Children and adults living with adult smokers appear less likely to have daily access to enough healthy food compared with those living with non-smoking adults, according to a report in the November issue of Archives of Pediatrics & Adolescent Medicine.
About 13 million U.S. children live in food-insecure households, according to background information in the article. "Food insecurity is the inability to access enough food in a socially acceptable way for every day of the year. In households with the most severe food insecurity, there are multiple involuntary reductions in food intake and disruptions of usual eating patterns." Studies have shown that food insecurity is strongly associated with household income. Since families with at least one smoker spend 2 percent to 20 percent of their income on tobacco, it is likely that smokers are affecting the financial resources needed to provide adequate food.
Cynthia Cutler-Triggs, M.D., of the New York University School of Medicine and Bellevue Hospital Center, and colleagues analyzed 8,817 households with children age 17 and younger from 1999 to 2002 to see if the presence or absence of adult smokers in the household affected the food security of those living in the home. Age, sex, race of the child and poverty index ratios were also noted.
At least one smoker lived in 23 percent of the children's households "and 32 percent of children in low-income households lived with a smoker compared with 15 percent of those in more affluent households." Fifteen percent of adults and 11 percent of children reported having experienced food insecurity within the last year, with 6 percent of adults and 1 percent of children experiencing severe food insecurity.