Household Food Security Research Articles

Issues and Challenges with Empowerment of Tribal Women in India: A Forest-Based Study

The forest-based resources play significant importance in the lives of tribal women and their households in India. The livelihood of the tribal families is mainly dependent on Non-wood Forest Products (NWFP). These include the collection of kendu leaves for making tobacco, mahua flowers, mahua seeds, mushrooms, tamarind, and wild brooms. The tribal women contribute to a great extent in the collection and processing of NWFP along with the sale of the final products. Due to the existence of the forest, the food and financial security of the tribal households has been secured to a great extent. Sadly, these tribal women receive less compensation through dishonest middlemen due to illiteracy. Therefore, these indigenous women must enhance their skills to increase their income. The current article intends to investigate the amount of women's employment concerning forest products and the many fields in which these women might develop their skills to increase their income and empower their family.

The Effect of Intra-household Mobile Phone Use on Household Food and Nutrition Security in Tanzania

The Effect of Intra-household Mobile Phone Use on Household Food and Nutrition Security in Tanzania

Impact of a school-based food assistance program on household food insecurity in Greece, 2012–2019: a multi-year evaluation of the DIATROFI program

BackgroundChildhood food insecurity can persist among low socioeconomic areas in high-income countries. Universal Free School Meal (UFSM) programs are designed to respond to this pressing issue. This study aimed to conduct a multi-year evaluation of the DIATROFI Program’s impact on household food insecurity in Greece. MethodsThis study utilized data from 18,716 students (618 kindergarten to high schools), from low socioeconomic areas participating in the school-level UFSM Program DIATROFI between 2012 and 2019. Parents of students completed annual baseline and follow-up paper-based self-completed questionnaires. The primary outcome was household food insecurity, measured using the Food Security Survey Module (FSSM) at both questionnaires, and evaluated through mixed linear and logistic regression models with repeated measurements. FindingsStudents’ median age was 9 years old (Interquartile range (IQR): 6·5, 12·0), 51·6% (n=9,658) were girls, and 82·2% (n=15,382) lived in low/medium socioeconomic affluence households. Households with food insecurity reduced from 51·5% (n=9,630) to 47·6% (n=8,901) after one school year. Food insecurity score declined steadily for four years of consecutive participation, compared to baseline score (one-year b:–0·26; 95% Confidence Interval (CI):–0·30, –0·22, and four-year –1·28; –1·53, –1·03). The likelihood of retaining food insecure status reduced from 17% after one-year participation (Odds Ratio (OR): 0·83; 95% CI: 0·79, 0·87) to 36% after four-year participation (0·64; 0·49, 0·82). The Program’s impact on household food insecurity alleviation was greater among households with low parental education and low socioeconomic affluence. InterpretationThe DIATROFI Program effectively improved household food security during and after the Greek socioeconomic crisis. School-level UFSM programs targeting underprivileged students can improve household food insecurity, with a more pronounced effect with increased years of participation, and among economically disadvantaged households. FundingThe DIATROFI Program was funded through various national and private organizations, including national prefecture authorities, Greek payment authorities, philanthropic/charitable organizations, and private companies.

Socioeconomic Inequalities in Intakes of Ultraprocessed and Minimally Processed Foods in Nationally Representative Samples of Adults in Canada: An Analysis of Trends between 2004 and 2015

BackgroundIndividuals with a lower socioeconomic position (SEP) often have higher intakes of ultraprocessed food (UPF) and lower intakes of minimally processed food (MPF); however, studies have not examined trends in absolute and relative gaps and gradients in UPF and MPF intake using multiple indicators of SEP. ObjectivesWe examined within-year absolute and relative gaps and gradients in UPF and MPF intake and trends between 2004 and 2015 according to 6 indicators of SEP among nationally representative samples of adults in Canada. MethodsAdults (≥18 y) in the Canadian Community Health Survey-Nutrition 2004 (n = 20,880) or 2015 (n = 13,970) reported SEP (individual and household education, household income adequacy, household food insecurity, neighborhood material and social deprivation) and completed a 24-h dietary recall. Multivariable linear regression assessed within-year absolute and relative gaps and gradients in the proportion of energy from UPF and MPF and trends between 2004 and 2015. ResultsThe largest and most consistent within-year inequities in UPF and MPF intake were for individual and household educational attainment. Overall and among males, higher SEP groups had more favorable intakes over time based on trends in absolute and relative gaps and gradients in UPF and MPF intake by household food insecurity [for example, the absolute gap in UPF intake declined from −1.2% (95% confidence interval: −5.3%, 2.9%) to −7.9% of energy (95% confidence interval: −11.2%, −4.5%) in the overall population]. Overall and among males, lower SEP groups had more favorable intakes over time based on trends in absolute and relative gaps in UPF and MPF intake by neighborhood material deprivation. ConclusionsSocioeconomic inequalities in UPF and MPF intake were most pronounced for individual and household education. Between 2004 and 2015, several inequalities in UPF and MPF intake emerged according to household food insecurity (favoring higher SEP groups) and neighborhood material deprivation (favoring lower SEP groups).

