Congressional Child Hunger Briefing
April 25, 2002
Dr. J. Larry Brown Distinguished Scientist,
Brandeis University Director, National Center on Hunger and Poverty
Child Hunger and Food Insecurity: The
Scientific Evidence and Possible Solutions
Children Uniting Nations in
support of Hunger Free America (www.hungerfreeamerica.org)
Impact of childhood hunger in
the United States
Although they live in a wealthy
nation, 13 million children in America live in households with uncertain or
limited access to food. The majority of these children are white and have at
least one parent who is working; nearly half live in two-parent families. Food
hardships are even more pronounced among certain groups of children: about 30%
of Black and Hispanic children, and over 40% of low-income children live in
households that do not have access to nutritionally adequate diets for an active,
healthy life. According to growing scientific evidence, hunger and food insecurity
among children are significant risk factors for poorer health, diminished psychological
well-being, higher levels of behavioral problems, and lower academic achievement.
Health Consequences
Childhood hunger and food
insecurity are linked to a number of health problems that can impede normal
growth and development. These include:
- Poorer overall health: Studies indicate that children
who live in households lacking access to sufficient food are more likely
to be in poorer health than children from other households.
- Compromised ability to resist illness and elevated occurrence
of health problems: Food-insecure children are more susceptible to certain
infections and illnesses, including iron deficiency anemia, sore throats,
colds, stomach aches, headaches, ear infections, and fatigue.
- Greater incidence of hospitalization and frequent doctor
visits: Compared to their peers, hungry and food-insecure children are
more likely to have been hospitalized since birth and to make frequent doctor
visits.
Psychosocial and Behavioral Impacts
Recent studies indicate
that children in food-insecure and hungry households experience more psychological
and emotional distress. Food hardships have been shown to adversely affect childrens
well-being in the following ways:
- Increased behavioral problems: Food insecure children
exhibit higher levels of aggressive and oppositional behaviors (hyperactivity,
aggression, irritability, anxiety) as well as more withdrawn and distressed
behavior.
- Difficulty getting along with other children: Impaired
psychosocial functioning associated with food insufficiency has been linked
to social difficulties such as getting along with peers and making friends.
- Increased need for special services: Food-insufficient
children are more likely to have received mental health counseling and educational
services than their non-hungry peers.
Learning and Academic Outcomes
Even mild to moderate malnutrition can be a developmental risk factor for children.
In particular, undernutrition can limit a childs ability to grasp basic
skills and can diminish concentration and overall learning potential. Recent
research provides evidence of the following impacts:
- Lower test scores and poorer overall school achievement:
Children from households that report food insufficiency generally do not
perform as well on tests of academic achievement as children from food-sufficient
households.
- Repeating a grade in school: Elementary school-aged
children from food-insufficient families are more likely to have repeated
a grade in school.
-
Increased school absences
and tardiness: Elementary school-aged children from food-insufficient
families are more likely to have increased school absences and higher rates
of tardiness, factors
that can ultimately affect overall academic performance.
- Higher risk of school suspension: A recent study
found that food-insufficient teenagers were almost twice as likely to be
suspended from school.
References
Alaimo, K., Olson,
C.M., & Frongillo, E.A., Jr. (July 2001). Food insufficiency and American
school-aged childrens cognitive, academic, and psychosocial development.
Pediatrics 108(1), 44-53. Abstract available at: http://www.pediatrics.org/
cgi/content/abstract/108/1/44
Alaimo, K., Olson,
C.M., Frongillo, E.A. Jr., & Briefel, R.A. (May 2001). Food insufficiency,
family income, and health in U.S. preschool and school-aged children. American
Journal of Public Health 91(5), 781-786. Available at: http://www.ajph.org/
cgi/reprint/91/5/781.pdf
Brown, J.L. & Pollitt, E.
(1996). Malnutrition, poverty, and intellectual development. Scientific American
274, 38-43.
Casey, P.H., Szeto,
K., Lensing, S., Bogle, M., & Weber, J. (2001). Children in food-insufficient,
low-income families: prevalence, health, and nutrition status. Archives of
Pediatrics & Adolescent Medicine, 155(4), 508-514. Abstract available
at: http://
archpedi.ama-assn.org/issues/v155n4/abs/ pnu00206.html
Center on Hunger
and Poverty. (1998). Statement on the Link Between Nutrition and Cognitive
Development in Children. Waltham, MA: Center on Hunger and Poverty. 1998.
