 1958 British Birth Cohort.
        Arch Gen Psychiatry. 2007; 64: 668-678
        • Eckshtain D
        • Marchette LK
        • Schleider J
        • Weisz JR.
        Parental Depressive Symptoms as a Predictor of Outcome in the Treatment of Child Depression.
        J Abnorm Child Psychol. 2018; 46: 825-837
        • Priel A
        • Djalovski A
        • Zagoory-Sharon O
        • Feldman R.
        Maternal depression impacts child psychopathology across the first decade of life: Oxytocin and synchrony as markers of resilience.
        J Child Psychol Psychiatry. 2019; 60: 30-42
        • Hanson KL
        • Connor LM.
        Food insecurity and dietary quality in US adults and children: a systematic review.
        Am J Clin Nutr. 2014; 100: 684-692
        • Ng SW
        • Hollingsworth BA
        • Busey EA
        • Wandell JL
        • Miles DR
        • Poti JM.
        Federal Nutrition Program Revisions Impact Low-income Households' Food Purchases.
        Am J Prev Med. 2018; 54: 403-412
        • Odoms-Young AM
        • Kong A
        • Schiffer LA
        • et al.
        Evaluating the initial impact of the revised Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) food packages on dietary intake and home food availability in African-American and Hispanic families.
        Public Health Nutr. 2014; 17: 83-93
        • Tester JM
        • Leung CW
        • Crawford PB.
        Revised WIC Food Package and Children's Diet Quality.
        Pediatrics. 2016; 137
      3. PROSPERO: International prospective register of systematic reviews. National Institute for Health Research. https://www.crd.york.ac.uk/PROSPERO/. Accessed2021.

      4. Covidence Systematic Review Software[computer program]. Melbourne, Australia: Veritas Health Innovation.

        • Viswanathan M
        • Berkman ND
        • Dryden DM
        • Hartling L.
        Assessing Risk of Bias and Confounding in Observational Studies of Interventions or Exposures: Further Development of the RTI Item Bank.
        Agency for Healthcare Research and Quality (US), Rockville (MD)2013
        • Adynski H
        • Zimmer C
        • Thorp Jr., J
        • Santos Jr., HP
        Predictors of psychological distress in low-income mothers over the first postpartum year.
        Res Nurs Health. 2019; 42: 205-216
        • Ajrouch KJ
        • Reisine S
        • Lim S
        • Sohn W
        • Ismail A.
        Situational stressors among African-American women living in low-income urban areas: the role of social support.
        Women Health. 2010; 50: 159-175
        • Alaimo K
        • Olson CM
        • Frongillo EA.
        Family food insufficiency, but not low family income, is positively associated with dysthymia and suicide symptoms in adolescents.
        J Nutr. 2002; 132: 719-725
        • Ashiabi GS
        • O'Neal KK
        Children's health status: examining the associations among income poverty, material hardship, and parental factors.
        PLoS ONE. 2007; 2: e940
        • Austin AE
        • Smith MV.
        Examining Material Hardship in Mothers: Associations of Diaper Need and Food Insufficiency with Maternal Depressive Symptoms.
        Health Equity. 2017; 1: 127-133
        • Becker CB
        • Middlemass K
        • Taylor B
        • Johnson C
        • Gomez F.
        Food insecurity and eating disorder pathology.
        International Journal of Eating Disorders. 2017; 50: 1031-1040
        • Becker CB
        • Middlemass KM
        • Gomez F
        • Martinez-Abrego A.
        Eating disorder pathology among individuals living with food insecurity: A replication study.
        Clinical Psychological Science. 2019; 7: 1144-1158
        • Bergmans RS
        • Berger LM
        • Palta M
        • Robert SA
        • Ehrenthal DB
        • Malecki K.
        Participation in the Supplemental Nutrition Assistance Program and maternal depressive symptoms: Moderation by program perception.
        Soc Sci Med. 2018; 197: 1-8
        • Bernard R
        • Hammarlund R
        • Bouquet M
        • et al.
