Evidence map›Paper›PMID 31501207›Full record

SynthesisAnnals of family medicine2019

Interventions Addressing Food Insecurity in Health Care Settings: A Systematic Review.

Emilia H De Marchis, Jacqueline M Torres, Tara Benesch, Caroline Fichtenberg, Isabel Elaine Allen, Evans M Whitaker, Laura M Gottlieb

Open access · diamondAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Annals of family medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 125 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
125citing papers in PubMed, 11 pooled it
28.9field-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

125 citing papers in PubMed, 11 syntheses or guidelines pooled it, 184 citations in OpenAlex.

  1. Advancing equity and value in United States healthcare: an umbrella review.International journal for equity in health · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. A Systematic Review of Electronic Community Resource Referral Systems.American journal of preventive medicine · 2023
    Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Trial
  13. Trial
  14. Trial
  15. Article
  16. Article
  17. Article
  18. Article
  19. Observational
  20. Article

65 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

7 authors at 2 institutions in 1 country.

Emilia H De MarchisDepartment of Family & Community Medicine, University of California, San Francisco, California Emilia.DeMarchis@ucsf.edu.
Jacqueline M TorresDepartment of Epidemiology & Biostatistics, University of California, San Francisco, California.
Tara BeneschUniversity of California, San Francisco, California.
Caroline FichtenbergSocial Interventions Research and Evaluation Network, Center for Health & Community, University of California, San Francisco, California.
Isabel Elaine AllenDepartment of Epidemiology & Biostatistics, University of California, San Francisco, California.
Evans M WhitakerUCSF Medical Library, University of California, San Francisco, California.
Laura M GottliebSocial Interventions Research and Evaluation Network, Center for Health & Community, University of California, San Francisco, California.
University of California, San Francisco · USUniversity of California, Berkeley · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBased on the recognition that food insecurity (FI) is associated with poor health across the life course, many US health systems are actively exploring ways to help patients access food resources. This review synthesizes findings from studies examining the effects of health care-based interventions designed to reduce FI.

methodsWe conducted a systematic review of peer-reviewed literature published from January 2000 through September 2018 that described health care- based FI interventions. Standardized mean differences (SMD) were calculated and pooled when appropriate. Study quality was rated using Grading Recommendations Assessment Development and Evaluation criteria.

resultsTwenty-three studies met the inclusion criteria and examined a range of FI interventions and outcomes. Based on study design and sample size, 74% were rated low or very low quality. Studies of referral-based interventions reported moderate increases in patient food program referrals (SMD = 0.67, 95% CI, 0.36-0.98; SMD = 1.42, 95% CI, 0.76-2.08) and resource use (pooled SMD = 0.54, 95% CI, 0.31-0.78). Studies describing interventions providing food or vouchers reported mixed results for the actual change in fruit/vegetable intake, averaging to no impact when pooled (-0.03, 95% CI, -0.66 to 0.61). Few studies evaluated health or utilization outcomes; these generally reported small but positive effects.

conclusionsAlthough a growing base of literature explores health care-based FI interventions, the low number and low quality of studies limit inferences about their effectiveness. More rigorous evaluation of FI interventions that includes health and utilization outcomes is needed to better understand roles for the health care sector in addressing FI.

Indexed as

Food AssistanceFood SupplyHumansUnited Statesfood insecuritypublic healthsocial determinants of healthsystematic review

Identifiers

PMID31501207
PMCPMC7032918
OpenAlexW2973228619

What OpenQuestion holds

Textmetadata
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.