ArticleBMC public health2020
Sexual orientation disparities in food insecurity and food assistance use in U.S. adult women: National Health and Nutrition Examination Survey, 2005-2014.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.
- Pooled it
- Children's Adverse Childhood Experiences and Parent-Reported Use of Supplemental Nutrition Assistance Program in U.S. Households.The journal of behavioral health services & research · 2026Article
- Alcohol and tobacco use among sexual and gender minority cancer survivors in relation to urbanicity/rurality.Cancer causes & control : CCC · 2025Article
- Sexual minority populations and disparities in cardiovascular healthcare.European heart journal · 2025Review
- Health-Related Social Needs Among LGB+ Veterans.JAMA network open · 2025Article
- Material hardship and use of social safety net programs among LGBT adults and their families.Analyses of social issues and public policy : ASAP · 2025Article
- Social Determinants of Health and Healthcare Access among Latina/x/o Sexual and Gender Minority Adults.Research square · 2024Article
- Food Insecurity Among LGBQ+ Veterans.JAMA network open · 2024Article
- Article
- Built Environment and Gender-Based Vulnerability as Key Drivers of Food Insecurity in Allegheny County.International journal of environmental research and public health · 2024Article
- Selected Resource Insecurities and Abstinence Self-Efficacy Among Urban and Rural Incarcerated Women with Opioid Use Disorder.Journal of health care for the poor and underserved · 2024Article
- Nutrition and Health in the Lesbian, Gay, Bisexual, Transgender, Queer/Questioning Community: A Narrative Review.Advances in nutrition (Bethesda, Md.) · 2023Review
- Disparities in food insecurity between sexual minority and heterosexual adults - a higher burden on bisexual individuals.Frontiers in public health · 2023Article
- Suicidal ideation, plan, and attempt among men who have sex with men in Nepal: Findings from a cross-sectional study.PLOS global public health · 2023Article
- A Decade of Nutrition and Health Disparities Research at NIH, 2010-2019.American journal of preventive medicine · 2022Article
- Being in a queer time: Exploring the influence of the COVID-19 pandemic on LGBTQ+ body image.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2022Article
- Food insecurity and SNAP use among sexual minority people: analysis of a population-based sample from National Health Interview Survey, 2017.BMC public health · 2022Article
- Food Insecurity and Its Association With Alcohol and Other Substance Use Among High School Students in the United States.The Journal of school health · 2022Article
- Diet, Food Insecurity, and CVD Risk in Sexual and Gender Minority Adults.Current atherosclerosis reports · 2022Review
- Sexual orientation and food insecurity: findings from the New York City Community Health Survey.Public health nutrition · 2021Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundNearly 40 million American adults report past year food insecurity. This is concerning, as food insecurity is associated with chronic disease morbidity and premature mortality. Women disproportionately experience food insecurity, and sexual minority women (i.e., lesbian, bisexual, and heterosexual women reporting same-sex behavior; SMW) may be at greater risk for experiencing food insecurity disparities. The purpose of this study was to investigate patterns and prevalence of food insecurity and food assistance use in sexual minority and exclusively heterosexual women using population-level health surveillance data.
methodsUsing pooled 2004-2014 National Health and Nutrition Examination Survey data (N = 7379), we estimated weighted point prevalence of past 12-month food insecurity, severe food insecurity, Supplemental Nutrition Assistance Program (SNAP) use, and emergency food assistance use. We then used Poisson regression with robust variance to estimate prevalence ratios comparing SMW to exclusively heterosexual women on all outcomes. Women were classified by sexual identity and lifetime same-sex behavior as lesbian (n = 88), bisexual (n = 251), heterosexual and reporting same-sex behavior (heterosexual WSW; n = 366), or exclusively heterosexual women (referent; n = 6674).
resultsBetween 20.6-27.3% of lesbian, bisexual, and heterosexual WSW reported past 12-month food insecurity (versus 13.1% of exclusively heterosexual women). All SMW reported greater prevalence of past 12-month food insecurity and severe food insecurity than exclusively heterosexual women: prevalence ratios (PR) ranged from 1.34 (95% confidence interval [CI], 1.05-1.70) to 1.84 (95% CI, 1.13-3.01). No differences were found in SNAP participation by sexual orientation, but more lesbians and heterosexual WSW reported using emergency food assistance in the past 12-months (PR = 1.89; 95% CI, 1.29-2.79 and PR = 1.43; 95% CI, 1.03-2.00 respectively).
conclusionsAll SMW reported higher prevalence of food insecurity than exclusively heterosexual women. Lesbians and heterosexual WSW were also more likely to rely on emergency food assistance. This is problematic as SNAP use may reduce food insecurity over time, but emergency food resources (e.g., food pantries) do not. More evidence is needed to understand the multilevel factors driving food insecurity in this population to develop policy and community-based efforts to increase SNAP participation and decrease food insecurity.
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