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Concordance and Discordance of the Knowledge, Understanding, and Description of Children's Experience of Food Insecurity Among Hispanic Adults and Children

Frongillo, Edward A. PhD; Fram, Maryah S. PhD, MSW; Escobar-Alegría, Jessica L. PhD; Pérez-Garay, Melly MSc; Macauda, Mark M. PhD; Billings, Deborah L. PhD

doi: 10.1097/FCH.0000000000000237
Original Articles

Food insecurity is highly detrimental for children, who experience food insecurity differently than do adults. We aimed to understand concordance and discordance of adults' and children's knowledge, understanding, and description of children's experience of food insecurity. In-depth interviews were conducted with the primary caregiver, another caregiver, and a child 9 to 16 years of age in 16 Hispanic families at risk of food insecurity in South Carolina. Adults often lacked knowledge of the food insecurity experiences of their children, which presents challenges for adults with roles as caregivers, educators, or policy makers to recognize and address these experiences.

Department of Health Promotion, Education, and Behavior (Drs Frongillo, Macauda, and Billings and Ms Pérez-Garay), College of Social Work (Dr Fram), Core for Applied Research and Evaluation (Dr Macauda), and Institute for Families in Society (Dr Billings), University of South Carolina, Columbia; and FHI 360, Washington, District of Columbia (Dr Escobar-Alegría).

Correspondence: Edward A. Frongillo, PhD, Department of Health Promotion, Education, and Behavior, University of South Carolina, Columbia, SC 29208 (

Partial funding for the study was provided through a small grant from the Center for Research on Nutrition and Health Disparities of the University of South Carolina.

The authors declare that they have no conflicts of interest.

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