Available at: http://
www.centeronhunger.org/pubs/cognitive.html
Cook, J.T., Black, M.M., Casey,
P.H., Frank, D.A., Berkowitz, C., Cutts, D.B., et al. (2001, April). Food insecurity
and health risks among young children and their caregivers. Paper presented
in poster symposium on nutritional issues in underserved populations (abstract
#2665), Pediatric Academic Society Annual Meeting, Baltimore, MD.
Cutts, D.B., Pheley,
A.M., & Geppert, J.S. (1998). Hunger in Midwestern inner-city young children.
Archives of Pediatrics & Adolescent Medicine 152(5), 489-493. Abstract
available at: http://archpedi.
ama-assn.org/issues/v152n5/abs/pnu7390.html
Frank, D.A., Roos,
N., Meyers, A., Napoleone, M., Peterson, K., Cather, A., & Cupples, L.A.
(1996). Seasonal variation in weight-for-age in a pediatric emergency room.
Public Health Reports 3(4), 366-371. Abstract available at: http://
phr.oupjournals. org/cgi/content/abstract/111/4/366
Kleinman, R.E.,
Murphy, J.M., Little, M., Pagano, M., Wehler, C.A., Regal, K., & Jellinek,
M.S. (1998). Hunger in children in the United States: Potential behavioral and
emotional correlates. Pediatrics 101 (1), E3. Available at: http://www.pediatrics.org/
cgi/content/full/101/1/e3
Murphy, J.M., Wehler, C.A., Pagano,
M.E., Little, M., Kleinman, R.E., & Jellinek, M.S. (February 1998). Relationship
between hunger and psychosocial functioning in low-income American children.
Journal of the American Academy of Child & Adolescent Psychiatry
37(2), 163-170.
Murphy, J.M., Pagano,
M.E., Nachmani, J., Sperling, P., Kane, S., & Kleinman, R.E. (September
1998). The relationship of school breakfast to psychosocial and academic functioning.
Archives of Pediatrics & Adolescent Medicine. 152(9), 899-907. Abstract
available at: http://archpedi.ama-assn.org/issues/
v152n9/abs /pnu7508.html
Reid, L.L. (2000).
The Consequences of Food Insecurity for Child Well-Being: An Analysis of
Childrens School Achievement, Psychological Well-Being, and Health.
JCPR Working Paper #137. Chicago, IL: Joint Center for Poverty Research, Northwestern
University/ University of Chicago. Available at: http://www.jcpr.org/wpfiles/
Reid_ WP.pdf
Skalicky, A.M., Frank, D.A.,
Meyers, A.F., Adams, W.G., & Cook, J.T. (2001, April). Is food security
associated with iron deficiency? Paper presented in poster symposium on nutritional
issues in underserved populations (abstract #2668), Pediatric Academic Society
Annual Meeting, Baltimore, MD. Wehler, C.A., Scott, R.I., & Anderson, J.J.
(1995). Community Childhood Hunger Identification Project. Washington,
D.C.: Food Research and Action Center. Federal Nutrition Programs That Serve
Children An array of federally-funded nutrition and food
assistance programs are administered through the US Department of Agriculture
to provide low-income families and their children with nutritious food. These
programs protect children at home, during the school day, in afterschool or
daycare programs, and during the summer. Federally-funded nutrition and food
assistance programs benefiting children include:
- Food Stamp Program
- Special Supplemental Nutrition Program for Women, Infants,
and Children (WIC)
- National School Lunch Program
- School Breakfast Program
- Afterschool and Childcare Nutrition Programs
- Summer Nutrition Programs
Child nutrition programs, along with Food Stamps and WIC, relieve
hunger, avert malnutrition, and improve dietary quality. They can also alleviate
some of the psychological and emotional stress associated with uncertainty about
whether there will be enough food at home. Participation in the School Breakfast
Program is associated with lowered child hunger, improved nutrition, fewer behavioral
problems, and even improved grades and higher standardized test scores. Fully
utilizing federal food and nutrition programs, and insuring their accessibility,
has the potential to greatly benefit low-income children in the United States.
Well-nourished children are more likely to receive the full benefits of educational
investments, and to reach their cognitive and developmental potential.
Food Stamp Program
|
The Food Stamp Program (FSP) is Americas first
line of defense against hunger, and the largest federal food program.
Administered by USDA, it helps needy families purchase food so they can
maintain a nutritious diet. While the program was designed initially to
assist those who are unemployed or on welfare, today low-income working
families are the major beneficiaries. Participants receive electronic
debit cards or paper coupons worth an average of $74.76 a month per person
(FY00), which can be used to purchase certain foods in authorized stores
(just over $0.80 per meal).
|
|
Eligibility
|
- Households must meet both "gross" and "net" income
tests unless all members are receiving TANF, Supplemental Security Income
(SSI) or, in some places, General Assistance (GA).
