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Abstract
Food insecurity affects millions of U.S. households and is linked to poor health outcomes, yet it is rarely screened for in clinical settings. Children with special health care needs (CSHCN) require more medical services, increasing financial strain and potentially elevating their families’ risk for food insecurity. This study used data from the 2006 Oregon PRAMS-2 follow‑up survey to estimate food insecurity among Oregon mothers, the prevalence of CSHCN among two‑year‑olds, and whether mothers of CSHCN are at higher risk for food insecurity compared with mothers of children without special health needs. Analyses used population‑weighted cross‑sectional and longitudinal data from linked PRAMS and PRAMS‑2 responses.