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ARTICLE WIC Participation and Attenuation of Stress-Related Child Health Risks of Household Food Insecurity and Caregiver Depressive Symptoms Maureen M. Black, PhD; Anna M. Quigg, PhD; John Cook, PhD; Patrick H. Casey, MD; Diana Becker Cutts, MD; Mariana Chilton, PhD, MPH; Alan Meyers, MD, MPH; Stephanie Ettinger de Cuba, MPH; Timothy Heeren, PhD; Sharon Coleman, MS, MPH; Ruth Rose-Jacobs, ScD; Deborah A. Frank, MD Objectives: To examine how family stressors (house- Outcome Measures: Caregivers reported child health, hold food insecurity and/or caregiver depressive symp- lifetime hospitalizations, and developmental risk. Weight toms) relate to child health and whether participation in and length were measured. We calculated weight-for- the Special Supplemental Nutrition Program for Women, age and length-for-age z scores and the risk of under- Infants, and Children (WIC) attenuates stress-related child weight or overweight. The well-child composite com- health risks. prised good/excellent health, no hospitalizations, no developmental risk, and neither underweight nor over- Design: Cross-sectional family stress and cumulative weight. stress models from January 1, 2000, through December 31, 2010. Results: In multivariate analyses adjusted for covari- ates, as stressors increased, odds of fair/poor health, hos- Setting: Families recruited from emergency depart- pitalizations, and developmental risk increased and odds ments
JAMA Pediatrics – American Medical Association
Published: May 1, 2012
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