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For 25 Years, Food Security Has Included a Nutrition Domain: Is a New Measure of Nutrition Security Needed?

Originally Posted in the Journal of the Academy of Nutrition and Dietetics (JAND) THE US HOUSEHOLD FOOD SECURITY SURVEY MODULE AND ITS RELATIONSHIP WITH NUTRITION Access to adequate, nutritious food, particularly in early childhood, is essential for keeping current and future generations healthy across the life span. When families lack enough resources to afford competing […]

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Prenatal WIC is Associated with Increased Birthweight of Infants Born in the United States with Immigrant Mothers

Background: The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) improves health outcomes for participating mothers and children. Recent immigration policy changes increased chilling effects on WIC access and utilization. Associations between WIC participation and neonatal outcomes among infants born to immigrant parent(s)—23% of all births in the United States (US)—are understudied. Objective:To examine […]

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Household unmet basic needs in the first 1000 days and preterm birth status

Objective: To examine the relationship of individual and composite number of unmet basic needs (housing, energy, food, and healthcare hardships) in the past year with preterm birth status among children aged 0–24 months. Study Design: We examined cross-sectional 2011–18 data of 17,926 families with children aged 0–24 months. We examined children born <31 weeks’, 31–33 weeks’, […]

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Association of the Implementation of Child Tax Credit Advance Payments With Food Insufficiency in US Households

Key Points Question: Was the introduction of advance payments for the Child Tax Credit associated with food insufficiency in US households? Findings: In this cross-sectional study using repeated surveys of a nationally representative sample of US households, the introduction of advance payments for the Child Tax Credit was associated with a significant reduction in household food […]

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The immigrant birthweight paradox in an urban cohort: Role of immigrant enclaves and ambient air pollution

Immigrants are a rapidly growing population in the United States (US). By the year 2065, immigrants and subsequent generations will account for 88% of the country’s growth or ~103 million people [1]. As such, research that investigates drivers of perinatal health outcomes among immigrants is critical for shaping the health of future generations. Low birthweight […]

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Postnatal exposure to PM2.5 and weight trajectories in early childhood

Background: Inconsistent evidence has assessed the impact of air pollution exposure on children’s growth trajectories. We investigated the role of 90-day average postnatal fine particulate matter (PM2.5) exposures by estimating the magnitude of effects at different ages, and the change in child weight trajectory by categories of exposure. Methods: We obtained weight values from electronic health […]

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Can the Hunger Vital Sign™ act as a prescreen for other social needs?

Over the past decade, the health care community has demonstrated growing interest in and commitment to addressing social determinants of health (SDOH) and patients’ social needs – the midstream manifestations of the impact of SDOH1 – in clinical settings. Four out of 5 US hospitals demonstrate leadership commitment to systematically address social needs as part […]

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Failure to Thrive or Growth Faltering: Medical, Developmental/Behavioral, Nutritional, and Social Dimensions

Practice Gap Beyond recognizing the medical and nonmedical dimensions that often interact to cause childhood growth faltering and malnutrition, it is important to understand the role of pediatric feeding disorders, to screen for and address social determinants of health, and to understand the multidisciplinary model of treatment. Objectives After completing this article, readers should be able […]

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Housing and Neighborhoods as Root Causes of Child Poverty

Understanding how housing inequities among families with children are rooted in structural racism is important for identifying opportunities to engage in ongoing and collective work as pediatricians to lift children out of poverty. This article discusses the complex mechanisms between housing and child and family health outcomes, and offers potential solutions linking housing, health programs, […]