Cited by 660Food Security and Health in Diverse PopulationsNutritional Studies and DietObesity, Physical Activity, Diet

The DOI matches its Crossref record; 54 of the 54 references it cites were found in a registry or an index.

Food insecurity and dietary quality in US adults and children: a systematic review

Open access

Hanson, Karla L, Connor, Leah M·2014·The American Journal of Clinical Nutrition

Open this paper in CoChat — free account Open PDF

Abstract

Background Food insecurity is adversely associated with the physical and mental health of adults and children, and the mechanism that underlies this association has been assumed to be dietary intake of lower quality in food insecure than food secure individuals. A thorough understanding of observed associations between food insecurity and dietary quality is needed to test this assumption and may highlight pathways through which to improve the health of food-insecure adults and children.Objective We systematically reviewed all evidence of associations between food insecurity and dietary quality and contrasted associations observed in adults and those for children.Design Evidence came from studies that appeared in indexed, peer-reviewed journals and 1) sampled US residents, 2) separately sampled children and adults, 3) contained a measure of food insecurity or food insufficiency, and 4) included at least one measure of dietary quality.Results In adults, 170 associations between food insecurity and dietary quality were tested, and 50 associations (29%) suggested an adverse association. Food-insecure adults consumed fewer vegetables, fruit, and dairy products than did food secure adults and had lower intake of vitamins A and B-6, calcium, magnesium, and zinc. In children, 130 associations were tested, and 21 associations (16%) showed an adverse association. There was substantial evidence of only lower fruit consumption in food-insecure compared with food-secure children. Reporting and publication biases may have contributed to an overestimation of the association between food insecurity and dietary quality.Conclusions Food insecurity is adversely associated with dietary quality in adults, particularly intakes of nutrient-rich vegetables, fruit, and dairy that promote good health. However, food insecurity was less-consistently associated with lower dietary quality in children. The idea that parents effectively shield their children from compromised dietary quality because of food shortages is supported by the evidence.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Integrity signals

Registry

Crossref · 10.3945/ajcn.114.084525

Cites

54 of 54 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & for the PRISMA Group (2009) · BMJ · doi:10.1136/bmj.b2535 · Cited by 83,823
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000097 · Cited by 64,042
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2009.06.005 · Cited by 19,575
Untitled work
Trumbo (2001) · doi:10.1016/s0002-8223(01)00078-5 · Cited by 4,852
Publication bias in clinical research
Easterbrook, P. J., Gopalan, R., Berlin, J. A., & Matthews, D. R. (1991) · The Lancet · doi:10.1016/0140-6736(91)90201-y · Cited by 3,109
Food Insecurity Is Associated with Chronic Disease among Low-Income NHANES Participants
Seligman, H. K., Laraia, B. A., & Kushel, M. (2009) · Journal of Nutrition · doi:10.3945/jn.109.112573 · Cited by 1,739
Dietary Guidelines for Americans, 2010
Marshall, T. A. (2011) · The Journal of the American Dental Association · doi:10.14219/jada.archive.2011.0248 · Cited by 1,401
Food Insufficiency and American School-Aged Children's Cognitive, Academic, and Psychosocial Development
Alaimo, K., Olson, C. M., & Frongillo, E. A. (2001) · PEDIATRICS · doi:10.1542/peds.108.1.44 · Cited by 902
Household Food Security in the United States in 2013Preprint
Coleman‐Jensen, A., Gregory, C., & Singh, A. P. (2014) · SSRN Electronic Journal · doi:10.2139/ssrn.2504067 · Cited by 901

Flagged first, then by citations

Show all 54 references

Research works printed but not linked: 1

Basiotis, 2002, Food insecurity and prevalence of overweight among adult women, Nutrition Insights, 15, 55

