ArticleJournal of the Academy of Nutrition and Dietetics2015
Dietary Research to Reduce Children's Oral Health Disparities: An Exploratory Cross-Sectional Analysis of Socioeconomic Status, Food Insecurity, and Fast-Food Consumption.
Article in Journal of the Academy of Nutrition and Dietetics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Integrating Dietitians Into Primary Dental Care for Paediatric Populations: Developing a Conceptual Service Pathway Through a Professional Stakeholder Workshop.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026Article
- Key Mediators Reducing Socioeconomic Inequality in Early Childhood Caries.JDR clinical and translational research · 2026Article
- Nurturing Healthy Smiles: Brazilian Immigrant Parents' Perceptions and Parenting Practices of Healthy Eating to Promote Oral Health in Preschool-Aged Children: A Qualitative Study.Children (Basel, Switzerland) · 2025Article
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- The association of food insecurity with tooth decay and periodontitis among middle-aged and older adults in the United States and Korea.Gerodontology · 2023Article
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- Food insecurity is associated with self-reported oral health in school-age Ecuadorian children and is mediated by dietary and non-dietary factors.Public health nutrition · 2023Article
- Adolescent food insecurity: A review of contextual and behavioral factors.Public health nursing (Boston, Mass.) · 2020Review
- Validation of a Two-Item Food Security Screening Tool in a Dental Setting.Journal of dentistry for children (Chicago, Ill.) · 2018Article
- Presence of Dental Caries Is Associated with Food Insecurity and Frequency of Breakfast Consumption in Korean Children and Adolescents.Preventive nutrition and food science · 2018Article
- Food Security and Unmet Dental Care Needs in Adults in the United States.Journal of dental hygiene : JDH · 2018Observational
- Family Environment and Childhood Obesity: A New Framework with Structural Equation Modeling.International journal of environmental research and public health · 2017Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundTooth decay is the most common childhood disease and it disproportionately affects low-income children. The dietary risk factors associated with socioeconomic status (SES), such as food insecurity and fast-food consumption, are poorly understood.
objectiveTo better understand how upstream social factors are related to dietary behaviors by testing the hypothesis that food insecurity mediates the SES-fast-food consumption relationship.
designA 36-item survey was administered to caregivers of children younger than age 18 years (n=212). The predictor variable was SES, measured by whether the child was insured by Medicaid (no/yes). Food insecurity, the potential dietary mediator, was measured using the six-item US Department of Agriculture Household Food Security Survey (food secure/food insecure without hunger/food insecure with hunger). The outcome variable was whether the household reported eating at a fast-food restaurant ≥2 times a week (no/yes). We used logistic structural equation and mediation models to test our hypothesis.
resultsAbout 63% of children were classified as low SES. Thirty percent of caregivers reported food insecurity (with or without hunger) and 18.6% of households consumed fast food ≥2 times per week. Lower SES was significantly associated with food insecurity (odds ratio [OR] 3.03, 95% CI 1.51 to 6.04; P=0.002), but SES was not related to fast-food consumption (OR 1.94, 95% CI 0.86 to 4.36; P=0.11). Food insecurity was not associated with fast-food consumption (OR 1.76, 95% CI 0.86 to 3.62; P=0.12). The mediation analyses suggest food insecurity does not mediate the relationship between SES and fast-food consumption. However, there are important potential differences in fast-food consumption by SES and food insecurity status.
conclusionsFuture dietary research focusing on tooth decay prevention in vulnerable children may need to account for the differential effects of SES on food insecurity and dietary behaviors like fast-food consumption. Studies are needed to further elucidate the mechanisms linking SES, dietary behaviors, and tooth decay in children.
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