Evidence map›Paper›PMID 40972966›Full record

ArticleAppetite2026

"Fulfilling the hunger": A qualitative study to understand the etiology of binge eating in adolescents experiencing food insecurity.

Vivienne M Hazzard, Moraima Rodriguez, Dianne Neumark-Sztainer, Jerica M Berge, Marian Tanofsky-Kraff, Melissa N Laska

Abstract read
In one paragraph

Article in Appetite, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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.

Vivienne M HazzardCharles Stewart Mott Department of Public Health, College of Human Medicine, Michigan State University, Flint, MI, USA; Division of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA. Electronic address: vhazzard@msu.edu.
Moraima RodriguezCharles Stewart Mott Department of Public Health, College of Human Medicine, Michigan State University, Flint, MI, USA; Division of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA; University of Texas Health Science Center at San Antonio, San Antonio, TX, USA.
Dianne Neumark-SztainerDivision of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Jerica M BergeDepartment of Family Medicine and Adult and Child Center for Outcomes Research and Delivery Science (ACCORDS), School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Marian Tanofsky-KraffDepartment of Medical and Clinical Psychology, School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
Melissa N LaskaDivision of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.

Funding

Binge Eating as a Mechanism Underlying the Food Insecurity-Obesity Paradox in AdolescentsR00HD108200 · NICHD · HENRY FORD HEALTH + MICHIGAN STATE UNIVERSITY HEALTH SCIENCES · PI Vivienne M Hazzard · 2024 to 2026
$785k
Binge Eating as a Mechanism Underlying the Food Insecurity-Obesity Paradox in AdolescentsK99HD108200 · NICHD · UNIVERSITY OF MINNESOTA · PI HAZZARD, VIVIENNE M · 2023 to 2024
$234k
NICHD NIH HHS K99 HD108200NICHD NIH HHS R00 HD108200
6 · The paper itself

Abstract

Food-insecure populations experience increased risk for binge eating. This study examined how food insecurity contributes to development of binge eating during adolescence-a key period for its onset-alongside broader contributing factors in this life stage. Semi-structured qualitative interviews were conducted with 30 adolescents ages 12-19 years who reported past-year food insecurity (via the Child Food Insecurity Experiences Scale) and any past-month objective and/or subjective binge eating (via items from the Youth Eating Disorder Examination-Questionnaire). Grounded theory analysis yielded the "Co-occurring Insecurities Model", a new working theoretical model representing six interconnected themes: (1) co-occurring body image and food insecurities contributed to (2) internally and externally imposed deprivation of food, particularly desirable foods; binge-eating episodes tended to occur when (3) opportunities to eat desirable foods coincided with a drive to (4) satisfy current or anticipated hunger and/or (5) seek comfort from food to cope with life stressors/negative mood; and (6) binge eating often resulted in emotional, interpersonal, and/or physical discomfort. Results suggest binge eating in adolescents experiencing food insecurity is explained not only by factors known to contribute to binge eating in the general population (e.g., weight/shape concern-driven dietary restraint, negative mood), but also an instinct to seize opportunities to eat desirable foods when such opportunities are hard to come by. It may be important for binge-eating interventions in populations with food insecurity to increase food access and simultaneously acknowledge that binge eating may serve an adaptive function in the context of food insecurity but often has negative repercussions.

Indexed as

Binge-Eating DisorderBulimiaFood InsecurityHungerAdolescentBody ImageChildFeeding BehaviorFemaleHumansMaleQualitative ResearchSurveys and QuestionnairesYoung AdultAdolescentsBinge eatingFood insecurityQualitative

Identifiers

PMID40972966
PMCPMC12477618

What OpenQuestion holds

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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.