ArticleThe Journal of nutrition2023
Association of Living in a Food Desert and Poor Periconceptional Diet Quality in a Cohort of Nulliparous Pregnant Individuals.
Article in The Journal of nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 11 citations in OpenAlex.
- Metabolic Dysfunction-associated Liver Disease Associated With Poor Food Access and Geographic hot Spots Among Liver Transplant Candidates.Transplantation · 2026Article
- Article
- Multilevel Intersectional Social Drivers of Health and Nulliparous Term, Singleton, Vertex Cesarean Delivery.O&G open · 2026Article
- Association between a Periconception Healthy Plant-Based Diet and Adverse Pregnancy Outcomes.The Journal of nutrition · 2026Article
- Food desert residence and prenatal diet quality.Pregnancy (Hoboken, N.J.) · 2026Article
- The Association Between Periconceptional Consumption of Ultra-Processed Food and the Incidence of Adverse Pregnancy Outcomes.Nutrients · 2026Article
- Periconceptional glycemic index and the risk of gestational diabetes mellitus and a large-for-gestational-age infant.Nutrition (Burbank, Los Angeles County, Calif.) · 2026Article
- Diagnostic accuracy of the Hunger Vital Sign screener for food insecurity in an obstetric population.Pregnancy (Hoboken, N.J.) · 2026Article
- Does Diet Quality Change from Periconception to 3 y Postpartum? Findings from a Large United States Cohort.The Journal of nutrition · 2025Article
- Intersectionality of individual and neighborhood-level adverse social determinants of health in early pregnancy.Pregnancy (Hoboken, N.J.) · 2025Article
- Neonatal and maternal adverse outcomes among low-risk nulliparous women compared with multiparous women at 37-41 weeks of gestation: a cohort study in South China.Frontiers in medicine · 2025Article
- Experiences accessing nutritious foods and perceptions of nutritional support needs among pregnant and post-partum mothers with low income in the United States.Maternal & child nutrition · 2024Article
- Diet quality, community food access, and glycemic control among nulliparous individuals with diabetes.Primary care diabetes · 2024Article
- A Case Study of Food Insecurity Screening and Referral: Implementation Barriers, Facilitators, and Lessons from a Healthcare-Food Bank Partnership.Journal of primary care & community healthArticle
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Authors and funding
16 authors at 11 institutions in 1 country.
Funding
Abstract
backgroundA poor diet can result from adverse social determinants of health and increases the risk of adverse pregnancy outcomes.
objectiveWe aimed to assess, using data from the Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-to-Be prospective cohort, whether nulliparous pregnant individuals who lived in a food desert were more likely to experience poorer periconceptional diet quality compared with those who did not live in a food desert.
methodsThe exposure was living in a food desert based on a spatial overview of food access indicators by income and supermarket access per the Food Access Research Atlas. The outcome was periconceptional diet quality per the Healthy Eating Index (HEI)-2010, analyzed by quartile (Q) from the highest or best (Q4, reference) to the lowest or worst dietary quality (Q1); and secondarily, nonadherence (yes or no) to 12 key aspects of dietary quality.
resultsAmong 7,956 assessed individuals, 24.9% lived in a food desert. The mean HEI-2010 score was 61.1 of 100 (SD: 12.5). Poorer periconceptional dietary quality was more common among those who lived in a food desert compared with those who did not live in a food desert (Q4: 19.8%, Q3: 23.6%, Q2: 26.5%, and Q1: 30.0% vs. Q4: 26.8%, Q3: 25.8%, Q2: 24.5%, and Q1: 22.9%; overall P < 0.001). Individuals living in a food desert were more likely to report a diet in lower quartiles of the HEI-2010 (i.e., poorer dietary quality) (aOR: 1.34 per quartile; 95% CI: 1.21, 1.49). They were more likely to be nonadherent to recommended standards for 5 adequacy components of the HEI-2010, including fruit, total vegetables, greens and beans, seafood and plant proteins, and fatty acids, and less likely to report excess intake of empty calories.
conclusionsNulliparous pregnant individuals living in a food desert were more likely to experience poorer periconceptional diet quality compared with those who did not live in a food desert.
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