{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T20:54:01Z","timestamp":1789073641932,"version":"build-2803163510"},"reference-count":108,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2024,4,28]],"date-time":"2024-04-28T00:00:00Z","timestamp":1714262400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Centre for Childhood Nutrition Research (CCNR)"},{"name":"QUT Postgraduate Research Award Scholarship"},{"name":"top-up scholarship funding from the QUT Faculty of Health and the Children\u2019s Hospital Foundation through a philanthropic donation from Woolworths"},{"name":"Children\u2019s Hospital Foundation through a philanthropic donation from Woolworths"},{"name":"Metro North Health for contributions"},{"name":"Metro North Health Clinician Research Fellowship"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Household food insecurity (HFI) and poorer prenatal diet quality are both associated with adverse perinatal outcomes. However, research assessing the relationship between HFI and diet quality in pregnancy is limited. A cross-sectional online survey was conducted to examine the relationship between HFI and diet quality among 1540 pregnant women in Australia. Multiple linear regression models were used to examine the associations between HFI severity (marginal, low, and very low food security compared to high food security) and diet quality and variety, adjusting for age, education, equivalised household income, and relationship status. Logistic regression models were used to assess the associations between HFI and the odds of meeting fruit and vegetable recommendations, adjusting for education. Marginal, low, and very low food security were associated with poorer prenatal diet quality (adj \u03b2 = \u22121.9, \u22123.6, and \u22125.3, respectively; p &lt; 0.05), and very low food security was associated with a lower dietary variety (adj \u03b2 = \u22120.5, p &lt; 0.001). An association was also observed between HFI and lower odds of meeting fruit (adjusted odds ratio [AOR]: 0.61, 95% CI: 0.49\u20130.76, p &lt; 0.001) and vegetable (AOR: 0.40, 95% CI: 0.19\u20130.84, p = 0.016) recommendations. Future research should seek to understand what policy and service system changes are required to reduce diet-related disparities in pregnancy.<\/jats:p>","DOI":"10.3390\/nu16091319","type":"journal-article","created":{"date-parts":[[2024,4,29]],"date-time":"2024-04-29T04:26:16Z","timestamp":1714364776000},"page":"1319","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Food Insecurity Is Associated with Diet Quality in Pregnancy: A Cross-Sectional Study"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-6737-0002","authenticated-orcid":false,"given":"Bree","family":"Whiteoak","sequence":"first","affiliation":[{"name":"School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology (QUT), 149 Victoria Park Road, Kelvin Grove, QLD 4059, Australia"},{"name":"Centre for Childhood Nutrition Research, Faculty of Health, Queensland University of Technology (QUT), 62 Graham Street, South Brisbane, QLD 4101, Australia"},{"name":"QIMR Berghofer Medical Research Institute, 300 Herston Rd., Herston, QLD 4006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4701-1220","authenticated-orcid":false,"given":"Samantha L.","family":"Dawson","sequence":"additional","affiliation":[{"name":"Food & Mood Centre, IMPACT\u2014The Institute for Mental and Physical Health and Clinical Translation, School of Medicine, Barwon Health, Deakin University, Geelong, VIC 3220, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonie","family":"Callaway","sequence":"additional","affiliation":[{"name":"Women\u2019s and Newborns Services, Royal Brisbane and Women\u2019s Hospital, Herston, QLD 4006, Australia"},{"name":"Faculty of Medicine, The University of Queensland, 288 Herston Rd., Herston, QLD 4006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6321-8558","authenticated-orcid":false,"given":"Susan","family":"de Jersey","sequence":"additional","affiliation":[{"name":"Department of Dietetics and Foodservices, Royal Brisbane and Women\u2019s Hospital, Herston, QLD 4006, Australia"},{"name":"Centre for Health Services Research, Faculty of Medicine, The University of Queensland, 288 Herston Rd., Herston, QLD 4006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6715-9193","authenticated-orcid":false,"given":"Victoria","family":"Eley","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, The University of Queensland, 288 Herston Rd., Herston, QLD 4006, Australia"},{"name":"Department of Anaesthesia and Perioperative