Sorted by citations

Items 101–200 of 658

Food Insecurity, Memory, and Dementia Among US Adults Aged 50 Years and Older
Qian, H., Khadka, A., Martinez, S. M., Singh, S., Brenowitz, W. D., Hazzouri, A. Z. A., Hill‐Jarrett, T. G., Glymour, M. M., & Vable, A. M. (2023) · JAMA Network Open · doi:10.1001/jamanetworkopen.2023.44186 · Cited by 42
Food Insecurity among Homeless Adults with Mental Illness
Parpouchi, M., Moniruzzaman, A., Russolillo, A., & Somers, J. M. (2016) · PLoS ONE · doi:10.1371/journal.pone.0159334 · Cited by 42
“Food insecurity has been found to be significantly associated with poor dietary quality [3], hypertension [4], diabetes [5] and multiple chronic health conditions [6].”
Background
Food insecurity and its associations with bulimic-spectrum eating disorders, mood disorders, and anxiety disorders in a nationally representative sample of U.S. adults
Hazzard, V. M., Barry, M. R., Leung, C. W., Sonneville, K. R., Wonderlich, S. A., & Crosby, R. D. (2021) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-021-02126-5 · Cited by 41
“Possibly related to lower dietary quality [4], food insecurity is associated with a range of adverse physical health outcomes, including type 2 diabetes and hypertension [5].”
Background
Women’s health: optimal nutrition throughout the lifecycle
Feskens, E. J. M., Bailey, R. L., Bhutta, Z. A., Biesalski, H. K., Eicher‐Miller, H. A., Krämer, K., Pan, W., & Griffiths, J. C. (2022) · European Journal of Nutrition · doi:10.1007/s00394-022-02915-x · Cited by 49
“3 of the poverty income ratio met the Estimated Average Requirements for calcium, folate, magnesium, and vitamins A, C, D, and E compared with higher income women [12] and similarly, fewer food insecure women met the Estimated Average Requirement for magnesium and vitamins B6, C, and D, compared with food secure women…”
Background
Perspective: Food and Nutrition Insecurity in Europe: Challenges and Opportunities for Dietitians
Álvarez, E. C. (2023) · Advances in Nutrition · doi:10.1016/j.advnut.2023.07.008 · Cited by 41
Food insecurity and peripheral arterial disease in older adult populations
Redmond, M. L., Dong, F., Goetz, J. R., Jacobson, L. T., & Collins, T. C. (2015) · The journal of nutrition health & aging · doi:10.1007/s12603-015-0639-0 · Cited by 41
Food insecurity and food preparation equipment in US households: exploratory results from a cross‐sectional questionnaire
Oakley, A. R., Nikolaus, C. J., Ellison, B., & Nickols‐Richardson, S. M. (2018) · Journal of Human Nutrition and Dietetics · doi:10.1111/jhn.12615 · Cited by 41
Perceptions of the Food Environment and Access among Predominantly Black Low-Income Residents of Rural Louisiana Communities
Holston, D., Stroope, J. L., Greene, M., & Houghtaling, B. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17155340 · Cited by 41
Disenfranchised: How Lower Income Mothers Navigated the Social Safety Net during the COVID-19 Pandemic
Elliott, S., Satterfield, S. J., Solórzano, G. J. L., Bowen, S., Hardison‐Moody, A., & Williams, L. (2021) · Socius Sociological Research for a Dynamic World · doi:10.1177/23780231211031690 · Cited by 42
Stretching Food and Being Creative: Caregiver Responses to Child Food Insecurity
Burke, M. P., Martini, L., Blake, C. E., Younginer, N., Draper, C. L., Bell, B. A., Liese, A. D., & Jones, S. J. (2017) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2016.11.010 · Cited by 40
Dietary Acculturation among Puerto Rican Adults Varies by Acculturation Construct and Dietary Measure
Mattei, J., McClain, A. C., Falcón, L. M., Noel, S. E., & Tucker, K. L. (2018) · Journal of Nutrition · doi:10.1093/jn/nxy174 · Cited by 40
The Healthy Children, Strong Families 2 (HCSF2) Randomized Controlled Trial Improved Healthy Behaviors in American Indian Families with Young Children
Tomayko, E. J., Prince, R. J., Cronin, K. A., Kim, K., Parker, T., & Adams, A. (2018) · Current Developments in Nutrition · doi:10.1093/cdn/nzy087 · Cited by 41
“In particular, food insecurity was associated with less optimal diet patterns in HCSF2 families (51) and in other populations (64), and in other health-related behavior changes in response to the intervention.”
Background
Food Insecurity: A Constant Factor in the Lives of Low-Income Families in Scotland and England
Shinwell, J., & Defeyter, M. A. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.588254 · Cited by 45
Food banks: Understanding their role in the food insecure population in the UK
Loopstra, R., & Lambie‐Mumford, H. (2023) · Proceedings of The Nutrition Society · doi:10.1017/s0029665123002720 · Cited by 39
Food-Insecure Women Eat a Less Diverse Diet in a More Temporally Variable Way: Evidence from the US National Health and Nutrition Examination Survey, 2013-4
Nettle, D., & Melissa Bateson, B. (2019) · Journal of Obesity · doi:10.1155/2019/7174058 · Cited by 38
“Likewise, a number of other studies have found that FI is associated with reduced consumption of fruit, vegetables, and dairy products [17].”
Result
Gender Disparities in Food Security, Dietary Intake, and Nutritional Health in the United States
Ma, C., Ho, S. K. M., Singh, S., & Choi, M. Y. (2021) · The American Journal of Gastroenterology · doi:10.14309/ajg.0000000000001118 · Cited by 39
Household Food Insecurity and the Association with Cumulative Biological Risk among Lower-Income Adults: Results from the National Health and Nutrition Examination Surveys 2007–2010
Leung, C. W., & ZHOU, M. S. (2020) · Nutrients · doi:10.3390/nu12051517 · Cited by 41
Undernutrition among Pregnant Women in Rural Communities in Southern Ethiopia
Zewdie, S., Fage, S. G., Tura, A. K., & Weldegebreal, F. (2021) · International Journal of Women s Health · doi:10.2147/ijwh.s285132 · Cited by 38
Impact of the Coronavirus Disease 2019 Pandemic on Parents’ Perception of Health Behaviors in Children With Overweight and Obesity