        Parent and Child Reports of Food Insecurity and Mental Health: Divergent Perspectives.
        Ochsner J. 2018; 18: 318-325
        • Black MM
        • Quigg AM
        • Cook J
        • et al.
        WIC participation and attenuation of stress-related child health risks of household food insecurity and caregiver depressive symptoms.
        Archives of Pediatrics and Adolescent Medicine. 2012; 166: 444-451
        • Braveman P
        • Heck K
        • Egerter S
        • Rinki C
        • Marchi K
        • Curtis M.
        Economic Hardship in Childhood: A Neglected Issue in ACE Studies?.
        Matern Child Health J. 2018; 22: 308-317
        • Bronte-Tinkew J
        • Zaslow M
        • Capps R
        • Horowitz A
        • McNamara M.
        Food insecurity works through depression, parenting, and infant feeding to influence overweight and health in toddlers.
        J Nutr. 2007; 137: 2160-2165
      5. Browder DE. Latino mothers in rural America: A mixed methods assessment of maternal depression. 2012;72:3524-3524.

      6. Bulock LA. Theorizing about resilience and its relationship to depression among rural low-income mothers:Mixed methods approaches. 2014;75.

        • Burke MP
        • Martini LH
        • Çayır E
        • Hartline-Grafton HL
        • Meade RL.
        Severity of Household Food Insecurity Is Positively Associated with Mental Disorders among Children and Adolescents in the United States.
        J Nutr. 2016; 146: 2019-2026
        • Casey P
        • Goolsby S
        • Berkowitz C
        • et al.
        Maternal depression, changing public assistance, food security, and child health status.
        Pediatrics. 2004; 113: 298-304
        • Chilton MM
        • Rabinowich JR
        • Woolf NH.
        Very low food security in the USA is linked with exposure to violence.
        Public Health Nutr. 2014; 17: 73-82
        • Coffino JA
        • Grilo CM
        • Udo T.
        Childhood food neglect and adverse experiences associated with DSM-5 eating disorders in U.S. National Sample.
        Journal of Psychiatric Research. 2020; 127: 75-79
        • Darling KE
        • Fahrenkamp AJ
        • Wilson SM
        • D'Auria AL
        • Sato AF
        Physical and mental health outcomes associated with prior food insecurity among young adults.
        J Health Psychol. 2017; 22: 572-581
        • Dennison MJ
        • Rosen ML
        • Sambrook KA
        • Jenness JL
        • Sheridan MA
        • McLaughlin KA.
        Differential Associations of Distinct Forms of Childhood Adversity With Neurobehavioral Measures of Reward Processing: A Developmental Pathway to Depression.
        Child Dev. 2019; 90: e96-e113
        • Distel LML
        • Egbert AH
        • Bohnert AM
        • Santiago CD.
        Chronic Stress and Food Insecurity: Examining Key Environmental Family Factors Related to Body Mass Index Among Low-Income Mexican-Origin Youth.
        Fam Community Health. 2019; 42: 213-220
        • Doudna KD
        • Reina AS
        • Greder KA.
        Longitudinal associations among food insecurity, depressive symptoms, and parenting.
        Journal of Rural Mental Health. 2015; 39: 178-187
        • Eiden RD
        • Coles CD
        • Schuetze P
        • Colder CR.
        Externalizing behavior problems among polydrug cocaine-exposed children: Indirect pathways via maternal harshness and self-regulation in early childhood.
        Psychol Addict Behav. 2014; 28: 139-153
        • Ettekal I
        • Eiden RD
        • Nickerson AB
        • Schuetze P.
        Comparing alternative methods of measuring cumulative risk based on multiple risk indicators: Are there differential effects on children's externalizing problems?.
        PLoS One. 2019; 14e0219134
        • Fernández CR
        • Yomogida M
        • Aratani Y
        • Hernández D.
        Dual Food and Energy Hardship and Associated Child Behavior Problems.
        Acad Pediatr. 2018; 18: 889-896
      7. Frazer MS. Poverty measurement and depression symptomology in the context of welfare reform. 2011;72:1460-1460.

        • Garg A
        • Toy S
        • Tripodis Y
        • Cook J
        • Cordella N.
