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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.

Academic Pediatrics
|October 30, 2025
PubMed
Summary

Parental reports of child food insecurity are less accurate over longer periods. Shorter recall periods, like daily or monthly, better capture the child

Keywords:
child food insecuritydaily measurementfood insecurityhousehold food insecuritylow-incomemeasurementpoverty

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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.