{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T11:45:44Z","timestamp":1789645544086,"version":"4.0.0"},"reference-count":59,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,2,1]],"date-time":"2024-02-01T00:00:00Z","timestamp":1706745600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Disability is a well-documented risk factor for food insecurity. However, prior literature has overlooked the possible connection between disability and food insecurity during the antenatal period. This study extends previous research by examining the relationship between those with any functional disabilities and food insufficiency during pregnancy among a sample of mothers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Data are from the Pregnancy Risk Assessment Monitoring System, 2019\u20132020 (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      \u2009=\u20099084). The relationship between the number of self-reported functional disabilities and food insufficiency is examined using modified multivariable Poisson regression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>After adjusting for control variables, the results reveal that those with any functional disability have a significantly higher risk of food insufficiency during pregnancy (risk ratio [RR]\u2009=\u20091.464, 95% confidence interval [CI]\u2009=\u20091.201\u20131.785). Findings reveal that all types of functional disability are associated with a higher risk of food insufficiency, including difficulty seeing, difficulty hearing, difficulty walking, difficulty remembering, difficulty with self-care, and difficulty communicating. Finally, the findings revealed that respondents with two functional disabilities (RR\u2009=\u20091.473, 95% CI\u2009=\u20091.153\u20131.882) and three or more functional disabilities (RR\u2009=\u20091.974, 95% CI\u2009=\u20091.534\u20132.541) are significantly more likely to report food insufficiency compared with respondents with no disabilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>There is a significant positive association between reporting functional disabilities and food insufficiency. Expanding current public health programs, educating health care professionals, and implementing effective screening guidelines directed at pregnant women with disabilities may reduce the prevalence of food insufficiency and promote greater health equity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2023.0237","type":"journal-article","created":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T12:06:59Z","timestamp":1697458019000},"page":"178-186","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Functional Disabilities and Food Insufficiency During Pregnancy: Results from the Pregnancy Risk Assessment Monitoring System"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5665-3922","authenticated-orcid":false,"given":"Benjamin","family":"Jacobs","sequence":"first","affiliation":[{"name":"TCU Burnett School of Medicine, Fort Worth, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8686-9115","authenticated-orcid":false,"given":"Alexander","family":"Testa","sequence":"additional","affiliation":[{"name":"Department of Management, Policy and Community Health, University of Texas Health Science Center at Houston, Houston, Texas, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,2,13]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.24.100901.140844"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2014.302182"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(21)00109-2"},{"key":"e_1_3_6_5_2","unstructured":"Anonymous. Disability Impacts All of Us. CDC; 2023. Available from: https:\/\/www.cdc.gov\/ncbddd\/disabilityandhealth\/infographic-disability-impacts-all.html [Last accessed: June21 2023]."},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.MM6429a2"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-174"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-14-58"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.07.015"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2018.09.006"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/120.suppl_11.1555"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.NAJ.0000552585.15471.a7"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jada.2010.02.014"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000250535.97920.b5"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/137.9.2087"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/aepp.13336"},{"key":"e_1_3_6_17_2","unstructured":"Ribar DC Hamrick KS. An Analysis of Poverty and Food Sufficiency Dynamics. United States Department of Agriculture: Washington DC; 2003. Available from: https:\/\/www.ers.usda.gov\/publications\/pub-details\/?pubid=46766 [Last accessed: March27 2023]."