Medicine, Royal Brisbane and Women\u2019s Hospital, Herston, QLD 4006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Evans","sequence":"additional","affiliation":[{"name":"Maternity Services, Caboolture Hospital, McKean Street, Caboolture, QLD 4510, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9816-3734","authenticated-orcid":false,"given":"Alka","family":"Kothari","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, The University of Queensland, 288 Herston Rd., Herston, QLD 4006, Australia"},{"name":"Redcliffe Hospital, Anzac Avenue, Redcliffe, QLD 4020, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4568-9721","authenticated-orcid":false,"given":"Severine","family":"Navarro","sequence":"additional","affiliation":[{"name":"Centre for Childhood Nutrition Research, Faculty of Health, Queensland University of Technology (QUT), 62 Graham Street, South Brisbane, QLD 4101, Australia"},{"name":"QIMR Berghofer Medical Research Institute, 300 Herston Rd., Herston, QLD 4006, Australia"},{"name":"Faculty of Medicine, The University of Queensland, 288 Herston Rd., Herston, QLD 4006, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5901-1909","authenticated-orcid":false,"given":"Danielle","family":"Gallegos","sequence":"additional","affiliation":[{"name":"School of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology (QUT), 149 Victoria Park Road, Kelvin Grove, QLD 4059, Australia"},{"name":"Centre for Childhood Nutrition Research, Faculty of Health, Queensland University of Technology (QUT), 62 Graham Street, South Brisbane, QLD 4101, 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Nutr. Metab."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1017\/S2040174415007989","article-title":"Early life nutrition and the opportunity to influence long-term health: An Australasian perspective","volume":"7","author":"Davies","year":"2016","journal-title":"J. Dev. Orig. Health Dis."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1332","DOI":"10.1093\/advances\/nmaa156","article-title":"Associations between maternal dietary patterns and perinatal outcomes: A systematic review and meta-analysis of cohort studies","volume":"12","author":"Abdollahi","year":"2021","journal-title":"Adv. Nutr."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.earlhumdev.2016.09.007","article-title":"Preeclampsia; short and long-term consequences for mother and neonate","volume":"102","author":"Bokslag","year":"2016","journal-title":"Early Hum. Dev."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/S0140-6736(08)60136-1","article-title":"An overview of mortality and sequelae of preterm birth from infancy to adulthood","volume":"371","author":"Saigal","year":"2008","journal-title":"Lancet"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1007\/s00787-014-0582-3","article-title":"Antenatal depression and children\u2019s developmental outcomes: Potential mechanisms and treatment options","volume":"23","author":"Waters","year":"2014","journal-title":"Eur. Child Adolesc. Psychiatry"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1080\/10408390701326268","article-title":"Healthy indexes in public health practice and research: A review","volume":"48","author":"Arvaniti","year":"2008","journal-title":"Crit. Rev. Food Sci. Nutr."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1016\/j.wombi.2014.04.001","article-title":"Informing maternity service development by surveying new mothers about preferences for nutrition education during their pregnancy in an area of social disadvantage","volume":"27","author":"Porteous","year":"2014","journal-title":"Women Birth"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1016\/j.cvdhj.2022.10.001","article-title":"Identifying barriers, facilitators, and interventions to support healthy eating in pregnant women with or at risk for hypertensive disorders of pregnancy","volume":"3","author":"Kovell","year":"2022","journal-title":"Cardiovasc. Digit Health J."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.wombi.2016.05.010","article-title":"Falling short of dietary guidelines\u2013What do Australian pregnant women really know? A cross sectional study","volume":"30","author":"Bookari","year":"2017","journal-title":"Women Birth"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"696","DOI":"10.1016\/j.jada.2011.02.011","article-title":"Nutrition knowledge: A mediator between socioeconomic position and diet quality in Australian first-time mothers","volume":"111","author":"McLeod","year":"2011","journal-title":"J. Am. Diet. Assoc."