{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T17:46:09Z","timestamp":1791740769756,"version":"4.3.4"},"reference-count":24,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"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":["Nutr Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Food insecurity affects 2.33 billion people worldwide and disproportionately impacts those with inflammatory bowel disease (IBD). However, population-level evidence linking food insecurity and gastrointestinal (GI) conditions remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To examine the association between food insecurity and GI conditions, including IBD, hepatitis, and GI cancers, among U.S. adults using national survey data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed 2023\u20132024 National Health Interview Survey data from U.S. adults reporting food insecurity and GI conditions, including IBD, hepatitis, and GI cancers. Multivariable logistic regression assessed associations, adjusting for demographic and socioeconomic factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Summary<\/jats:title>\n                    <jats:p>Among 57,860 adults, 14.1% of those with GI conditions reported food insecurity versus 8.8% without. Food insecurity was significantly associated with GI conditions (adjusted odds ratio (OR): 1.68; 95% CI: 1.44\u20131.97), particularly IBD (OR: 1.78; 95% CI: 1.42\u20132.23) and hepatitis (OR: 1.67; 95% CI: 1.33\u20132.09). Over half of food-insecure individuals with GI conditions (55.4%) lacked Supplemental Nutrition Assistance Program benefits; only 14.0% were up-to-date on colorectal cancer screening. Food insecurity is strongly linked to GI conditions, yet many lack assistance, indicating the importance of screening and interventions in GI care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02601060261495635","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T10:45:51Z","timestamp":1791456351000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of food insecurity with gastrointestinal and hepatic conditions in U.S. adults: A population-based study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1976-0574","authenticated-orcid":false,"given":"John C","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Medicine, University of Pennsylvania Perelman School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason C","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, The University of Texas Health Science Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joy","family":"Zhao","sequence":"additional","affiliation":[{"name":"Thomas Jefferson University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriela","family":"Gardner","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Pennsylvania Perelman School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivan J","family":"Mehta","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Pennsylvania Perelman School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie M","family":"Moleski","sequence":"additional","affiliation":[{"name":"Thomas Jefferson University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew W","family":"DuPont","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, The University of Texas Health Science Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"issue":"1","key":"e_1_3_3_2_1","article-title":"1. Promoting health and reducing disparities in populations","volume":"40","author":"American Diabetes Association","year":"2017","unstructured":"American Diabetes Association (2017) 1. Promoting health and reducing disparities in populations. Diabetes Care 40(Supplement 1): S6\u2013S10.","journal-title":"Diabetes Care"},{"issue":"5","key":"e_1_3_3_3_1","article-title":"\u2018Promoting food security for all children\u2019","volume":"136","author":"Council of Community Pediatrics and Committee on Nutrition","year":"2015","unstructured":"Council of Community Pediatrics and Committee on Nutrition (2015) \u2018Promoting food security for all children\u2019. Pediatrics 136(5): e1431\u2013e1438.","journal-title":"Pediatrics"},{"key":"e_1_3_3_4_1","unstructured":"Division of Health Interview Statistics (2024) National Health Interview Survey: 2024 Survey Description. November. Available at: https:\/\/ftp.cdc.gov\/pub\/Health_Statistics\/NCHS\/Dataset_Documentation\/NHIS\/2024\/srvydesc-508.pdf."},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000001778"},{"key":"e_1_3_3_6_1","unstructured":"Food and Agriculture Organization of the United Nations International Fund for Agricultural Development United Nations Children\u2019s Fund World Food Programme and World Health Organization (2024) The state of food security and nutrition in the world 2024 \u2014 financing to end hunger food insecurity and malnutrition in all its forms. Rome: Food and Agriculture Organization of the United Nations. Available at: https:\/\/openknowledge.fao.org\/items\/09ed8fec-480e-4432-832c-5b56c672ed92."},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu16213736"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.114.084525"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.childyouth.2019.104416"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.3945\/an.112.003277"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2015.01.007"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2022.05.040"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-025-08928-w"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/S002966511800006X"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.19.00736"},{"key":"e_1_3_3_16_1","article-title":"Association of ultra-processed food intake with risk of inflammatory bowel disease: Prospective cohort study","volume":"374","author":"Narula N","year":"2021","unstructured":"Narula N, Wong ECL, Dehghan M, et al. (2021) Association of ultra-processed food intake with risk of inflammatory bowel disease: Prospective cohort study. BMJ 374: n1554.","journal-title":"BMJ"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000002749"},{"key":"e_1_3_3_18_1","doi-asserted-by":"crossref","unstructured":"Rabbitt MP Hales LJ Burke MP et al. (2023) Household Food Security in the United States in 2022. October. Available at: https:\/\/www.ers.usda.gov\/webdocs\/publications\/107703\/err-325.pdf?v=2711.1.","DOI":"10.32747\/2023.8134351.ers"},{"issue":"3","key":"e_1_3_3_19_1","first-page":"224","article-title":"Psychological disorders in gastrointestinal disease: Epiphenomenon, cause or consequence?","volume":"27","author":"Shah E","year":"2014","unstructured":"Shah E, Rezaie A, Riddle M, et al. (2014) Psychological disorders in gastrointestinal disease: Epiphenomenon, cause or consequence? 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