ArticleThe American journal of clinical nutrition2022
Food insecurity and ultra-processed food consumption: the modifying role of participation in the Supplemental Nutrition Assistance Program (SNAP).
Article in The American journal of clinical nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers, 1 of them a synthesis that pooled it.
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Who cites it
87 citing papers in PubMed, 1 synthesis or guideline pooled it, 101 citations in OpenAlex.
- Neurobiological insights into the effects of ultra-processed food on lipid metabolism and associated mental health conditions: a scoping review.Frontiers in nutrition · 2025Pooled it
- Trial
- Effects of front-of-package nutrition labelling systems on objective understanding and purchase intention in El Salvador: results from a multi-arm parallel-group randomised controlled trial.European journal of nutrition · 2025Trial
- Cross-Sectional Evaluation of WIC Participation Status and Massachusetts Children's Nutrition after the Cash-Value Benefit Increase.Journal of the Academy of Nutrition and Dietetics · 2026Article
- Understanding the socio-economic and health burden of obesity: a 10-year retrospective analysis of population-wide administrative healthcare data.Reviews in endocrine & metabolic disorders · 2026Review
- Cumulative Household Food Insecurity Is Associated with Adverse Eating Behaviors Among Youth Exposed to Gestational Diabetes in Utero.Nutrients · 2026Article
- Association Between Food Insecurity and Metabolic Dysfunction-Associated Steatotic Liver Disease: A Cross-Sectional Study in South Korea.Nutrients · 2026Article
- Short- and long-term shifts in food purchasing behaviours and nutrition disparities in the USA during and after the COVID-19 pandemic.Nature human behaviour · 2026Article
- Ultra-Processed Food Dietary Patterns and Obesity: A Cross-Sectional Analysis of NHANES 2021-2023.Health science reports · 2026Article
- Fermentable carbohydrates intake and dental caries in adolescents under household food insecurity: a counterfactual analysis.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2026Article
- Factors Associated with Overweight and Obesity and Their Prevalence Among Medical Students in the Eastern Province of Saudi Arabia: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Household income and food addiction symptoms predict ultra-processed foods intake in Brazilian university students: implications for policy.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2026Article
- Associations Between Household Food Insecurity and Participation in Nutrition Assistance Programs, and Ultraprocessed Food Consumption and Diet Quality Among Pregnant Women in NHANES, 2001-2018.American journal of public health · 2026Article
- Practical and Equity Considerations for Ultraprocessed Foods Policies.American journal of public health · 2026Article
- Food environment and cardiovascular kidney metabolic diseases mortality.NPJ science of food · 2026Article
- A cognitive dissonance-based intervention to reduce ultra-processed food intake: Protocol for a pilot randomized controlled trial.Contemporary clinical trials · 2026Article
- Does food insecurity elucidate the relationship between food addiction and binge eating among bariatric surgery candidates?Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2026Article
- Food literacy as a moderator in the relationship between food security and dietary diversity among adults in Seoul: based on the 2021-2023 Seoul Food Survey.Nutrition research and practice · 2026Article
- From pantry to physiology: A narrative review linking food insecurity to biological dysfunction.Dialogues in health · 2026Review
- How Is U.S. Food-Insecurity Related to Dietary Quality? A Scoping Review to Inform Nutrition Security Across the Lifespan.Nutrients · 2026Article
27 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundUltra-processed foods contribute to risks of obesity and cardiometabolic disease, and higher intakes have been observed in low-income populations in the United States. Consumption of ultra-processed foods may be particularly higher among individuals experiencing food insecurity and participating in the Supplemental Nutrition Assistance Program (SNAP).
objectivesUsing data from the 2007-2016 NHANES, we examined the associations between food insecurity, SNAP participation, and ultra-processed food consumption.
methodsThe study population comprised 9190 adults, aged 20-65 y, with incomes ≤300% of the federal poverty level (FPL). Food insecurity was assessed using the Household Food Security Survey Module and SNAP participation over the past 12 mo was self-reported. Dietary intake was measured from two 24-h dietary recalls. Ultra-processed food consumption (percentage of total energy intake) was defined using the NOVA food classification system. Linear regression models were used to examine the associations between food insecurity, SNAP participation, and ultra-processed food consumption, adjusting for sociodemographic and health characteristics.
resultsMore severe food insecurity was associated with higher intakes of ultra-processed foods (P-trend = 0.003). The adjusted means of ultra-processed food intake ranged from 52.6% for adults with high food security to 55.7% for adults with very low food security. SNAP participation was also associated with higher intakes of ultra-processed foods (adjusted mean: 54.7%), compared with income-eligible participants (adjusted mean: 53.0%). Furthermore, the association between food insecurity and ultra-processed foods was modified by SNAP participation (P-interaction = 0.02). Among income-eligible nonparticipants and income-ineligible nonparticipants, more severe food insecurity was associated with higher consumption of ultra-processed foods. Among SNAP participants, the association between food insecurity and consumption of ultra-processed foods was nonsignificant.
conclusionIn a nationally representative sample of adults, food insecurity and SNAP participation were both associated with higher levels of ultra-processed food consumption.
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