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Am J Perinatol 2023; 40(01): 057-061
DOI: 10.1055/s-0041-1729159
Original Article

Food Insecurity in an Urban Pregnancy Cohort

Kirby Sullivan
1   Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, Ohio
,
Meghan St John
1   Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, Ohio
,
Emily DeFranco
1   Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, Ohio
2   Department of Pediatrics, Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
,
Elizabeth Kelly 
1   Department of Obstetrics and Gynecology, University of Cincinnati College of Medicine, Cincinnati, Ohio
2   Department of Pediatrics, Perinatal Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
› Author Affiliations Funding K.S. was supported in part by NIH grant T35DK06044. E.K. received funding support from the Perinatal Institute, Cincinnati Children's Hospital Medical Center.
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Abstract

Objective Food insecurity is a prominent problem and has been implicated in adverse maternal and neonatal outcomes. This study aims to describe the food insecure population in an urban academic health center perinatal cohort.

Study Design We enrolled 451 postpartum inpatients at the University of Cincinnati Medical Center who completed a questionnaire and were then categorized as food insecure based on U.S. Department of Agriculture standardized survey questions. Generalized linear models estimated the relative influence of maternal characteristics on food insecurity.

Results Among the study population (n = 426), 18.6% (95% confidence interval: 15.2–22.4%) were classified as food insecure. Factors with increased adjusted relative risk on food insecurity include annual household income <$40,000, obesity, and smoking. Food insecure women also reported lower levels of love, satisfaction, and joy, and higher levels of despair.

Conclusion We recommend the use of a validated screening tool on all pregnant women with the associated psychosocial stressors and social determinants of health.

Key Points

  • Food insecurity is prevalent among pregnant women.

  • Nearly one in five women (18.6%) in the study cohort were classified as food insecure.

  • Food insecure pregnant women were more likely to have additional risks for adverse health outcomes.

Keywords

food security - food insecurity - pregnancy - social determinants

Note

This study was presented at the Society for Maternal-Fetal Medicine's Annual Pregnancy Meeting, February 3–8, 2020, Gaylord, TX.




Publication History

Received: 16 August 2020

Accepted: 02 March 2021

Article published online:
02 May 2021

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