Evidence map›Paper›PMID 30792944›Full record

ArticlePreventive medicine reports2019

Barriers to healthy food access: Associations with household income and cooking behavior.

Julia A Wolfson, Rebecca Ramsing, Caroline R Richardson, Anne Palmer

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Preventive medicine reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07221045 (PhytoRx Families), which is not on this map. Cited by 55 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 4 pooled it
8.9field-weighted citation impact, top 2% 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.

NCT07221045 narecruitingnot on this mapstarted 2025, after this paper: background citation

PhytoRx Families: A Pilot Test Study to Address Food Security and Fruit and Vegetable Intake in Rural North Carolina

TypeinterventionalSponsorNorth Carolina State UniversityRan2025 to 2026Enrolled30ConditionsDiet, Healthy, Health Behavior, Blood Pressure, Diabetes Mellitus RiskArmsPhytoRx Families: A Pilot Test to Address Food Security in Rural North Carolina
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 4 syntheses or guidelines pooled it, 97 citations in OpenAlex.

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  10. Whole Health(y) Aging With Gerofit: The Development of a Pilot Wellness Program for Older Veterans.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2026
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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

4 authors at 2 institutions in 1 country.

Julia A WolfsonDepartment of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI, United States of America.
Rebecca RamsingCenter for a Livable Future, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States of America.
Caroline R RichardsonDepartment of Family Medicine, University of Michigan, Ann Arbor, MI, United States of America.
Anne PalmerCenter for a Livable Future, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States of America.
Johns Hopkins University · USUniversity of Michigan–Ann Arbor · US

Funding

Regional Pilot And Feasibility Study Grants ProgramP30DK020572 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DAVID P OLSON · 2013 to 2026
$24.3M
Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
NIDDK NIH HHS P30 DK020572NIDDK NIH HHS P30 DK092926
6 · The paper itself

Abstract

To examine how barriers to healthy food access and household income are associated with cooking and eating behaviors we fielded a nationally representative survey among 1112 adults in the United States in 2015. The survey included measures of barriers to accessing healthy food, household income, and frequency of cooking and eating meals, cooking practices, and other eating behaviors. We used multivariable poisson regression to examine the association of household income and barriers to healthy food access with cooking and eating behavior outcomes. We find that low income was associated with higher barriers to accessing healthy food (barriers) and that both income and barriers were associated with differences in cooking frequency/practices, and consumption behaviors. In interaction models, cooking and eating behaviors did not vary based on barriers for the lowest income level (<$25,000). In the middle income level ($25,000-$59,000), barriers were associated with cooking breakfast (3.35 vs. 2.64 times/week, p = 0.03) and lunch (3.32 vs. 2.56 times/week, p = 0.02) more frequently compared to those who never/rarely encountered barriers. At the highest income level (≥$60,000), barriers were associated with less frequently eating breakfast (4.29 vs. 5.11 times/week, p < 0.001) and lunch (4.77 vs. 5.56, times/week, p < 0.001) compared to those who never/rarely encountered barriers. Barriers to healthy food access are related to both household income and cooking and eating behaviors important for diet quality and healthy eating. Targeted interventions to address time available to shop, and the price, selection and quality of healthy foods, are necessary.

Identifiers

PMID30792944
PMCPMC6363918
OpenAlexW2913742002

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.