Evidence map›Paper›PMID 30579633›Full record

ArticleJournal of the Academy of Nutrition and Dietetics2019

The Association between Food Insecurity and Diet Quality Varies by Race/Ethnicity: An Analysis of National Health and Nutrition Examination Survey 2011-2014 Results.

Cindy W Leung, June M Tester

Open access · greenAbstract read
In one paragraph

Article in Journal of the Academy of Nutrition and Dietetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed, 1 pooled it
15.8field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

94 citing papers in PubMed, 1 synthesis or guideline pooled it, 144 citations in OpenAlex.

  1. Pooled it
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  12. Diet Quality, Food Insecurity, and Chronic Kidney Disease: Insights From the US National Health and Nutrition Examination Survey.Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation · 2026
    Article
  13. Medically Tailored Grocery Delivery for Food Pantry Clients with Diabetes.Journal of nutrition education and behavior · 2025
    Article
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34 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

2 authors at 2 institutions in 1 country.

Cindy W Leung
June M Tester
UCSF Benioff Children's Hospital · USUniversity of Michigan–Ann Arbor · US

Funding

The ADELANTE Trial: Testing a multi-level approach for improving household food insecurity and glycemic control among Latinos with diabetesR01MD016738 · NIMHD · STANFORD UNIVERSITY · PI ROSAS, LISA GOLDMAN, TESTER, JUNE M · 2021 to 2025
$3.3M
Understanding the risk of obesity in food-insecure children: the hidden role of stressR00HD084758 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LEUNG, CINDY · 2017 to 2020
$820k
The impact of concurrent food insecurity and obesity in childrenK23HD075852 · NICHD · CHILDREN'S HOSPITAL & RES CTR AT OAKLAND · PI TESTER, JUNE M · 2014 to 2018
$756k
Understanding the risk of obesity in food-insecure children: the hidden role of stressK99HD084758 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LEUNG, CINDY · 2015 to 2016
$270k
NICHD NIH HHS K23 HD075852NICHD NIH HHS K99 HD084758NICHD NIH HHS R00 HD084758NIMHD NIH HHS R01 MD016738
6 · The paper itself

Abstract

backgroundFood insecurity is believed to influence the quality and quantity of foods consumed; however, studies examining food insecurity and diet quality have been inconclusive and few studies have explored variability in these associations by sex and race/ethnicity.

objectiveThis study examined associations between food insecurity and diet quality, and variations by sex and race/ethnicity.

designCross-sectional analysis of data from the 2011-2014 National Health and Nutrition Examination Surveys.

participantsThe study population was composed of 4,393 adults (aged 20 to 65 years) with family incomes ≤300% of the federal poverty level with complete data on household food security and dietary intake via two 24-hour dietary recalls.

main outcome measuresDiet quality was assessed using the Healthy Eating Index-2015. STATISTICAL ANALYSES PERFORMED: Associations between food insecurity and Healthy Eating Index-2015 total and component scores were examined using linear regression models and generalized linear models. Models adjusted for sociodemographic and health covariates.

resultsCompared with food-secure adults, food-insecure adults reported a 2.22-unit lower Healthy Eating Index-2015 score (95% CI -3.35 to -1.08). This association was most pronounced among non-Hispanic whites and adults of Asian or other races/ethnicities. There were no associations among non-Hispanic black or Hispanic adults, and no differences by sex. Among non-Hispanic whites, food insecurity was associated with lower scores for total protein foods, seafood and plant proteins, and added sugar. Among Asians, food insecurity was associated with lower scores for whole fruit.

conclusionsFood insecurity was associated with lower diet quality primarily among non-Hispanic whites; Asians; and other adults, a group composed of American Indian or Alaska Natives, Native Hawaiian or Other Pacific Islanders, and multiracial adults. Further research is needed to better understand the nature of this association among understudied racial/ethnic groups.

Indexed as

AdultAgedBlack or African AmericanCross-Sectional StudiesDiet, HealthyEthnicityFemaleFood SupplyHispanic or LatinoHumansMaleMiddle AgedNutrition SurveysPovertyRacial GroupsUnited StatesDiet qualityFood insecurityNational Health and Nutrition Examination SurveysRace/ethnicity

Identifiers

PMID30579633
PMCPMC6584552
OpenAlexW2905534299

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.