Beck, A. L., Huang, J. C., Lendzion, L., Fernández, A., & Martinez, S. M. (2021) · Academic Pediatrics · doi:10.1016/j.acap.2021.05.015 · Cited by 37
“We did not find, however, any association between food insecurity and fruit and vegetable intake during the pandemic as has been seen in previous research.(21) We also found that only 17% of families reported decreased intake of fruits and vegetables with 41% actually reporting an increase.”
Result
Food Insecurity and Dietary Intake among College Students with Unlimited Meal Plans at a Large, Midwestern University
Mei, J., Fulay, A. P., Wolfson, J. A., & Leung, C. W. (2021) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2021.04.009 · Cited by 40
Healthy Options in Food Pantries—A Qualitative Analysis of Factors Affecting the Provision of Healthy Food Items in St. Louis, Missouri
Chapnick, M., Barnidge, E. K., Sawicki, M. A., & Elliott, M. (2017) · Journal of Hunger & Environmental Nutrition · doi:10.1080/19320248.2017.1284027 · Cited by 36
“Food insecurity is linked to poor dietary quality, specifically low intakes of nutrient-dense fruits, vegetables, and dairy products.(14,15) Diets low in fruits, vegetables, whole grains, etc.”
Background
A comparison of maternal feeding responses to child fussy eating in low-income food secure and food insecure households
Harris, H. A., Staton, S., Morawska, A., Gallegos, D., Oakes, C., & Thorpe, K. J. (2019) · Appetite · doi:10.1016/j.appet.2019.03.005 · Cited by 36
Food insecurity is associated with lower adherence to the Mediterranean dietary pattern among Lebanese adolescents: a cross-sectional national study
Naja, F., Itani, L., Kharroubi, S. A., Diab-El-Harake, M., Hwalla, N. C., & Jomaa, L. (2020) · European Journal of Nutrition · doi:10.1007/s00394-019-02166-3 · Cited by 39
Supplemental Nutrition Assistance Program as a health intervention
Mande, J. R., & Flaherty, G. (2022) · Current Opinion in Pediatrics · doi:10.1097/mop.0000000000001192 · Cited by 40
Breakfast-Skipping and Selecting Low-Nutritional-Quality Foods for Breakfast Are Common among Low-Income Urban Children, Regardless of Food Security Status
Dykstra, H., Davey, A., Fisher, J. O., Polonsky, H. M., Sherman, S., Abel, M. L., Dale, L. C., Foster, G. D., & Bauer, K. W. (2016) · Journal of Nutrition · doi:10.3945/jn.115.225516 · Cited by 45
“Children from food-insecure households are more likely to experience nutrient deficiencies (19, 20) and have poorer dietary adequacy, including lower intakes of whole grains (21) and fruit (22) and higher intakes of added sugars (21, 23), compared with their food-secure peers.”
Background
Cigarette Smoking among Women Who Are Homeless or Unstably Housed: Examining the Role of Food Insecurity
Kim, J. E., Flentje, A., Tsoh, J. Y., & Riley, E. D. (2017) · Journal of Urban Health · doi:10.1007/s11524-017-0166-x · Cited by 35
“related to poor physical health [13], largely because of its impact on various aspects of dietary intake and nutritional deficits [14].”
Background
Associations between food insecurity in high-income countries and pregnancy outcomes: A systematic review and meta-analysis
Bell, Z., Nguyen, G. T., Andreae, G., Scott, S., Sermin‐Reed, L., Lake, A. A., & Heslehurst, N. (2024) · PLoS Medicine · doi:10.1371/journal.pmed.1004450 · Cited by 35
Fruit and Vegetable Preferences and Practices May Hinder Participation in Community-Supported Agriculture Among Low-Income Rural Families
Hanson, K. L., Garner, J. A., Connor, L. M., Pitts, S. J., McGuirt, J. T., Harris, R., Kolodinsky, J., Wang, W., Sitaker, M., Ammerman, A. S., et al. (2018) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2018.08.006 · Cited by 34
Self-citation
How Gardening and a Gardener Support Program in Detroit Influence Participants’ Diet, Food Security, and Food Values
Beavers, A. W., Atkinson, A., & Alaimo, K. (2019) · Journal of Hunger & Environmental Nutrition · doi:10.1080/19320248.2019.1587332 · Cited by 34
Food Insecurity Is Associated with an Increased Prevalence of Comorbid Medical Conditions in Obese Adults: NHANES 2007–2014
Palakshappa, D., Speiser, J. L., Rosenthal, G. E., & Vitolins, M. Z. (2019) · Journal of General Internal Medicine · doi:10.1007/s11606-019-05081-9 · Cited by 35
Food insecurity as a cause of adiposity: evolutionary and mechanistic hypotheses
Melissa Bateson, B., & Pepper, G. V. (2023) · Philosophical Transactions of the Royal Society B Biological Sciences · doi:10.1098/rstb.2022.0228 · Cited by 32
“They consume fewer fruits, vegetables and dairy products and have lower intakes of vitamin A, vitamin B6, calcium, magnesium and zinc [69].”
Background
Food-Insecure Household’s Self-Reported Perceptions of Food Labels, Product Attributes and Consumption Behaviours
Butcher, L. M., Ryan, M. M., O’Sullivan, T. A., Lo, J., & Devine, A. (2019) · Nutrients · doi:10.3390/nu11040828 · Cited by 33
“Other coping strategies identified in the literature are reducing the quality and nutritional value of food as a means of maximising the household spending power [34].”
Background
Association of self-perceived income sufficiency with cognitive impairment among older adults: a population-based study in India
Muhammad, T., Srivastava, S., & Sekher, T. V. (2021) · BMC Psychiatry · doi:10.1186/s12888-021-03257-4 · Cited by 33
Food insecurity, food waste, food behaviours and cooking confidence of UK citizens at the start of the COVID-19 lockdown
Armstrong, B., Reynolds, C. J., Martins, C. A., Frankowska, A., Levy, R. B., Rauber, F., Osei-Kwasi, H., Vega, M., Cediel, G., Rivera, X. C. S., et al. (2021) · British Food Journal · doi:10.1108/bfj-10-2020-0917 · Cited by 32
Food insecurity, mental health, and use of mental health services among nonelderly adults in the United States
Afulani, P. A., Coleman‐Jensen, A., & Herman, D. R. (2018) · Journal of Hunger & Environmental Nutrition · doi:10.1080/19320248.2018.1537868 · Cited by 33
