Evidence map›Paper›PMID 40812489›Full record

Observational studyAmerican journal of preventive medicine2026

Healthcare and Nonhealthcare Costs: Youth With Diabetes and Food Insecurity.

Alice M Ellyson, Jason A Mendoza, Angela D Liese, Ashley Tabah, Traci A Bekelman, A Caroline Rudisill, Dana Dabelea, Edward A Frongillo, Catherine Pihoker, Faisal S Malik and 1 more

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in American journal of preventive medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Alice M EllysonDepartment of Pediatrics, University of Washington School of Medicine, Seattle, Washington; Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington. Electronic address: Alice.ellyson@seattlechildrens.org.
Jason A MendozaDepartment of Pediatrics, University of Washington School of Medicine, Seattle, Washington; Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington; Public Health Sciences Division, Fred Hutchinson Cancer Center, Seattle, Washington.
Angela D LieseDepartment of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina; Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, South Carolina.
Ashley TabahThe Comparative Health Outcomes, Policy, and Economics Institute, University of Washington School of Pharmacy, Seattle, Washington.
Traci A BekelmanLifecourse Epidemiology of Adiposity and Diabetes (LEAD) Center, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
A Caroline RudisillDepartment of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina.
Dana DabeleaLifecourse Epidemiology of Adiposity and Diabetes (LEAD) Center, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Edward A FrongilloDepartment of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina.
Catherine PihokerDepartment of Pediatrics, University of Washington School of Medicine, Seattle, Washington.
Faisal S MalikDepartment of Pediatrics, University of Washington School of Medicine, Seattle, Washington; Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington.
Davene R WrightDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts.

Funding

Limited Competition for the Continuation of the SEARCH for Diabetes in Youth Cohort Study (UC4)SEARCH for Diabetes in Youth Cohort StudyUC4DK108173 · NIDDK · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI DAGOSTINO, RALPH B. · 2015 to 2016
$14.8M
Impact of Disparities in Food Security on Glycemic Control and Health CareUtilization Among Youth and Young Adults with DiabetesR01DK117461 · NIDDK · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI ANGELA D LIESE, Jason A Mendoza · 2018 to 2026
$6.1M
Limited Competition for the Closeout of the SEARCH for Diabetes in Youth Cohort StudyR01DK127208 · NIDDK · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI DAGOSTINO, RALPH B., JENSEN, ELIZABETH T · 2020 to 2020
$2.0M
NIDDK NIH HHS R01 DK117461NIDDK NIH HHS R01 DK127208NIDDK NIH HHS UC4 DK108173
6 · The paper itself

Abstract

introductionThis study prospectively evaluated the association of household food insecurity with acute care costs and productivity loss in youth and young adults with Type 1 and Type 2 diabetes.

methodsThis observational cohort study included 1,256 youth and young adults with Type 1 and Type 2 diabetes from the SEARCH for Diabetes in Youth Food Security Study, with data collected at 3 time points between 2015 and 2022. Both household food insecurity (measured using the U.S. Household Food Security Survey Module) and costs (measured using survey responses on utilization and productivity losses) were self-reported by young adult participants or the caregivers of adolescents. The relationship between household food insecurity and costs was analyzed using generalized adjusted linear regression. The authors also analyzed the moderating role of continuous health insurance coverage.

resultsEach additional 1-point increase in the household food insecurity score was associated with a $1,077 (95% CI=663; 1,491) increase in measured 12-month costs. Costs were $4,384 (95% CI=2,635; 6,133) higher in households that were experiencing household food insecurity than in those that were not. Youth and young adults with continuous health insurance coverage saw smaller increases in costs ($864, 95% CI=461; 1,267) than those without continuous coverage ($1,820; 95% CI=379; 3,261).

conclusionsThis study found a positive association between household food insecurity and costs for youth and young adults with diabetes, and this relationship was modified by continuous health insurance coverage. Future work should use linked claims and electronic health record data to better inform efforts aimed at reducing household food insecurity burden and improving the continuity of insurance coverage for this population.

Indexed as

Diabetes Mellitus, Type 1Diabetes Mellitus, Type 2Food InsecurityFood SupplyHealth Care CostsAdolescentAdultChildFemaleHumansInsurance CoverageMaleProspective StudiesUnited StatesYoung Adult

Identifiers

PMID40812489
PMCPMC12834175

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.