ArticlePublic health nutrition2022
The correlation between food insecurity and infant mortality in North Carolina.
Article in Public health nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health outcomes following childhood or adolescent exposure to household food insecurity: a rapid systematic review.Public health nutrition · 2025Pooled it
- Fresh Food Rx: Evaluating the Impact of a Produce Prescription Program on Engagement and Well-being Using the RE-AIM Framework.Journal of general internal medicine · 2026Article
- Food Insecurity, Walkability, and Social Determinants of Health: A Cross-Sectional, County-Level Study of Associations with Maternal and Infant Mortality in the United States.Healthcare (Basel, Switzerland) · 2025Article
- Impact of COVID-19 on Infants followed after Discharge from the Neonatal Intensive Care Unit Using a Telemedicine Model.American journal of perinatology · 2024Article
- Birth outcomes in relation to neighborhood food access and individual food insecurity during pregnancy in the Environmental Influences on Child Health Outcomes (ECHO)-wide cohort study.The American journal of clinical nutrition · 2024Article
- Food Insecurity Is Associated with Diet Quality in Pregnancy: A Cross-Sectional Study.Nutrients · 2024Article
- Food insecurity is associated with low diet quality and unhealthy cooking and eating habits in Iranian women.Journal of health, population, and nutrition · 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
- Sudden Unexpected Infant Deaths: 2015-2020.Pediatrics · 2023Article
- The impact of food insecurity on health outcomes: empirical evidence from sub-Saharan African countries.BMC public health · 2023Article
- In this issue - Food insecurity.Public health nutrition · 2022Article
- An Evaluation of Community-Based Educational Programming for Prevention of Infant Mortality Among African Americans.Women's health reports (New Rochelle, N.Y.)Article
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Authors and funding
3 authors.
Funding
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Abstract
objectiveFood insecurity (FI) affects approximately 11·1 % of US households and is related to worsened infant outcomes. Evidence in lower income countries links FI and infant mortality rates (IMR), but there are limited data in the USA. This study examines the relationship between FI and IMR in North Carolina (NC).
designNC county-level health data were used from the 2019 Robert Woods Johnson Foundation County Health Rankings. The dependent variable was county-level IMR. Eighteen county-level independent variables were selected and a multivariable linear regression was performed. The independent variable, FI, was based on the United States Department of Agriculture's Food Security Supplement to the Current Population Survey.
settingNC counties.
participantsResidents of NC, county-level data.
resultsThe mean NC county-level IMR was 7·9 per 1000 live births compared with 5·8 nationally. The average percentage of county population reporting FI was 15·4 % in the state v. 11·8 % nationally. Three variables statistically significantly predicted county IMR: percent of county population reporting FI; county population and percent population with diabetes (P values, respectively, < 0·04; < 0·05; < 0·03). These variables explained 42·4 % of the variance of county-level IMR. With the largest standardised coefficient (0·247), FI was the strongest predictor of IMR.
conclusionsFI, low birth weight and diabetes are positively correlated with infant mortality. While correlation is not causation, addressing FI as part of multifaceted social determinants of health might improve county-level IMR in NC.
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