Evidence map›Paper›PMID 28666476›Full record

Trial reportBMC public health2017

Household food insecurity and dietary patterns in rural and urban American Indian families with young children.

Emily J Tomayko, Kathryn L Mosso, Kate A Cronin, Lakeesha Carmichael, KyungMann Kim, Tassy Parker, Amy L Yaroch, Alexandra K Adams

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01776255 (Healthy Children, Strong Families), which is not on this map. Cited by 61 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 6 pooled it
18.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01776255 nacompletednot on this map

Healthy Children, Strong Families: American Indian Communities Preventing Obesity

TypeinterventionalSponsorUniversity of Wisconsin, MadisonRan2013 to 2017Enrolled900ConditionsObesity, OverweightArmsHealthy Children, Strong Families, Child Safety
3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 6 syntheses or guidelines pooled it, 93 citations in OpenAlex.

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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Emily J TomaykoNutrition, School of Biological and Population Health Sciences, College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, USA.
Kathryn L MossoDepartment of Family Medicine and Community Health, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA.
Kate A CroninDepartment of Family Medicine and Community Health, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA.
Lakeesha CarmichaelDepartment of Biostatistics and Medical Informatics, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA.
KyungMann KimDepartment of Biostatistics and Medical Informatics, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA.
Tassy ParkerDepartment of Family and Community Medicine, School of Medicine, University of New Mexico, Albuquerque, NM, Mexico.
Amy L YarochGretchen Swanson Center for Nutrition, Omaha, NE, USA.
Alexandra K AdamsCenter for American Indian and Rural Health Equity, Montana State University, AJM Johnson Hall 103B, P.O. Box 173485, Bozeman, MT, 59715, USA. alexandra.adams2@montana.edu.
University of Wisconsin–Madison · USMontana State University · USOregon State University · USSwanson Center · USUniversity of New Mexico · US

Funding

TRAINING IN NUTRITIONT32DK007665 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI GUY E GROBLEWSKI, Chi- Liang Eric Yen · 1993 to 2026
$9.2M
Healthy children, Strong families: American Indian Communities Preventing ObesityR01HL114912 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI ADAMS, ALEXANDRA K. · 2012 to 2016
$3.5M
NHLBI NIH HHS R01 HL114912NIDDK NIH HHS T32 DK007665
6 · The paper itself

Abstract

backgroundHigh food insecurity has been demonstrated in rural American Indian households, but little is known about American Indian families in urban settings or the association of food insecurity with diet for these families. The purpose of this study was to examine the prevalence of food insecurity in American Indian households by urban-rural status, correlates of food insecurity in these households, and the relationship between food insecurity and diet in these households.

methodsDyads consisting of an adult caregiver and a child (2-5 years old) from the same household in five urban and rural American Indian communities were included. Demographic information was collected, and food insecurity was assessed using two validated items from the USDA Household Food Security Survey. Factors associated with food insecurity were examined using logistic regression. Child and adult diets were assessed using food screeners. Coping strategies were assessed through focus group discussions. These cross-sectional baseline data were collected from 2/2013 through 4/2015 for the Healthy Children, Strong Families 2 randomized controlled trial of a healthy lifestyles intervention for American Indian families.

resultsA high prevalence of food insecurity was determined (61%) and was associated with American Indian ethnicity, lower educational level, single adult households, WIC participation, and urban settings (p = 0.05). Food insecure adults had significantly lower intake of vegetables (p < 0.05) and higher intakes of fruit juice (<0.001), other sugar-sweetened beverages (p < 0.05), and fried potatoes (p < 0.001) than food secure adults. Food insecure children had significantly higher intakes of fried potatoes (p < 0.05), soda (p = 0.01), and sports drinks (p < 0.05). Focus group participants indicated different strategies were used by urban and rural households to address food insecurity.

conclusionsThe prevalence of food insecurity in American Indian households in our sample is extremely high, and geographic designation may be an important contributing factor. Moreover, food insecurity had a significant negative influence on dietary intake for families. Understanding strategies employed by households may help inform future interventions to address food insecurity.

trial registration( NCT01776255 ). Registered: January 16, 2013. Date of enrollment: February 6, 2013.

Indexed as

Adaptation, PsychologicalAdultChild, PreschoolCross-Sectional StudiesDietFeeding BehaviorFemaleFood SupplyHumansIndians, North AmericanLogistic ModelsMalePrevalenceRural PopulationSocioeconomic FactorsUrban PopulationAmerican IndianDietEarly childhoodFood securityRuralUrban

Identifiers

PMID28666476
PMCPMC5493116
OpenAlexW2731754139

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.