{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T05:18:55Z","timestamp":1787980735750,"version":"build-2784847793"},"reference-count":66,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T00:00:00Z","timestamp":1787788800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100019908","name":"Korea Occupational Safety and Health Agency","doi-asserted-by":"crossref","award":["RS-2026-25549947"],"award-info":[{"award-number":["RS-2026-25549947"]}],"id":[{"id":"10.13039\/100019908","id-type":"DOI","asserted-by":"crossref"}]},{"award":["RS-2026-25549947"],"award-info":[{"award-number":["RS-2026-25549947"]}],"id":[{"id":"https:\/\/ror.org\/00qj2j544","id-type":"ROR","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100014188","name":"Ministry of Health and Welfare","doi-asserted-by":"publisher","award":["HI20C1234"],"award-info":[{"award-number":["HI20C1234"]}],"id":[{"id":"10.13039\/501100014188","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: Metabolic dysfunction-associated steatotic liver disease (MASLD) has become an important public health burden. However, the association of food insecurity with MASLD remains understudied. Accordingly, this study analyzed the association between food insecurity and MASLD in Korean adults. Methods: We used data from 12,697 adults drawn from a nationally representative survey. Food insecurity was determined using the Household Food Security Survey Module. Food insecurity was categorized into no, mild, and moderate-to-severe. MASLD was determined by a hepatic steatosis index\u2009&gt;36 in conjunction with at least one metabolic abnormality. The association was analyzed using logistic regression. Results: Among the participants, 95.5%, 3.7%, and 0.8% were classified as having no, mild, and moderate-to-severe food insecurity, respectively. Compared to no food insecurity, the odds ratios (ORs) (95% CIs [confidence intervals]) for MASLD were 1.40 (1.09\u20131.81) for mild food insecurity and 1.76 (1.06\u20132.90) for moderate-to-severe food insecurity. Additionally, the continuous HFSSM score was directly associated with MASLD (OR: 1.07; 95% CI: 1.02\u20131.12). Conclusions: This nationally representative study showed that, compared with no food insecurity, mild and moderate-to-severe food insecurity were associated with MASLD.<\/jats:p>","DOI":"10.3390\/nu18172806","type":"journal-article","created":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T10:58:21Z","timestamp":1787828301000},"page":"2806","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Food Insecurity and Metabolic Dysfunction-Associated Steatotic Liver Disease: A Cross-Sectional Study in South Korea"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0882-8326","authenticated-orcid":false,"given":"Seong-Uk","family":"Baek","sequence":"first","affiliation":[{"name":"Graduate School, Yonsei University College of Medicine, Seoul 03722, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin-Ha","family":"Yoon","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, Yonsei University College of Medicine, Seoul 03722, Republic of Korea"},{"name":"Institute for Innovation in Digital Healthcare, Yonsei University Health System, Seoul 03722, Republic of Korea"},{"name":"The Institute for Occupational Health, Yonsei University College of Medicine, Seoul 03722, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1056\/NEJMra2412865","article-title":"Metabolic Dysfunction-Associated Steatotic Liver Disease","volume":"393","author":"Targher","year":"2025","journal-title":"N. Engl. J. Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1966","DOI":"10.1097\/HEP.0000000000000520","article-title":"A multisociety Delphi consensus statement on new fatty liver disease nomenclature","volume":"78","author":"Rinella","year":"2023","journal-title":"Hepatology"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Kwon, J., Shin, H., Lee, D.H., and Kim, E. (2025). Trends in Prevalence of Metabolic Dysfunction-Associated Steatotic Liver Disease: A Nationwide Survey in Korea. Endocrinol. Metab.","DOI":"10.3803\/EnM.2025.2578"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Choi, Y.J., Park, J., Cho, H.I., Shin, M.G., and Nah, E.H. (2025). Metabolic Dysfunction-Associated Steatotic Liver Disease in the Korean General Population: Epidemiology, Risk Factors, and Non-Invasive Screening. Metabolites, 15.","DOI":"10.3390\/metabo15050299"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1559","DOI":"10.1093\/jn\/120.suppl_11.1555","article-title":"Core indicators of nutritional state for difficult-to-sample populations","volume":"120","author":"Anderson","year":"1990","journal-title":"J. Nutr."