Working but hungry: precarious employment and household food insecurity in Ghana

Working but hungry: precarious employment and household food insecurity in Ghana

Do Agricultural stakeholder panels enhance post-harvest loss reduction? Evidence from Malawi

Post-harvest loss significantly affects food security in sub-Saharan Africa (SSA) and elsewhere across developing countries. Weak institutional factors like ineffective agricultural extension services in rural communities can exacerbate such problems among smallholder farmers in SSA and other developing countries. Therefore, international development policies have prioritized strengthening rural extension systems to enhance access to effective extension services and thereby enhance food security outcomes like ineffective agriculturalpost-harvest loss reduction among rural households. As such, the US-Agency for International Development supported the Strengthening Agricultural and Nutrition Extension program in Malawi from 2015 to 2021 to improve access to rural extension services by promoting Agricultural Stakeholder Panels (ASPs)—platforms designed to enhance farmer interaction with local extension agents in rural communities and thereby enhance improved access to quality extension services in rural areas. The ASP approach can reduce post-harvest losses for major crops, such as maize. However, rigorous analyses of the effects of ASPs on post-harvest loss reduction remain limited. To address this knowledge gap, we apply recursive bivariate probit regression to primary survey data from 2134 households in Malawi to estimate the effects of the ASP approach on post-harvest loss reduction in 2018. The results show that ASPs reduced post-harvest losses among households by 53%, and a crucial outcome that can improve household food security. The result demonstrates that policies that strengthen rural extension systems can contribute to the achievement of the Sustainable Development Goals on hunger and food security in rural Malawi and similar contexts.

Food security effects of forest sector participation in rural Liberia

Forests can help rural households cope with food insecurity challenges in the face of climate change while also sequestering carbon and advancing other sustainability objectives in low- and middle-income countries (LMICs). As such, participation in the forestry sector can contribute to achieving the Sustainable Development Goals (SDGs), especially on hunger and food security (SDG 2) in forest rich, but economically poor areas of LMICs. However, analysis of the effects of forest sector participation on food security in such contexts remain limited. Here we estimate the effects of participation in forest-based activities like collection and processing of timber and non-timber forest products (NTFPs) on household food security in Liberia, the most forested country in West Africa. We applied endogenous switching poisson regression to data from 1408 households living in the proximity of forests included in Liberia’s 2019 national household forest survey to estimate the effect of forest sector participation on food security (in terms of reduction in the number of months households reportedly had insufficient food). Results show that forest-sector participation reduced the number of months households had insufficient food by 84% (about 2.7 months). Heterogeneity analyses show that NTFPs affected food security by 80% (about 2.5 months) compared to timber and wood products, which had a 66% effect size (about 2.1 months) on average. Our results provide new, national-scale evidence on the role of forests in enhancing food security in Liberia and suggest the importance of forest sector participation for food security and achieving SDG 2 more generally.

The impact of forage condition on household food security in northern Kenya and southern Ethiopia

We studied the causal link between forage condition and food security in northern Kenya and southern Ethiopia and probed the mechanisms through which the effects occur. The study utilized weekly panel survey data collected over a period of 94 weeks (March 2021–December 2022) from drought-prone pastoral regions and estimated two-stage least squares instrumental variables regression to assess causal impacts. We found that an increase in the normalized difference vegetation index (NDVI) – our proxy for forage condition – by 10% significantly reduced the likelihood of a household experiencing food insecurity by 12 percentage points. The main mechanisms through which improved forage condition increased food security were livestock productivity enhancement, reduced prices of basic food commodities (cereals, legumes, and vegetables), and utilization of better coping strategies by households. These findings suggest the need for interventions and initiatives aimed at boosting livestock productivity and reducing vulnerability to drought-induced poor forage conditions. Efforts focused on the monitoring of forage conditions and supporting market development for livestock feed are important for addressing the adverse impacts of drought and deteriorating forage conditions in the horn of Africa. Furthermore, the monitoring of drought conditions and shocks using high-frequency data has the potential for providing early warning and informing anticipatory action.

