ArticleFrontiers in public health2026
Health insurance participation may mitigate the health impact of food insecurity among Chinese working-age adults.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Association Between Food Insecurity and Food Allergy Among Low- to Middle-Income Households in China: A Cross-Sectional Survey Across Three Provinces.Journal of food science · 2026Article
- Joint effects of social determinants of health on NAFLD mortality: the mediating role of phenotypic age acceleration.GeroScience · 2026Article
- The impact of health insurance on rural energy transition: evidence from rural China.Frontiers in public health · 2026Article
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Authors and funding
4 authors.
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Abstract
In mainland China, approximately 250 million people are unable to afford healthy meals. Food insecurity has been linked to poorer health outcomes in western countries, yet its impact remains understudied in China, especially among working-age adults. We analyzed cross-sectional data from an online survey conducted in 2024 with 4,795 individuals aged 30-60 from three Chinese provinces. Respondents self-reported chronic conditions, mental disorders, disabilities, and doctor visits. Household food insecurity was assessed by the FAO's Food Insecurity Experience Scale (FIES). The results showed that food insecurity was positively associated with chronic conditions, mental disorders, disabilities, and doctor visits in a dose-response fashion after confounders adjustment. Health insurance participation mitigated the association of food insecurity with chronic conditions and doctor visits. Healthcare accessibility, dietary quality, social support, and psychological chronic stress partially mediated the food insecurity-health relationship. Efforts to broaden and upgrade health insurance coverage and promote healthcare accessibility may help reduce health inequity across food security levels.
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