Trial reportPreventing chronic disease2021
Association Between Food Insecurity and Diet Quality Among Early Care and Education Providers in the Pennsylvania Head Start Program.
Trial report in Preventing chronic disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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The trial behind it
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Who cites it
9 citing papers in PubMed, 11 citations in OpenAlex.
- Cardiovascular disease risk in middle-aged and older US adults with obesity according to lifestyle and socioeconomic patterns.JAR life · 2026Article
- Design, protocol and baseline data of Nurturing Healthy Teachers, a cluster non-randomized controlled trial to improve the health, well-being, and food security of preschool and elementary school teachers in Houston, Texas.Preventive medicine reports · 2024Article
- Healthy eating index-2015 and its association with the prevalence of stroke among US adults.Scientific reports · 2024Article
- Review
- Clinical outcomes of a large-scale, partnership-based regional food prescription program: results of a quasi-experimental study.BMC research notes · 2023Article
- Predictors of Overweight and Obesity in Early Care and Education Teachers during COVID-19.International journal of environmental research and public health · 2023Article
- Feasibility of a Home-Delivery Produce Prescription Program to Address Food Insecurity and Diet Quality in Adults and Children.Nutrients · 2022Article
- PCD 2021 Student Research Collection: Building Public Health Research Capacity in Real-World Settings and the 2022 Call for Papers.Preventing chronic disease · 2021Article
- Association of Food Insecurity with Mental Health Outcomes in Parents and Children.Academic pediatricsReview
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionFood insecurity affects dietary behaviors and diet quality in adults. This relationship is not widely studied among early care and education (ECE) providers, a unique population with important influences on children's dietary habits. Our study's objective was to explore how food insecurity affected diet quality and dietary behaviors among ECE providers.
methodsWe used baseline data from a cluster-randomized controlled trial (January 2019-December 2020) on 216 ECE providers under the Pennsylvania Head Start Association. We used radar plots to graph scores for the Healthy Eating Index 2015 and the Alternative Healthy Eating Index (AHEI) 2010 and fitted a multivariate regression model for diet quality measures, adjusting for covariates.
resultsAmong the 216 participants, 31.5% were food insecure. ECE providers who were food insecure had a lower AHEI-2010 mean score (mean difference for food insecure vs food secure = -4.8; 95% CI, -7.8 to -1.7; P = .002). After adjusting for covariates, associations remained significant (mean difference = -3.9; 95% CI, -7.5 to -0.4; P = .03). Food insecure ECE providers were less likely to use nutrition labels (22.8% vs 39.1%; P = .046) and more likely to report cost as a perceived barrier to eating fruits and vegetables.
conclusionWe found a significant inverse association between food insecurity and the AHEI-2010 diet quality score among ECE providers after adjusting for covariates. More studies are needed to examine the effects of food insecurity on dietary behaviors of ECE providers and their response to nutrition education programs targeting their health.
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