ArticleBMJ open2019
Timing of household food insecurity exposures and asthma in a cohort of US school-aged children.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Health outcomes following childhood or adolescent exposure to household food insecurity: a rapid systematic review.Public health nutrition · 2025Pooled it
- Development and Usability of a Social Determinants of Health Dashboard in School-based Health.Computers, informatics, nursing : CIN · 2026Article
- Household food insecurity and its impact on child and adolescent health outcomes in Western high-income countries: a rapid review of mechanisms and associations.Public health nutrition · 2025Review
- Food Insecurity Is Associated With Current Asthma, Wheeze, and Lung Function in Children and Adults.The clinical respiratory journal · 2025Article
- Impact of socioeconomic factors on allergic diseases.The Journal of allergy and clinical immunology · 2024Review
- Global burden of asthma in young adults in 204 countries and territories, 1990-2019: Systematic analysis of the Global burden of disease study 2019.Preventive medicine reports · 2024Article
- Sick, Hungry, and Vulnerable: Federal Stimulus and Food Security on Marginalized Populations During the COVID-19 Pandemic.Journal of racial and ethnic health disparities · 2023Article
- The Association of Food Insecurity With Asthma Control in Adults During COVID-19.The journal of allergy and clinical immunology. In practice · 2023Article
- Patients' experiences with a community fruit and vegetable box program prescribed by their health provider.BMC public health · 2023Article
- Associations of household food insufficiency with childhood depression and anxiety: a nationwide cross-sectional study in the USA.BMJ open · 2021Article
- Household food insecurity and school readiness among preschool-aged children in the USA.Public health nutrition · 2021Article
- Environmental Health Threats to Latino Migrant Farmworkers.Annual review of public health · 2021Article
- Childhood food insecurity and incident asthma: A population-based cohort study of children in Ontario, Canada.PloS one · 2021Article
- Household food insecurity is associated with asthma control in Peruvian children living in a resource-poor setting.The Journal of asthma : official journal of the Association for the Care of Asthma · 2020Article
- Structural and Social Determinants of Health in Asthma in Developed Economies: a Scoping Review of Literature Published Between 2014 and 2019.Current allergy and asthma reports · 2020Article
- Association between Household Food Insecurity and Asthma in Korean Adults.International journal of environmental research and public health · 2019Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveFood insecurity is positively associated with asthma, the most common chronic childhood disease, yet directionality is unclear. The objective was to determine the association between exposure to food insecurity in early childhood and the odds of asthma later in childhood.
designData from four waves of the Early Childhood Longitudinal Study-Kindergarten (ECLS-K) cohort, a prospective, dual-frame, multistage probability cluster sampling study of school-aged US children were entered in multivariate logistic regression models, adjusted for covariates. Exposures to food insecurity were based on parental responses to the validated USDA 18-item module at each wave.
settingPublic and private primary and secondary schools between 1998 and 2007.
participantsAt its inception (1999), the ECLS-K had 20 578 kindergarteners; by the spring of eighth grade (2007), the cohort dropped to 9725 due to attrition. Children missing an exposure, outcome or confounding variable were excluded, final n=6731. PRIMARY OUTCOME MEASURE: Child's diagnosis of asthma by a healthcare professional as reported by the parent.
resultsHousehold food insecurity (vs food security) in the year before kindergarten and in second grade had a higher odds of asthma by 18% (95% CI 1.17 to 1.20) and 55% (95% CI 1.51 to 1.55). After removing asthmatics before third grade from the model, food insecurity in second grade was associated with higher odds of asthma at fifth or eighth grades (OR 1.55; 95% CI 1.53 to 1.58), whereas food insecurity in the year before kindergarten had a lower odds at fifth or eighth grades.
conclusionsFood insecurity in the year before kindergarten and in second grade were associated with a higher odds of asthma in third grade. Food insecurity in second grade retained the signal for increased odds of asthma after third and through eighth grades. Additional research is needed to explore childhood windows of vulnerability to asthma.
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