Data from 1073 children aged 5–11 years whose caregivers participated in multiple waves of the Illinois Families Study were examined for the relationship between material hardship reported by low-income caregivers and caregivers’ assessments of their children’s overall health. Caregivers’ reports of food hardship were strongly associated with their assessments of their children’s health. While other sources of self-reported material hardship were also associated with caregivers’ assessments of their children’s health, the effects disappeared after controlling for caregiver physical health status and mental health status. Proximal measures of material hardship better explained low-income children’s health than traditional socioeconomic measures. No statistically significant cumulative effects of material hardships were found besides the individual hardship effects.
When kids don’t have access to more nutritious kai; when they’re living in poor conditions; and when parents/caregivers can’t participate in health promotional activities, children’s health will suffer. Concern has been raised that measures to improve nutrition for children may be stripped back given the removal of HEHA (Health Eating, Healthy Action) from the list of health targets (2009/10). However, the Minister and Ministry of Health have stated that “All health services are important. Previous Health Targets are reported on as part of formal DHB reporting. Gains made in these areas are expected to be built on.” Let’s hope so.
Independent commentary by Dr. Matire Hardwood
Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.
Research Review publications are intended for New Zealand health professionals.
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