ArticleJournal of general internal medicine2021
Association between Food Insecurity and Health-Related Quality of Life: a Nationally Representative Survey.
Article in Journal of general internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
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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.
Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Local Food System Approaches to Address Food and Nutrition Security among Low-Income Populations: A Systematic Review.Advances in nutrition (Bethesda, Md.) · 2024Pooled it
- Senior food insecurity in the USA: a systematic literature review.Public health nutrition · 2023Pooled it
- Food Insecurity Interventions to Improve Blood Pressure: The Healthy Food First Factorial Randomized Clinical Trial.JAMA internal medicine · 2025Trial
- Cancer Care in the Gaza Strip Before and During War: Patient Experiences of Treatment Disruption, Unmet Support Needs, and Interdisciplinary Implications for Medicine, Nursing, and Social Work.Psycho-oncology · 2026Article
- Association between household food insecurity and quality of life: a longitudinal study in Northeast Brazil, 2014-2019.BMC public health · 2026Article
- The association of food insecurity with psychological distress and health-related quality of life in the general adult population of Lebanon.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Health-Related Quality of Life Among Food Bank Users in Spain: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Nationwide Analysis of Food Insecurity among Individuals with Inflammatory Bowel Disease in the United States.Inflammatory bowel diseases · 2026Article
- Interlinked crises: the roles of food literacy, quality of life, and mental well-being in predicting adult food insecurity.Archives of public health = Archives belges de sante publique · 2026Article
- Food Security Impacts Health of Children With Orofacial Clefts: An 8-Year Review of the Global Burden of Disease Study.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026Article
- Food insecurity, quality of life, and socioeconomic conditions of older adults: BRAZUCA Natal study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- Comfort With Sharing Food Insecurity Risk for Clinical Care Among Individuals With and Without a Cancer History: Findings From a National Survey.AJPM focus · 2025Article
- Food Insecurity and Associated Factors Among Adolescents from Inland Northeast Brazil: A Cross-Sectional Study.International journal of environmental research and public health · 2025Article
- Sex Differences Outweigh Dietary Factors in Food-Related Quality of Life in Patients with Inflammatory Bowel Disease.Nutrients · 2025Article
- Food insecurity is associated with decreased quality of life in patients with chronic Chagas disease.PloS one · 2025Article
- Food insecurity in women with mental illnesses attending a psychiatric hospital in KwaZulu-Natal.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2025Article
- Article
- Anxiety and sleep mediate the effect of food insecurity on depression in single parents in Ghana.BMC public health · 2024Article
- Food insecurity in high-risk rural communities before and during the COVID-19 pandemic.Heliyon · 2024Article
- Understanding food insecurity risk in the United States: A longitudinal analysis.SSM - population health · 2024Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundFood insecurity, limited or uncertain access to enough food for an active, healthy life, affected over 37 million Americans in 2018. Food insecurity is likely to be associated with worse health-related quality of life (HRQoL), but this association has not been measured with validated instruments in nationally representative samples. Given growing interest understanding food insecurity's role in health outcomes, it would be useful to learn what HRQoL measures best capture the experience of those with food insecurity.
objectiveTo determine the association between food insecurity and several validated HRQoL instruments in US adults.
designCross-sectional.
participantsUS adults (age ≥ 18), weighted to be nationally representative. MAIN MEASURES: Food insecurity was assessed with three items derived from the USDA Household Food Security Survey Module. HRQoL was assessed using PROMIS-Preference (PROPr), which contains 7 PROMIS domains, self-rated health (SRH), Euroqol-5D-5L (EQ-5D), Health Utilities Index (HUI), and Short Form-6D (SF-6D). KEY
resultsIn December 2017, 4142 individuals completed at least part of the survey (31% response rate), of whom 4060 (98.0%) reported food security information. Of survey respondents, 51.7% were women, 12.5% self-identified as black, 15.8% were Hispanic, and 11.0% did not have a high school diploma. 14.1% of respondents reported food insecurity. In adjusted analyses, food insecurity was associated with worse HRQoL across all instruments and PROMIS domains (p < .0001 for all). The magnitude of the difference between food-insecure and food-secure participants was largest with the SF-6D, EQ-5D, and PROPr; among individual PROMIS domain scores, the largest difference was for ability to participate in social roles.
conclusionsFood insecurity is strongly associated with worse HRQoL, with differences between food-secure and food-insecure individuals best measured using the SF-6D, EQ-5D, and PROPr. Future work should develop a specific instrument to measure changes in HRQoL in food insecurity interventions.
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