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Gluten\u2010free (GF) foods are more expensive and less readily accessible than gluten\u2010containing foods, contributing to an increased risk for food insecurity (FI). The study aimed to determine associations between GF\u2010FI, sociodemographic risk factors and child dietary adherence and diet quality (DQ).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A 26\u2010item, cross\u2010country online survey was administered through social media to parents of children with CD on the GFD. The survey elicited household and CD child sociodemographic and clinical characteristics (e.g., duration of CD), measures of household FI, child DQ and GFD adherence, and parents' concerns related to GF food. Household GF\u2010FI was evaluated using the validated Hunger Vital Sign\u2122 and the US Department of Agriculture Six\u2010Item Short Form Household Food Security Survey Module.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>GF\u2010FI occurred in 47% of households with children with CD with &gt;30% reporting low to very low food security. Sociodemographic risk factors identified included lower income, renters, rural residency, single\u2010parental households, and having children with additional dietary restrictions (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Regardless of FI status, a majority of households reported experiencing significantly higher GF food expenditure. GF\u2010FI was associated with reduced adherence to the GFD, increased consumption of processed GF food, and lower intakes of fresh fruits and vegetables and GF grains among children with CD (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>GF\u2010FI is prevalent in this multiethnic cohort of households with CD children and is associated with worsening DQ and GFD adherence. Policy interventions are urgently needed to address GF\u2010FI.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jpn3.12398","type":"journal-article","created":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T18:24:08Z","timestamp":1730139848000},"page":"1180-1191","source":"Crossref","is-referenced-by-count":26,"title":["Food insecurity impacts diet quality and adherence to the gluten\u2010free diet in youth with celiac disease"],"prefix":"10.1002","volume":"79","author":[{"given":"Xinyi","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Agricultural, Food and Nutritional Sciences University of Alberta Edmonton Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sven","family":"Anders","sequence":"additional","affiliation":[{"name":"Department of Resource Economics and Environmental Sociology University of Alberta Edmonton Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiqian","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Agricultural, Food and Nutritional Sciences University of Alberta Edmonton Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcia","family":"Bruce","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Calgary Calgary Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominica","family":"Gidrewicz","sequence":"additional","affiliation":[{"name":"Division of Pediatric Gastroenterology and Nutrition University of Calgary Calgary Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Marcon","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatology and Nutrition The Hospital for Sick Children Toronto Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justine M.","family":"Turner","sequence":"additional","affiliation":[{"name":"Department of Agricultural, Food and Nutritional Sciences University of Alberta Edmonton Canada"},{"name":"Department of Pediatrics University of Alberta Edmonton Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5558-8783","authenticated-orcid":false,"given":"Diana R.","family":"Mager","sequence":"additional","affiliation":[{"name":"Department of Agricultural, Food and Nutritional Sciences University of Alberta Edmonton Canada"},{"name":"Department of Pediatrics University of Alberta Edmonton Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,28]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)31796-8"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2017.06.037"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000000523"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra071600"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-277X.2011.01160.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu11020399"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.24095\/hpcdp.42.5.01"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jafr.2022.100405"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/15575330.2012.729412"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16142531"},{"key":"e_1_2_8_12_1","unstructured":"LiT St\u2010GermainA\u2010AF TarasukV.Household Food Insecurity in Canada 2022. 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