Cumulative Hardship and Wellness of Low-Income, Young Children: Multisite Surveillance Study

Author(s): Deborah A. Frank, MD; Patrick H. Casey, MD; Maureen M. Black, PhD; Ruth Rose-Jacobs, ScD; Mariana Chilton, PhD, MPH; Diana Cutts, MD; Elizabeth March, MCP; Timothy Heeren, PhD; Sharon Coleman, MS, MPH; Stephanie Ettinger de Cuba, MPH; John T.Cook, PhD
Published in: Pediatrics

This article shows that the level of a novel cumulative index of 3 prevalent hardships (food, housing, and energy insecurity) is a robust predictor of the health and development of children 4 to 36 months of age. In a sample size of 7,141 participants, 37% reported no material hardship, 57% moderate hardship, and 6% severe hardship. The current findings raise serious concerns about the future well-being of young children in the United States, given fluctuations in food and energy costs, foreclosures and evictions, and widespread job losses.

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