Food insufficiency and American school-aged children's cognitive, academic, and psychosocial development.
Food insufficiency and American school-aged children's cognitive, academic, and psychosocial development.
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DOI：
10.1542/peds.108.1.44
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发表时间：
2001-07
期刊：
影响因子：
8
通讯作者：
K. Alaimo;C. Olson;E. Frongillo
中科院分区：
文献类型：
--
作者：
K. Alaimo;C. Olson;E. Frongillo
目的 本研究调查美国 6 至 11 岁和 12 至 16 岁儿童和青少年的食物不足与认知、学业和社会心理结果之间的关系。方法 对第三次全国健康和营养检查调查 (NHANES III) 的数据进行分析。如果家庭受访者报告他或她的家人有时或经常没有获得足够的食物，则儿童被归类为食物不足。进行回归分析是为了测试食物不足与一般认知、学业和心理社会测量之间的关联，然后在低风险和高风险群体中进行分析。报告了粮食不足的回归系数和比值比，并根据贫困状况和其他潜在的混杂因素进行了调整。结果 调整混杂变量后，6 至 11 岁食物不足的儿童的算术成绩明显较低，留级的可能性更大，看过心理学家，与其他孩子相处也有困难。食物不足的青少年更有可能去看心理医生、被停学、与其他孩子相处有困难。进一步的分析将儿童分为低风险组和高风险组。食物不足与儿童结局之间的关联因风险程度而异。结论 结果表明，负面的学业和心理社会结果与家庭层面的粮食不足有关，并为提高美国家庭粮食安全的公共卫生努力提供支持。
OBJECTIVE This study investigates associations between food insufficiency and cognitive, academic, and psychosocial outcomes for US children and teenagers ages 6 to 11 and 12 to 16 years. METHODS Data from the Third National Health and Nutrition Examination Survey (NHANES III) were analyzed. Children were classified as food-insufficient if the family respondent reported that his or her family sometimes or often did not get enough food to eat. Regression analyses were conducted to test for associations between food insufficiency and cognitive, academic, and psychosocial measures in general and then within lower-risk and higher-risk groups. Regression coefficients and odds ratios for food insufficiency are reported, adjusted for poverty status and other potential confounding factors. RESULTS After adjusting for confounding variables, 6- to 11-year-old food-insufficient children had significantly lower arithmetic scores and were more likely to have repeated a grade, have seen a psychologist, and have had difficulty getting along with other children. Food-insufficient teenagers were more likely to have seen a psychologist, have been suspended from school, and have had difficulty getting along with other children. Further analyses divided children into lower-risk and higher-risk groups. The associations between food insufficiency and children's outcomes varied by level of risk. CONCLUSIONS The results demonstrate that negative academic and psychosocial outcomes are associated with family-level food insufficiency and provide support for public health efforts to increase the food security of American families.