        Influence of maternal depression on household food insecurity for low-income families.
        Acad Pediatr. 2015; 15: 305-310
        • Gee KA.
        Growing Up With A Food Insecure Adult: The Cognitive Consequences of Recurrent Versus Transitory Food Insecurity Across the Early Elementary Years.
        Journal of Family Issues. 2018; 39: 2437-2460
        • Gee KA
        • Asim M.
        Parenting While Food Insecure: Links Between Adult Food Insecurity, Parenting Aggravation, and Children's Behaviors.
        Journal of Family Issues. 2019; 40: 1462-1485
        • Gill M
        • Koleilat M
        • Whaley SE.
        The Impact of Food Insecurity on the Home Emotional Environment Among Low-Income Mothers of Young Children.
        Matern Child Health J. 2018; 22: 1146-1153
        • Greder KA
        • Peng C
        • Doudna KD
        • Sarver SL.
        Role of family stressors on rural low-income children's behaviors.
        Child & Youth Care Forum. 2017; 46: 703-720
        • Grineski SE
        • Morales DX
        • Collins TW
        • Rubio R.
        Transitional Dynamics of Household Food Insecurity Impact Children's Developmental Outcomes.
        J Dev Behav Pediatr. 2018; 39: 715-725
        • Guerrero N
        • Wagner KM
        • Gangnon R
        • et al.
        Food Insecurity and Housing Instability Partially Mediate the Association Between Maternal Depression and Child Problem Behavior.
        J Prim Prev. 2020; 41: 245-259
        • Hall M
        • Fullerton L
        • FitzGerald C
        • Green D.
        Suicide Risk and Resiliency Factors Among Hispanic Teens in New Mexico: Schools Can Make a Difference.
        J Sch Health. 2018; 88: 227-236
        • Hanson KL
        • Olson CM.
        Chronic health conditions and depressive symptoms strongly predict persistent food insecurity among rural low-income families.
        J Health Care Poor Underserved. 2012; 23: 1174-1188
        • Harrison PA
        • Sidebottom AC.
        Systematic prenatal screening for psychosocial risks.
        J Health Care Poor Underserved. 2008; 19: 258-276
        • Hatem C
        • Lee CY
        • Zhao X
        • Reesor-Oyer L
        • Lopez T
        • Hernandez DC.
        Food insecurity and housing instability during early childhood as predictors of adolescent mental health.
        J Fam Psychol. 2020;
        • Heflin CM
        • Poverty Iceland J.
        Material Hardship, and Depression.
        Social Science Quarterly. 2009; 90: 1051-1071
        • Heflin CM
        • Siefert K
        • Williams DR.
        Food insufficiency and women's mental health: findings from a 3-year panel of welfare recipients.
        Soc Sci Med. 2005; 61: 1971-1982
        • Heflin CM
        • Ziliak JP.
        Food insufficiency, food stamp participation, and mental health.
        Social Science Quarterly. 2008; 89: 706-727
        • Helton JJ
        • Jackson DB
        • Boutwell BB
        • Vaughn MG.
        Household Food Insecurity and Parent-to-Child Aggression.
        Child Maltreat. 2019; 24: 213-221
        • Hernandez DC
        • Marshall A
        • Mineo C.
        Maternal depression mediates the association between intimate partner violence and food insecurity.
        J Womens Health (Larchmt). 2014; 23: 29-37
        • Himmelgreen DA
        • Pérez-Escamilla R
        • Segura-Millán S
        • Romero-Daza N
        • Tanasescu M
        • Singer M.
        A comparison of the nutritional status and food security of drug-using and non-drug-using Hispanic women in Hartford, Connecticut.
        Am J Phys Anthropol. 1998; 107: 351-361
        • Horodynski MA
        • Brophy-Herb HE
        • Martoccio TL
        • et al.
        Familial psychosocial risk classes and preschooler body mass index: The moderating effect of caregiver feeding style.