Intuitive eating and dietary intake
Jackson, A., Sano, Y., Parker, L. A., Cox, A. E., & Lanigan, J. D. (2022) · Eating Behaviors · doi:10.1016/j.eatbeh.2022.101606 · Cited by 41
The implications of a cost-of-living crisis for oral health and dental care
Cope, A. L., & Chestnutt, I. G. (2023) · BDJ · doi:10.1038/s41415-023-5685-0 · Cited by 30
Advancing college food security: priority research gaps
Landry, M. J., Heying, E. K., Qamar, Z., Hagedorn, R. L., Savoie‐Roskos, M. R., Cuite, C. L., Zigmont, V. A., OoNorasak, K., & Chen, S. (2023) · Nutrition Research Reviews · doi:10.1017/s0954422423000094 · Cited by 35
“Food insecurity is associated with poor nutrition and health outcomes among the general, non-collegiate population (75 – 77) .”
Food Insecurity Negatively Impacts Gluten Avoidance and Nutritional Intake in Patients With Celiac Disease
Ma, C., Singh, S., Jairath, V., Radulescu, G., Ho, S. K. M., & Choi, M. Y. (2021) · Journal of Clinical Gastroenterology · doi:10.1097/mcg.0000000000001646 · Cited by 30
Are free school meals failing families? Exploring the relationship between child food insecurity, child mental health and free school meal status during COVID-19: national cross-sectional surveys
Yang, T., Power, M., Moss, R. H., Lockyer, B., Burton, W., Doherty, B., & Bryant, M. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-059047 · Cited by 34
Rural Household Food Insecurity among Latino Immigrants during the COVID-19 Pandemic
Payán, D. D., Perez‐Lua, F., Goldman-Mellor, S. J., & Young, M. D. T. (2022) · Nutrients · doi:10.3390/nu14132772 · Cited by 31
Chronic Stress and Food Insecurity
Distel, L. M. L., Egbert, A. H., Bohnert, A. M., & Santiago, C. D. (2019) · Family & Community Health · doi:10.1097/fch.0000000000000228 · Cited by 30
Promoting equity and justice: harnessing the right to food for Africa's food security
Onyeaka, H. N., Siyanbola, K. F., Akinsemolu, A. A., Tamasiga, P., Mbaeyi‐Nwaoha, I. E., Okonkwo, C. E., Odeyemi, O. A., & Oladipo, E. K. (2024) · Agriculture & Food Security · doi:10.1186/s40066-024-00505-0 · Cited by 40
Prevalence and covariates of food insecurity among residents of single-room occupancy housing in Chicago, IL, USA
Bowen, E. A., Bowen, S., & Barman‐Adhikari, A. (2015) · Public Health Nutrition · doi:10.1017/s1368980015002384 · Cited by 29
“eating fewer fruits and vegetables); there is support for the idea that food insecurity negatively affects diet quality, particularly among adults((53)).”
Background
Food Insecurity and the Nutrition Care Process: Practical Applications for Dietetics Practitioners
Wetherill, M. S., White, K. C., & Rivera, C. (2017) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2017.08.114 · Cited by 29
Association between food insecurity, cardiorenal syndrome and all-cause mortality among low-income adults
Banerjee, S. K., & Radak, T. L. (2019) · Nutrition and Health · doi:10.1177/0260106019869069 · Cited by 29
“The U.S. Census Bureau assesses the prevalence of food insecurity according to household experiences in the past 12 months (Hanson & Connor, 2014).”
Background
“The reality is that on Universal Credit I cannot provide the recommended amount of fresh fruit and vegetables per day for my children”: Moving from a behavioural to a systemic understanding of food practices
Power, M., Pybus, K. J., Pickett, K. E., & Doherty, B. (2021) · Emerald Open Research · doi:10.35241/emeraldopenres.14062.1 · Cited by 29
Challenges in Feeding Children Posed by the COVID-19 Pandemic: a Systematic Review of Changes in Dietary Intake Combined with a Dietitian’s Perspective
Campbell, H., & Wood, A. C. (2021) · Current Nutrition Reports · doi:10.1007/s13668-021-00359-z · Cited by 30
Use of online food retail platforms throughout the COVID‐19 pandemic and associated diet‐related chronic disease risk factors: A systematic review of emerging evidence
Jia, S. S., Raeside, R., Sainsbury, E., Wardak, S., Phongsavan, P., Redfern, J., Allman-Farinelli, M. A., Fernandez, M. A., Partridge, S. R., & Gibson, A. A. (2024) · Obesity Reviews · doi:10.1111/obr.13720 · Cited by 31
“15 Research has shown that food insecurity is associated with poorer diet quality 16 and increased risk of obesity 17 and chronic diseases such as hypertension and type 2 diabetes.”
Background
Food Insecurity Is Associated With Chronic Liver Disease Among US Adults
Tapper, E. B., Mehta, M., & Leung, C. W. (2022) · Journal of Clinical Gastroenterology · doi:10.1097/mcg.0000000000001741 · Cited by 27
Food Insecurity and Cognitive Trajectories in Community-Dwelling Medicare Beneficiaries 65 Years and Older
Kim, B., Samuel, L. J., Thorpe, R. J., Crews, D. C., & Szanton, S. L. (2023) · JAMA Network Open · doi:10.1001/jamanetworkopen.2023.4674 · Cited by 27
Prevalence of food insecurity among military households with children 5 years of age and younger
Wax, S. G., & Stankorb, S. M. (2016) · Public Health Nutrition · doi:10.1017/s1368980016000422 · Cited by 27
Dietary Quality and Usual Intake of Underconsumed Nutrients and Related Food Groups Differ by Food Security Status for Rural, Midwestern Food Pantry Clients
Wright, B. N., Tooze, J. A., Bailey, R. L., Liu, Y., Rivera, R. L., McCormack, L. A., Stluka, S., Franzen-Castle, L. D., Henne, B., Mehrle, D., et al. (2020) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2020.04.011 · Cited by 27
“22 Of Hispanic, Latino, or Spanish origin 16 (3) 1 (1) 7 (5) 8 (4) Not of Hispanic, Latino, or Spanish origin 460 (97) 108 (99) 138 (95) 214 (96) Highest education level 0.”
Food Insecurity and Less Frequent Cooking Dinner at Home Are Associated with Lower Diet Quality in a National Sample of Low-Income Adults in the United States during the Initial Months of the Coronavirus Disease 2019 Pandemic
Wolfson, J. A., Posluszny, H., Kronsteiner-Gicevic, S., Willett, W. C., & Leung, C. W. (2022) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2022.05.009 · Cited by 28
