The effect of maternal food insecurity transitions on housing insecurity in a population-based sample of mothers of young children

Erin Nolen; Catherine Cubbin; Mackenzie Brewer; Erin Nolen; Catherine Cubbin; Mackenzie Brewer

doi:10.3934/publichealth.2022001

AIMS Public Health

2022, Volume 9, Issue 1: 1-16. doi: 10.3934/publichealth.2022001

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Research article

The effect of maternal food insecurity transitions on housing insecurity in a population-based sample of mothers of young children

1.
Steve Hicks School of Social Work, University of Texas at Austin, Austin, TX, USA
2.
Dell Medical School, Department of Population Health, University of Texas at Austin, Austin, TX, USA
3.
Department of Sociology, Baylor University, Waco, TX, USA

Received: 13 July 2021 Accepted: 20 October 2021 Published: 04 November 2021

Background
Studies have shown a link between food insecurity and housing problems, including trouble paying rent. Additional research is needed to test the longitudinal effect of food insecurity on housing insecurity in a socio-demographically diverse, population-based sample. We tested whether food insecurity transitions predicted housing insecurity using a housing insecurity index consisting of housing and neighborhood factors. We also tested whether social cohesion or social support mediated the food/housing insecurity relationship.
Method
Data were analyzed from a sample of 2868 mothers of young children residing in California at two time points: the baseline Maternal and Infant Health Assessment (2003–2007) and follow-up Geographic Research on Wellbeing survey (2012–2013). Women were categorized as food insecure both times; became food insecure; became food secure; and food secure both times. We constructed linear regression models for housing insecurity: models regressing each variable separately; a model regressing sociodemographic covariates and food insecurity status; mediation models adding social cohesion or social support; and mediation models for each racial/ethnic group.
Results
Food insecurity transitions were associated with housing insecurity in a gradient pattern. Compared to women who were food secure both times, housing insecurity was highest among women who were food insecure both times, followed by those who became food insecure, and then those who transitioned out of food insecurity (became food secure). Food insecurity remained a significant risk factor for housing insecurity even after adjusting sociodemographic covariates. While social support and social cohesion were negatively associated with housing insecurity, there was limited evidence that social support/cohesion mediated the food insecurity/housing insecurity relationships.
Conclusions
The lack of substantial mediation suggests that factors beyond social ties may explain the food and housing insecurity relationship. Efforts to reduce material hardship should consist of streamlined policy efforts that offer tangible supports for women and their families.
- food insecurity,
- housing insecurity,
- social cohesion,
- social support,
- population-based
Citation: Erin Nolen, Catherine Cubbin, Mackenzie Brewer. The effect of maternal food insecurity transitions on housing insecurity in a population-based sample of mothers of young children[J]. AIMS Public Health, 2022, 9(1): 1-16. doi: 10.3934/publichealth.2022001

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Abstract

Background

Studies have shown a link between food insecurity and housing problems, including trouble paying rent. Additional research is needed to test the longitudinal effect of food insecurity on housing insecurity in a socio-demographically diverse, population-based sample. We tested whether food insecurity transitions predicted housing insecurity using a housing insecurity index consisting of housing and neighborhood factors. We also tested whether social cohesion or social support mediated the food/housing insecurity relationship.

Method

Data were analyzed from a sample of 2868 mothers of young children residing in California at two time points: the baseline Maternal and Infant Health Assessment (2003–2007) and follow-up Geographic Research on Wellbeing survey (2012–2013). Women were categorized as food insecure both times; became food insecure; became food secure; and food secure both times. We constructed linear regression models for housing insecurity: models regressing each variable separately; a model regressing sociodemographic covariates and food insecurity status; mediation models adding social cohesion or social support; and mediation models for each racial/ethnic group.

Results

Food insecurity transitions were associated with housing insecurity in a gradient pattern. Compared to women who were food secure both times, housing insecurity was highest among women who were food insecure both times, followed by those who became food insecure, and then those who transitioned out of food insecurity (became food secure). Food insecurity remained a significant risk factor for housing insecurity even after adjusting sociodemographic covariates. While social support and social cohesion were negatively associated with housing insecurity, there was limited evidence that social support/cohesion mediated the food insecurity/housing insecurity relationships.

Conclusions

The lack of substantial mediation suggests that factors beyond social ties may explain the food and housing insecurity relationship. Efforts to reduce material hardship should consist of streamlined policy efforts that offer tangible supports for women and their families.

Acknowledgments

This work was supported by a Research Scholar Grant from the American Cancer Society (Grant No. RSGT-11-010-01-CPPB) to C. Cubbin and by a grant (Grant No. P2CHD042849) awarded to the Population Research Center at The University of Texas at Austin by the Eunice Kennedy Shriver National Institute of Child Health and Human Development.

