School of Community and Environmental Health, Old Dominion University, Norfolk, VA;
J Nutr. 2013 Oct;143(10):1659-65. doi: 10.3945/jn.112.170506. Epub 2013 Aug 14.
Children in food-insecure households are more likely to experience poorer health function and worse academic achievement. To investigate the relation between economic environmental factors and food insecurity among children, we examined the relation between general and specific food prices (fast food, fruits and vegetables, beverages) and risk of low (LFS) and very low food security (VLFS) status among low-income American households with children. Using information for 27,900 child-year observations from the Early Childhood Longitudinal Study-Kindergarten Class of 1998-1999 linked with food prices obtained from the Cost of Living Data of the Council for Community and Economic Research, formerly known as the American Chamber of Commerce Researchers' Association, fixed effects models were estimated within stratified income groups. Higher overall food prices were associated with increased risk of LFS and VLFS (coefficient = 0.617; P < 0.05). Higher fast food and fruit and vegetable prices also contributed to higher risk of food insecurity (coefficient = 0.632, P < 0.01 for fast food; coefficient = 0.879, P < 0.01 for fruits and vegetables). However, increasing beverage prices, including the prices of soft drinks, orange juice, and coffee, had a protective effect on food security status, even when controlling for general food prices. Thus, although food price changes were strongly related to food security status among low-income American households with children, the effects were not uniform across types of food. These relations should be accounted for when implementing policies that change specific food prices.
食品无保障家庭的儿童更有可能出现健康功能较差和学业成绩不佳的情况。为了调查经济环境因素与儿童食品不安全之间的关系,我们研究了一般食品价格和特定食品价格(快餐、水果和蔬菜、饮料)与低收入美国家庭儿童面临低(LFS)和极低(VLFS)食品保障状态风险之间的关系。使用来自 1998-1999 年幼儿纵向研究-幼儿园班的 27900 个儿童年观察数据,并与生活成本数据进行关联,这些数据来自社区和经济研究理事会(前身为美国商会研究人员协会),固定效应模型在分层收入群体内进行了估计。总体食品价格较高与 LFS 和 VLFS 的风险增加有关(系数=0.617;P<0.05)。快餐和水果及蔬菜价格较高也导致食品不安全风险增加(快餐系数=0.632,P<0.01;水果和蔬菜系数=0.879,P<0.01)。然而,即使在控制一般食品价格的情况下,饮料价格(包括软饮料、橙汁和咖啡的价格)的上涨对食品保障状况也具有保护作用。因此,尽管食品价格变化与低收入美国家庭儿童的食品保障状况密切相关,但对各种食品的影响并不均匀。在实施改变特定食品价格的政策时,应考虑到这些关系。