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Updated: May 19, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Is Child Food Insecurity Underreported? Evidence From Daily, Monthly, and Nine-Month Measures
Caitlin T Hines1, Samantha Steimle2, Rebecca M Ryan3
1The Pennsylvania State University (CT Hines), University Park, Pa.
Insights
Parental reports of child food insecurity are less accurate over longer periods. Shorter recall periods, like daily or monthly, better capture the child
Area of Science:
- Public Health
- Nutrition Security
- Child Welfare
Background:
- Food insecurity is a significant public health concern affecting families.
- Standardized measures, often using 12-month recall, may not fully capture the nuances of food insecurity, especially for children.
- Understanding reporting consistency across different timescales is crucial for accurate assessment.
Purpose of the Study:
- To explore the consistency of parental reports of their own and their children's food insecurity across daily, monthly, and 9-month periods.
- To provide preliminary insights into the alignment of food insecurity reports over shorter versus longer reference periods.
Main Methods:
- Utilized a subsample of 125 low-income parents with school-aged children.
- Administered daily, monthly, and 9-month food insecurity questionnaires.
- Employed significance tests and regression analyses to assess agreement and identify factors associated with underreporting.
Main Results:
- Food insecurity is generally underestimated when reported over longer timescales.
- Parents reported less child food insecurity at monthly compared to daily intervals.
- Household and parent food insecurity were reported more consistently across timescales than child food insecurity.
Conclusions:
- The standard 12-month food insecurity measure may have limitations, particularly for assessing child experiences.
- Shorter recall intervals (e.g., daily, monthly) may provide more accurate insights into food insecurity.
- Improving child food insecurity assessment is critical for informing national food assistance policy.
Objective:
This exploratory study examines how consistently parents report their own and their children's food insecurity across daily, monthly, and 9-month timescales. Using a subsample from a larger study, this exploratory analysis offers preliminary insight into the alignment of food insecurity reports across shorter versus longer reference periods.
Methods:
Low-income parents with school-aged children answered daily, monthly, and 9-month food insecurity questions from January to October 2021 (n = 125). Significance tests were conducted to estimate if food insecurity measures at different timescales agreed, and if not, in which direction they diverged. Regression analyses identified how food insecurity severity, frequency, and recency were associated with underreporting on food insecurity across longer time intervals.
Results:
At every level explored, preliminary findings suggest that food insecurity is underestimated when reported over longer timescales. Parents reported less child food insecurity at the monthly level compared to the daily level. Household and parent food insecurity were more consistently reported across time scales. Families with less severe food insecurity were more likely than families with more severe food insecurity to underreport at monthly and yearly levels.
Conclusions:
These results highlight potential limitations of the standard 12-month food insecurity measure, particularly for capturing child experiences. Although exploratory in nature, they suggest that shorter recall intervals may offer more accurate insights. Because these measures motivate and inform national food assistance policy, improving how we assess child food insecurity is critical. Future research with larger samples is needed to validate and extend these findings.
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