- Gross monthly income of most households must be 130% or less of the
federal poverty guideline ($1,585 per month for a family of three in
most locations). Net monthly income must be at or below 100% of the
poverty guidelines ($1,220 for a family of three).
- Most households are permitted to have no more than $2,000 in assets.
|
|
Estimated Need and Coverage
|
- Participation of eligibles declined from 71% in 1994 to 57% in 1999.
- Over this time, nationwide surveys of providers of private emergency
food assistance have found that demand for food assistance has increased
significantly.
|
|
Number Served
|
- In FY00, the FSP provided monthly benefits to an average 17.2 million
people living in 7.3 million households. Slightly over half of all participants
were children.
- From 1994 to 1996, FSP caseloads fell by 9%. But from 1996 to 1999,
caseloads declined 32%, a time when the poverty rate fell by only 14%.
Since that time, participation has increased by more than 1.5 million.
|
|
Funding
|
- In FY00, the cost of FSP benefits was $15.1 billion. Households with
children received 80% of all monthly food stamp benefits.
- $23 billion was appropriated for FY02, of which $17.7 billion is estimated
to be direct payments to individuals.
|
|
Program Issues
|
- Deterioration in the real value of the benefit due to inflation.
- Exclusion of some groups of immigrants and single, childless adults.
- Low vehicle and asset limits preclude eligibility of some needy households.
- Adequate access to the program and difficult administrative obstacles.
- Benefits linked to the thrifty food plan rather than the low-cost
food plan, which would allow for healthier diets.
|
WIC
|
The WIC Program (Special Supplemental Nutrition Program
for Women, Infants and Children) provides prescribed foods, nutrition
education, and access to health care to low-income pregnant women, new
mothers, infants, and children under age 5. First established by Congress
in 1972, WIC is administered at the federal level by the USDA, and implemented
at the state level by 87 WIC state agencies. These agencies, in turn,
fund WIC services through about 2,000 local agencies and 10,000 clinic
sites. About 46,000 retailers are authorized to distribute specified food
products to WIC families. The average monthly food benefit per person
is about $34.
|
|
Eligibility
|
- WIC is available to pregnant, postpartum, and breastfeeding women,
and children up to age 5 who are certified by medical personnel to be
nutritionally at-risk and whose income is less than 185% of the federal
poverty level.
|
|
Estimated Need and Coverage
|
- In general, WIC serves about 80% of all eligible women, infants, and
children.
|
|
Number Served
|
- In FY01, 7.3 million people per month participated (1.8 million women,
1.9 million infants, and 3.6 million children under age 5).
- WIC serves 45% of all infants born in the U.S. and about a quarter
of all children between 1-4 years of age.
|
|
Funding
|
- WIC is not an entitlement program and thus participation is limited
by the amount of funding appropriated by Congress, as well as supplementary
funds provided by states.
- In FY00, the total cost of the WIC program was $4 billion, of which
$2.9 billion went to food costs, and $1.1 billion was for nutrition
education services and administration.
- $4.3 billion was appropriated for FY02. For FY03, President Bush has
proposed a $364 million increase, suggesting that it would be enough
to serve nearly 8 million women and children each month.
|
|
Program Issues
|
- Whether WIC should be funded as an entitlement program as are other
federal food and nutrition programs.
- Increased funds needed for nutrition services and administrative tasks
to ensure program goals can be met.
- Impact of increased cost of infant formula due to change on part of
one formula manufacturer.
- Cultural appropriateness of the food package and state flexibility
for adjustments.
|
National School Lunch Program
|
The National School Lunch Program (NSLP) is the nations
largest and most significant school-based nutrition program. It provides
funding and commodity foods to nonprofit food services in public and private
schools, and residential childcare facilities. Over the course of the
school week, the program provides participating children with one-third
of the calories needed for proper growth. The program was created in 1946
in response to concern about the high number of World War II draftees
who failed their physical exams because they were undernourished.
|
|
Eligibility
|
- A free lunch is served to children with household incomes at or below
130% of poverty or in households receiving food stamps or welfare. A
reduced-price lunch is available to children with incomes between 130-185%
of poverty. A basic federal reimbursement rate is provided for meals
served at full- price, while higher rates of reimbursement are provided
for meals served to children eligible for free or reduced-price lunches.
- The NLSP is available in over 97,000 schools and residential childcare
institutions. Any child enrolled in one of these schools or institutions
may participate.
|
|
Estimated Need and Coverage
|
- About 95% of all schools nationally participate in the NSLP.