Strengthening Food and Nutrition Security to Promote Public Health in the United States: A Position Paper From the American College of Physicians
Serchen, J., Atiq, O. T., Hilden, D. R., Serchen, J., Atiq, O. T., Hilden, D. R., Beachy, M. W., Brislen, H. C., Curry, W. T., Engel, L. S., et al. (2022) · Annals of Internal Medicine · doi:10.7326/m22-0390 · Cited by 27
Nutrition Environment Food Pantry Assessment Tool (NEFPAT): Development and Evaluation
Nikolaus, C. J., Laurent, E. M., Loehmer, E., An, R., Khan, N. A., & McCaffrey, J. (2018) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2018.03.011 · Cited by 27
The Relationship Between Housing Instability and Poor Diet Quality Among Urban Families
Bottino, C. J., Fleegler, E. W., Cox, J. E., & Rhodes, E. T. (2019) · Academic Pediatrics · doi:10.1016/j.acap.2019.04.004 · Cited by 30
Fruit and Vegetable Vouchers in Pregnancy: Preliminary Impact on Diet & Food Security
Ridberg, R. A., Marpadga, S., Akers, M., Bell, J. F., & Seligman, H. K. (2020) · Journal of Hunger & Environmental Nutrition · doi:10.1080/19320248.2020.1778593 · Cited by 26
Risk for depression and suicidal ideation among food insecure US veterans: data from the National Health and Nutrition Examination Study
Kamdar, N. P., Horning, M. L., Geraci, J. C., Uzdavines, A., Helmer, D. A., & Hundt, N. E. (2021) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-021-02071-3 · Cited by 27
Extending the Theory of Planned Behavior for Explaining Dietary Quality: The Role of Financial Scarcity and Food Insecurity Status
van der Velde, L. A., DIJK, W. W. V., Numans, M. E., & Jong, J. C. K. (2022) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2022.02.019 · Cited by 25
“Our regression analyses showed an association between experiencing food insecurity and poorer dietary quality, which is in line with previous studies.(12) Our results indicate that food insecurity is directly associated with dietary quality, but not with the intention to eat healthy, which is in line with a previous s…”
BackgroundResult
Food Insufficiency, Supplemental Nutrition Assistance Program (SNAP) Status, and 9-Year Trajectory of Cognitive Function in Older Adults: The Longitudinal National Health and Aging Trends Study, 2012–2020
Na, M., Dou, N., Brown, M. J., Chen-Edinboro, L. P., Anderson, L. R., & Wennberg, A. M. V. (2022) · Journal of Nutrition · doi:10.1016/j.tjnut.2022.12.012 · Cited by 28
“According to a systematic review of 170 studies that examined the associations between food insecurity and dietary quality, food insecurity was consistently associated with poorer dietary quality primarily characterized by lower consumption of vegetables, fruits, and dairy products [34].”
Background
The association between food insecurity and obesity, a body shape index and body roundness index among US adults
Rezaei, M., Ghadamgahi, F., Jayedi, A., Arzhang, P., Yekaninejad, M. S., & Azadbakht, L. (2024) · Scientific Reports · doi:10.1038/s41598-024-74108-x · Cited by 25
Food Security Impacts of the COVID-19 Pandemic: Longitudinal Evidence from a Cohort of Adults in Vermont during the First Year
McCarthy, A. C., Belarmino, E. H., Bertmann, F. M. W., & Niles, M. T. (2022) · Nutrients · doi:10.3390/nu14071358 · Cited by 25
“It is associated with numerous adverse physical and mental health outcomes, including heart disease, hypertension, diabetes, depression, an increased risk of mortality [8–12], and poorer diet quality [13,14].”
Background
Changes in Supplemental Nutrition Assistance Program real benefits and daily caloric intake among adults
Todd, J. E., & Gregory, C. (2018) · Food Policy · doi:10.1016/j.foodpol.2018.06.004 · Cited by 25
Associations of food insecurity and psychosocial measures with diet quality in adults aging with HIV
Muhammad, J. N., Fernández, J. R., Clay, O. J., Saag, M. S., Overton, E. T., & Willig, A. L. (2018) · AIDS Care · doi:10.1080/09540121.2018.1554239 · Cited by 25
“Our findings are consistent with previous studies in the general population (Hanson & Connor, 2014; Leung et al., 2014; Sirotin, Hoover, Shi, Anastos, & Weiser, 2014).”
Result
Mental Illness, Not Obesity Status, is Associated with Food Insecurity Among the Elderly in the Health and Retirement Study
Brostow, D. P., Gunzburger, E. C., Abbate, L. M., Brenner, L. A., & Thomas, K. S. (2019) · Journal of Nutrition in Gerontology and Geriatrics · doi:10.1080/21551197.2019.1565901 · Cited by 25
“Much of the theorized association between increased weight status and food insecurity is predicated on the notion that people with food insecurity consume a poor-quality diet (35) characterized by energy-dense, yet nutrient-deficient foods such as low-cost fast food and convenience meals.”
Background
Knowledge, Attitudes, Beliefs and Behaviors Regarding Fruits and Vegetables among Cost-Offset Community-Supported Agriculture (CSA) Applicants, Purchasers, and a Comparison Sample
Hanson, K. L., Volpe, L. C., Kolodinsky, J., Hwang, G., Wang, W., Pitts, S. J., Sitaker, M., Ammerman, A. S., & Seguin‐Fowler, R. A. (2019) · Nutrients · doi:10.3390/nu11061320 · Cited by 25
“FV consumption in the US is less than half the recommended amount [10,11], and even lower among adults and children in households with low income [12,13] and food insecurity [14].”
BackgroundSelf-citation
Prevalence and correlates of household food insecurity in Delhi and Chennai, India
Rautela, G., Ali, M. K., Prabhakaran, D., Narayan, K. M. V., Tandon, N., Mohan, V., & Jaacks, L. M. (2020) · Food Security · doi:10.1007/s12571-020-01015-0 · Cited by 24
Prevalence of Food Insecurity Among Cancer Survivors in the United States: A Scoping Review
Robien, K., Clausen, M. E., Sullo, E., Ford, Y. R., Griffith, K. A., Le, D., Wickersham, K. E., & Wallington, S. F. (2022) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2022.07.004 · Cited by 24
