Are Our Babies Hungry? Food Insecurity Among Infants in Urban Clinics

Background. Food insecurity (FI) is common, but studies in families with infants are rare. Objectives. To determine prevalence of FI, assess the effect public benefits have on FI, assess strategies to stretch nutritional resources (eg, using generic formula), and investigate FI's relationship to anthropometric measurements. Methods. A cross-sectional survey was completed. FI was classified using the US Department of Agriculture's 6-item indicator set. Results. A convenience sample of 144 infant caregivers was surveyed. Thirty-one percent endorsed FI. FI was more common among those receiving WIC and SNAP (39% vs 22%; P < .05). Fifteen percent stretched infant formula (27% FI vs 9% food secure; P < .01), 58% would not use generic formula, and 50% believed that generic and brand name formulas were not equivalent. There was no significant association between FI and anthropometric measurements. Conclusions. FI and formula stretching were common, even among families receiving public benefits. Many families were cautious about using generic formula.