Caregiver‐reported household food insecurity and child‐reported food insecurity in relation to eating disorder risk factors and symptoms among preadolescent children.
Saved in:
| Title: | Caregiver‐reported household food insecurity and child‐reported food insecurity in relation to eating disorder risk factors and symptoms among preadolescent children. |
|---|---|
| Authors: | Barry, Mikayla R., Sonneville, Kendrin R., McGowan, Andrea R., Needham, Belinda L., Kobayashi, Lindsay C., Leung, Cindy W. |
| Source: | International Journal of Eating Disorders. Oct2022, Vol. 55 Issue 10, p1331-1341. 11p. 4 Charts. |
| Subjects: | Food habits, Caregivers, Confidence intervals, Food security, Cross-sectional method, Regression analysis, Diet, Risk assessment, Food supply, Ethnology, Poverty |
| Geographic Terms: | Michigan |
| Abstract: | Objective: To examine the relation of caregiver‐reported household food insecurity (FI) and child‐reported FI with eating disorder (ED) risk factors and symptoms, including effect modification by gender, in preadolescent children. Method: Data were from the Family Food Study, a cross‐sectional study of households with incomes ≤200% of the federal poverty line in southeastern Michigan. Children aged 8–10 years (n = 194) and their female primary caregivers reported separately on FI status. Children reported ED risk factors/symptoms via the 24‐item Children's Eating Attitudes Test (ChEAT‐24), with higher scores indicating more ED risk factors/symptoms. Linear mixed models were used to examine associations between FI measures with the ChEAT‐24 total score, plus subscale scores for dieting, food preoccupation, weight preoccupation, vomiting, and social pressure to eat/gain weight. Models were adjusted for child age, child gender, caregiver race/ethnicity, caregiver education, and household income. Results: Among all children, child‐reported FI, but not caregiver‐reported household FI, was associated with more ED risk factors/symptoms. Child‐reported FI (vs. no FI) was associated with higher average ChEAT‐24 total score (β = 2.41, 95% CI: 0.57, 4.25). Child‐reported FI was also associated with more food preoccupation, more weight preoccupation, and more social pressure to eat. Caregiver‐reported household FI was marginally associated with less dieting in girls, and child‐reported FI was associated with more dieting in boys. Discussion: Child‐reported FI may be more salient than caregiver‐reported household FI as a risk factor for ED‐related outcomes in preadolescent children. Gender may modify the association between FI and dieting behavior. Public Significance Statement: More child‐reported food insecurity, but not parent‐reported household food insecurity, was associated with more eating disorder risk factors and symptoms among preadolescent boys and girls. These findings emphasize the need for future studies that investigate the role of food insecurity in the development of eating disorders, especially studies that measure child‐reported experience of food insecurity. [ABSTRACT FROM AUTHOR] |
| Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
|
Full text is not displayed to guests.
Login for full access.
|
|
| Abstract: | Objective: To examine the relation of caregiver‐reported household food insecurity (FI) and child‐reported FI with eating disorder (ED) risk factors and symptoms, including effect modification by gender, in preadolescent children. Method: Data were from the Family Food Study, a cross‐sectional study of households with incomes ≤200% of the federal poverty line in southeastern Michigan. Children aged 8–10 years (n = 194) and their female primary caregivers reported separately on FI status. Children reported ED risk factors/symptoms via the 24‐item Children's Eating Attitudes Test (ChEAT‐24), with higher scores indicating more ED risk factors/symptoms. Linear mixed models were used to examine associations between FI measures with the ChEAT‐24 total score, plus subscale scores for dieting, food preoccupation, weight preoccupation, vomiting, and social pressure to eat/gain weight. Models were adjusted for child age, child gender, caregiver race/ethnicity, caregiver education, and household income. Results: Among all children, child‐reported FI, but not caregiver‐reported household FI, was associated with more ED risk factors/symptoms. Child‐reported FI (vs. no FI) was associated with higher average ChEAT‐24 total score (β = 2.41, 95% CI: 0.57, 4.25). Child‐reported FI was also associated with more food preoccupation, more weight preoccupation, and more social pressure to eat. Caregiver‐reported household FI was marginally associated with less dieting in girls, and child‐reported FI was associated with more dieting in boys. Discussion: Child‐reported FI may be more salient than caregiver‐reported household FI as a risk factor for ED‐related outcomes in preadolescent children. Gender may modify the association between FI and dieting behavior. Public Significance Statement: More child‐reported food insecurity, but not parent‐reported household food insecurity, was associated with more eating disorder risk factors and symptoms among preadolescent boys and girls. These findings emphasize the need for future studies that investigate the role of food insecurity in the development of eating disorders, especially studies that measure child‐reported experience of food insecurity. [ABSTRACT FROM AUTHOR] |
|---|---|
| ISSN: | 02763478 |
| DOI: | 10.1002/eat.23784 |