Mapping the spatial distribution of household food insecurity in Nigeria

Mapping the spatial distribution of household food insecurity in Nigeria

Women, income use and nutrition quality: effects of women’s decision-making in rural households in Cameroon

BackgroundWomen remain central to household food and nutrition security. However, they continue to face several constraints with respect to access, control and use of credit and income. There is theoretical assertion that increasing women's decision-making authority over family income increases spending and leads to gains in nutrition. However, empirical evidence on the links between rural women's income control and household food and nutrition security is inadequate, especially for a developing country, such as Cameroon.MethodologyWe employ the food consumption score nutrition quality analysis, the income domain of the Abbreviated Women’s Empowerment in Agriculture Index and the Partial Least Square Structural Equations Modelling to examine data collected from 600 rural households in the West region of Cameroon to establish the effects of women’s control over income use on household nutrition quality. To ensure the reliability of our findings, additional tests such as the Confirmatory Tetrad Analysis, the Kolmogorov–Smirnov test with Lilliefors correction, and the Finite Mixture PLS approach are employed.ResultsFrom the analyses, we observed that a significant percentage of households have poor nutritional quality, particularly in terms of iron-rich food consumption. Women's control over income use remains low and varies based on the source of income. The analyses show that women's decision-making concerning income use and women's perception of their decision-making ability regarding income use and expenditure are positively associated with higher nutritional quality for the household. In addition, we establish that women's perceptions of their ability to make decisions about income use have a positive direct and total effect on nutrition quality, but a negative indirect effect on the latter, with the direct positive effect outweighing the indirect effect.ConclusionsInadequate consumption of iron-rich foods is pervasive for most households and there is limited control over income used for the majority of women in the study area. Enhancing women’s control over income use has significant implications for household nutrition quality. Hence, women should be empowered to fully exploit their potential at the household level to enhance food security at the community, regional and national levels.

Association of household food insecurity with sociodemographic factors and obesity in US youth: findings from the National Health and Nutrition Examination Survey 2017-2018.

The objective is to determine the prevalence of household food insecurity (HFI) based on sociodemographic factors and their relationship to obesity in youth. The study included a sample of 1,962 youth (aged 6-18) from the National Health and Nutrition Examination Survey (NHANES). The US Household Food Security Survey Module is used to measure food security over the past 12 months. Logistic regression models were used to estimate adjusted odds ratios (ORs) while controlling for covariates. In total, 27.4% of the individuals surveyed experienced HFI. Youth from food insecure households were more likely to be obese (adjusted odds ratio [aOR]: 1.59 [95% confidence interval: 1.19-2.13]) and also having abdominal obesity (aOR: 1.56 [95% CI: 1.19-2.03]). however, factors such as non-Hispanic ethnicity, having a Head of household with a college degree, and households with an income exceeding 350% of the poverty line were associated with a reduced risk of facing HFI. Hispanic individuals, households with lower parental education levels, and lower family incomes, are disproportionately affected by food insecurity. Furthermore, HFI has been associated with an increased risk of overweight and abdominal obesity among youth. Addressing FI requires targeted policies and interventions that prioritize vulnerable groups.

Non-market food production can contribute to diverse dimensions of food security according to key informants in northern New England

ABSTRACT Recent studies have found that growing or wild-harvesting some of one’s own food is associated with food security in high-income societies. Yet this research has not established causal relationships, and it measures household food security using indicators that assess only access to market food. To disentangle how non-market food production interacts with food security, we interviewed 26 key informants who play central roles in communities of gardeners, hunters, fishers, foragers, and homesteaders in northern New England, U.S.A. These informants indicated that non-market food production relates ambiguously to short-term food access in high-income societies where market food is cheap relative to wages. But non-market production can enhance all other recognized dimensions of food security: availability, adequacy, acceptability, agency, utilization, stability, and sustainability. Causation can run the other way, too: food insecurity was said to increase the likelihood and intensity of engagement in non-market food production. Yet poverty can deprive food-insecure households of the equipment, money, skills, and land access needed for successfully producing their own food. Overall, our informants portrayed non-market food production as a skills-based safety net for reliably feeding oneself from the landscape through personal and societal crises, from the distant past to the climate-change future.