        Appetite. 2018; 123: 216-224
        • Howells ME
        • Dancause K
        • Pond R
        • Rivera L
        • Simmons D
        • Alston BD
        Maternal marital status predicts self-reported stress among pregnant women following hurricane Florence.
        American journal of human biology: the official journal of the Human Biology Council. 2020; : e23427
        • Hromi-Fiedler A
        • Bermúdez-Millán A
        • Segura-Pérez S
        • Pérez-Escamilla R.
        Household food insecurity is associated with depressive symptoms among low-income pregnant Latinas.
        Matern Child Nutr. 2011; 7: 421-430
        • Huang J
        • Vaughn MG.
        Household food insecurity and children's behaviour problems: New evidence from a trajectories-based study.
        British Journal of Social Work. 2016; 46: 993-1008
        • Huddleston-Casas C
        • Charnigo R
        • Simmons LA.
        Food insecurity and maternal depression in rural, low-income families: a longitudinal investigation.
        Public Health Nutr. 2009; 12: 1133-1140
        • Jacknowitz A
        • Morrissey T
        • Brannegan A.
        Food insecurity across the first five years: Triggers of onset and exit.
        Children and Youth Services Review. 2015; 53: 24-33
        • Jackson DB
        • Vaughn MG.
        Household food insecurity during childhood and adolescent misconduct.
        Prev Med. 2017; 96: 113-117
        • Jackson DB
        • Vaughn MG.
        Parental History of Disruptive Life Events and Household Food Insecurity.
        Journal of Nutrition Education and Behavior. 2017; 49 (554-+)
        • Johnson AD
        • Markowitz AJ.
        Associations Between Household Food Insecurity in Early Childhood and Children's Kindergarten Skills.
        Child Dev. 2018; 89: e1-e17
        • Johnson AD
        • Markowitz AJ.
        Food Insecurity and Family Well-Being Outcomes among Households with Young Children.
        Journal of Pediatrics. 2018; 196: 275-282
        • Koury AJ
        • Dynia J
        • Dore R
        • et al.
        Food Insecurity and Depression among Economically Disadvantaged Mothers: Does Maternal Efficacy Matter?.
        Appl Psychol Health Well Being. 2020;
        • Kim HG
        • Geppert J
        • Quan T
        • Bracha Y
        • Lupo V
        • Cutts DB.
        Screening for postpartum depression among low-income mothers using an interactive voice response system.
        Matern Child Health J. 2012; 16: 921-928
        • Kimbro RT
        • Denney JT.
        Transitions Into Food Insecurity Associated With Behavioral Problems And Worse Overall Health Among Children.
        Health Aff (Millwood). 2015; 34: 1949-1955
        • King C.
        Soft drinks consumption and child behaviour problems: the role of food insecurity and sleep patterns.
        Public Health Nutr. 2017; 20: 266-273
        • King C.
        Food insecurity and child behavior problems in fragile families.
        Econ Hum Biol. 2018; 28: 14-22
        • Kleinman RE
        • Hall S
        • Green H
        • et al.
        Diet, breakfast, and academic performance in children.
        Annals of Nutrition and Metabolism. 2002; 46: 24-30
        • Kleinman RE
        • Murphy JM
        • Little M
        • et al.
        Hunger in children in the United States: potential behavioral and emotional correlates.
        Pediatrics. 1998; 101: E3
        • Laraia B
        • Vinikoor-Imler LC
        • Siega-Riz AM.
        Food insecurity during pregnancy leads to stress, disordered eating, and greater postpartum weight among overweight women.
        Obesity (Silver Spring). 2015; 23: 1303-1311
        • Laraia BA
        • Borja JB
        • Bentley ME.
        Grandmothers, fathers, and depressive symptoms are associated with food insecurity among low-income first-time African-American mothers in North Carolina.
        J Am Diet Assoc. 2009; 109: 1042-1047
        • Laraia BA
        • Siega-Riz AM
        • Gundersen C
        • Dole N.
        Psychosocial factors and socioeconomic indicators are associated with household food insecurity among pregnant women.
