IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0272614.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0272614
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0272614&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0272614?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    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., 2009. "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, December.
    4. repec:wly:soecon:v:82:4:y:2016:p:1147-1166 is not listed on IDEAS
    5. repec:wly:soecon:v:82:4:y:2016:p:1062-1077 is not listed on IDEAS
    6. James P. Ziliak & Craig Gundersen, 2016. "Multigenerational Families and Food Insecurity," Southern Economic Journal, John Wiley & Sons, vol. 82(4), pages 1147-1166, April.
    7. James P. Ziliak & Craig Gundersen, 2016. "Multigenerational Families and Food Insecurity," Southern Economic Journal, Southern Economic Association, vol. 82(4), pages 1147-1166, April.
    8. 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.
    9. 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.
    10. 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.
    11. 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.
    12. Coleman-Jensen, Alisha & McFall, William & Nord, Mark, 2013. "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.
    13. 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.
    14. repec:wly:soecon:v:82:4:y:2016:p:1106-1122 is not listed on IDEAS
    15. 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.
    16. 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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Nahida Afroz & Enamul Kabir & Khorshed Alam, 2023. "A latent class analysis of the socio-demographic factors and associations with mental and behavioral disorders among Australian children and adolescents," PLOS ONE, Public Library of Science, vol. 18(5), pages 1-17, May.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jun Zhang & Yanghao Wang & Steven T. Yen, 2021. "Does Supplemental Nutrition Assistance Program Reduce Food Insecurity among Households with Children? Evidence from the Current Population Survey," IJERPH, MDPI, vol. 18(6), pages 1-15, March.
    2. Rabbitt, Matthew P. & Smith, Michael D. & Coleman-Jensen, Alisha, 2016. "Food Security Among Hispanic Adults in the United States, 2011-2014," Economic Information Bulletin 262144, United States Department of Agriculture, Economic Research Service.
    3. Merryn Maynard & Jennifer Dean & Paulina I. Rodriguez & Gobika Sriranganathan & Mona Qutub & Sharon I. Kirkpatrick, 2019. "The Experience of Food Insecurity Among Immigrants: a Scoping Review," Journal of International Migration and Integration, Springer, vol. 20(2), pages 375-417, May.
    4. Ana McCormick Myers & Matthew A. Painter, 2017. "Food insecurity in the United States of America: an examination of race/ethnicity and nativity," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 9(6), pages 1419-1432, December.
    5. Karnik, Harshada & Peterson, Hikaru Hanawa, 2023. "Food security among low-income immigrant households and the role of social capital: A case study of Somali-American households in the Midwestern United States," Food Policy, Elsevier, vol. 117(C).
    6. Brunie, Aurélie & Fumagalli, Laura & Martin, Thomas & Field, Samuel & Rutherford, Diana, 2014. "Can village savings and loan groups be a potential tool in the malnutrition fight? Mixed method findings from Mozambique," Children and Youth Services Review, Elsevier, vol. 47(P2), pages 113-120.
    7. Eva Clark & Karla Fredricks & Laila Woc-Colburn & Maria Elena Bottazzi & Jill Weatherhead, 2020. "Disproportionate impact of the COVID-19 pandemic on immigrant communities in the United States," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 14(7), pages 1-9, July.
    8. Kyung Min Kang & Robert A. Moffitt, 2019. "The Effect of SNAP and School Food Programs on Food Security, Diet Quality, and Food Spending: Sensitivity to Program Reporting Error," Southern Economic Journal, John Wiley & Sons, vol. 86(1), pages 156-201, July.
    9. Barrett Lee & Adam Lippert, 2021. "Food insecurity among homeless and precariously housed children in the United States: Lessons from the past," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 45(37), pages 1115-1148.
    10. Di Fang & Michael R. Thomsen & Rodolfo M. Nayga & Wei Yang, 2022. "Food insecurity during the COVID-19 pandemic: evidence from a survey of low-income Americans," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 14(1), pages 165-183, February.
    11. Nicholas Moellman & Cody N. Vaughn, 2024. "Medicaid generosity and food hardship among children," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 43(2), pages 400-419, March.
    12. Helen Lee & Sarah Shea Crowne & Melanie Estarziau & Keith Kranker & Charles Michalopoulos & Anne Warren & Tod Mijanovich & Jill H. Filene & Anne Duggan & Virginia Knox, "undated". "The Effects of Home Visiting on Prenatal Health, Birth Outcomes, and Health Care Use in the First Year of Life: Final Implementation and Impact Findings from the Mother and Infant Home Visiting Progra," Mathematica Policy Research Reports a9626a8d90bf4f01811d0c9d7, Mathematica Policy Research.
    13. Ralston, Katherine & Treen, Katie & Coleman-Jensen, Alisha & Guthrie, Joanne, 2017. "Children’s Food Security and USDA Child Nutrition Programs," Economic Information Bulletin 259730, United States Department of Agriculture, Economic Research Service.
    14. Rigdon, Joseph & Berkowitz, Seth A. & Seligman, Hilary K. & Basu, Sanjay, 2017. "Re-evaluating associations between the Supplemental Nutrition Assistance Program participation and body mass index in the context of unmeasured confounders," Social Science & Medicine, Elsevier, vol. 192(C), pages 112-124.
    15. Karen S Hamrick & Margaret Andrews, 2016. "SNAP Participants’ Eating Patterns over the Benefit Month: A Time Use Perspective," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-18, July.
    16. Rabbitt, Matthew P. & Reed-Jones, Madeline & Hales, Laura J. & Burke, Michael P., 2024. "Household Food Security in the United States in 2023," Economic Research Report 344963, United States Department of Agriculture, Economic Research Service.
    17. Cesar Montalvo & Vicki Lancaster & Joseph J. Salvo & Stephanie Shipp, 2024. "A novel approach to assessing food insecurity for small geographic areas using household living budgets," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 16(6), pages 1569-1586, December.
    18. Michael G. Vaughn & Christopher P. Salas-Wright & Sandra Naeger & Jin Huang & Alex R. Piquero, 2016. "Childhood Reports of Food Neglect and Impulse Control Problems and Violence in Adulthood," IJERPH, MDPI, vol. 13(4), pages 1-17, March.
    19. Charlotte Bauch & Liv Elin Torheim & Kari Almendingen & Marianne Molin & Laura Terragni, 2023. "Food Habits and Forms of Food Insecurity among International University Students in Oslo: A Qualitative Study," IJERPH, MDPI, vol. 20(3), pages 1-20, February.
    20. Sandile Mthethwa & Edilegnaw Wale, 2021. "Household Vulnerability to Food Insecurity in Rural South Africa: Evidence from a Nationally Representative Survey Data," IJERPH, MDPI, vol. 18(4), pages 1-17, February.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0272614. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.