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Objective: To examine the association of household food insecurity with child self-or proxy-reported health-related quality of life (HRQOL). Design: Cross -sectional telephone survey from January 1, 2000, through June 30, 2000.Partic ipants: Three hundred ninety-nine children who live in 36 counties of the Delta region of Arkansas, Louisiana, and Mississippi. Main Outcome Measures: Househol d food insecurity status was measured using the US Household Food Security Scale. Child HRQOL was measured by the Pediatric Qu ality of Life Inventory, QL version 4.0.Analysis: Summary statistics, linear a nd logistic regressions, incorporating survey weights, performed with SUDAAN ver sion 8.Results: Household food insecurity was significantly associated with tot al child HRQOL (P < .05) and physical function (P < .05), adjusted for child a ge, ethnicity, gender, and family income. Children aged 3 through 8 years in foo d insecure households were reported by parents to have lower physical function ( P =.001), while children aged 12 through 17 years reported lower psychosocial f unction (P=.007). Black males in food insecure households reported lower physic al function (P < .05) and lower total HRQOL (P < .05). Conclusions: Children w ho live in food insecure households have poorer HRQOL. The effect on physical or psychosocial function may differ by age, ethnicity, and gender. Food security s hould be considered an important risk factor for child health.
Objective: To examine the association of household food insecurity with child self-or proxy-reported health-related quality of life (HRQOL). Design: Cross -sectional telephone survey from January 1, 2000, through June 30, 2000. Particulary ipants: Three hundred ninety-nine children who live in 36 counties of the Delta region of Arkansas, Louisiana, and Mississippi. Main Outcome Measures: Househol d food insecurity status was measured using the US Household Food Security Scale. Child HRQOL was measured by the Pediatric Qu ality of Life Inventory, QL version 4.0. Analysis: Summary statistics, linear a nd logistic regressions, incorporating survey weights, performed with SUDAAN ver sion 8. Results: Household food insecurity was significantly associated with total child HRQOL (P <.05) and physical function (P <.05), adjusted for child a ge, ethnicity, gender, and family income. (P = .001), while children aged 12 through 17 years reported lower psychosocial f unction (P = .007). Black males in food insecure households reported lower physic al function (P <.05) and lower total HRQOL (P < .05). Conclusions: Children w ho live in food insecure households have poorer HRQOL. The effect on physical or psychosocial function may differ by age, ethnicity, and gender. Food security s hould be considered an important risk factor for child health.