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Children’s reporting of food insecurity in predominately food insecure households in Texas border colonias

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      Abstract

      Background

      Food insecurity is associated with detrimental physical, psychological, behavioral, social, and educational functioning in children and adults. Greater than one-quarter of all Hispanic households in the U.S. are food insecure. Hispanic families in the U.S. comprise 30% of households with food insecurity at the child level, the most severe form of the condition.

      Methods

      Food security discordance was evaluated among 50 Mexican-origin children ages 6–11 and their mothers living in Texas border colonias from March to June 2010. Mothers and children were interviewed separately using promotora-researcher administered Spanish versions of the Household Food Security Survey Module and the Food Security Survey Module for Youth. Cohen’s kappa statistic (κ) was used to analyze dyadic agreement of food security constructs and level of food security.

      Results

      Eighty percent of mothers reported household food insecurity while 64% of children identified food insecurity at the child level. There was slight inter-rater agreement in food security status (κ = 0.13, p = 0.15). Poor agreement was observed on the child hunger construct (κ = −0.06, p = 0.66) with fair agreement in children not eating for a full day (κ = 0.26, p < 0.01) and relying on low-cost foods (κ = 0.23, p = 0.05).

      Conclusions

      Mother and child-reported household and child-level food insecurity among this sample of limited-resource Mexican-origin colonias residents far surpass national estimates. While the level of dyadic agreement was poor, discordance may be attributable to parental buffering, social desirability in responses, and/or the age of children included in the present analysis. Future research should continue to explore how food security is understood from the perspectives and experiences of children and adolescents.

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      Most cited references 34

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      The measurement of observer agreement for categorical data.

       G Koch,  J R Landis (1977)
      This paper presents a general statistical methodology for the analysis of multivariate categorical data arising from observer reliability studies. The procedure essentially involves the construction of functions of the observed proportions which are directed at the extent to which the observers agree among themselves and the construction of test statistics for hypotheses involving these functions. Tests for interobserver bias are presented in terms of first-order marginal homogeneity and measures of interobserver agreement are developed as generalized kappa-type statistics. These procedures are illustrated with a clinical diagnosis example from the epidemiological literature.
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        • Record: found
        • Abstract: not found
        • Article: not found

        The measurement of observer agreement for categorical data

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          • Record: found
          • Abstract: not found
          • Article: not found

          The measurement of observer agreement for categorical data

           JR Landis,  GG Koch (1977)
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            Author and article information

            Affiliations
            [1 ]Program for Research in Nutrition and Health Disparities, School of Rural Public Health, Texas A&M Health Science Center, MS 1266, College Station, 77843–1266, Texas, TX, USA
            Contributors
            Journal
            Nutr J
            Nutr J
            Nutrition Journal
            BioMed Central
            1475-2891
            2013
            28 January 2013
            : 12
            : 15
            23356877
            3598463
            1475-2891-12-15
            10.1186/1475-2891-12-15
            Copyright ©2013 Nalty et al; licensee BioMed Central Ltd.

            This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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            Research

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