Evidence map›Paper›PMID 34743780›Full record

ArticlePublic health nutrition2022

Risk factors for Veteran food insecurity: findings from a National US Department of Veterans Affairs Food Insecurity Screener.

Alicia J Cohen, David M Dosa, James L Rudolph, Christopher W Halladay, Michele Heisler, Kali S Thomas

Open access · hybridAbstract read
In one paragraph

Article in Public health nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
8.4field-weighted citation impact, top 2% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Article
  6. A Qualitative Study to Investigate the Nutrition Perspectives and Experiences of Veterans with CKD.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Article
  7. American Hunger Games: Food Insecurity Among the Military and Veterans.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Studying Veteran food insecurity longitudinally using electronic health record data and natural language processing.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2025
    Article
  12. Article
  13. Unit-Based Correlates of Marginal Food Insecurity Among US Soldiers.Public health reports (Washington, D.C. : 1974) · 2024
    Article
  14. Food Insecurity Among LGBQ+ Veterans.JAMA network open · 2024
    Article
  15. Article
  16. Observational
  17. Prevalence and Correlates of Food and/or Housing Instability among Men and Women Post-9/11 US Veterans.International journal of environmental research and public health · 2024
    Article
  18. Article
  19. Article
  20. Article
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 3 institutions in 1 country.

Alicia J CohenCenter of Innovation in Long Term Services and Supports, VA Providence Healthcare System, Providence, RI, USA.ORCID 0000-0003-3859-6164
David M DosaCenter of Innovation in Long Term Services and Supports, VA Providence Healthcare System, Providence, RI, USA.
James L RudolphCenter of Innovation in Long Term Services and Supports, VA Providence Healthcare System, Providence, RI, USA.
Christopher W HalladayCenter of Innovation in Long Term Services and Supports, VA Providence Healthcare System, Providence, RI, USA.
Michele HeislerCenter for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, USA.
Kali S ThomasCenter of Innovation in Long Term Services and Supports, VA Providence Healthcare System, Providence, RI, USA.
Brown University · USProvidence VA Medical Center · USUniversity of Michigan · US

Funding

Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Implementing a Clinical-Community Partnered Intervention to Address Food Insecurity Among High-Risk VeteransIK2HX003013 · VA · PROVIDENCE VA MEDICAL CENTER · PI Alicia Cohen · 2020 to 2026
–
HSRD VA IK2 HX003013NIDDK NIH HHS P30 DK092926
6 · The paper itself

Abstract

objectiveFood insecurity is associated with numerous adverse health outcomes. The US Veterans Health Administration (VHA) began universal food insecurity screening in 2017. This study examined prevalence and correlates of food insecurity among Veterans screened.

designRetrospective cross-sectional study using VHA administrative data. Multivariable logistic regression models were estimated to identify sociodemographic and medical characteristics associated with a positive food insecurity screen.

settingAll US Veterans Administration (VA) medical centres (n 161).

participantsAll Veterans were screened for food insecurity since screening initiation (July 2017-December 2018).

resultsOf 3 304 702 Veterans screened for food insecurity, 44 298 were positive on their initial screen (1·3 % of men; 2·0 % of women). Food insecurity was associated with identifying as non-Hispanic Black or Hispanic. Veterans who were non-married/partnered, low-income Veterans without VA disability-related compensation and those with housing instability had higher odds of food insecurity, as did Veterans with a BMI < 18·5, diabetes, depression and post-traumatic stress disorder. Prior military sexual trauma (MST) was associated with food insecurity among both men and women. Women screening positive, however, were eight times more likely than men to have experienced MST (48·9 % v. 5·9 %).

conclusionsFood insecurity was associated with medical and trauma-related comorbidities as well as unmet social needs including housing instability. Additionally, Veterans of colour and women were at higher risk for food insecurity. Findings can inform development of tailored interventions to address food insecurity such as more frequent screening among high-risk populations, onsite support applying for federal food assistance programs and formal partnerships with community-based resources.

Indexed as

VeteransCross-Sectional StudiesFemaleFood InsecurityHumansMaleRetrospective StudiesRisk FactorsUnited StatesUnited States Department of Veterans AffairsFood insecurityMilitary sexual traumaMilitary VeteransSocial determinants of health

Identifiers

PMID34743780
PMCPMC8957505
OpenAlexW3211406419

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.