Climate-Smart Agriculture as an Adaptation Measure to Climate Change in Togo: Determinants of Choices and Its Impact on Rural Households’ Food Security

Climate-smart agriculture is one of the most important actions for agricultural climate change adaptation, especially in Togo, a sub-Saharan African country with a fragile ecology and where agriculture is profoundly impacted by climate change. Using a multinomial endogenous switching regression (MESR) and a multinomial endogenous treatment effect (METE) approach, we conducted empirical research to identify the factors influencing the adoption decisions of climate-smart agricultural practices (CSAPs) and their impact on household food security among smallholder farmers in Togo. The findings of this study revealed that the adoption of CSAPs by farmers is influenced by a range of factors, such as age, marital status, the household head’s gender, engagement in off-farm activities, level of education, farm size, agroecological zone, regional location, land ownership, distance between homestead and farm, access to credit, the presence of agricultural associations and cooperatives, and access to extension agents. On the one hand, the MESR analysis demonstrated a positive correlation between the number of adopted CSAPs and households’ food consumption score. Similarly, greater adoption of CSAPs resulted in a significant reduction in the food insecurity experience scale. On the other hand, the METE model portrayed an increase in acceptable food consumption when households adopted up to three CSAPs. Likewise, it significantly alleviated severe food insecurity. Further results based on the propensity score matching technique showed that the adoption of a crop rotation system, utilization of improved varieties of seeds, plant protection products, inorganic fertilizer, organic fertilizer, and irrigation improved adopters’ food consumption scores while reducing their level of food insecurity.

Changes and correlates of household food insecurity during COVID-19: a repeated cross-sectional survey of low-income households in peri-urban Peru

National lockdowns and containment measures to control the spread of COVID-19 led to increased unemployment, lower household incomes and reduced access to affordable and nutritious foods globally. This study aimed to examine changes and correlates of household food insecurity experience and mitigation strategies adopted in peri-urban Peru during the COVID-19 pandemic. Low income households with children age < 2 years in Lima and Huánuco participated in three repeated cross-sectional surveys from 2020 to 2022 (n = 759). We assessed changes in household food insecurity experience using the Food Insecurity Experience Scale. Correlates of moderate-severe food insecurity were analysed using univariate and multivariable linear mixed-effect regressions. We also assessed perceived impacts of the pandemic on livelihoods, coping strategies and receipt of financial or food assistance. Moderate-severe food insecurity was 47.0% in 2020 (survey 1) decreasing to 31.1% in 2022 (survey 3). In adjusted analyses, food insecurity was higher in households with perceived reduced income (β = 12.69 [6.82; 18.56]); in the lower socio-economic status (SES) tertiles (compared to the relatively highest SES tertile; middle tertile (β = 20.91 [9.89; 31.93]), lowest tertile (β = 39.37 [28.35; 50.40]); in households with ≥ 2 children < 5 years (β = 8.78 [2.05; 15.50]); and in Lima (compared to Huánuco; β = 10.47 [1.27; 19.67]). Food insecurity improved more among the relatively lowest SES compared to the relatively highest SES households between survey 1 and 3 (interaction p = 0.007). In conclusion, almost half of households experienced moderate-severe food insecurity mid-pandemic with greater risk observed in the most socio-economically disadvantaged households. The inequality gap in food insecurity associated with SES narrowed over time likely due to household coping strategies and reduced poverty.

Tourism-driven livelihood dynamics: A comprehensive empirical study of Mount Kilimanjaro National Park communities in Tanzania