Conflict of interest

All authors declare no conflicts of interest in this paper.

References

[1]	Coleman-Jensen A, Rabbitt M, Gregory C, et al. (2020) Household food security in the United States in 2019. United States Department of Agriculture Economic Research Service Available from: https://www.ers.usda.gov/webdocs/publications/99282/err-275.pdf?v=9181.4.
[2]	Heflin C, London AS, Scott EK (2011) Mitigating material hardship: The strategies low-income families employ to reduce the consequences of poverty. Sociol Inq 81: 223-246. doi: 10.1111/j.1475-682X.2011.00369.x
[3]	Knowles M, Rabinowich J, De Cuba SE, et al. (2016) “Do you wanna breathe or eat?”: Parent perspectives on child health consequences of food insecurity, trade-offs, and toxic stress. Matern Child Hlth J 20: 25-32. doi: 10.1007/s10995-015-1797-8
[4]	Whitaker RC, Phillips SM, Orzol SM (2006) Food insecurity and the risks of depression and anxiety in mothers and behavior problems in their preschool-aged children. Pediatrics 118: e859-e868. doi: 10.1542/peds.2006-0239
[5]	Broussard NH (2019) What explains gender differences in food insecurity? Food Policy 83: 180-194. doi: 10.1016/j.foodpol.2019.01.003
[6]	Cook JT, Frank DA, Casey PH, et al. (2008) A brief indicator of household energy security: Associations with food security, child health, and child development in US infants and toddlers. Pediatrics 122: e867-e875. doi: 10.1542/peds.2008-0286
[7]	Kirkpatrick SI, Tarasuk V (2011) Housing circumstances are associated with household food access among low-income urban families. J Urban Health 88: 284-296. doi: 10.1007/s11524-010-9535-4
[8]	Cutts DB, Meyers AF, Black MM, et al. (2011) US housing insecurity and the health of very young children. Am J Public Health 101: 1508-1514. doi: 10.2105/AJPH.2011.300139
[9]	Cox R, Henwood B, Rodnyansky S, et al. (2019) Road map to a unified measure of housing insecurity. Cityscape 21: 93-128.
[10]	King C (2018) Food insecurity and housing instability in vulnerable families. Rev Econ Househ 16: 255-273.
[11]	Huang X, King C (2018) Food insecurity transitions and housing hardships: Are immigrant families more vulnerable? J Urban Affairs 40: 1146-1160. doi: 10.1080/07352166.2018.1468222
[12]	Sandel M, Sheward R, Ettinger de Cuba S, et al. (2018) Unstable housing and caregiver and child health in renter families. Pediatrics 141. doi: 10.1542/peds.2017-2199
[13]	Denney JT, Kimbro RT, Heck K, et al. (2017) Social cohesion and food insecurity: Insights from the Geographic Research on Wellbeing (GROW) study. Matern Child Hlth J 21: 343-350. doi: 10.1007/s10995-016-2119-5
[14]	Sampson RJ, Raudenbush SW, Earls F (1997) Neighborhoods and violent crime: A multilevel study of collective efficacy. Science 277: 918-924. doi: 10.1126/science.277.5328.918
[15]	Chung WT, Gallo WT, Giunta N, et al. (2012) Linking neighborhood characteristics to food insecurity in older adults: The role of perceived safety, social cohesion, and walkability. J Urban Health 89: 407-418. doi: 10.1007/s11524-011-9633-y
[16]	Dean WR, Sharkey JR (2011) Food insecurity, social capital and perceived personal disparity in a predominantly rural region of Texas: An individual-level analysis. Soc Sci Med 72: 1454-1462. doi: 10.1016/j.socscimed.2011.03.015
[17]	Dean WR, Sharkey JR, Johnson CM (2011) Food insecurity is associated with social capital, perceived personal disparity, and partnership status among older and senior adults in a largely rural area of central Texas. J Nutr Gerontol Geriatr 30: 169-186. doi: 10.1080/21551197.2011.567955
[18]	Carter MA, Dubois L, Tremblay MS, et al. (2012) Local social environmental factors are associated with household food insecurity in a longitudinal study of children. BMC Public Health 12: 1038. doi: 10.1186/1471-2458-12-1038
[19]	Kirkpatrick SI, Tarasuk V (2010) Assessing the relevance of neighbourhood characteristics to the household food security of low-income Toronto families. Public Health Nutr 13: 1139-1148. doi: 10.1017/S1368980010000339