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1017\/S1368980014000135","article-title":"How do women\u2019s diets compare with the new Australian dietary guidelines?","volume":"18","author":"Mishra","year":"2015","journal-title":"Public Health Nutr."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1111\/1747-0080.12733","article-title":"Exploring the diets of mothers and their partners during pregnancy: Findings from the Queensland Family Cohort pilot study","volume":"79","author":"Wilkinson","year":"2022","journal-title":"Nutr. Diet."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1016\/j.jand.2017.01.016","article-title":"Racial or ethnic and socioeconomic inequalities in adherence to national dietary guidance in a large cohort of US pregnant women","volume":"117","author":"Bodnar","year":"2017","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"894","DOI":"10.1017\/S1368980019003240","article-title":"Socio-economic and racial prenatal diet quality disparities in a national US sample","volume":"23","author":"Parker","year":"2020","journal-title":"Public Health Nutr."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e13403","DOI":"10.1111\/mcn.13403","article-title":"Diet quality during pregnancy and its association with social factors: 3D Cohort Study (Design, Develop, Discover)","volume":"18","author":"Yu","year":"2022","journal-title":"Matern. Child Nutr."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1991","DOI":"10.1016\/j.clnu.2022.06.042","article-title":"Predictors of maternal dietary quality and dietary inflammation during pregnancy: An individual participant data meta-analysis of seven European cohorts from the ALPHABET consortium","volume":"41","author":"Aubert","year":"2022","journal-title":"Clin. Nutr."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1009","DOI":"10.1017\/S1368980016002937","article-title":"Determinants of dietary patterns and diet quality during pregnancy: A systematic review with narrative synthesis","volume":"20","author":"Doyle","year":"2017","journal-title":"Public Health Nutr."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1857","DOI":"10.1017\/S1368980019005159","article-title":"Sociodemographic factors associated with food insecurity: Data from the 2003\u20132014 New South Wales Population Health Survey","volume":"23","author":"Drakoulidou","year":"2020","journal-title":"Public Health Nutr."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1986","DOI":"10.1017\/S1368980023000915","article-title":"Food security definition, measures and advocacy priorities in high-income countries: A Delphi consensus study","volume":"26","author":"Gallegos","year":"2023","journal-title":"Public Health Nutr."},{"key":"ref_21","unstructured":"United States Department of Agriculture (2023, August 02). Food Security in the U.S.-Measurement, Available online: https:\/\/www.ers.usda.gov\/topics\/food-nutrition-assistance\/food-security-in-the-us\/measurement\/."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"3033","DOI":"10.1093\/jn\/nxaa240","article-title":"Maternal food insecurity is positively associated with postpartum mental disorders in Ontario, Canada","volume":"150","author":"Tarasuk","year":"2020","journal-title":"J. Nutr."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1136\/jech-2016-207799","article-title":"Food insecurity and mental health: An analysis of routine primary care data of pregnant women in the Born in Bradford cohort","volume":"71","author":"Power","year":"2017","journal-title":"J. Epidemiol. Community Health"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.annepidem.2020.01.010","article-title":"Household food insecurity and antepartum depression in the National Children\u2019s Study","volume":"44","author":"Richards","year":"2020","journal-title":"Ann. Epidemiol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1016\/j.jada.2010.02.014","article-title":"Household food insecurity is associated with self-reported pregravid weight status, gestational weight gain, and pregnancy complications","volume":"110","author":"Laraia","year":"2010","journal-title":"J. Am. Diet. Assoc."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1016\/j.acap.2020.11.020","article-title":"Associations between prenatal food insecurity and prematurity, pediatric health care utilization, and postnatal social needs","volume":"21","author":"Sandoval","year":"2021","journal-title":"Acad. Pediatr."