        J Nutr. 2006; 136: 177-182
        • Lent MD
        • Petrovic LE
        • Swanson JA
        • Olson CM.
        Maternal mental health and the persistence of food insecurity in poor rural families.
        J Health Care Poor Underserved. 2009; 20: 645-661
        • Letiecq BL
        • Mehta S
        • Vesely CK
        • Goodman RD
        • Marquez M
        • Moron LP.
        Central American Immigrant Mothers' Mental Health in the Context of Illegality: Structural Stress, Parental Concern, and Trauma.
        Fam Community Health. 2019; 42: 271-282
        • McLaughlin KA
        • Green JG
        • Alegría M
        • et al.
        Food insecurity and mental disorders in a national sample of U.S. adolescents.
        Journal of the American Academy of Child and Adolescent Psychiatry. 2012; 51: 1293-1303
        • Mersky JP
        • Janczewski CE
        • Topitzes J.
        Rethinking the Measurement of Adversity.
        Child Maltreat. 2017; 22: 58-68
        • Munger AL
        • Hofferth SL
        • Grutzmacher SK.
        The Role of the Supplemental Nutrition Assistance Program in the Relationship between Food Insecurity and Probability of Maternal Depression.
        J Hunger Environ Nutr. 2016; 11: 147-161
        • Murphy JM
        • Wehler CA
        • Pagano ME
        • Little M
        • Kleinman RE
        • Jellinek MS.
        Relationship between hunger and psychosocial functioning in low-income American children.
        Journal of the American Academy of Child and Adolescent Psychiatry. 1998; 37: 163-170
        • Nelson BB
        • Dudovitz RN
        • Coker TR
        • et al.
        Predictors of Poor School Readiness in Children Without Developmental Delay at Age 2.
        Pediatrics. 2016; 138
        • Niemeier J
        • Fitzpatrick KM.
        Examining food insecurity among high school students: A risks and resources model.
        Appetite. 2019; 135: 20-27
        • Noonan K
        • Corman H
        • Reichman NE.
        Effects of maternal depression on family food insecurity.
        Econ Hum Biol. 2016; 22: 201-215
        • Phojanakong P
        • Welles S
        • Dugan J
        • Booshehri L
        • Brown Weida E
        • Chilton M.
        Trauma-Informed Financial Empowerment Programming Improves Food Security Among Families With Young Children.
        J Nutr Educ Behav. 2020; 52: 465-473
        • Poll KL
        • Holben DH
        • Valliant M
        • Joung HWD.
        Food insecurity is associated with disordered eating behaviors in NCAA division 1 male collegiate athletes.
        Journal of American college health: J of ACH. 2020; 68: 105-109
        • Poole-Di Salvo E
        • Silver EJ
        • Stein RE.
        Household Food Insecurity and Mental Health Problems Among Adolescents: What Do Parents Report?.
        Acad Pediatr. 2016; 16: 90-96
        • Potochnick S
        • Perreira KM
        • Bravin JI
        • et al.
        Food Insecurity Among Hispanic/Latino Youth: Who Is at Risk and What Are the Health Correlates?.
        J Adolesc Health. 2019; 64: 631-639
        • Pulgar CA
        • Trejo G
        • Suerken C
        • Ip EH
        • Arcury TA
        • Quandt SA.
        Economic Hardship and Depression Among Women in Latino Farmworker Families.
        J Immigr Minor Health. 2016; 18: 497-504
        • Raiford JL
        • Herbst JH
        • Carry M
        • Browne FA
        • Doherty I
        • Wechsberg WM.
        Low prospects and high risk: structural determinants of health associated with sexual risk among young African American women residing in resource-poor communities in the south.
        Am J Community Psychol. 2014; 54: 243-250
        • Richards M
        • Weigel M
        • Li M
        • Rosenberg M
        • Ludema C.
        Household food insecurity and antepartum depression in the National Children's Study.
        Ann Epidemiol. 2020; 44 (e31): 38-44
        • Rodriguez-JenKins J
        • Marcenko MO
        Parenting stress among child welfare involved families: Differences by child placement.
