Evidence map›Paper›PMID 31576509›Full record

ArticleJournal of general internal medicine2019

Food Insecurity and Chronic Disease in US Young Adults: Findings from the National Longitudinal Study of Adolescent to Adult Health.

Jason M Nagata, Kartika Palar, Holly C Gooding, Andrea K Garber, Kirsten Bibbins-Domingo, Sheri D Weiser

Open access · bronzeAbstract read
In one paragraph

Article in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 2 pooled it
19.3field-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

68 citing papers in PubMed, 2 syntheses or guidelines pooled it, 122 citations in OpenAlex.

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  19. Beyond the Nest: The Role of Financial Independence in Young Adult Health.International journal of behavioral medicine · 2025
    Article
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8 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

6 authors at 2 institutions in 1 country.

Jason M NagataDepartment of Pediatrics, University of California, San Francisco, 550 16th Street, 4th Floor, Box 0110, San Francisco, CA, 94158, USA. jason.nagata@ucsf.edu.
Kartika PalarDepartment of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Holly C GoodingDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, USA.
Andrea K GarberDepartment of Pediatrics, University of California, San Francisco, 550 16th Street, 4th Floor, Box 0110, San Francisco, CA, 94158, USA.
Kirsten Bibbins-DomingoDepartment of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Sheri D WeiserDepartment of Medicine, University of California, San Francisco, San Francisco, CA, USA.
University of California, San Francisco · USEmory University · US

Funding

Wave IV Data CollectionP01HD031921 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HARRIS, KATHLEEN MULLAN · 1994 to 2020
$86.1M
Pediatric Scientist Development Program (PSDP) [K12]K12HD000850 · NICHD · YALE UNIVERSITY · PI Sallie R. Permar · 1987 to 2026
$44.1M
Multi-center Randomized Controlled Trial of Refeeding in Anorexia NervosaR01HD082166 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GARBER, ANDREA K · 2015 to 2025
$5.7M
Mentoring in Patient Oriented Research on Food Insecurity, HIV and AgingK24AI134326 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SHERI Dawn WEISER · 2017 to 2026
$1.4M
Maintenance of Ideal Cardiovascular Health across the Life Course in WomenK23HL122361 · NHLBI · EMORY UNIVERSITY · PI GOODING, HOLLY CATHERINE · 2015 to 2019
$816k
Identifying barriers to diabetes and HIV co-management in vulnerable populationsK01DK107335 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PALAR, KARTIKA · 2015 to 2019
$787k
NHLBI NIH HHS K23 HL122361NIAID NIH HHS K24 AI134326NICHD NIH HHS K12 HD000850NICHD NIH HHS P01 HD031921NICHD NIH HHS R01 HD082166NIDDK NIH HHS K01 DK107335
6 · The paper itself

Abstract

backgroundFood insecurity, or the limited or uncertain access to food resulting from inadequate financial resources, is associated with a higher prevalence of chronic disease in adulthood. Little is known about these relationships specifically in young adulthood, an important time for the development of chronic disease.

objectiveTo determine the association between food insecurity and chronic disease including diabetes, hypertension, obesity, and obstructive airway disease in a nationally representative sample of US young adults.

designCross-sectional nationally representative data collected from Wave IV (2008) of the National Longitudinal Study of Adolescent to Adult Health was analyzed using multiple logistic regression models.

participantsUS young adults ages 24-32 years old MAIN MEASURES: Food insecurity and general health; self-reported diabetes, hypertension, hyperlipidemia, "very overweight," and obstructive airway disease; measured obesity derived from body mass index; and inadequate disease control (hemoglobin A1c ≥ 7.0%, blood pressure ≥ 140/90 mmHg) among those with reported diabetes and hypertension. KEY

resultsOf the 14,786 young adults in the sample, 11% were food insecure. Food-insecure young adults had greater odds of self-reported poor health (2.63, 95% confidence interval (CI) 1.63-4.24), diabetes (1.67, 95% CI 1.18-2.37), hypertension (1.40, 95% CI 1.14-1.72), being "very overweight" (1.30, 95% CI 1.08-1.57), and obstructive airway disease (1.48, 95% CI 1.22-1.80) in adjusted models compared with young adults who were food secure. Food insecurity was not associated with inadequate disease control among those with diabetes or hypertension.

conclusionsFood insecurity is associated with several self-reported chronic diseases and obesity in young adulthood. Health care providers should screen for food insecurity in young adults and provide referrals when appropriate. Future research should evaluate the impact of early interventions to combat food insecurity on the prevention of downstream health effects in later adulthood.

Indexed as

Food SupplyHealth StatusAdolescentAdultChronic DiseaseCross-Sectional StudiesFemaleHumansLongitudinal StudiesMaleUnited StatesYoung Adultasthmablood pressurecholesterolchronic diseasediabetesfood securityobesityyoung adult

Identifiers

PMID31576509
PMCPMC6854148
OpenAlexW2977960013

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.