Moderation of the Relation of County-Level Cost of Living to Nutrition by the Supplemental Nutrition Assistance Program
Basu, S., Wimer, C., & Seligman, H. K. (2016) · American Journal of Public Health · doi:10.2105/ajph.2016.303439 · Cited by 25
Structural violence and food insecurity in the lives of formerly homeless young adults living in permanent supportive housing
Johnson, K. C., Drew, C., & Auerswald, C. L. (2019) · Journal of Youth Studies · doi:10.1080/13676261.2019.1667492 · Cited by 24
Food insecurity as a risk factor of sarcopenic obesity in older adults
Fonseca-Pérez, D., Arteaga-Pazmiño, C., Maza-Moscoso, C. P., Flores-Madrid, S., & Álvarez-Córdova, L. (2022) · Frontiers in Nutrition · doi:10.3389/fnut.2022.1040089 · Cited by 23
Increasing food insecurity severity is associated with lower diet quality
Kent, K., Schumacher, T. L., Kočar, S., Seivwright, A. N., Visentin, D. C., Collins, C. E., & Lester, L. (2024) · Public Health Nutrition · doi:10.1017/s1368980024000417 · Cited by 26
“A 2013 review by Hanson et al. reported that food insecurity was associated with eating less vegetables, fruit and dairy, in addition to a lower intake of a range of micronutrients (14) .”
Background
Environmental, social, and economic factors related to the intersection of food security, dietary quality, and obesity: an introduction to a special issue of the Translational Behavioral Medicine journal
Calloway, E. E., Parks, C. A., Bowen, D. J., & Yaroch, A. L. (2019) · Translational Behavioral Medicine · doi:10.1093/tbm/ibz097 · Cited by 25
Classification Differences in Food Insecurity Measures between the United States and Canada: Practical Implications for Trend Monitoring and Health Research
Men, F., & Tarasuk, V. S. (2021) · Journal of Nutrition · doi:10.1093/jn/nxab447 · Cited by 23
Chronic experience with unpredictable food availability promotes food reward, overeating, and weight gain in a novel animal model of food insecurity
Myers, K. P., Majewski, M., Schaefer, D., & Tierney, A. (2022) · Appetite · doi:10.1016/j.appet.2022.106120 · Cited by 23
Associations of Food Insecurity and Memory Function Among Middle to Older–Aged Adults in the Health and Retirement Study
Lu, P., Kezios, K., Jawadekar, N., Swift, S. L., Vable, A. M., & Hazzouri, A. Z. A. (2023) · JAMA Network Open · doi:10.1001/jamanetworkopen.2023.21474 · Cited by 23
Food Insecurity and the Negative Impact on Brazilian Children’s Health—Why Does Food Security Matter for Our Future Prosperity? Brazilian National Survey (PNDS 2006/07)
Poblacion, A., Cook, J., Marín-Leon, L., Segall-Corrêa, A. M., Silveira, J. A., Konstantyner, T., & Taddei, J. A. (2016) · Food and Nutrition Bulletin · doi:10.1177/0379572116664167 · Cited by 27
“By adversely impacting the ability to learn, develop skills, and expand knowledge, abilities, and potential, FI can predispose children to failure in preparation for becoming productive members of the workforce and society.(7,8,9) The negative implications of FI for health have been widely described,(10-18) but little…”
Background
Backpack Programs and the Crisis Narrative of Child Hunger—A Critical Review of the Rationale, Targeting, and Potential Benefits and Harms of an Expanding but Untested Model of Practice
Fram, M. S., & Frongillo, E. A. (2018) · Advances in Nutrition · doi:10.1093/advances/nmx008 · Cited by 24
The Diet Quality of Food-Insecure Australian Adults—A Nationally Representative Cross-Sectional Analysis
Lindberg, R., McNaughton, S. A., Abbott, G., Pollard, C. M., Yaroch, A. L., & Livingstone, K. M. (2022) · Nutrients · doi:10.3390/nu14194133 · Cited by 22
“A systematic review of 26 diet quality studies from the United States (US) (published 1997–2012) [4] found that adults experiencing food insecurity consumed fewer vegetables, fruit, and dairy products and had lower intake of vitamins A and B-6, zinc, calcium and magnesium when compared to food-secure adults.”
BackgroundResult
Food insecurity and physical activity insecurity among rural Oregon families
Gunter, K. B., Jackson, J., Tomayko, E. J., & John, D. H. (2017) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2017.07.006 · Cited by 22
“While it is clear that excess calories and insufficient PA contribute to weight gain, low PA consistently emerges as a stronger predictor of overweight than poor diet among children identified as food insecure (Hanson and Connor, 2014; Fram et al., 2015).”
BackgroundInfluential
A Cluster Randomized Controlled Trial of a Home-Delivered Food Box on Food Security in Chickasaw Nation
BRIEFEL, R. R., Chojnacki, G. J., Gabor, V., Forrestal, S. G., Kleinman, R., Cabili, C., & Gleason, P. (2020) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2020.07.021 · Cited by 22
“Food insecurity is less consistently associated with children’s diet quality because of parents shielding children from food shortages.(5,31) The Packed Project findings highlight the distinction between children’s FI-C and diet quality; improving the one does not necessarily improve the other, and future intervention…”
Background
Moderate and Severe Level of Food Insecurity Is Associated with High Calorie-Dense Food Consumption of Filipino Households
Angeles‐Agdeppa, I., Toledo, M. B., & Zamora, J. A. T. (2021) · Journal of Nutrition and Metabolism · doi:10.1155/2021/5513409 · Cited by 25
“Earlier studies have connected food insecurity with decreased consumption of healthy foods and poor dietary quality with specific reference to low fruit and vegetable consumption [6, 7].”
Food Insecurity Influences Weight Trajectory in Children with Obesity
Tester, J. M., Xiao, L., Tinajero-Deck, L., Juarez, L., & Rosas, L. G. (2022) · Childhood Obesity · doi:10.1089/chi.2021.0311 · Cited by 24
Food insecurity during pregnancy in high‐income countries, and maternal weight and diet: A systematic review and meta‐analysis