Tourism is pivotal for rural economic development; however, despite hosting a substantial number of tourists, many developing countries with rural landscapes face persistent poverty among local communities. This study aims to delve into the impact of tourism (geoheritage and national parks) on local livelihoods, examining drivers for livelihood portfolio and community decisions to engage in tourism activities. The Multivariate Probit and instrumental variable models (Instrumental Variable Probit, and Two Stage Least Squares) were employed on data from 582 respondents collected through cross-sectional questionnaires. Results highlight the significant influence of socioeconomic factors—sex, age, household size, credit access, market access, social membership, and education—on livelihood portfolio. Results show that specific tourism activities, such as accommodation services, handcrafts, catering and hospitality, and tour guiding, exert varying effects on household food security, income, and access to essential social services. Challenges hindering participation include education levels, information and awareness, service quality, cultural barriers, financial costs, government policies, competition, resource monopolisation, corruption, and infrastructure deficiencies. Recommendations include investments in skill development, infrastructure enhancement, cultural preservation, financial inclusion, regulatory frameworks, and community awareness programs. These strategies aim to facilitate household participation in tourism activities, promoting geotourism and enhancing the well-being of Mount Kilimanjaro National Park communities. Policymakers are urged to implement these measures to uplift local livelihoods and foster sustainable tourism in the region.

Mobile money, food security and coping strategies in a post-conflict and fragile context: evidence from Burundi

PurposeAttaining the Sustainable Development Goal 2 (SDG2) of zero hunger continues to be a challenge in most parts of Sub-Saharan Africa. However, financial inclusion is seen as a potential pathway for reducing food insecurity among poor households. Mobile money is a financial inclusion instrument that is easily accessible to poor households and has the potential to increase the level of financial inclusion. This paper contributes to the literature by examining the determinants of mobile money adoption, its effects on household food security and the choice of coping strategies in Burundi, a post-conflict and fragile country.Design/methodology/approachUsing survey data that involved 860 households in Burundi, we adopted the Household Hunger Scale (HHS) developed under the Food and Nutrition Technical Assistance Project to measure household food security. We further employ the endogenous switching regression treatment effects model for ordered outcomes and the multivariate probit model to achieve our aims.FindingsThe results of our study reveal that the adoption of mobile money is influenced by factors such as gender, marital status, age, formal education, membership in a social network, area of residence and access to a tarred road network. Additionally, the food security status of a household was determined by marital status, formal education, social network membership, access to tarred roads, off-farm income, access to credit and land tenure security. We confirm that mobile money adoption has a significantly positive effect on the food security status of households with heterogeneity in gender and area of residence. We also find that mobile money adoption reduces the likelihood of households adopting consumption-related coping strategies.Practical implicationsThe promotion of mobile money should, therefore, be included in Burundi’s national food security policies.Originality/valueThis study contributes to the literature by providing empirical evidence on the effect of mobile money adoption on household food security and the choice of coping strategies in a post-conflict context.

Women’s Local Knowledge and Engagement in Groundwater Irrigation: Impacts on Household Food Security in the Upper East Region of Ghana

Groundwater irrigation in Ghana is a major livelihood activity that secures food through the cultivation of vegetables for households, particularly in the dry season. This activity is largely driven by the application of local knowledge. However, the existing studies that examined local knowledge of groundwater irrigation focused mostly on male irrigation farmers. Women’s local knowledge is often ignored or remains undocumented. In instances where it is studied, women’s local knowledge is lumped with males’ local knowledge thus ignoring its uniqueness. Furthermore, the studies about women’s local knowledge in this activity present this knowledge as one that permits women to perform only supplementary roles. Also, irrigation generally has an impact on food security. Yet, few studies have examined how women’s engagement in this activity secures food for their households. Therefore, the study discusses the following: the source of women’s local knowledge of groundwater irrigation, the value and application of women’s local knowledge of groundwater irrigation and the contributions of groundwater irrigation undertaken by women to household food security. Local knowledge is special knowledge; thus, a qualitative study approach was employed to explore it. Five rural communities in the Upper East Region of Ghana were studied. Interviews were used to generate the primary data while ATLAS.ti and GraphPad software were used in organising, analysing and presenting the data. The results showed that women farmers possessed local knowledge which was traced to different sources. The knowledge extended to include their negotiation power for access to land/wells, resources of which they have been marginalised. The application of this knowledge in groundwater irrigation promoted household food security, in the dimensions of access, utilisation, affordability, and agency. However, climate change may threaten groundwater irrigation’s contribution to food security unless artificial groundwater recharge is promoted.