        Children and Youth Services Review. 2014; 46: 19-27
        • Rongstad R
        • Neuman M
        • Pillai P
        • Birstler J
        • Hanrahan L.
        Screening Pediatric Patients for Food Insecurity: A Retrospective Cross-Sectional Study of Comorbidities and Demographic Characteristics.
        Wmj. 2018; 117: 122-125
        • Rose-Jacobs R
        • Black MM
        • Casey PH
        • et al.
        Household food insecurity: associations with at-risk infant and toddler development.
        Pediatrics. 2008; 121: 65-72
        • Rose-Jacobs R
        • Trevino-Talbot M
        • Lloyd-Travaglini C
        • et al.
        Could prenatal food insecurity influence neonatal abstinence syndrome severity?.
        Addiction. 2019; 114: 337-343
        • Rose-Jacobs R
        • Trevino-Talbo M
        • Vibbert M
        • Lloyd-Travaglini C
        • Cabral HJ.
        Pregnant women in treatment for opioid use disorder: Material hardships and psychosocial factors.
        Addictive Behaviors. 2019; 98: 5
        • Rosenthal L
        • Earnshaw VA
        • Lewis TT
        • et al.
        Changes in Experiences With Discrimination Across Pregnancy and Postpartum: Age Differences and Consequences for Mental Health.
        American Journal of Public Health. 2015; 105: 686-693
        • Salas-Wright CP
        • Vaughn MG
        • Cohen M
        • Schwartz SJ.
        The Sequelae of Premigration Hunger Among Venezuelan Immigrant Children in the U.S.
        American Journal of Preventive Medicine. 2020; 58: 467-469
        • Sun J
        • Knowles M
        • Patel F
        • Frank DA
        • Heeren TC
        • Chilton M.
        Childhood Adversity and Adult Reports of Food Insecurity Among Households With Children.
        Am J Prev Med. 2016; 50: 561-572
        • Sidebottom AC
        • Hellerstedt WL
        • Harrison PA
        • Hennrikus D.
        An examination of prenatal and postpartum depressive symptoms among women served by urban community health centers.
        Arch Womens Ment Health. 2014; 17: 27-40
        • Siefert K
        • Finlayson TL
        • Williams DR
        • Delva J
        • Ismail AI.
        Modifiable risk and protective factors for depressive symptoms in low-income African American mothers.
        Am J Orthopsychiatry. 2007; 77: 113-123
        • Siefert K
        • Heflin CM
        • Corcoran ME
        • Williams DR.
        Food insufficiency and the physical and mental health of low-income women.
        Women Health. 2001; 32: 159-177
        • Slack KS
        • Yoo J.
        Food Hardship and Child Behavior Problems among Low-Income Children.
        Social Service Review. 2005; 79: 511-536
        • Slopen N
        • Fitzmaurice G
        • Williams DR
        • Gilman SE.
        Poverty, food insecurity, and the behavior for childhood internalizing and externalizing disorders.
        Journal of the American Academy of Child and Adolescent Psychiatry. 2010; 49: 444-452
      8. Ten Haagen KS. Relationship among housing quality, food insecurity, social service needs, domestic violence, and mental health needs of children and families. 2014;74.

        • Testa A
        • Jackson DB.
        Adverse Childhood Experiences and Food Insecurity in Adulthood: Evidence From the National Longitudinal Study of Adolescent to Adult Health.
        Journal of Adolescent Health. 2020;
        • Thomas MMC
        • Miller DP
        • Morrissey TW.
        Food Insecurity and Child Health.
        Pediatrics. 2019; 144
        • Trapp CM
        • Burke G
        • Gorin AA
        • et al.
        The relationship between dietary patterns, body mass index percentile, and household food security in young urban children.
        Childhood obesity (Print). 2015; 11: 148-155
        • Tseng KK
        • Park SH
        • Shearston JA
        • Lee L
        • Weitzman M.
        Parental Psychological Distress and Family Food Insecurity: Sad Dads in Hungry Homes.