- 80% of children who are eligible for free or reduced-price lunches
receive themthe highest coverage rate of any federally-funded
child nutrition programs, and therefore a benchmark for other programs.
|
|
Number Served
|
- In FY00, approximately one-third of all elementary and high-school
students received free or reduced-price lunches (15.4 million).
- An additional 11.8 million students received full-price lunches.
|
|
Funding
|
- In FY00, the federal cost of the NSLP was $6.3 billion. The FY02 cost
is estimated at $6.9 billion.
- In addition to commodities, the NSLP provides a fixed cash reimbursement
to schools for each meal, plus a subsidy to cover meal preparation costs.
|
|
Program Issues
|
- Concern that the error rate has been increasing.
- Encouraging healthy eating habits including incentives for schools
to purchase locally grown produce, and to replace unhealthy foods in
vending machines with nutritious foods.
- Provision of funding for automated "point of service" programs
which enable children to swipe meal cards or enter personal identification
numbers in order to reduce stigma and speed up lunch lines.
|
School Breakfast Program
|
The School Breakfast Program (SBP) began as a pilot project
in 1966 and was permanently established in 1975. It reimburses public
and private schools and residential childcare institutions that serve
breakfast to students. Over the course of the school week, the SBP provides
participating children with one-quarter of the key nutrients and calories
needed for proper growth. Studies show that poor children who participate
in a breakfast program achieve higher standardized test scores than poor
children who do not. Participating students also show improved emotional
functioning and fewer behavioral problems.
|
|
Eligibility
|
- A free breakfast is served to children with household incomes at or
below 130% of poverty or in households receiving food stamps or welfare.
A reduced-price breakfast is available to children with incomes between
130-185% of poverty.
- All children attending schools that operate the breakfast program
may participate. Children from families over 185% of poverty pay full
price, although their meals are still partially subsidized by federal
reimbursements.
|
|
Estimated Need and Coverage
|
- Only 33% of children approved for free or reduced-price lunch actually
receive school breakfast. This coverage rate varies widely at the state
level, from a low of 18% in Wisconsin to a high of 48% in Arkansas and
Mississippi.
- About 70% of schools nationally participate in the SBP, which is available
to the same schools and institutions as the National School Lunch Program.
|
|
Number Served
|
- In FY00, 6.3 million low-income children received free or reduced-price
school breakfast.
|
|
Funding
|
- In FY00, the federal cost of the SBP was $1.4 billion. The FY02 cost
is estimated at $1.6 billion.
- The cost of meals provided is federally reimbursed through state education
agencies to school districts.
|
|
Program Issues
|
- Keys to higher participation are: greater availability of programs,
increased awareness, and reduced stigma. Additional funding for outreach
could help remove these barriers.
- Universal free programs could help eliminate barriers and reduce paperwork.
- Half of all states do not have legislation requiring school districts
to offer the federally-funded SBP.
|
Afterschool and Childcare Nutrition Programs
|
Because of work requirements and a changing economy,
more low-income families depend on childcare and afterschool settings
for a substantial portion of their childrens nutritional intake.
Two federal programs provide cash reimbursement for snacks and meals in
afterschool and childcare settings. The Child and Adult Care Food Program
(CACFP) provides reimbursement for meals and snacks for children attending
eligible childcare centers, Head Start programs, family day care providers,
afterschool care programs, and homeless shelters. The National School
Lunch Program (NSLP) funds nutrition at school-based afterschool programs.
|
|
Eligibility
|
- Low-income children up to age 18 are eligible for snacks served through
school-based programs funded by the NSLP. Schools can qualify by being
located in a low-income area; alternatively, children in programs can
qualify on the basis of their income.
- CACFP primarily serves preschool or younger children, but low-income
children through age 18 are eligible if the afterschool program is located
in a low-income area. If the program is not in a low-income area, children
through age 12 are eligible and institutional reimbursement depends
on the familys income.
- In family daycare homes, reimbursement for meals served is based upon
eligibility for tier I rates (which targets higher levels of reimbursement
to low-income areas, and providers) or lower tier II rates for homes
which do not meet the location or provider income criteria for a tier
I home.
- A new CACFP program At-Risk Supper Programreimburses
supper meals served to older school children (up to age 19) at the free
rate in organized afterschool programs in low-income areas; 7 states
are currently participating in this program.
|
|
Estimated Need and Coverage
|
- USDA estimates of CACFP participation suggest that 33% of all eligible
young children in childcare participate in CACFP, along with 60% of
licensed family daycare homes, and 32% of all licensed daycare centers
(on an average daily basis). These participation figures show considerable
regional variation.
|
|
Number Served
|
- In FY00, an estimated 2.6 million children per day received snacks
and meals through the CACFP. Nationally, about 40,000 childcare centers
and 170,000 family day care homes participated in CACFP.