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1542\/peds.2011-3588","article-title":"Food insecurity and obesogenic maternal infant feeding styles and practices in low-income families","volume":"130","author":"Gross","year":"2012","journal-title":"Pediatrics"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1538","DOI":"10.1093\/jn\/nxac062","article-title":"Infant sex-specific associations between prenatal food insecurity and low birthweight: A multistate analysis","volume":"152","author":"Thoma","year":"2022","journal-title":"J. Nutr."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1038","DOI":"10.1017\/S136898002200026X","article-title":"The correlation between food insecurity and infant mortality in North Carolina","volume":"25","author":"Way","year":"2022","journal-title":"Public Health Nutr."},{"key":"ref_30","first-page":"613","article-title":"Prenatal risks to healthy food access and high birthweight outcomes","volume":"24","author":"Perrin","year":"2023","journal-title":"Acad. Pediatr."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1111\/1753-6405.12812","article-title":"Single-item measure of food insecurity used in the National Health Survey may underestimate prevalence in Australia","volume":"42","author":"McKechnie","year":"2018","journal-title":"Aust. N. Z. J. Public Health"},{"key":"ref_32","unstructured":"Australian Bureau of Statistics (2023, September 18). Australian Health Survey: Nutrition-State and Territory Results 2011\u201312, Available online: https:\/\/www.abs.gov.au\/statistics\/health\/health-conditions-and-risks\/australian-health-survey-nutrition-state-and-territory-results\/latest-release."},{"key":"ref_33","unstructured":"FAO, IFAD, UNICEF, WFP, and WHO (2023). The State of Food Security and Nutrition in the World 2023, FAO."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1093\/jn\/136.1.177","article-title":"Psychosocial factors and socioeconomic indicators are associated with household food insecurity among pregnant women","volume":"136","author":"Laraia","year":"2006","journal-title":"J. Nutr."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1016\/j.jand.2021.08.110","article-title":"Associations among food security, diet quality, and dietary intake during pregnancy in a predominantly African American group of women from North Carolina","volume":"122","author":"Hoyo","year":"2022","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"902","DOI":"10.1017\/S1368980016002925","article-title":"Gender differences in the prevalence of household food insecurity: A systematic review and meta-analysis","volume":"20","author":"Jung","year":"2017","journal-title":"Public Health Nutr."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"115313","DOI":"10.1016\/j.socscimed.2022.115313","article-title":"Experiences and perceptions of nutritional health and wellbeing amongst food insecure women in Europe: A qualitative meta-ethnography","volume":"311","author":"Bell","year":"2022","journal-title":"Soc. Sci. Med."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1177\/03795721211011133","article-title":"Examining factors related to the food insecurity\u2013obesity paradox in low-income mothers and fathers","volume":"42","author":"Taylor","year":"2021","journal-title":"Food Nutr. Bull."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1434","DOI":"10.1007\/s10995-022-03440-3","article-title":"Experiences of food-insecure pregnant women and factors influencing their food choices","volume":"26","author":"Zinga","year":"2022","journal-title":"Matern. Child Health J."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"2348","DOI":"10.1007\/s10995-016-2058-1","article-title":"Household food insecurity is not associated with overall diet quality among pregnant women in NHANES 1999\u20132008","volume":"20","author":"Gamba","year":"2016","journal-title":"Matern. Child Health J."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Lindberg, R., McNaughton, S.A., Abbott, G., Pollard, C.M., Yaroch, A.L., and Livingstone, K.M. (2022). The diet quality of food-insecure Australian adults\u2014A nationally representative cross-sectional analysis. Nutrients, 14.","DOI":"10.3390\/nu14194133"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1943","DOI":"10.1016\/j.jand.2014.06.353","article-title":"Food insecurity is inversely associated with diet quality of lower-income adults","volume":"114","author":"Leung","year":"2014","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1676","DOI":"10.1016\/j.jand.2018.10.011","article-title":"The association between food insecurity and diet quality varies by race\/ethnicity: An analysis of National Health and Nutrition Examination Survey 2011\u20132014 results","volume":"119","author":"Leung","year":"2019","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1177\/0890117119883584","article-title":"Racial\/ethnic differences in diet quality and eating habits among WIC pregnant women: Implications for policy and practice","volume":"34","author":"Hill","year":"2020","journal-title":"Am. J. Health Promot."