Objective: The present study examines the association between mild and moderate-to-severe household food insecurity and school readiness among a nationally representative sample of preschool-aged children.
Design: Cross-sectional data pertaining to household food availability as well as four domains of school readiness - early learning skills, self-regulation, social-emotional development and physical health & motor development - were employed.
Setting: The USA.
Participants: 15 402 children aged 3-5 years from the 2016-2018 National Survey of Children's Health.
Results: Both mild and moderate-to-severe food insecurity are associated with an increase in needing support or being at-risk in each of the four school readiness domains, particularly Self-Regulation (IRR = 4·31; CI 2·68, 6·95) and Social-Emotional Development (IRR = 3·43; CI 2·16, 5·45). Furthermore, while nearly half of the children in food-secure households are on-track across all four school readiness domains (47·49 %), only one in four children experiencing moderate-to-severe household food insecurity is on-track across all domains (25·26 %).
Conclusions: Household food insecurity is associated with reductions in school readiness among preschool-aged children.
Keywords: Children; Household food insecurity; Preschool; School readiness.