- An estimated 400,000 children received snacks and meals through the
NSLP at over 10,000 afterschool programs.
|
|
Funding
|
- In FY01, funding for CACFP was $1.7 billion.
- Given the importance of more frequent nutritional intake for growing
youngsters, Congress in 1998 extended federal reimbursement to reach
more children and youth in afterschool programs.
|
|
Program Issues
|
- Reimbursement rates dropped with the 1996 welfare law, as did administrative
reimbursement for sponsors of family daycare homes.
- Reconsider eligibility for tier I reimbursement to 185% of poverty
(family day care homes) or do away with 2-tier eligibility means test
(which has reduced the number of providers).
- Extension of CACFP eligibility for for-profit childcare centers with
25% low-income eligibles.
- Funding for outreach and expansion efforts directed at increasing
child participation among low-income families.
|
Summer Nutrition Programs
|
Summer nutrition programs ensure that low-income children
continue to receive nutritious meals during long school vacations, when
they do not have access to school meals. Two federal nutrition programs
provide summer food: the Summer Food Service Program (SFSP) and the National
School Lunch Program (NSLP). The SFSP started as a pilot program in 1968
and was made permanent in 1975.
|
|
Eligibility
|
- Eligible institutions include public and nonprofit school food authorities,
nonprofit summer residential summer camps, nonprofit colleges operating
the National Youth Sports Program, nonprofit organizations, and units
of local, municipal, county, or state governments.
- SFSP sites are of three kinds: "open," "enrolled,"
and "camp." Open sites are located in geographic areas where
at least half the children are eligible for free or reduced-price school
meals. All children are eligible to receive free meals at an "open
site." At an enrolled site, the area need not be low income, but
at least half the children enrolled in the program must be determined
eligible for free or reduced-price meals, and then all the children
enrolled in the program can receive free meals. Camps sites receive
payment only for meals served to children who are eligible for free
and reduced-price meals.
|
|
Estimated Need and Coverage
|
- For every 100 low-income children eligible for free or reduced-price
school lunch, about 17 receive a summer meal due to the limited number
of schools and community agencies sponsoring the program.
|
|
Number Served
|
- On an average weekday in July 2000, approximately 3.2 million children
received meals through either the SFSP or the NSLP.
- Two-thirds of the children were served through the SFSP and the remainder
through the NSLP.
- SFSP programs were operated at 31,249 sites by about 3,700 sponsoring
organizations.
|
|
Funding
|
- The total federal cost of SFSP in FY00 was $285 million.
The cost of summer meals delivered through the NSLP is not separately
reported.
|
|
Program Issues
|
- The 1996 welfare law decreased reimbursement rates, and many sponsors
must now operate at a deficit due to food and labor costs. Some states
have addressed this problem by providing supplemental dollars or start-up
grants to support the program.
- The USDA is committed to substantially increasing participation in
the summer food program. Greater outreach to acquire local sponsors
and providers is needed to build awareness and to increase the number
of summer meal programs.
|
|
UNITED STATES
Hunger, Poverty, and Child Nutrition Report Card
|
Hunger and Food Insecurity (2000)
|
Percent of households that are hungry and food insecure
|
10.5%
|
|
Number of individuals in hungry and food insecure households
|
33,231,000
|
|
Number of children in hungry and food insecure households
|
12,895,000
|
Demographics (2000)
|
Population
|
281,421,906
|
|
Population under 18
|
72,293,812
|
|
Median household income
|
$41,343
|
|
Percent of individuals below poverty line
|
12.5%
|
|
Percent of children in poverty
|
17.1%
|
|
Percent of children in extreme poverty (incomes under 50% of poverty)
(1997-1999)
|
8.0%
|
|
Percent of children in working poor families (income under 200% of poverty)
(1997-1999)
|
23.0%
|
Federal Nutrition Program Participation (FY 2000)
|
Food Stamp Program
|
WIC
|
|
Avg. monthly participation
|
17,091,000
|
Avg. monthly participation
|
7,192,300
|
|
Adults
|
8,326,000
|
Women
|
1,748,792
|
|
Children
|
8,765,000
|
Infants & children
|
5,443,507
|
|
Coverage rate (1999)
|
57%
|
Coverage rate
|
81%
|
|
School Lunch
|
School Breakfast
|
|
Free: ADA*
|
12,980,597
|
Free: ADA
|
5,725,797
|
|
Reduced-price: ADA
|
2,451,994
|
Reduced-price: ADA
|
613,298
|
|
Total, including paid
|
27,238,984
|
Total, including paid
|
7,553,987
|
|
Number of schools/sites
|
97,771
|
Number of schools/sites
|
73,904
|
|
Coverage rate
|
79.8%
|
Coverage rate
|
32.8%
|
|
Afterschool and Childcare Nutrition
|
Summer Food
|
|
CACFP
|
|
SFSP
|
|
|
Childcare centers: ADA
|
1,651,628
|
ADA
|
2,106,416
|
|
No. of sites
|
39,401
|
No. of sites
|
31,414
|
|
Family daycare: ADA
|
976,377
|
NSLP
|
|
|
No. of sites
|
171,708
|
Avg. daily number of lunches
|
1,278,035
|
|
NSLP
|
|
Average daily number of snacks
|
69,698
|
|
Average daily number of snacks
|
426,614
|
|
|
|
Number of schools/sites
|
10,426
|
Estimated coverage rate
|
17.5%
|
State Data Tables:
Data Sources and Notes
Hunger and Food Insecurity (2000)
For more information
on food security measurement, contact the Food Security Institute at the Center
on Hunger and Poverty at http://www.centeronhunger.org
and visit the USDAs Briefing Room on Food Security in the U.S. at: http://www.ers.usda.gov/briefing/foodsecurity.
