Evidence map›Paper›PMID 41879950›Full record

ArticleDigestive diseases and sciences2026

Food Insecurity and Poverty Are Associated with Increased Risk for MASLD Among US Adults.

Kyle S Liu, Keith E Liu, Itunu O Sokale, Yanyan Chen, Hashem B El-Serag, Aaron P Thrift

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Article in Digestive diseases and sciences, 2026. 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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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Kyle S LiuDepartment of Medicine, Washington University in St. Louis, St. Louis, MO, USA.
Keith E LiuDepartment of Medicine, Baylor College of Medicine, Houston, TX, USA.
Itunu O SokaleSection of Epidemiology and Population Sciences, Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
Yanyan ChenSection of Epidemiology and Population Sciences, Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
Hashem B El-SeragDan L Duncan Comprehensive Cancer Center, Baylor College of Medicine, One Baylor Plaza, MS: BCM307, Room 625D, Houston, TX, 77030-3498, USA.
Aaron P ThriftSection of Epidemiology and Population Sciences, Department of Medicine, Baylor College of Medicine, Houston, TX, USA. aaron.thrift@bcm.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsThe prevalence of metabolic dysfunction-associated steatotic liver disease (MASLD) is increasing and disproportionately affects minority populations in the U.S. Racial and ethnic minority groups experience higher rates of food insecurity and poverty. We examined the associations between food insecurity, poverty, and risks of MASLD and moderate fibrosis overall and across racial and ethnic groups.

methodsWe used the 2017-2020 National Health and Nutrition Examination Survey data. The inclusion criteria for the current study were being aged ≥ 20 years, being interviewed at home and in a mobile examination center, having undergone Fibroscan, and having available data for food security, poverty ratio, and ethnicity questionnaire components. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using weighted multivariate logistic regression models.

resultsOf the 5741 respondents, 1966 (33.8 weighted %) had MASLD, including 525 (27.0%) with moderate fibrosis. Very low (Adjusted OR [AOR] 1.61; 95% CI 1.27-2.03) food security and poverty index < 1.30 (AOR 1.29; 95% CI 1.03-1.62) were statistically significantly associated with increased risk for MASLD. When stratified by race/ethnicity, the association between very low food security and MASLD only remained statistically significant in non-Hispanic white (NHWs; AOR 1.96; 95% CI 1.34-2.87) individuals. Poverty was not statistically significantly associated with MASLD in analyses stratified by race/ethnicity.

conclusionsFood insecurity and poverty were associated with MASLD risk. When stratified by race/ethnicity, food insecurity remained associated with MASLD only in the NHW population. Further studies and tailored interventions are needed to address food insecurity and poverty and the impact on liver disease.

Indexed as

Fatty LiverFood InsecurityPovertyAdultFemaleHumansLow Socioeconomic StatusMaleMiddle AgedNutrition SurveysPrevalenceRisk FactorsSocioeconomic Disparities in HealthUnited StatesDisparitiesEthnicityFood insecurityMASLDPoverty

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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.