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A latent class analysis to identify socio-economic and health risk profiles among mothers of young children predicting longitudinal risk of food insecurity

Author

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  • Sajeevika Saumali Daundasekara
  • Brittany R Schuler
  • Daphne C Hernandez

Abstract

Background: The purpose of the current study was to use a social determinants of health (SDOH) framework and latent class analysis (LCA) to identify risk classes among mothers with young children. The risk classes were then used to predict food insecurity severity and stability/change of food insecurity over time. Method: The secondary data from the Fragile Families and Child Wellbeing Study (n = 2,368; oversampled for non-marital births) was used in this study. Household food insecurity was assessed using the 18-items USDA Food Security Survey. A seventeen-item inventory of educational, economic stability, incarceration (i.e. social context), neighborhood safety (i.e. neighborhood and built environment), health and health care, and substance use behaviors at baseline/Year-1 were included to identify SDOH risk indicators in the LCA. Covariate-adjusted multinomial logistic regression models were used to examine the relation between risk classes at Year-1 and the severity of food insecurity at Year-3 and stability/change of food insecurity between Year-3 and Year -5. Results: LCA identified five risk classes: High utility and medical hardship (Class 1), high housing and employment hardship, high substance use, and incarceration (Class 2), high housing and medical hardship, poor health, and health care (Class 3), high employment hardship and low-income (Class 4) and low-risk (Class 5). The Class 1, Class 2 and Class 3 had greater odds of low food security and very low food security at Year-3 compared to Class 4. In addition, compared to Class 4, Class 1, Class 2 and Class 3 had greater odds unstable food insecurity and persistent food insecurity over time. Conclusions: LCA could be used to identify distinctive family system risk profiles predictive of food insecurity. The generated risk profiles could be used by health care providers as an additional tool to identify families in need for resources to ensure household food security.

Suggested Citation

  • Sajeevika Saumali Daundasekara & Brittany R Schuler & Daphne C Hernandez, 2022. "A latent class analysis to identify socio-economic and health risk profiles among mothers of young children predicting longitudinal risk of food insecurity," PLOS ONE, Public Library of Science, vol. 17(8), pages 1-23, August.
    • Handle: RePEc:plo:pone00:0272614
    DOI: 10.1371/journal.pone.0272614
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    References listed on IDEAS

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    1. Chilton, M. & Black, M.M. & Berkowitz, C. & Casey, P.H. & Cook, J. & Cutts, D. & Jacobs, R.R. & Heeren, T. & De Cuba, S.E. & Coleman, S. & Meyers, A. & Frank, D.A., 2009. "Food insecurity and risk of poor health among US-born children of immigrants," American Journal of Public Health, American Public Health Association, vol. 99(3), pages 556-562.
    2. Robynn Cox & Sally Wallace, 2016. "Identifying the Link Between Food Security and Incarceration," Southern Economic Journal, John Wiley & Sons, vol. 82(4), pages 1062-1077, April.
    3. Hart, Tim G.B., . "Exploring definitions of food insecurity and vulnerability: time to refocus assessments," Agrekon, Agricultural Economics Association of South Africa (AEASA), vol. 48(4), pages 1-22.
    4. James P. Ziliak & Craig Gundersen, 2016. "Multigenerational Families and Food Insecurity," Southern Economic Journal, John Wiley & Sons, vol. 82(4), pages 1147-1166, April.
    5. James P. Ziliak & Craig Gundersen, 2016. "Multigenerational Families and Food Insecurity," Southern Economic Journal, Southern Economic Association, vol. 82(4), pages 1147-1166, April.
    6. Kasper, J. & Gupta, S.K. & Tran, P. & Cook, J.T. & Meyers, A.F., 2000. "Hunger in legal immigrants in California, Texas, and Illinois," American Journal of Public Health, American Public Health Association, vol. 90(10), pages 1629-1633.
    7. Yi-Ching Lin & Dong-Chul Seo, 2017. "Cumulative family risks across income levels predict deterioration of children’s general health during childhood and adolescence," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-13, May.
    8. Ratcliffe, Caroline & McKernan, Signe-Mary, 2010. "How Much Does Snap Reduce Food Insecurity?," Contractor and Cooperator Reports 292080, United States Department of Agriculture, Economic Research Service.
    9. Jeanne Brooks-Gunn & Gary W. Evans & Pamela Kato Klebanov, 2011. "Stressing out the poor: chronic physiological stress and the income-achievement gap," Community Investments, Federal Reserve Bank of San Francisco, vol. 23(Fall), pages 22-27.
    10. Coleman-Jensen, Alisha & McFall, William & Nord, Mark, "undated". "Food Insecurity in Households With Children: Prevalence, Severity, and Household Characteristics, 2010-11," Economic Information Bulletin 262126, United States Department of Agriculture, Economic Research Service.
    11. Brent Kreider & John V. Pepper & Manan Roy, 2016. "Identifying the Effects of WIC on Food Insecurity Among Infants and Children," Southern Economic Journal, John Wiley & Sons, vol. 82(4), pages 1106-1122, April.
    12. Robynn Cox & Sally Wallace, 2016. "Identifying the Link Between Food Security and Incarceration," Southern Economic Journal, Southern Economic Association, vol. 82(4), pages 1062-1077, April.
    13. Brent Kreider & John V. Pepper & Manan Roy, 2016. "Identifying the Effects of WIC on Food Insecurity Among Infants and Children," Southern Economic Journal, Southern Economic Association, vol. 82(4), pages 1106-1122, April.
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