Food insecurity occurs whenever there
is limited or uncertain availability of nutritionally adequate and safe foods,
or where the ability to acquire nutritionally adequate or safe foods in socially
acceptable ways is limited or uncertain, with, for example, households resorting
to use of emergency food sites or other extreme coping strategies. Households
may be food insecure with or without hunger.
Hunger is the result of severe food insecurity
and refers to the uneasy or painful sensation caused by a recurrent or involuntary
lack of food and is a potential, although not necessary, consequence of food
insecurity. Over time, hunger may result in malnutrition.
Source: Nord, M.,
Kabbani, N., Tiehen, L, Andres, M., Bickel, G., & Carlson, S. (March 2002).
Household Food Security in the United States, 2000. Food Assistance and
Nutrition Research Report Number 21. Washington, D.C.: Economic Research Service,
US Department of Agriculture. Available at: http://www.ers.usda.gov/publications/fanrr21/
Demographics
State population
and Population under 18 (2000)
Source:
US Census Bureau, 2000 Census, American Fact Finder. Available at: http://factfinder.census.gov/servlet/BasicFactsServlet
and also at: http://www.aecf.org/cgi-bin.
Median household income (2000)
Source:
US Census Bureau, Census 2000 Supplementary Survey Sample Tables, Profile of
Selected Economic Characteristics. Available at:
http://factfinder.census.gov/home/en/c2ss.html
Percent of individuals below poverty line (2000)
Source:
US Census Bureau, Census 2000 Supplementary Survey Sample Tables, Profile of
Selected Economic Characteristics. Available at:
http://factfinder.census.gov/home/en/c2ss.html
Percent of children in poverty (2000)
Children refers to related children under 18
years of age.
Source:
US Census Bureau, Census 2000 Supplementary Survey Sample Tables, Profile of
Selected Economic Characteristics. Available at:
http://factfinder.census.gov/home/en/c2ss.html
Percent of children in extreme poverty (1997-1999)
The percentage of children under age 18 who
live in families with incomes below 50% of the US poverty threshold, as defined
by the US Office of Management and Budget. In 1998, a family of 2 adults and
2 children fell in this category if their income fell below $8,265.
Source:
Analysis of data from the US Census Bureau, Current Population Survey (March
Supplement, 1998-2000). Available at: http://www.aecf.org/kidscount/kc2001/
Percent of children in working-poor families
(1997-1999)
The percentage of children under age 18 in families
where they were related to the household head, and where the following two conditions
were met: family income was less than twice the poverty level, and at least
one parent worked 50 or more weeks a year. The federal poverty level for a family
of 2 adults and 2 children in 1998 was $16,530; twice the poverty level for
such a family was $33,060.
Source:
Analysis of data from the US Census Bureau, Current Population Survey (March
Supplement, 1998-2000). Available at: http://www.aecf.org/kidscount/kc2001/
Federal Nutrition Program Participation
For more information
on federal child nutrition programs, contact the USDAs Food & Nutrition
Service at http://www.fns.usda.gov/cnd
and the Food Research & Action Center at http://www.frac.org.
Food Stamp Program (FY 2000)
Coverage rate expresses the number of
individuals who receive food stamps as a proportion of the total number of individuals
eligible for benefits. Coverage rate is based on FY 1999 data, the latest year
for which USDA has made this calculation.
