ArticleJournal of nutrition education and behavior2025
Diet Quality Among Community Members With Diabetes and Food Insecurity in Northwest Arkansas: Comparison Across 3 Racial/Ethnic Groups.
Article in Journal of nutrition education and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Medically Tailored Grocery Delivery for Food Pantry Clients with Diabetes.Journal of nutrition education and behavior · 2025Article
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Authors and funding
10 authors.
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Abstract
objectiveThis study evaluated differences in diet quality across multiple racial/ethnic groups with type 2 diabetes (T2D) experiencing food insecurity.
designCross-sectional. Bilingual (English/Spanish, English/Marshallese) community health workers used a multiple-pass approach to collect 3 24-hour dietary recalls via phone.
settingFood pantries in Arkansas.
participantsEighty-three adult food pantry clients with T2D (hemoglobin A1c ≥ 7.0%) experiencing food insecurity and self-identified race/ethnicity of Hispanic (39%), Marshallese Pacific Islander (i.e., Marshallese) (35%), or White (26%).
main outcome measureDiet quality (Healthy Eating Index [HEI]-2015). ANALYSIS: Differences in diet quality scores by race/ethnicity were evaluated using one-way analysis of variance; Turkey-Kramer tests for pairwise comparisons assessed diet quality differences among Hispanic, Marshallese, and White participants. A food-level analysis identified top food categories contributing to diet quality.
resultsDiet quality was 71.7 ± 12.7 (mean ± standard deviation) among Hispanic, 56.9 ± 14.1 among Marshallese, and 45.9 ± 14.1 among White participants. Hispanic participants had a significantly higher HEI-2015 score than Marshallese (mean difference, 14.9 [95% confidence interval (CI), 6.6-23.2]; P < 0.001) and White (mean difference, 25.9 [95% CI, 16.9-34.8]; P < 0.001) participants. Marshallese participants had a significantly higher HEI-2015 score than White participants (mean difference, 11.0 [95% CI, 1.8-20.1]; P = 0.01). CONCLUSIONS AND IMPLICATIONS: Designers of nutrition-focused interventions may consider tailoring food and education around high and low diet quality component scores that vary across racial/ethnic groups (e.g., including culturally appropriate fruits/vegetables) to improve T2D management.
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