},{"key":"ref_6","unstructured":"FAO, IFAD, UNICEF, WFP, and WHO (2025). The State of Food Security and Nutrition in the World 2025, FAO."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"144","DOI":"10.4070\/kcj.2025.0081","article-title":"Relationship Between Food Insecurity and Poor Cardiovascular Health in Korean Adults","volume":"56","author":"Ku","year":"2026","journal-title":"Korean Circ. J."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1395","DOI":"10.1002\/oby.24311","article-title":"The food insecurity-obesity paradox: A comparison of three obesity measures and sociodemographic disparities in Korean adults","volume":"33","author":"Jung","year":"2025","journal-title":"Obesity"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"113137","DOI":"10.1016\/j.nut.2026.113137","article-title":"Food insecurity and sarcopenia among community-dwelling older adults from southern Brazil","volume":"148","author":"Engracio","year":"2026","journal-title":"Nutrition"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1001\/jamacardio.2025.0109","article-title":"Food Insecurity and Incident Cardiovascular Disease Among Black and White US Individuals, 2000\u20132020","volume":"10","author":"Jia","year":"2025","journal-title":"JAMA Cardiol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1854","DOI":"10.1017\/S1368980020001512","article-title":"Food insecurity and mental health: A systematic review and meta-analysis\u2014CORRIGENDUM","volume":"23","author":"Pourmotabbed","year":"2020","journal-title":"Public Health Nutr."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Lee, J., Kim, W., Park, J.M., Huh, Y., Kim, J.H., Kim, Y.S., and Kang, S.Y. (2024). Factors Associated with Metabolically Unhealthy Obesity and Its Relation to Food Insecurity in Korean Adults with Obesity. Nutrients, 16.","DOI":"10.3390\/nu16223833"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/j.ypmed.2015.05.009","article-title":"Food insecurity and dyslipidemia in a representative population-based sample in the US","volume":"77","author":"Shin","year":"2015","journal-title":"Prev. Med."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Oladele, C.R., Khandpur, N., Galusha, D., Nair, S., Hassan, S., Wambugu, V., Martinez-Brockman, J., Nunez-Smith, M., and Perez-Escamilla, R. (2025). Food insecurity and hypertension prevalence, awareness, and control in the Eastern Caribbean Health Outcomes Research Network Study. PLoS Glob. Public Health, 5.","DOI":"10.1371\/journal.pgph.0003296"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.nutres.2024.03.014","article-title":"Food insecurity is associated with metabolic syndrome among US adults: NHANES 2005\u20132016","volume":"126","author":"Reeder","year":"2024","journal-title":"Nutr. Res."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"892","DOI":"10.1016\/j.ajcnut.2025.02.014","article-title":"Association of household food insecurity with diet quality in a nationally representative sample of United States toddlers: A cross-sectional study","volume":"121","author":"Sanjeevi","year":"2025","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/s41043-024-00533-3","article-title":"Food insecurity is associated with low diet quality and unhealthy cooking and eating habits in Iranian women","volume":"43","author":"Kohanmoo","year":"2024","journal-title":"J. Health Popul. Nutr."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/j.jhep.2024.08.011","article-title":"Association of food insecurity with MASLD prevalence and liver-related mortality","volume":"82","author":"Younossi","year":"2025","journal-title":"J. Hepatol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1007\/s00394-024-03327-9","article-title":"Association between food insecurity and metabolic dysfunction-associated steatotic liver disease\/significant fibrosis measured by fibroscan","volume":"63","author":"Kim","year":"2024","journal-title":"Eur. J. Nutr."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1007\/s00394-026-04021-8","article-title":"Association of food insecurity with metabolic dysfunction-associated steatotic liver disease by sex and race\/ethnicity","volume":"65","author":"Tao","year":"2026","journal-title":"Eur. J. Nutr."