Sources: Data
from Cunnyngham, K. (October 2001). Characteristics of Food Stamp Households:
Fiscal Year 2000. Alexandria, VA: Food and Nutrition Service, US Department
of Agriculture. Available at: http://www.fns.usda.gov/oane/MENU/Published/FSP/FILES/Participation/2000Characteristics.pdf
For analysis of coverage rates, see Rosso, R. (October 2001). Trends in Food
Stamp Participation Rates: 1994 to 1999. Alexandria, VA: Food and Nutrition
Service, US Department of Agriculture. Available at: http://www.fns.usda.gov/oane/MENU/Published/FSP/FILES/Participation/
1999TrendsReport.pdf
Special Supplemental Nutrition Program for Women,
Infants and Children (WIC) (FY2000)
Coverage rate expresses the percent of
eligible individuals receiving WIC benefits.
Sources: Data
supplied by Food and Nutrition Service, US Department of Agriculture. Available
at: http://www.fns.usda.gov/pd/wichome.htm.
For coverage rates, see http://www.fns.usda.gov/wic/
MENU/FAQ/FAQ.HTM#4
School Lunch and School Breakfast (FY 2000)
ADA refers to average daily attendance.
Participation data are 9-month averages; summer months (June-August) are excluded.
Participation is based on average daily meals divided by an attendance factor
of 0.927.
Coverage rate expresses the number of
children receiving free and reduced-price breakfast or lunch as a proportion
of the total number of children eligible for free and reduced price meals.
Source: Data
supplied by Food and Nutrition Service, US Department of Agriculture. Available
at: http://www.fns.usda.gov/pd/cnpmain.htm
Afterschool and Childcare Nutrition (FY 2000)
The counts for CACFP ADA and NSLP snacks served
include low-income children and also a smaller number of non-low-income children
from programs that are area eligible, and therefore not based on individual
students eligibility. ADA data are reported on a quarterly basis only (March,
June, September and December). Unlike participation data in the National School
Lunch and School Breakfast Programs, CACFP average daily attendance is not adjusted
for absenteeism.
Source: Data
supplied by Food and Nutrition Service, US Department of Agriculture. CACFP
data available at: http://www.fns.usda.gov/pd/cnpmain.htm
Summer Food (July 2000)
The counts for SFSP ADA and NSLP lunches and
snacks served include low-income children and also a smaller number of non-low-income
children. For SFSP, average daily attendance is reported for July only. Unlike
participation data in the National School Lunch and School Breakfast Programs,
SFSP average daily attendance is not adjusted for absenteeism.
Overall estimated coverage rate expresses
the number of children participating in summer nutrition programs as a proportion
of the total number of children eligible for free and reduced price meals.
Source: Data
supplied by Food and Nutrition Service, US Department of Agriculture. SFSP available
at: http://www.fns.usda.gov/pd/cnpmain.htm
What you can do
Evaluate policy changes that:
- Create a "seamless" nutrition safety net for children
by streamlining eligibility and applications for all federal food and nutrition
programs ("one-stop shopping")
- Insure that all school districts in the nation offer children
the benefits of child nutrition programs
- Enable agencies in every community to provide enough Summer
Food Program sites to feed all at-risk youngsters
- Insure that the Food Stamp program reaches at least 80% of
eligible households (compared to the 57% of eligibles served currently)
- Strengthen the nutritional value of the Food Stamp Program
by tying benefits to the cost of living
Help mobilize the nation to bring an end to childhood hunger:
- Hold hunger hearings on Capitol Hill, and in states and districts
- Work with key state anti-hunger groups
- Discuss child nutrition programs with educators, public health
officials, policymakers, and constituents
- Set national benchmarks to end hunger, and annually review
the progress of federal agencies responsible for doing so
Congressional Child Hunger Briefing
April 25, 2002
Dr. J. Larry Brown
Distinguished Scientist, Brandeis University
Director, National Center on Hunger and Poverty
What Hunger Does to Children
- Science has now documented what mothers and teachers have
known for years: hunger hurts kids -- they suffer more stomach-aches and head-aches,
and are more likely to miss school due to illnesses than kids who get enough
to eat. But we now know something that we never knew before.
- Throughout the 1980s, I taught my students at the Harvard
Medical School about nutrition and brain function
only much of what
I taught them was wrong.
- It wasnt factually incorrect, but not the full picture,
and this is because scientific knowledge in the arena of nutrition and child
development has exploded since then.
- For many years weve known that only in rare cases did
hunger impact brain morphology or structure thought brain relatively
protected.
- Now have learned that even mild undernutrition impairs the
brain
- Cup your hands like this
babys brain would fit
inside your hand.