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1284","DOI":"10.1016\/j.jand.2019.02.004","article-title":"Correlates of prenatal diet quality in low-income Hispanic women","volume":"119","author":"Messito","year":"2019","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"818856","DOI":"10.3389\/fgwh.2022.818856","article-title":"Effective communication about pregnancy, birth, lactation, breastfeeding and newborn care: The importance of sexed language","volume":"3","author":"Gribble","year":"2022","journal-title":"Front Glob Womens Health"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies","volume":"370","author":"Altman","year":"2007","journal-title":"Lancet"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"e34","DOI":"10.2196\/jmir.6.3.e34","article-title":"Improving the quality of web surveys: The Checklist for Reporting Results of Internet E-Surveys (CHERRIES)","volume":"6","author":"Eysenbach","year":"2004","journal-title":"J. Med. Internet Res."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"1312525","DOI":"10.1155\/2023\/1312525","article-title":"Working towards the active participation of underrepresented populations in research: A scoping review and thematic synthesis","volume":"2023","author":"Gallegos","year":"2023","journal-title":"Health Soc. Care Community"},{"key":"ref_50","unstructured":"Australian Bureau of Statistics (2023, August 02). Socio-Economic Indexes for Areas (SEIFA), Australia, Available online: https:\/\/www.abs.gov.au\/statistics\/people\/people-and-communities\/socio-economic-indexes-areas-seifa-australia\/latest-release."},{"key":"ref_51","unstructured":"Qualtrics (2023). Qualtrics XM, Qualtrics."},{"key":"ref_52","unstructured":"Qualtrics (2023, August 02). Survey Projects: Response Quality. Available online: https:\/\/www.qualtrics.com\/support\/survey-platform\/survey-module\/survey-checker\/response-quality\/."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"e12344","DOI":"10.2196\/12344","article-title":"Fraud detection protocol for web-based research among men who have sex with men: Development and descriptive evaluation","volume":"5","author":"Ballard","year":"2019","journal-title":"JMIR Public Health Surveill"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"472","DOI":"10.20982\/tqmp.16.5.p472","article-title":"Got bots? Practical recommendations to protect online survey data from bot attacks","volume":"16","author":"Storozuk","year":"2020","journal-title":"Quant. Method Psychol."},{"key":"ref_55","unstructured":"Australian Institute of Health and Welfare (2023, September 19). Australia\u2019s Mothers and Babies 2021, Available online: https:\/\/www.aihw.gov.au\/reports\/mothers-babies\/australias-mothers-babies\/contents\/about."},{"key":"ref_56","unstructured":"United States Department of Agriculture (2012). U.S. Household Food Security Survey Module: Three-Stage Design with Screeners."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"51","DOI":"10.3945\/an.112.003228","article-title":"Are food insecurity\u2019s health impacts underestimated in the U.S. population? Marginal food security also predicts adverse health outcomes in young U.S. children and mothers","volume":"4","author":"Cook","year":"2013","journal-title":"Adv. Nutr."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"1082","DOI":"10.1093\/jn\/nxab447","article-title":"Classification differences in food insecurity measures between the US and Canada: Practical implications to trend monitoring and health research","volume":"152","author":"Men","year":"2022","journal-title":"J. Nutr."},{"key":"ref_59","unstructured":"McLennan, W., and Podger, A. (1998). National Nutrition Survey Users\u2019 Guide 1995, Australian Bureau of Statistics."},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Thorpe, M.G., Milte, C.M., Crawford, D., and McNaughton, S.A. (2016). A revised Australian dietary guideline index and its association with key sociodemographic factors, health behaviors and body mass index in peri-retirement aged adults. Nutrients, 8.","DOI":"10.3390\/nu8030160"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"1363","DOI":"10.1016\/j.jada.2010.06.011","article-title":"Involvement of young Australian adults in meal preparation: Cross-sectional associations with sociodemographic factors and diet quality","volume":"110","author":"Smith","year":"2010","journal-title":"J. Am. Diet. Assoc."