Bidirectional Relationship Between Food Insecurity and Housing Instability.

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Publisher: Elsevier Science Publishers
Document Type: Report
Length: 588 words

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Keywords Cross-lagged path analyses; Economic hardship; Financial stress; Hunger; Housing hardship Abstract Background Due to the commonality of material hardship, food insecurity and housing instability are highly correlated. There is a need to assess the bidirectional relationship between food insecurity and housing instability over time. Objectives To examine the potential bidirectional associations between food insecurity and housing instability over a 2-year period. Design Two time points from the Fragile Families and Child Wellbeing Study were used to conduct an analysis on 2368 families. Participants/setting At baseline (1998-2000), researchers recruited primarily unmarried mothers after giving birth from 75 hospitals in 20 cities across the United States. Participants were followed up when the child was 3 years old (2001-2003) and 5 years old (2003-2005). Main outcomes measured Food insecurity was assessed using the 18-item US Department of Agriculture's Food Security Survey. Housing instability was assessed using 6 items that describe housing related hardship. Statistical analyses performed Cross-lagged path analyses using structural equation modeling were conducted to test bidirectional relationship of food insecurity and housing instability over time, controlling for sociodemographic characteristics. Results Families who experienced food insecurity at time 1 were 62% higher odds of experiencing housing instability at time 2 (odds ratio: 1.624, B = 0.485, 95% confidence interval: 0.199, 0.778), controlling for time 1 housing instability, concurrent food insecurity, and covariates. Families who experienced housing instability at time 1 were 40% increased odds of experiencing food insecurity at time 2 (odds ratio: 1.404, B = 0.339, 95% confidence interval: 0.071, 0.619), controlling for food insecurity at time 1, concurrent housing instability, and covariates. Conclusions The relationships between food insecurity and housing instability were highly correlated over time, controlling for covariates that are associated with socioeconomic status. Currently, programs designed to reduce food insecurity and housing instability function in isolation. Consolidating antipoverty programs or increasing referrals to various programs may help to reduce these 2 types of economic hardships. Author Affiliation: (1) Department of Health and Human Performance, University of Houston, Houston, TX (2) Department of Exercise Science, Arnold School of Public Health, University of South Carolina, Columbia, SC (3) Department of Research, Cizik School of Nursing, The University of Texas Health Science Center, Houston, TX * Address correspondence to: Daphne C. Hernandez, PhD, MSEd, FAAHB, Department of Research, Cizik School of Nursing, The University of Texas Health Science Center, 6901 Bertner Avenue, Ste 591, Houston, TX 77030. Article History: Received 3 June 2020; Accepted 19 August 2020 (footnote) STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors. (footnote) FUNDING/SUPPORT Research reported in this publication was supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development of the National Institutes of Health under award numbers R01HD36916, R01HD39135, and R01HD40421, as well as a consortium of private foundations. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The last author's time was partially supported by the William T. Grant Foundation (Grant 187656). (footnote) AUTHOR CONTRIBUTIONS C. Y. Lee and X. Zhao led the data analyses with contributions from L. Reesor-Oyer. C. Y. Lee and X. Zhao wrote the first draft with contributions from D. C. Hernandez. All authors reviewed and commented on subsequent drafts of the manuscript. D. C. Hernandez conceptualized the study and supervised all aspects of the project. Byline: Che Young Lee, MS (1), Xue Zhao, MS (1), Layton Reesor-Oyer, PhD (2), Aliye B. Cepni (1), Daphne C. Hernandez, PhD, MSEd,FAAHB [daphne.hernandez@uth.tmc.edu] (3,*)

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Gale Document Number: GALE|A648869800