Nguyen, G. T., Bell, Z., Andreae, G., Scott, S., Sermin‐Reed, L., Lake, A. A., & Heslehurst, N. (2024) · Obesity Reviews · doi:10.1111/obr.13753 · Cited by 24
The impact of social enterprise on food insecurity – An Australian case study
Lindberg, R., McCartan, J., Stone, A., Gale, A., Mika, A. S., Nguyen, M., & Kleve, S. (2019) · Health & Social Care in the Community · doi:10.1111/hsc.12737 · Cited by 21
“Food insecure adults have been found to consume fewer fruits, vegetables and dairy products and have a lower intake of essential vitamins (Hanson & Connor, 2014; Johnson et al., 2018) than the general population.”
Background
Barriers to Healthy Eating in a Community That Relies on an Emergency Food Pantry
Oliver, T. L., McKeever, A. E., Shenkman, R., & Diewald, L. K. (2019) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2019.10.005 · Cited by 21
Social health needs and promotive health factors scale for college students: Scale development and initial validation
Johnson, K. F., Brookover, D. L., & Bradbrook, K. E. (2020) · Journal of American College Health · doi:10.1080/07448481.2020.1725021 · Cited by 21
Promoting nutrition equity for individuals with physical challenges: A systematic review of barriers and facilitators to healthy eating
Wetherill, M. S., Duncan, A. R., Bowman, H., Collins, R., Santa-Pinter, N., Jackson, M., Lynn, C. M., Prentice, K. A., & Isaacson, M. (2021) · Preventive Medicine · doi:10.1016/j.ypmed.2021.106723 · Cited by 21
Food insecurity and patterns of dietary intake in a sample of UK adults
Shinwell, J., Melissa Bateson, B., Nettle, D., & Pepper, G. V. (2021) · British Journal Of Nutrition · doi:10.1017/s0007114521003810 · Cited by 25
“Overall measures of dietary quality are poorer in some but not all studies(16).”
Gender roles, generational changes and environmental challenges: an intersectional interpretation of perceptions on healthy diets among iTaukei women and men in Fiji
McKenzie, B. L., Waqa, G., Hart, A. C., Silatolu, A. M., Palagyi, A., Norton, R., McLean, R. M., & Webster, J. L. (2022) · Public Health Nutrition · doi:10.1017/s1368980022001677 · Cited by 23
“Previous studies have also shown a relationship between self-reported food insecurity and low diet quality, particularly lower consumption levels of fruits and vegetables(27,28).”
Result
The combined consumption of fresh/minimally processed food and ultra-processed food on food insecurity: COVID Inconfidentes, a population-based survey
Coletro, H. N., de Menezes-Júnior, L. A. A., Mendonça, R. D. D., Meireles, A. L., Machado-Coelho, G. L. L., & de Menezes, M. C. (2023) · Public Health Nutrition · doi:10.1017/s136898002300054x · Cited by 22
“A systematic review found that FI among adults was associated with low consumption of vegetables, fruits and dairy products and a lower intake of vitamins A and B6, Ca, Mg and Zn(43).”
Living in food insecurity: A qualitative study exploring parents' food parenting practices and their perceptions of the impact of food insecurity on their children's eating
Hevesi, R., Downey, M. R., & Harvey, K. (2024) · Appetite · doi:10.1016/j.appet.2024.107204 · Cited by 23
“It has a detrimental impact on a range of child/adolescent outcomes including diet (Hanson & Connor, 2014; Molcho et al., 2007), weight (Rodgers et al., 2015; Weedn et al., 2014), general health (Thomas et al., 2019), mental health (Weinreb et al., 2002), quality of life (Casey et al., 2005),…”
Background
A Randomized Controlled Trial of Three School Meals and Weekend Food Backpacks on Food Security in Virginia
Burke, M. P., Cabili, C., Berman, D., Forrestal, S. G., & Gleason, P. (2020) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2020.10.026 · Cited by 21
Parenting styles are associated with overall child dietary quality within low-income and food-insecure households
Burke, M. P., Jones, S. J., Frongillo, E. A., Blake, C. E., & Fram, M. S. (2019) · Public Health Nutrition · doi:10.1017/s1368980019001332 · Cited by 20
“For example, children in food-insecure households consume less fruit and other nutrients compared with children in food-secure households(16) and parents interact differently with their children when household food insecurity occurs, such as discussing food and financial issues with their children(17).”
Background
Food Insecurity Mediates the Relationship between Poverty and Mental Health
Nagpaul, T., Sidhu, D. J. K., & Chen, J. (2021) · Journal of Poverty · doi:10.1080/10875549.2021.1910102 · Cited by 21
“…insecure adults tend to have poorer diet quality and insufficient nutrient intake (due to the reduced consumption of fruits and vegetables) as compared to their food secure counterparts (Hanson & Connor, 2014); this in turn negatively impacts cognitive functioning over time (Morris et al., 2006).”
Background
Correlates of Transitions in Food Insecurity Status during the Early Stages of the COVID-19 Pandemic among Ethnically Diverse Households in Central Texas
Janda, K. M., Ranjit, N., Salvo, D., Nielsen, A., Lemoine, P. D., Casnovsky, J., & van den Berg, A. E. (2021) · Nutrients · doi:10.3390/nu13082597 · Cited by 20
Food insecurity arises the likelihood of hospitalization in patients with COVID-19
Ariya, M., Karimi, J., Abolghasemi, S., Hematdar, Z., Naghizadeh, M. M., Moradi, M., & Barati‐Boldaji, R. (2021) · Scientific Reports · doi:10.1038/s41598-021-99610-4 · Cited by 20
The association between food insecurity and gestational weight gain: A systematic review and meta-analysis
Arzhang, P., Ramezan, M., Borazjani, M., Jamshidi, S., Bavani, N. G., Rahmanabadi, A., & Bagheri, A. (2022) · Appetite · doi:10.1016/j.appet.2022.106124 · Cited by 20
Using Cross-Sectional Data to Identify and Quantify the Relative Importance of Factors Associated with and Leading to Food Insecurity
Daly, A., Pollard, C. M., Kerr, D. A., Binns, C. W., Caraher, M., & Phillips, M. R. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15122620 · Cited by 20

