{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:09:26Z","timestamp":1788739766720,"version":"build-2803163510"},"reference-count":38,"publisher":"American Academy of Pediatrics (AAP)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"\n OBJECTIVE<\/jats:title>\n To characterize household food and nutrition security among families during hospitalization and examine associations with government benefits and neighborhood conditions. We hypothesized Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) or Supplemental Nutrition Assistance Program (SNAP) receipt or residence in higher Child Opportunity Index (COI) neighborhoods would be associated with higher food and nutrition security status.<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n We conducted a single-site cross-sectional study (October 2024-June 2025) of publicly insured families of a hospitalized child. Caregivers completed surveys assessing household characteristics, food security, nutrition security, and related measures of Dietary and Healthfulness Choice. Addresses were geocoded to nationally normed COI z scores. The outcome was an ordinal classification of food and nutrition security profiles, from least to most secure: (1) food insecure\/nutrition insecure (FI\/NI), (2) discordant profiles (FI\/nutrition secure [NS] or food secure [FS]\/NI), and (3) FS\/NS. Ordinal logistic regression models examined outcome profiles and associations with WIC and SNAP receipt and COI, adjusting for patient age, preferred language, and significant bivariate results.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n Among 401 caregivers, 54.9% were FS\/NS, 29.6% had discordant profiles, and 15.5% were FI\/NI. Older child age was associated with a lower likelihood of being in a higher secure category (eg, FS\/NS) in SNAP- (odds ratio [OR], 0.96) and COI-associated models (OR, 0.96). Across all models, higher Healthfulness Choice (ORs, 4.91\u20134.94) and household income (ORs, 1.13\u20131.16) were associated with higher FS\/NS status.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSION<\/jats:title>\n Families experience variation in household food and nutrition security. Food insecurity screening alone may not capture the full scope of food-related needs; incorporating nutrition security screening may better guide interventions and address unmet dietary quality needs.<\/jats:p>\n <\/jats:sec>","DOI":"10.1542\/hpeds.2026-009579","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:02:56Z","timestamp":1788739376000},"source":"Crossref","is-referenced-by-count":0,"title":["Household Food and Nutrition Security Among Publicly Insured Families of Hospitalized Children"],"prefix":"10.1542","author":[{"given":"Michael","family":"Lugo","sequence":"first","affiliation":[{"name":"1Division of Hospital Medicine, Cincinnati Children\u2019s Medical Center, Cincinnati, Ohio"},{"name":"2Division of General and Community Pediatrics, Cincinnati Children\u2019s Medical Center, Cincinnati, Ohio"},{"name":"3Division of Pediatric Hospital Medicine, Children's Mercy Kansas City, 2401 Gillham Road, Kansas City, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melinda C.","family":"MacDougall","sequence":"additional","affiliation":[{"name":"2Division of General and Community Pediatrics, Cincinnati Children\u2019s Medical Center, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelley","family":"Ehrlich","sequence":"additional","affiliation":[{"name":"4Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio"},{"name":"5Division of Biostatistics and Epidemiology, Cincinnati Children\u2019s Medical Center, Cincinnati, Ohio"},{"name":"6Department of Environmental and Public Health Services, Cincinnati Children\u2019s Medical Center, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerry","family":"Tepe","sequence":"additional","affiliation":[{"name":"1Division of Hospital Medicine, Cincinnati Children\u2019s Medical Center, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Haines","sequence":"additional","affiliation":[{"name":"1Division of Hospital Medicine, Cincinnati Children\u2019s Medical Center, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelseanna","family":"Hollis-Hansen","sequence":"additional","affiliation":[{"name":"7Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Schondelmeyer","sequence":"additional","affiliation":[{"name":"1Division of Hospital Medicine, Cincinnati Children\u2019s Medical Center, Cincinnati, Ohio"},{"name":"4Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio"},{"name":"8James M. Anderson Center for Health Systems Excellence, Cincinnati Children\u2019s Medical Center, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine A.","family":"Auger","sequence":"additional","affiliation":[{"name":"1Division of Hospital Medicine, Cincinnati Children\u2019s Medical Center, Cincinnati, Ohio"},{"name":"4Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio"},{"name":"8James M. Anderson Center for Health Systems Excellence, Cincinnati Children\u2019s Medical Center, Cincinnati, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghan","family":"Fanta","sequence":"additional","affiliation":[{"name":"1Division of Hospital Medicine, Cincinnati Children\u2019s Medical Center, Cincinnati, Ohio"},{"name":"4Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio"},{"name":"8James M. 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