ArticleThe Journal of nutrition2023
Food Security is Associated with Higher Diet Quality Among Children of the US-Affiliated Pacific Region.
Article in The Journal of nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Trial
- Food Insecurity and Diet Quality Among Low-Income Women in Dhaka City Amidst COVID-19 and the Ukraine Crisis: A Cross-Sectional Study.Health science reports · 2026Article
- Quadruple Burden of Young Child Malnutrition in the Children's Healthy Living Program, United States-Affiliated Pacific.The Journal of nutrition · 2026Article
- How Is U.S. Food-Insecurity Related to Dietary Quality? A Scoping Review to Inform Nutrition Security Across the Lifespan.Nutrients · 2026Article
- Diet quality of Marshallese mothers of young children in Northwest Arkansas: an exploratory study.Public health nutrition · 2025Article
- Association of household food insecurity with diet quality in a nationally representative sample of United States toddlers: a cross-sectional study.The American journal of clinical nutrition · 2025Article
- Assessing the acceptability of a culturally adapted group-based pediatric intervention, Kokajjiriri, for Marshallese mothers and infants to improve nutrition and prevent childhood obesity.Child: care, health and development · 2024Article
- Diet Quality of Young Children in the US-Affiliated Pacific's Children's Healthy Living (CHL) Program.Journal of the Academy of Nutrition and Dietetics · 2023Article
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Authors and funding
12 authors.
Funding
Abstract
backgroundThe prevalence of food insecurity and its relationship to diet quality are factors impacting the health of persons living across the United States-affiliated Pacific region (USAP).
objectivesThe aim of this study was to describe characterize the relationship between household food security status and diet quality of 2- to 8-y-old children across jurisdictions in the USAP.
methodsBaseline data from 2- to 8-y-olds (n = 3099) enrolled in the Children's Healthy Living Program for Remote Underserved Minority Populations in the Pacific region, an obesity prevention study conducted in communities across Alaska, American Samoa, Commonwealth of the Northern Mariana Islands (CNMI), Guam, and Hawaii, and a concomitant prevalence study in communities across the Freely Associated States (FAS) (the Federated States of Micronesia: Kosrae, Pohnpei, Chuuk, Yap; Republic of Marshall Islands; Republic of Palau) were collected in 2012. Caregivers self-reported sociodemographic data and food insecurity. Assisted by their caregiver, children completed two dietary records on nonconsecutive, randomly assigned days. The Healthy Eating Index 2005 (HEI-2005) was used to assess the diet quality. Data were summarized overall and by jurisdiction. Differences in HEI-2005 and HEI component scores among jurisdictions and by household food security status were tested using 1-factor ANOVA.
resultsHalf or more of participants from American Samoa, Guam, CNMI, and FAS reported household food insecurity (n = 295, 59.7%; n = 292, 49.9%; n = 267, 54.6%; n = 572, 69.0%, respectively). HEI-2005 scores varied by jurisdiction (P < 0.001) and were significantly lower among FAS participants (54.7 ± 1.2) than among all other jurisdictions (P < 0.05). Total diet quality scores did not differ by food security status (59.9 ± 0.8 food secure compared with 58.3 ± 1.1 food insecure, P = 0.07); however, most diet quality adequacy component scores were significantly higher and moderation component scores significantly lower among participants in food secure households than those in food insecure households.
conclusionsSignificant differences in children's diet quality and household food security existed across USAP jurisdictions.
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