        Journal of developmental and behavioral pediatrics: JDBP. 2017; 38: 611-618
        • Vaughn MG
        • Salas-Wright CP
        • Naeger S
        • Huang J
        • Piquero AR.
        Childhood Reports of Food Neglect and Impulse Control Problems and Violence in Adulthood.
        Int J Environ Res Public Health. 2016; 13: 389
        • Wu Q
        • Harwood RL
        • Feng X.
        Family socioeconomic status and maternal depressive symptoms: Mediation through household food insecurity across five years.
        Soc Sci Med. 2018; 215: 1-6
        • Ward WL
        • Swindle TM
        • Kyzer AL
        • Edge N
        • Sumrall J
        • Whiteside-Mansell L.
        Maternal Depression: Relationship to Food Insecurity and Preschooler Fruit/Vegetable Consumption.
        Int J Environ Res Public Health. 2019; 17
        • Weinreb L
        • Wehler C
        • Perloff J
        • et al.
        Hunger: its impact on children's health and mental health.
        Pediatrics. 2002; 110: e41
        • West CE
        • Goldschmidt AB
        • Mason SM
        • Neumark-Sztainer D.
        Differences in risk factors for binge eating by socioeconomic status in a community-based sample of adolescents: Findings from Project EAT.
        International Journal of Eating Disorders. 2019; 52: 659-668
        • Whitaker RC
        • Phillips SM
        • Orzol SM.
        Food insecurity and the risks of depression and anxiety in mothers and behavior problems in their preschool-aged children.
        Pediatrics. 2006; 118: e859-e868
        • Whitsett D
        • Sherman MF
        • Kotchick BA.
        Household Food Insecurity in Early Adolescence and Risk of Subsequent Behavior Problems: Does a Connection Persist Over Time?.
        J Pediatr Psychol. 2019; 44: 478-489
        • Willis DE
        • Fitzpatrick KM.
        Psychosocial factors as mediators of food insecurity and weight status among middle school students.
        Appetite. 2016; 103: 236-243
        • Zaslow M
        • Bronte-Tinkew J
        • Capps R
        • Horowitz A
        • Moore KA
        • Weinstein D.
        Food security during infancy: implications for attachment and mental proficiency in toddlerhood.
        Matern Child Health J. 2009; 13: 66-80
        • Zekeri AA.
        Food Insecurity and Maternal Mental Health among African American Single Mothers Living with HIV/AIDS in the Alabama Black Belt.
        J Health Care Poor Underserved. 2019; 30: 151-159
        • Whitaker RC
        • Phillips SM
        • Orzol SM.
        Food insecurity and the risks of depression and anxiety in mothers and behavior problems in their preschool-aged children.
        Pediatrics. 2006; 118: e859-e868
        • Hernandez DC
        • Marshall A
        • Mineo C.
        Maternal depression mediates the association between intimate partner violence and food insecurity.
        J Womens Health (Larchmt). 2014; 23: 29-37
        • Alaimo K
        • Olson CM
        • Frongillo EA.
        Family food insufficiency, but not low family income, is positively associated with dysthymia and suicide symptoms in adolescents.
        J Nutr. 2002; 132: 719-725
        • Laraia BA
        • Siega-Riz AM
        • Gundersen C
        • Dole N.
        Psychosocial factors and socioeconomic indicators are associated with household food insecurity among pregnant women.
        J Nutr. 2006; 136: 177-182
        • Morales DX
        • Morales SA
        • Beltran TF.
        Racial/Ethnic Disparities in Household Food Insecurity During the COVID-19 Pandemic: a Nationally Representative Study.
        J Racial Ethn Health Disparities. 2020; : 1-15
        • Dush JL.
        Adolescent food insecurity: A review of contextual and behavioral factors.
        Public health nursing. 2020; 37: 327-338
        • Odoms-Young A
        • Bruce MA.
        Examining the Impact of Structural Racism on Food Insecurity: Implications for Addressing Racial/Ethnic Disparities.