},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-6237.2007.00513.x"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssresearch.2009.07.002"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.physbeh.2020.112865"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2017.04.007"},{"key":"e_1_3_6_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2010.08.019"},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.111.012617"},{"key":"e_1_3_6_24_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2018.304563"},{"key":"e_1_3_6_25_2","unstructured":"Anonymous. PRAMS Methodology. CDC; 2023. Available from: https:\/\/www.cdc.gov\/prams\/methodology.htm [Last accessed: April7 2023]."},{"key":"e_1_3_6_26_2","unstructured":"Coleman-Jensen A Rabbitt MP Gregory CA et al. Household Food Security in the United States in 2021. Available from: http:\/\/www.ers.usda.gov\/publications\/pub-details\/?pubid=104655 [Last accessed: April5 2023]."},{"key":"e_1_3_6_27_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-019-02822-4"},{"key":"e_1_3_6_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrimjus.2021.101793"},{"key":"e_1_3_6_29_2","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/nxac062"},{"key":"e_1_3_6_30_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-015-1735-9"},{"key":"e_1_3_6_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2021.12.010"},{"key":"e_1_3_6_32_2","unstructured":"Anonymous. USDA ERS\u2014Measurement. Available from: https:\/\/www.ers.usda.gov\/topics\/food-nutrition-assistance\/food-security-in-the-u-s\/measurement\/#insufficiency [Last accessed: August4 2023]."},{"key":"e_1_3_6_33_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-S4-S4"},{"key":"e_1_3_6_34_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2020.8309"},{"key":"e_1_3_6_35_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-022-13143-7"},{"key":"e_1_3_6_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2021.114616"},{"key":"e_1_3_6_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.adaj.2022.11.018"},{"key":"e_1_3_6_38_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2014.4872"},{"key":"e_1_3_6_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2022.10.006"},{"key":"e_1_3_6_40_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6538a1"},{"key":"e_1_3_6_41_2","unstructured":"National Research Council. Weight Gain During Pregnancy: Reexamining the Guidelines. National Research Council: Washington DC; 2011. Available from: https:\/\/nap.nationalacademies.org\/catalog\/12584\/weight-gain-during-pregnancy-reexamining-the-guidelines [Last accessed: April2 2023]."},{"key":"e_1_3_6_42_2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwh090"},{"key":"e_1_3_6_43_2","doi-asserted-by":"publisher","DOI":"10.1093\/esr\/jcp006"},{"key":"e_1_3_6_44_2","doi-asserted-by":"publisher","DOI":"10.1177\/0962280211427759"},{"key":"e_1_3_6_45_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.320.7247.1468"},{"key":"e_1_3_6_46_2","doi-asserted-by":"publisher","DOI":"10.1080\/03610911003650383"},{"key":"e_1_3_6_47_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(01)01488-0"},{"key":"e_1_3_6_48_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajae\/aar026"},{"key":"e_1_3_6_49_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2015.302580"},{"key":"e_1_3_6_50_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40273-013-0096-8"},{"key":"e_1_3_6_51_2","doi-asserted-by":"publisher","DOI":"10.1177\/10442073211043521"},{"key":"e_1_3_6_52_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13668-022-00418-z"},{"key":"e_1_3_6_53_2","doi-asserted-by":"publisher","DOI":"10.7758\/RSF.2018.4.2.06"},{"key":"e_1_3_6_54_2","unstructured":"Anonymous. WIC Nutrition Risk Criteria. Food and Nutrition Service. Available from: https:\/\/www.fns.usda.gov\/wic\/nutrition-risk-criteria [Last accessed: August2 2023]."},{"key":"e_1_3_6_55_2","doi-asserted-by":"publisher","DOI":"10.1002\/pam.20070"},{"key":"e_1_3_6_56_2","unstructured":"Anonymous. National and State Level Estimates of WIC Eligibility and Program Reach in 2020. Food and Nutrition Service. Available from: https:\/\/www.fns.usda.gov\/wic\/eligibility-and-program-reach-estimates-2020 [Last accessed: August8 2023]."},{"key":"e_1_3_6_57_2","doi-asserted-by":"publisher","DOI":"10.1089\/heq.2021.0006"},{"key":"e_1_3_6_58_2","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0000000000000359"},{"key":"e_1_3_6_59_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2017.05.043"},{"key":"e_1_3_6_60_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11469-021-00655-3"}],"container-title":["Journal of Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/jwh.2023.0237","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2023.0237","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2023.0237","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:59:09Z","timestamp":1777658349000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/jwh.2023.0237"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2]]},"references-count":59,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1089\/jwh.2023.0237"],"URL":"https:\/\/doi.org\/10.1089\/jwh.2023.0237","relation":{},"ISSN":["1540-9996","1931-843X"],"issn-type":[{"value":"1540-9996","type":"print"},{"value":"1931-843X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2]]}}}