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1016\/j.clnu.2013.09.015","article-title":"Reproducibility and comparative validity of a food frequency questionnaire for Australian adults","volume":"33","author":"Collins","year":"2014","journal-title":"Clin. Nutr."},{"key":"ref_63","unstructured":"Australian Bureau of Statistics (2023, August 02). National Health Survey 2017-18 Questionnaire, Available online: https:\/\/www.abs.gov.au\/statistics\/health\/health-conditions-and-risks\/national-health-survey-first-results\/2017-18#survey-material."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1079\/PHN2004688","article-title":"Evaluation of brief dietary questions to estimate vegetable and fruit consumption\u2013using serum carotenoids and red-cell folate","volume":"8","author":"Coyne","year":"2005","journal-title":"Public Health Nutr."},{"key":"ref_65","unstructured":"Rutishauser, I.H., Webb, K., Abraham, B., and Allsopp, R. (2001). Evaluation of Short Dietary Questions from the 1995 National Nutrition Survey, Department of Health and Aged Care."},{"key":"ref_66","unstructured":"National Health and Medical Research Council (2013). Australian Dietary Guidelines."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"1129","DOI":"10.1017\/S1368980020003511","article-title":"Targeting the perinatal diet to modulate the gut microbiota increases dietary variety and prebiotic and probiotic food intakes: Results from a randomised controlled trial","volume":"24","author":"Dawson","year":"2021","journal-title":"Public Health Nutr."},{"key":"ref_68","doi-asserted-by":"crossref","unstructured":"Hill, B., Awoke, M.A., Bergmeier, H., Moran, L.J., Mishra, G.D., and Skouteris, H. (2021). Lifestyle and psychological factors of women with pregnancy intentions who become pregnant: Analysis of a longitudinal cohort of Australian women. J. Clin. Med., 10.","DOI":"10.3390\/jcm10040725"},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"3369","DOI":"10.1007\/s00394-023-03244-3","article-title":"Maternal diet quality and associations with plasma lipid profiles and pregnancy-related cardiometabolic health","volume":"62","author":"Kuswara","year":"2023","journal-title":"Eur. J. Nutr."},{"key":"ref_70","unstructured":"National Health and Medical Research Council (2023, August 21). Nutrient Reference Values for Australia and New Zealand, Available online: https:\/\/www.nrv.gov.au\/."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"2109","DOI":"10.1001\/jama.283.16.2109","article-title":"A prospective study of diet quality and mortality in women","volume":"283","author":"Kant","year":"2000","journal-title":"JAMA"},{"key":"ref_72","unstructured":"Australian Bureau of Statistics (2023, September 06). Survey of Income and Housing, User Guide, Australia, 2019\u20132020 Financial Year, Available online: https:\/\/www.abs.gov.au\/statistics\/detailed-methodology-information\/concepts-sources-methods\/survey-income-and-housing-user-guide-australia\/2019-20\/glossary."},{"key":"ref_73","unstructured":"Bickel, G., Nord, M., Price, C., Hamilton, W., and Cook, J. (2000). Measuring Food Security in the United States: Guide to Measuring Household Food Security, Revised 2000, U.S. Department of Agriculture."},{"key":"ref_74","first-page":"1887","article-title":"Robust causal inference using directed acyclic graphs: The R package \u2018dagitty\u2019","volume":"45","author":"Textor","year":"2016","journal-title":"Int. J. Epidemiol."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"e12916","DOI":"10.1111\/mcn.12916","article-title":"Dietary guideline adherence during preconception and pregnancy: A systematic review","volume":"16","author":"Caut","year":"2020","journal-title":"Matern. Child Nutr."},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"43","DOI":"10.20982\/tqmp.03.2.p043","article-title":"Understanding power and rules of thumb for determining sample sizes","volume":"3","author":"VanVoorhis","year":"2007","journal-title":"Tutor Quant. Methods Psychol."},{"key":"ref_77","unstructured":"IBM Corp. (2022). IBM SPSS Statistics for Windows, IBM Corp.. 29.0."},{"key":"ref_78","unstructured":"United States Department of Agriculture (2023, October 17). Food & Nutrition Assistance, Available online: https:\/\/www.ers.usda.gov\/topics\/food-nutrition-assistance\/."