        Fam Community Health. 2018; 41 (Food Insecurity and Obesity(Suppl 2 FOOD INSECURITY AND OBESITY):S3-s6)
        • Phojanakong P
        • Brown Weida E
        • Grimaldi G
        • Lê-Scherban F
        • Chilton M.
        Experiences of Racial and Ethnic Discrimination Are Associated with Food Insecurity and Poor Health.
        Int J Environ Res Public Health. 2019; 16
        • Silva C
        • Van Orden KA.
        Suicide among Hispanics in the United States.
        Curr Opin Psychol. 2018; 22: 44-49
        • Lent MD
        • Petrovic LE
        • Swanson JA
        • Olson CM.
        Maternal mental health and the persistence of food insecurity in poor rural families.
        Journal of Health Care for the Poor and Underserved. 2009; 20: 645-661
        • Gonzalez MJ
        • Miranda-Massari JR.
        Diet and stress.
        Psychiatr Clin North Am. 2014; 37: 579-589
        • Lozoff B
        • Jimenez E
        • Hagen J
        • Mollen E
        • Wolf AW.
        Poorer Behavioral and Developmental Outcome More Than 10 Years After Treatment for Iron Deficiency in Infancy.
        Pediatrics. 2000; 105 (e51-e51)
        • Ke J
        • Ford-Jones EL
        Food insecurity and hunger: A review of the effects on children's health and behaviour.
        Paediatr Child Health. 2015; 20: 89-91
        • Myers CA.
        Food Insecurity and Psychological Distress: a Review of the Recent Literature.
        Curr Nutr Rep. 2020; 9: 107-118
        • Asnaani A
        • Richey JA
        • Dimaite R
        • Hinton DE
        • Hofmann SG.
        A cross-ethnic comparison of lifetime prevalence rates of anxiety disorders.
        J Nerv Ment Dis. 2010; 198: 551-555
        • Göbel A
        • Henning A
        • Möller C
        • Aschersleben G.
        The Relationship between Emotion Comprehension and Internalizing and Externalizing Behavior in 7- to 10-Year-Old Children.
        Front Psychol. 2016; 7
        • Martel MM.
        Sexual selection and sex differences in the prevalence of childhood externalizing and adolescent internalizing disorders.
        Psychol Bull. 2013; 139: 1221-1259
        • Shankar P
        • Chung R
        • Frank DA.
        Association of Food Insecurity with Children's Behavioral, Emotional, and Academic Outcomes: A Systematic Review.
        Journal of developmental and behavioral pediatrics: JDBP. 2017; 38: 135-150
        • O'Neil A
        • Quirk SE
        • Housden S
        • et al.
        Relationship between diet and mental health in children and adolescents: a systematic review.
        Am J Public Health. 2014; 104: e31-e42
        • Huang LH
        • Harriet
        • Dalziel Kim M
        Parents’ perception of children's mental health: seeing the signs but not the problems.
        Archives of Disease in Childhood. 2019; 104: 1102-1104
        • Jensen SKG
        • Berens AE
        • Nelson CA.
        Effects of poverty on interacting biological systems underlying child development.
        The Lancet Child & Adolescent Health. 2017; 1: 225-239
        • Pourmotabbed A
        • Moradi S
        • Babaei A
        • et al.
        Food insecurity and mental health: a systematic review and meta-analysis.
        Public Health Nutr. 2020; 23: 1778-1790
        • Berkowitz SA.
        The Logic of Policies to Address Income-Related Health Inequity: A Problem-Oriented Approach.
        Milbank Q. 2022;
        • Ettinger de Cuba SA
        • Bovell-Ammon AR
        • Cook JT
        • et al.
        SNAP, Young Children's Health, and Family Food Security and Healthcare Access.
        Am J Prev Med. 2019; 57: 525-532
        • Gregory CA
        • Smith TA.
        • Salience Food
        Security, and SNAP Receipt.
        J Policy Anal Manage. 2019; 38: 124-154
        • Gibson M
        • Hearty W
        • Craig P.
        The public health effects of interventions similar to basic income: a scoping review.
        Lancet Public Health. 2020; 5: e165-e176