- The most marvelous outcome of millions of years of human
evolution.
- A million years from now no computer will be able to match
the complexity and performance of the brain.
- Yet this most incredible of organs is impaired when a child
misses meals.
- Not because brain structure changes, but because brain performance
is impaired.
- When a childs body hasnt enough dietary energy,
it goes into triage just like battlefield medics triage health care,
the body triages energy allocation. Three levels
[describe]
- It is through this seemingly innocuous process that cognitive
impairment takes place.
- You may have the body of a hungry child in the classroom,
but her mind is elsewhere.
- Hunger, in other words, robs children of their very being
of their God-given talents.
What Science Now Knows
- Hunger eats away at the health of children. It reduces
their resistance. It makes them sick. Hungry children have poorer overall
health status. They have elevated rates of iron deficiency anemia, fatigue,
colds, ear infections and stomachaches. In short, hunger makes kids sicker
and puts more of them in the hospital.
- Very recent studies show that hunger impairs the ability
of children socially and behaviorally. Hungry or food insecure children
have elevated levels of aggression and hyperactivity and passivity.
They have more mental health problems, and greater difficulty getting along
with teachers and peers.
- Hunger impairs cognitive function. Hungry kids have
trouble learning, and they do less well on standardized tests and overall
grades. They repeat more grades, and they are absent more from school.
The Extent and Causes of Domestic Hunger
- The scientific evidence is sobering, but the social and political
evidence is simply unacceptable.
- According to an annual federal report (USDA/Census) over
33 million Americans live in households that go hungry or are food insecure
(meaning that families dont know the source of their next meal, or have
to cut back on the amount of food served).
- Some 13 million of the people who suffer these circumstances
are children.
- So here we are, the richest nation in the history of the
world
10% of our people going hungry or worrying about how to feed their
families.
- Some 7,000 years after the worlds first civilizations
formed to prevent hunger, the most sophisticated democracy ever hasnt
quite figured out how to do the same thing.
- I have taken teams of physicians into homes across the nation
over many years
and we have seen the faces of hunger in every region:
- A mother and two children in Illinois who had just shared
an egg for breakfast
- A year-old baby the size of a four-month old in a California
hospital
- A Missouri mother who burst into tears as she explained
how much it hurt not to be able to feed her two young sons
- A Texas woman who pointed to a refrigerator with a few
remaining tortillas when asked what shed feed her disabled husband
four children that night.
- On occasion one will see hunger where there is family pathology.
- But the more typical face of hunger is a family of three
or four, where one or both parents are working, but at part-time or low-wage
jobs.
- The fastest growing group of people coming to food pantries
today are parents with young children
people working hard and playing
by the rules, but not earning enough to both pay the rent and put food on
the table.
- In 1970s, the minimum wage was sufficient to life a family
out of poverty [detail].
- Also, changes in job market
more part-time jobs, fewer
benefits, lower wages.
- Today, average hourly wage (adjusted for inflation) is lower
than in 1970s.
Short-Term Solutions to Address Hunger
- Ultimately we all want an economy where people can work and
earn enough to feed their families.
- This means indexing the minimum wage to inflation, expanding
the earned income tax credit. Such actions will address poverty, but we can
end hunger now.
- In addition to food stamps and the WIC program, the federal
government funds four key child nutrition programs: lunch, breakfast, after-school
snacks, and summer food.
- These four programs are entitlements, meaning that the government
guarantees that it will reimburse states for the cost of the meals
full pay, reduced price or free; participation and funding is not dependent
on the annual budget.
- Long track record with school lunch, since 1946, and 95%
of districts make it available (80% students participate).
- Others are newer, and many districts and communities still
dont protect their children by making them available:
- Fewer than a third of low-income children who get lunch
also receive breakfast
- Less than 20% of needy kids get summer meals (covering
missed school meals)
- After-school meals and snacks much newer, and coverage
is only starting.
- Once districts offers one of these programs, they almost
never discontinue
principals and teachers see a dramatic difference
- But the problem is not only in school districts and communities.
Food stamps, the nations chief weapon to feed the hungry, reaches only
57% of those who are eligible.
- Because of policy changes and administrative issues, it has
been weakened
reaching 20% fewer eligibles now than in 1994 (71%)
- Briefing book suggests a number of ways to strengthen
our food and nutrition programs (see each program description; also last page
on "what you can do")
Concluding Comments
- Unprecedented opportunity before us
to safeguard our
children
to strengthen America
- In my religious tradition it is said that if you save one
life you safe the world
today we truly can make the world better --
by protecting and nurturing the small brains we collectively hold in our hands