[20]	Brisson D (2012) Neighborhood social cohesion and food insecurity: A longitudinal study. J Soc Social Work Res 3: 268-279. doi: 10.5243/jsswr.2012.16
[21]	Leete L, Bania N (2010) The effect of income shocks on food insufficiency. Rev Econ Household 8: 505-526. doi: 10.1007/s11150-009-9075-4
[22]	Brewer M, Kimbro RT, Denney JT (2019) Families in context: Food insecurity among hispanic immigrant and nonimmigrant households with children. Fam Community Health 42: 283-291. doi: 10.1097/FCH.0000000000000236
[23]	Rinki C, Martin K, Curtis M (2012) 2010 MIHA county report: A summary report of county snapshots and geographic comparisons from the Maternal and Infant Health Assessment Survey. California Department of Public Health, Maternal, Child and Adolescent Health Program, 2012 .
[24]	Cubbin C, Braveman PA, Marchi KS, et al. (2002) Socioeconomic and racial/ethnic disparities in unintended pregnancy among postpartum women in California. Matern Child Hlth J 6: 237-246. doi: 10.1023/A:1021158016268
[25]	Cubbin C (2015) Survey methodology of the geographic research on wellbeing (GROW) study. BMC Rese Notes 8: 1-10. doi: 10.1186/1756-0500-8-1
[26]	Blumberg SJ, Bialostosky K, Hamilton WL, et al. (1999) The effectiveness of a short form of the Household Food Security Scale. Am J Public Health 89: 1231-1234. doi: 10.2105/AJPH.89.8.1231
[27]	Pruitt SL, Jeffe DB, Yan Y, et al. (2012) Reliability of perceived neighbourhood conditions and the effects of measurement error on self-rated health across urban and rural neighbourhoods. J Epidemiol Community Health 66: 342-351. doi: 10.1136/jech.2009.103325
[28]	Baron RM, Kenny DA (1986) The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. J Pers Soc Psychol 51: 1173-1182. doi: 10.1037/0022-3514.51.6.1173
[29]	Feeding America (2021) The impact of Coronavirus on food insecurity in 2020 and 2021 Available from: https://www.feedingamerica.org.
[30]	Bartfeld J, Dunifon R (2006) State-level predictors of food insecurity among households with children. J Policy Anal Manage 25: 921-942. doi: 10.1002/pam.20214
[31]	Lee CY, Zhao X, Reesor-Oyer L, et al. (2021) Bidirectional relationship between food insecurity and housing instability. J Acad Nutr 121: 84-91. doi: 10.1016/j.jand.2020.08.081
[32]	Edin K, Boyd M, Mabli J, et al. (2013) SNAP food security in-depth interview study: Final Report, U.S. Department of Agriculture, Food and Nutrition Service, Office of Research and Analysis Available from: https://fns-prod.azureedge.net/sites/default/files/SNAPFoodSec.pdf.
[33]	Martin KS, Rogers BL, Cook JT, et al. (2004) Social capital is associated with decreased risk of hunger. Soc Sci Med 58: 2645-2654. doi: 10.1016/j.socscimed.2003.09.026
[34]	Halpern-Meekin S (2019) Social poverty: Low-income parents and the struggle for family and community ties New York: NYU Press. doi: 10.18574/nyu/9781479891214.001.0001
[35]	Gundersen C, Kreider B, Pepper J (2011) The economics of food insecurity in the United States. Appl Econ Perspect Policy 33: 281-303. doi: 10.1093/aepp/ppr022
[36]	Cafiero C, Viviani S, Nord M (2018) Food security measurement in a global context: The food insecurity experience scale. Measurement 116: 146-152. doi: 10.1016/j.measurement.2017.10.065
[37]	Pavao J, Alvarez J, Baumrind N, et al. (2007) Intimate partner violence and housing instability. Am J Prev Med 32: 143-146. doi: 10.1016/j.amepre.2006.10.008
[38]	Suglia SF, Duarte CS, Sandel MT (2011) Housing quality, housing instability, and maternal mental health. J Urban Health 88: 1105-1116. doi: 10.1007/s11524-011-9587-0
[39]	Gundersen C, Weinreb L, Wehler C, et al. (2003) Homelessness and food insecurity. J Hous Econ 12: 250-272. doi: 10.1016/S1051-1377(03)00032-9
[40]	Makelarski JA, Abramsohn E, Benjamin JH, et al. (2017) Diagnostic accuracy of two food insecurity screeners recommended for use in health care settings. Am J Public Health 107: 1812-1817. doi: 10.2105/AJPH.2017.304033
[41]	Desmond M (2016) Evicted: Poverty and profit in the American city New York: Crown Publishers.

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