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Child Compared with Parent Perceptions of Child-Level Food Security
Matthew J Landry1, Alexandra E van den Berg2, Fiona M Asigbee1
1Department of Nutritional Sciences, The University of Texas at Austin, Austin, TX, USA.
Current Developments in Nutrition
|October 23, 2019
Summary
Parent and child perceptions of child food security rarely align, with children often reporting less food security. This discrepancy may underestimate the true prevalence of child food insecurity in public health surveillance.
Area of Science:
- Public Health
- Child Nutrition
- Health Disparities
Background:
- Accurate measurement of child food insecurity is crucial for public health surveillance and interventions.
- Existing methods often rely on parent-reported data, potentially missing children's lived experiences.
Purpose of the Study:
- To compare parent and child perceptions of child-level food security.
- To analyze agreement and discordance between parent and child reports in a diverse population.
Main Methods:
- Cross-sectional analysis of 2408 parent-child dyads from a low-income, primarily Hispanic population.
- Comparison of parent-reported Household Food Security Survey Module with child-reported Child Food Security Assessment.
- Statistical analysis using Goodman and Kruskal's γ and mixed-effects binomial logistic regression.
Main Results:
- Child and parent perceptions of food security agreed in only 21.7% of cases.
- Children perceived themselves as less food secure than their parents reported 70.1% of the time.
- Household food assistance receipt was linked to higher discordance; younger, female children and non-working parents were linked to lower discordance.
Conclusions:
- Parent perceptions may underestimate child food insecurity.
- Inaccurate prevalence estimates can negatively impact maternal and child health initiatives.
- Validated child-reported measures are essential for accurate surveillance.
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