Evidence map›Paper›PMID 36244877›Full record

ArticleJournal of nutrition education and behavior2022

Food Stress and Diabetes-Related Psychosocial Outcomes in American Indian Communities: A Mixed Methods Approach.

Tara L Maudrie, Kevalin M W Aulandez, Victoria M O'Keefe, Frances R Whitfield, Melissa L Walls, Dane S Hautala

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of nutrition education and behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

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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 2 institutions in 1 country.

Tara L MaudrieCenter for American Indian Health, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD. Electronic address: tmaudri1@jhu.edu.
Kevalin M W AulandezCenter for American Indian Health, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD.
Victoria M O'KeefeCenter for American Indian Health, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD.
Frances R WhitfieldTogether Overcoming Diabetes Research Team, Duluth, MN.
Melissa L WallsCenter for American Indian Health, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD.
Dane S HautalaCenter for American Indian Health, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD.
Johns Hopkins University · USTogether · US

Funding

Stress and Type 2 Diabetes among Indigenous AdultsR01DK091250 · NIDDK · UNIVERSITY OF MINNESOTA · PI WALLS, MELISSA L. · 2012 to 2024
$5.7M
Mental Health and Diabetes among Ojibwe AdultsR21MH085852 · NIMH · UNIVERSITY OF MINNESOTA · PI WALLS, MELISSA L. · 2010 to 2011
$426k
NIDDK NIH HHS R01 DK091250NIMH NIH HHS R21 MH085852
6 · The paper itself

Abstract

objectiveExplore the relationship between diabetes-related psychosocial outcomes and food stress in American Indian communities.

designConvergence model of a mixed methods triangulation study.

settingFive American Indian reservation communities in the Midwest.

participantsOne-hundred ninety-two participants were randomly selected from tribal health centers using clinic patient records and were surveyed about diabetes distress, empowerment, and food stress across 4 different time points. Seventeen focus group discussions were conducted and transcribed, and a mix of purposive and convenience sampling was used. PHENOMENON OF INTEREST: Psychosocial outcomes associated with (or related to) diabetes and food stress. ANALYSIS: Quantitative: Multiple linear regression was performed to explore relationships between food stress and diabetes distress and empowerment. Qualitative: Open coding of data identified portions of the transcripts related to food followed by a deductive approach on the basis of the components of quantitative food stress.

resultsFood stress in the forms of (1) not having enough money for food and not having enough time for cooking or shopping (P = 0.08) and (2) inadequate food access and being on a special diet (P = 0.032) were associated with increased diabetes distress. Lower diabetes empowerment was associated with not having enough money for food and being on a special diet (P = 0.030). Our qualitative data mirrored quantitative findings that experiencing multiple forms of food stress negatively impacted diabetes psychosocial outcomes and illuminated the cyclical role mental health can play in relationships to food. CONCLUSIONS AND IMPLICATIONS: Our findings highlight that experiencing food stress negatively affects diabetes empowerment and diabetes distress. These findings emphasize the importance of improving community food environments and addressing individual food access for diabetes management and prevention initiatives in American Indian communities.

Indexed as

Diabetes MellitusIndians, North AmericanAmerican Indian or Alaska NativeFocus GroupsFoodHumansAmerican Indiandiabetesfood securitymixed methodsstress

Identifiers

PMID36244877
PMCPMC9742178
OpenAlexW4306173595

What OpenQuestion holds

Textmetadata
LicenceTDM
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.