Authors: Hanson, K. L., & Connor, L. M.
Affiliations: Cornell University (US)
ORCID: Hanson, Karla L
Venue: The American Journal of Clinical Nutrition
Publisher: Elsevier BV
Published: 2014-08
Volume: 100
Issue: 2
Pages: 684-692
ISSN: 0002-9165 (ISSN-L)
DOI: 10.3945/ajcn.114.084525
OpenAlex: W2079925881
Cited by: 660
References: 54
Citations by year: 2026: 58 · 2025: 62 · 2024: 77 · 2023: 84 · 2022: 84 · 2021: 94 · 2020: 66 · 2019: 55 · 2018: 37 · 2017: 16 · 2016: 15 · 2015: 11
FWCI: 2.40
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 3122 d)
Locations: American Journal of Clinical Nutrition (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Food Security and Health in Diverse Populations
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords: food insecurity, diet quality, food insufficiency, children, adults, fruit consumption, vegetable consumption, dairy consumption, nutrient intake, publication bias, health disparities
MeSH terms: Adult, Child, Child Nutritional Physiological Phenomena, Dairy Products, Diet, Family Characteristics, Female, Food Supply, Fruit, Health Promotion, Humans, Male, Nutritive Value, Patient Compliance, Socioeconomic Factors, Vegetables, Nutrition Policy

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Food insecurity and dietary quality in US adults and children: a systematic review

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Self-check

Citations

Cites

Cited by

Related

Metadata

Record

About these checks