Observational studyAcademic pediatrics2021
Associations Between Prenatal Food Insecurity and Prematurity, Pediatric Health Care Utilization, and Postnatal Social Needs.
Observational study in Academic pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 4 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Health outcomes following childhood or adolescent exposure to household food insecurity: a rapid systematic review.Public health nutrition · 2025Pooled it
- Associations between food insecurity in high-income countries and pregnancy outcomes: A systematic review and meta-analysis.PLoS medicine · 2024Pooled it
- Healthcare-based interventions to address food insecurity during pregnancy: a systematic review.American journal of obstetrics & gynecology MFM · 2023Pooled it
- Pooled it
- Effects of an agricultural intervention on psychosocial health among pregnant and nonpregnant women with HIV in Kenya.AIDS (London, England) · 2026Trial
- A decomposition analysis to evaluate the role of social, chemical, and neighborhood factors on the Black/White disparity in preterm birth in Greater Houston, Texas.Environmental epidemiology (Philadelphia, Pa.) · 2026Article
- Article
- Policy, Price, and Perception: A Phenomenological Qualitative Study of the Rural Food Environment Among Latina Households.International journal of environmental research and public health · 2025Article
- Exploring a food is medicine pilot program to improve dietary quality among rural perinatal patients.BMC nutrition · 2025Article
- Food insecurity during pregnancy and associated perinatal outcomes: a scoping review.Epidemiologic reviews · 2025Article
- Food Insecurity in Pregnancy, Receipt of Food Assistance, and Perinatal Complications.JAMA network open · 2025Article
- Social needs and healthcare utilization in NICU graduates.Journal of perinatology : official journal of the California Perinatal Association · 2024Article
- Food Insecurity Is Associated with Diet Quality in Pregnancy: A Cross-Sectional Study.Nutrients · 2024Article
- Environmental Justice: A Missing Core Tenet of Global Health.The American journal of bioethics : AJOB · 2024Article
- Factors Contributing to the Health of 0- to 5-Year-Old Low-Birth-Weight Children in the United States: Application of the Multiple Disadvantage Model.European journal of investigation in health, psychology and education · 2024Article
- Understanding Food Insecurity as a Determinant of Health in Pregnancy Within the United States: An Integrative Review.Health equity · 2024Review
- Impact of sex, race, and social determinants of health on neonatal outcomes.Frontiers in pediatrics · 2024Review
- Predicting food insecurity in a pediatric population using the electronic health record.Journal of clinical and translational science · 2024Article
- Study design and protocol for Nourishing Beginnings, an integrated service delivery model addressing food insecurity and social needs of low-income pregnant individuals.Contemporary clinical trials · 2023Article
- Water insecurity, food insecurity and social capital associated with a group-led microfinance programme in semi-rural Kenya.Global public health · 2022Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveChildhood food insecurity endangers child development and health outcomes. Food insecurity will grow increasingly common in the economic wake of the coronavirus pandemic and prenatal care represents an early, clinical opportunity to identify families at risk. However, longitudinal relationships between clinically-identified prenatal food insecurity and prematurity, pediatric health care utilization, and postnatal social needs have not been described.
methodsWe examined longitudinal data from mother-child dyads who received prenatal and pediatric care and social needs screening at a large academically-affiliated safety net medical center between October 2018 and July 2019. Associations among household food insecurity and premature birth, pediatric inpatient and outpatient utilization, missed immunizations, and postnatal social needs were estimated using adjusted regression.
resultsAmong the 268 mothers, those who experienced prenatal household food insecurity had 3 times higher odds of having a child born prematurely (95% confidence interval [CI] 1.0-8.9, P = .05) and had children with higher inpatient hospitalizations (incidence rate ratio [IRR] 2.4, 95% CI 1.0-5.6, P = .04) and missed immunizations (IRR 3.4, 95% CI 1.1-10.3, P = .03) in the first 6 months of the child's life. These mothers also had higher odds of having any social needs in the pediatric setting (odds ratio 3.4; 95% CI 1.5-8.0, P = .004).
conclusionsPrenatal household food insecurity was linked to future adverse perinatal and pediatric outcomes in low-income mother-child dyads. Food insecurity identifies children at social and medical risk, providing an early clinical opportunity to intervene.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.