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"1795","DOI":"10.1007\/s10995-023-03728-y","article-title":"Understanding the predictors of low take-up of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC): A nationwide longitudinal study","volume":"27","author":"Guan","year":"2023","journal-title":"Matern. Child Health J."},{"key":"ref_80","unstructured":"National Health Service (2023, October 17). Get Help to Buy Food and Milk (Healthy Start), Available online: https:\/\/www.healthystart.nhs.uk\/."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"2399","DOI":"10.1111\/hsc.13062","article-title":"The prevalence, severity and experience of food insecurity in Australia: An investigation of food aid use","volume":"28","author":"McKay","year":"2020","journal-title":"Health Soc. Care Community"},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"2831","DOI":"10.1017\/S1368980018001428","article-title":"Gratitude, resignation and the desire for dignity: Lived experience of food charity recipients and their recommendations for improvement, Perth, Western Australia","volume":"21","author":"Booth","year":"2018","journal-title":"Public Health Nutr."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"105175","DOI":"10.1016\/j.appet.2021.105175","article-title":"Individual, social\u2013environmental and physical\u2013environmental correlates of diet quality in young adults aged 18\u201330 years","volume":"162","author":"Livingstone","year":"2021","journal-title":"Appetite"},{"key":"ref_84","unstructured":"Australian Bureau of Statistics (2023, September 29). Australian Health Survey: Nutrition First Results-Foods and Nutrients, 2011\u20132012 Financial Year, Available online: https:\/\/www.abs.gov.au\/statistics\/health\/health-conditions-and-risks\/australian-health-survey-nutrition-first-results-foods-and-nutrients\/latest-release."},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.midw.2018.09.005","article-title":"What do pregnant women eat, and are they meeting the recommended dietary requirements for pregnancy?","volume":"67","author":"Lee","year":"2018","journal-title":"Midwifery"},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1017\/S1368980022000714","article-title":"Household food insecurity is associated with obesogenic health behaviors among a low-income cohort of pregnant women in Boston, MA","volume":"26","author":"Cheng","year":"2023","journal-title":"Public Health Nutr."},{"key":"ref_87","doi-asserted-by":"crossref","unstructured":"Pretorius, R.A., and Palmer, D.J. (2021). High-fiber diet during pregnancy characterized by more fruit and vegetable consumption. Nutrients, 13.","DOI":"10.3390\/nu13010035"},{"key":"ref_88","unstructured":"National Health and Medical Research Council (2020). Clinical Practice Guidelines: Pregnancy Care."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"1433","DOI":"10.1007\/s10995-013-1383-x","article-title":"Is gestational weight gain associated with diet quality during pregnancy?","volume":"18","author":"Shin","year":"2014","journal-title":"Matern. Child Health J."},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1007\/s13668-023-00453-4","article-title":"Diet gut microbiota axis in pregnancy: A systematic review of recent evidence","volume":"12","author":"Kunasegaran","year":"2023","journal-title":"Curr. Nutr. Rep."},{"key":"ref_91","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1017\/S2040174419000588","article-title":"Establishment of the early-life microbiome: A DOHaD perspective","volume":"11","author":"Stinson","year":"2020","journal-title":"J. Dev. Orig. Health Dis."},{"key":"ref_92","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1016\/j.biopsych.2018.06.014","article-title":"Programming bugs: Microbiota and the developmental origins of brain health and disease","volume":"85","author":"Codagnone","year":"2019","journal-title":"Biol. Psychiatry"},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"e00031-18","DOI":"10.1128\/mSystems.00031-18","article-title":"American Gut: An open platform for citizen science microbiome research","volume":"3","author":"McDonald","year":"2018","journal-title":"mSystems"},{"key":"ref_94","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.1093\/ajcn\/nqac178","article-title":"Associations of dietary diversity with the gut microbiome, fecal metabolites, and host metabolism: Results from 2 prospective Chinese cohorts","volume":"116","author":"Xiao","year":"2022","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_95","unstructured":"Australian Bureau of Statistics (2023, September 29). Education and Work, Australia, May 2022, Available online: https:\/\/www.abs.gov.au\/statistics\/people\/education\/education-and-work-australia\/latest-release."