Effects of improved on-farm crop storage on DNA methylation of mothers and their infants: evidence from a randomized controlled trial in Kenya

BackgroundStress during pregnancy can lead to adverse maternal and infant health outcomes through epigenetic changes in the hypothalamic–pituitary–adrenal axis. Among farmers in low-income countries, one important stressor is food insecurity, which can be reduced using hermetic storage bags. This study aimed to determine, for the first time, whether a hermetic storage bag intervention during pregnancy positively affects maternal and infant DNA methylation of the hypothalamic–pituitary–adrenal axis-related genes FKBP5 and NR3C1. We further analyzed whether anthropometrics, stress, and mental health were associated with DNA methylation.MethodsThis study was part of a larger matched-pair randomized controlled trial focusing on the impact of improved on-farm storage on food security, poverty, and net income of smallholder farming households. A total of N = 149 mothers were recruited by telephone and invited to attend a study appointment at health facilities in Kakamega County, Western Kenya, with their infants in April or May 2021. During the appointment, anthropometric measurements were taken, questionnaires on stress and mental health were administered, and saliva samples were collected. Logistic and multiple linear regression were used to examine the effect of the intervention and related measures on DNA methylation.ResultsMothers in the intervention group showed higher mean NR3C1 methylation levels than those in the control group, corrected for multiple testing. Maternal postpartum body mass index was positively associated with infant NR3C1 CpG3 DNA methylation. The more stressful life events a mother had experienced in the previous 12 months (including during pregnancy), the lower her FKBP5 CpG3 methylation levels.ConclusionsFood insecurity and stressful life events during pregnancy seem to exert significant effects on maternal DNA methylation. While these stressors did not appear to impact infant DNA methylation in the present study, maternal postpartum body mass index was significantly related to infant methylation. These findings suggest that while infants may be protected from excessive maternal glucocorticoids by placental barrier activity, maternal metabolic status is still reflected in their epigenetic make-up.Trial registration This study was part of a larger matched-pair randomized controlled trial on the impact of improved on-farm crop storage on welfare, nutrition, and human health. Registration can be found in the American Economic Association (AEA) RCT Registry, RCT ID: AEARCTR-0005845.

Effect of adoption of conservation agriculture on household food security of smallholder maize farmers in Ghana

This cross-sectional study set out to examine the effect of conservation agriculture (CA) adoption on the food security of smallholder maize farmers in the Adansi Akrofuom District in the Ashanti Region of Ghana. Using the multistage sampling technique, 400 small-scale farmers who have been introduced to CA were selected. The findings of the study show that crop rotation, row planting, fertilizer application, improved seeds and cover cropping were the CA practices often implemented by the farmers. Age of the farmer, household size, years of education, religion, access to extension, frequency of group visits, and the area under CA cultivation were significant predictors of farmers' adoption of CA practices. Implementation of CA practices has a significant effect on household level of food security. There was an agreement among the farmers that access to credit is the greatest challenge they face in using CA practices. The paper proposes that efforts towards the continuous and high adoption of CA practices must be given more attention since they can affect farmers’ household food security.

Examining ADHD and Cognitive Disengagement Syndrome Symptoms in Relation to Food Insecurity in Early Adolescents.

Approximately 13.8million U.S. households face food insecurity, which severely affects child development, with more than half of these households including children. Research links food insecurity to cognitive deficits and mental health challenges, highlighting the need for thorough understanding and intervention. Although existing studies have explored the association between food insecurity and internalizing symptomatology, less research has examined food insecurity in relation to attention-deficit/hyperactivity disorder (ADHD) symptoms. Further, no studies have explored the connection between food insecurity and cognitive disengagement syndrome (CDS) symptoms, closely related to ADHD symptoms. Despite extant research linking CDS to environmental factors, empirical attention to its potential association with food insecurity is notably lacking. Additionally, adolescents, almost twice as likely as younger children to experience household food insecurity, are likely more aware and respond differently to challenges during this developmental period. Accordingly, this study investigated the unique associations of parent-, teacher-, and youth self-reported ADHD dimensions and CDS symptoms in relation to parent-reported food insecurity in early adolescents (N = 136, ages 10-12). Controlling for age, sex, race, and medication use, no informant's ratings of ADHD symptom dimensions were uniquely related to food insecurity. In contrast, higher parent-, teacher-, and youth self-reported CDS symptoms were uniquely associated with greater food insecurity. This finding was robust to additional control of family income for teacher- and youth self-reported CDS symptoms. These findings highlight the complex link between food insecurity and mental health, suggest a connection with CDS symptoms, and stress the need to address food insecurity as a public health priority, especially in early adolescence.