Evidence map›Paper›PMID 41116677›Full record

ArticleJournal of dental education2026

Food Insecurity was Associated With Poorer Sleep Quality and Increased Stress Among Dental Students at a HBCU and a Predominantly White School.

Brian Laurence, Teresa A Marshall, Fang Qian, Gillian Robinson-Warner, Archana Kumar, Nidhi Handoo, Cari Anderson

Abstract read
In one paragraph

Article in Journal of dental education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Brian LaurenceDepartment of Comprehensive Care, College of Dentistry, Howard University, Washington, DC, USA.
Teresa A MarshallDepartment of Preventive and Community Dentistry, College of Dentistry, University of Iowa, Iowa City, Iowa, USA.ORCID https://orcid.org/0000-0002-1615-0797
Fang QianIowa Institute for Oral Health Research, College of Dentistry, University of Iowa, Iowa City, Iowa, USA.
Gillian Robinson-WarnerRestorative Dentistry, College of Dentistry, Howard University, Washington, DC, USA.
Archana KumarDepartment of Preventive and Community Dentistry, College of Dentistry, University of Iowa, Iowa City, Iowa, USA.
Nidhi HandooDepartment of Oral Pathology and Radiology, College of Dentistry, University of Iowa, Iowa City, Iowa, USA.
Cari AndersonCollege of Dentistry, University of Iowa, Iowa City, Iowa, USA.

Funding

University of Iowa's College of Dentistry's Michael W. Finkelstein Centennial Professorship of Teaching
6 · The paper itself

Abstract

purposeThe prevalence of food insecurity (FI) and its associated outcomes among undergraduate students have been widely researched, however studies focusing on FI among professional students are limited. This study investigated the associations between FI, sleep-related variables, and stress among dental students from predominantly Black and White dental schools in the United States during the COVID-19 pandemic.

methodsParticipants included dental students enrolled at a Historically Black College and University (Howard) and a predominately White (Iowa) dental school in the Fall of 2021. Five sleep-related and stress outcomes were measured as dichotomous variables. The associations between FI and the outcome variables were assessed using bivariate and multivariable logistic regression analyses.

resultsMean age of the participants was 25.8 ± 3.3 years; 46% reported being food insecure. In a comprehensive multivariable model that included both Howard and Iowa students, FI was a significant (p < 0.05) predictor of poorer sleep quality and more frequent troublesome sleep. In stratified bivariate analyses, FI was also strongly (p < 0.05) associated with adverse sleep outcomes at both Howard and Iowa dental schools. Students attending Howard had higher odds of frequent troublesome sleep compared to students attending Iowa (OR = 2.92, 95% CI: 1.17-7.28). Furthermore, FI was significantly (p < 0.05) associated with higher stress levels across all analyses.

conclusionsOur findings are consistent with prior studies reporting associations between FI and poorer sleep outcomes and increased stress in both Black and White dental students.

Indexed as

Food InsecuritySleep QualityStress, PsychologicalStudents, DentalWhiteAdultBlack or African AmericanFemaleHistorically Black Colleges and UniversitiesHumansIowaMaleSchools, DentalUnited StatesYoung Adultdental studentsfood insecurityHBCUsleep disordersstress

Identifiers

PMID41116677
PMCPMC13371973

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.