},{"key":"ref_96","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1080\/17437199.2021.1938632","article-title":"Factors influencing health behaviour change during pregnancy: A systematic review and meta-synthesis","volume":"15","author":"Rockliffe","year":"2021","journal-title":"Health Psychol. Rev."},{"key":"ref_97","doi-asserted-by":"crossref","first-page":"e12632","DOI":"10.1111\/mcn.12632","article-title":"A realist qualitative study to explore how low-income pregnant women use Healthy Start food vouchers","volume":"15","author":"Ohly","year":"2019","journal-title":"Matern. Child Nutr."},{"key":"ref_98","doi-asserted-by":"crossref","first-page":"100229","DOI":"10.1016\/j.ajogmf.2020.100229","article-title":"Effects of psychological stress on adverse pregnancy outcomes and nonpharmacologic approaches for reduction: An expert review","volume":"2","author":"Traylor","year":"2020","journal-title":"Am. J. Obstet. Gynecol. MFM"},{"key":"ref_99","doi-asserted-by":"crossref","unstructured":"McKay, F.H., Zinga, J., and van der Pligt, P. (2022). Consensus from an expert panel on how to identify and support food insecurity during pregnancy: A modified Delphi study. BMC Health Serv. Res., 22.","DOI":"10.1186\/s12913-022-08587-x"},{"key":"ref_100","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1332\/175982721X16461506229420","article-title":"Stigma and emergency and community food assistance: \u2018But\u2026 beggars can\u2019t be choosers\u2019","volume":"30","author":"McKay","year":"2022","journal-title":"J. Poverty Soc. Justice"},{"key":"ref_101","doi-asserted-by":"crossref","first-page":"2021","DOI":"10.1017\/S0007114521004943","article-title":"Quality and validity of diet quality indices for use in Australian contexts: A systematic review","volume":"128","author":"Tan","year":"2021","journal-title":"Br. J. Nutr."},{"key":"ref_102","doi-asserted-by":"crossref","first-page":"1830","DOI":"10.1016\/S0140-6736(18)30311-8","article-title":"Before the beginning: Nutrition and lifestyle in the preconception period and its importance for future health","volume":"391","author":"Stephenson","year":"2018","journal-title":"Lancet"},{"key":"ref_103","doi-asserted-by":"crossref","first-page":"1406","DOI":"10.1016\/j.jand.2016.01.010","article-title":"Higher adherence to the Australian Dietary Guidelines is associated with better mental health status among Australian adult first-time mothers","volume":"116","author":"Huddy","year":"2016","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_104","doi-asserted-by":"crossref","first-page":"1801","DOI":"10.1016\/j.jand.2019.06.010","article-title":"Best practices for conducting and interpreting studies to validate self-report dietary assessment methods","volume":"119","author":"Kirkpatrick","year":"2019","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_105","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/j.jand.2018.05.012","article-title":"Monthly variations in dietary intake of women participating in the Supplemental Nutrition Assistance Program","volume":"119","author":"Sanjeevi","year":"2019","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_106","doi-asserted-by":"crossref","first-page":"1952","DOI":"10.1016\/j.jada.2007.08.006","article-title":"The food insecurity\u2013obesity paradox: A review of the literature and the role food stamps may play","volume":"107","author":"Dinour","year":"2007","journal-title":"J. Am. Diet. Assoc."},{"key":"ref_107","doi-asserted-by":"crossref","unstructured":"Savard, C., Lemieux, S., Carbonneau, \u00c9., Provencher, V., Gagnon, C., Robitaille, J., and Morisset, A.-S. (2019). Trimester-specific assessment of diet quality in a sample of Canadian pregnant women. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16030311"},{"key":"ref_108","doi-asserted-by":"crossref","first-page":"e12389","DOI":"10.1111\/mcn.12389","article-title":"Nausea and vomiting in early pregnancy: Effects on food intake and diet quality","volume":"13","author":"Crozier","year":"2017","journal-title":"Matern. Child Nutr."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/9\/1319\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T14:35:08Z","timestamp":1760106908000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/9\/1319"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,28]]},"references-count":108,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2024,5]]}},"alternative-id":["nu16091319"],"URL":"https:\/\/doi.org\/10.3390\/nu16091319","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,28]]}}}