Evidence map›Paper›PMID 41469086›Full record

ArticleBMJ open diabetes research & care2025

Food insecurity patterns and mental health among youth and young adults with diabetes.

Ali M Alfalki, Emmanuel F Julceus, Kate Flory, Jason A Mendoza, Faisal S Malik, Edward A Frongillo, Beth A Reboussin, Anna Bellatorre, Dana Dabelea, Catherine Pihoker and 1 more

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In one paragraph

Article in BMJ open diabetes research & care, 2025. 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.

Ali M AlfalkiDepartment of Epidemiology and Biostatistics, University of South Carolina Arnold School of Public Health, Columbia, South Carolina, USA.ORCID http://orcid.org/0000-0002-7347-7008
Emmanuel F JulceusDepartment of Epidemiology and Biostatistics, University of South Carolina Arnold School of Public Health, Columbia, South Carolina, USA.ORCID http://orcid.org/0000-0001-6505-9159
Kate FloryDepartment of Psychology, University of South Carolina College of Arts and Sciences, Columbia, South Carolina, USA.
Jason A MendozaCHBD, University of Washington, Seattle, Washington, USA.ORCID http://orcid.org/0000-0003-0833-4358
Faisal S MalikSeattle Children's Hospital, Seattle, Washington, USA.
Edward A FrongilloDepartment of Health Promotion, Education, and Behavior, University of South Carolina Arnold School of Public Health, Columbia, South Carolina, USA.ORCID http://orcid.org/0000-0002-8265-9815
Beth A ReboussinDepartment of Biostatistics and Data Science, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Anna BellatorreDepartment of Lifecourse Epidemiology of Adiposity and Diabetes, Colorado School of Public Health, Aurora, Colorado, USA.
Dana DabeleaDepartment of Lifecourse Epidemiology of Adiposity and Diabetes, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA.
Catherine PihokerPediatrics, University of Washington, Seattle, Washington, USA.
Angela D LieseDepartment of Epidemiology and Biostatistics, University of South Carolina Arnold School of Public Health, Columbia, South Carolina, USA liese@mailbox.sc.edu.ORCID http://orcid.org/0000-0002-7022-0178

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
Biomedical-Behavioral Interface: Prevention and Developmental Sciences TrainingT32GM081740 · NIGMS · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI PRINZ, RONALD J · 2008 to 2022
$4.5M
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 DK108173NIGMS NIH HHS T32 GM081740
6 · The paper itself

Abstract

backgroundFood insecurity (FI) is linked to mental health outcomes cross-sectionally, but little is known about temporal patterns of FI and changes in mental health. FI can exacerbate the mental health challenges of managing diabetes, creating a vicious cycle that worsens youth and young adults' (YYAs) mental well-being. PURPOSE: We investigated the association of temporal patterns of FI with symptoms of depression, anxiety, and stress, and changes therein in YYAs with youth-onset type 1 (T1D) and type 2 diabetes (T2D).

methodsLongitudinal data (2016-2022) including three time points (t

findingsAmong YYAs with T1D and T2D, 6.6% and 16.5% were PFI, 20.3% and 42.3% were IFI, respectively. In YYA with T1D, PFI and IFI were associated with greater depressive, anxiety, and stress symptoms at t

interpretationThe study identified a previously unrecognized link between prolonged exposure to FI and increased incidence of mental health issues. Both persistent and intermittent FI were associated with adverse mental health symptoms in YYA with diabetes, more so for those with PFI. Subsequent research should prioritize interventions that address FI in this population to evaluate their effectiveness in enhancing both physical and psychological well-being. It should be designed to not only address FI, but also comprehensive support, including mental health services and education.

Indexed as

AnxietyDepressionDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Food InsecurityFood SupplyMental HealthStress, PsychologicalAdolescentAdultCross-Sectional StudiesFemaleHumansLongitudinal StudiesMaleYoung AdultAnxietyDepressionHealthcare DisparitiesStress, Psychological

Identifiers

PMID41469086
PMCPMC12766846

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LicenceCC BY-NC
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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.