Child hunger and the protective effects of Supplemental Nutrition Assistance Program (SNAP) and alternative food sources among Mexican-origin families in Texas border colonias.
Child hunger and the protective effects of Supplemental Nutrition Assistance Program (SNAP) and alternative food sources among Mexican-origin families in Texas border colonias.
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DOI：
10.1186/1471-2431-13-143
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发表时间：
2013-09-13
期刊：
影响因子：
2.4
通讯作者：
Nalty CC
中科院分区：
文献类型：
--
作者：
Sharkey JR;Dean WR;Nalty CC
营养健康对儿童的生长发育至关重要。由于家庭粮食不安全，许多居住在德克萨斯-墨西哥边境沿着资源有限的殖民地的墨西哥裔儿童面临更大的营养不良风险。然而，人们对墨西哥移民儿童饥饿的普遍程度及其相关因素知之甚少。这项研究确定了儿童饥饿的患病率，并确定了保护和风险因素与它在两个得克萨斯州边境地区。这项研究使用了2009年科洛尼亚家庭和社区粮食资源评估（C-HCFRA）的数据，从470名母亲谁是随机招募的promotora研究人员。来自德克萨斯州南部两个县两个小镇附近的科洛尼亚的参与者参加了家庭社区和家庭评估。访谈管理的调查收集的数据在西班牙语的社会人口统计学，联邦粮食援助计划的参与，和粮食安全状况。频率和双变量相关性进行了检查，而随机效应的逻辑回归模型与向后消除被用来确定儿童饥饿的相关性。在C-HCFRA抽样调查中，有51%（n = 239）的家庭报告儿童饥饿。双变量分析显示，饥饿状态与选定的母亲特征相关，如教育程度较低和墨西哥出生，以及家庭特征，包括家庭组成，依赖朋友或邻居运输，在一元店和邻居购买食物，以及参与学校营养计划。有儿童饥饿的家庭中，参与学校营养方案或使用替代食物来源的家庭所占比例较小（51%），而131个家庭在学年中无法为子女提供均衡膳食，145个家庭在夏季无法提供均衡膳食。在随机效应模型（RE =小城镇）中，家庭组成增加，全职失业和参与国家学校午餐计划与儿童饥饿几率增加显著相关，而参与补充营养援助计划（SNAP）和从邻居那里购买食物与儿童饥饿几率降低显著相关。这项研究不仅强调了墨西哥裔家庭样本中儿童饥饿的惊人比例，而且还确定了增加儿童饥饿几率的经济和家庭因素以及减少几率的社区战略。令人不安的是，如此多的儿童没有参加以学校为基础的营养计划，许多参加联邦营养援助计划的儿童仍然挨饿。这项研究强调了确定德克萨斯州边境殖民地低收入墨西哥裔儿童中存在儿童饥饿的重要性，并增加了获得营养相关资源的机会。在科洛尼亚居民中，与饥饿相关的健康不公平现象在年轻时可能会持续一生，直到老年。
Nutritional health is essential for children’s growth and development. Many Mexican-origin children who reside in limited-resource colonias along the Texas-Mexico border are at increased risk for poor nutrition as a result of household food insecurity. However, little is known about the prevalence of child hunger or its associated factors among children of Mexican immigrants. This study determines the prevalence of child hunger and identifies protective and risk factors associated with it in two Texas border areas. This study uses 2009 Colonia Household and Community Food Resource Assessment (C-HCFRA) data from 470 mothers who were randomly recruited by promotora-researchers. Participants from colonias near two small towns in two South Texas counties participated in an in-home community and household assessment. Interviewer-administered surveys collected data in Spanish on sociodemographics, federal food assistance program participation, and food security status. Frequencies and bivariate correlations were examined while a random-effects logistic regression model with backward elimination was used to determine correlates of childhood hunger. Hunger among children was reported in 51% (n = 239) of households in this C-HCFRA sample. Bivariate analyses revealed that hunger status was associated with select maternal characteristics, such as lower educational attainment and Mexican nativity, and household characteristics, including household composition, reliance on friend or neighbor for transportation, food purchase at dollar stores and from neighbors, and participation in school-based nutrition programs. A smaller percentage of households with child hunger participated in school-based nutrition programs (51%) or used alternative food sources, while 131 households were unable to give their child or children a balanced meal during the school year and 145 households during summer months. In the random effects model (RE = small town), increased household composition, full-time unemployment, and participation in the National School Lunch Program were significantly associated with increased odds for child hunger, while participation in Supplemental Nutrition Assistance Program (SNAP) and purchasing food from a neighbor were significantly associated with decreased odds for child hunger. This study not only emphasizes the alarming rates of child hunger among this sample of Mexican-origin families, but also identifies economic and family factors that increased the odds for child hunger as well as community strategies that reduced the odds. It is unsettling that so many children did not participate in school-based nutrition programs, and that many who participated in federal nutrition assistance programs remained hungry. This study underscores the importance of identifying the presence of child hunger among low-income Mexican-origin children in Texas border colonias and increasing access to nutrition-related resources. Hunger-associated health inequities at younger ages among colonia residents are likely to persist across the life span and into old age.
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影响因子：
--
作者：
Dean, Wesley R.;Sharkey, Joseph R.;St John, Julie
通讯作者：
St John, Julie
影响因子：
2.2
作者：
Affenito, Sandra G.;Thompson, Douglas;Holschuh, Norton M.
通讯作者：
Holschuh, Norton M.
影响因子：
12.7
作者：
Alaimo, K;Olson, CM;Briefel, RR
通讯作者：
Briefel, RR
影响因子：
6.8
作者：
AKAIKE, H
通讯作者：
AKAIKE, H
DOI：
10.1023/a:1021832422075
发表时间：
1999-04-01
期刊：
Journal of immigrant health
影响因子：
--
作者：
Geltman, P L;Meyers, A F
通讯作者：
Meyers, A F