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1089","DOI":"10.14309\/ajg.0000000000002749","article-title":"Food Insecurity, Low Household Income, and Low Education Level Increase the Risk of Having Metabolic Dysfunction-Associated Fatty Liver Disease Among Adolescents in the United States","volume":"119","author":"Paik","year":"2024","journal-title":"Am. J. Gastroenterol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1093\/ije\/dyt228","article-title":"Data resource profile: The Korea National Health and Nutrition Examination Survey (KNHANES)","volume":"43","author":"Kweon","year":"2014","journal-title":"Int. J. Epidemiol."},{"key":"ref_23","unstructured":"USDA (2026, August 24). U.S. Household Food Security Survey Module, Available online: https:\/\/www.ers.usda.gov\/media\/6422\/us-household-food-security-survey-module.pdf."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"771","DOI":"10.5720\/kjcn.2011.16.6.771","article-title":"Validation of Food Security Measures for the Korean National Health and Nutrition Examination Survey","volume":"16","author":"Kim","year":"2011","journal-title":"Korean J. Community Nutr."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1016\/j.dld.2009.08.002","article-title":"Hepatic steatosis index: A simple screening tool reflecting nonalcoholic fatty liver disease","volume":"42","author":"Lee","year":"2010","journal-title":"Dig. Liver Dis."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"62","DOI":"10.37349\/eemd.2024.00008","article-title":"Four hepatic steatosis indices in predicting quantitative computed tomography-based metabolic dysfunction-associated fatty liver disease","volume":"1","author":"Xu","year":"2024","journal-title":"Explor. Endocr. Metab. Dis."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Han, A.L., and Lee, H.K. (2022). Comparison of the Diagnostic Performance of Steatosis Indices for Discrimination of CT-Diagnosed Metabolic Dysfunction-Associated Fatty Liver Disease. Metabolites, 12.","DOI":"10.3390\/metabo12070664"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"101391","DOI":"10.1016\/j.aohep.2024.101391","article-title":"Hepatic Steatosis Index (HSI): A Valuable Biomarker in Subjects with Metabolic Dysfunction-associated Fatty Liver Disease (MAFLD)","volume":"29","year":"2024","journal-title":"Ann. Hepatol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1016\/j.cgh.2025.06.011","article-title":"Optimal Cutoffs of Fatty Liver Index and Hepatic Steatosis Index in Diagnosing Pediatric Metabolic Dysfunction-associated Steatotic Liver Disease","volume":"24","author":"Song","year":"2026","journal-title":"Clin. Gastroenterol. Hepatol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"e45296","DOI":"10.1097\/MD.0000000000045296","article-title":"Trends in metabolic dysfunction-associated steatotic liver disease by household income, 2007-2022: A national representative study in South Korea","volume":"104","author":"Cho","year":"2025","journal-title":"Medicine"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.3350\/cmh.2025.0045","article-title":"KASL clinical practice guidelines for the management of metabolic dysfunction-associated steatotic liver disease 2025","volume":"31","author":"Sohn","year":"2025","journal-title":"Clin. Mol. Hepatol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1177\/1757975919854301","article-title":"Development of the Korean Global Physical Activity Questionnaire: Reliability and validity study","volume":"27","author":"Lee","year":"2020","journal-title":"Glob. Health Promot."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1451","DOI":"10.1136\/bjsports-2020-102955","article-title":"World Health Organization 2020 guidelines on physical activity and sedentary behaviour","volume":"54","author":"Bull","year":"2020","journal-title":"Br. J. Sports Med."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"113","DOI":"10.15441\/ceem.17.228","article-title":"Validation and proposal for cut-off values of an abbreviated version of the Alcohol Use Disorder Identification Test using the Korean National Health and Nutrition Examination Survey","volume":"5","author":"Lee","year":"2018","journal-title":"Clin. Exp. Emerg. Med."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"419","DOI":"10.4163\/jnh.2015.48.5.419","article-title":"Development of Korean Healthy Eating Index for adults using the Korea National Health and Nutrition Examination Survey data","volume":"48","author":"Yook","year":"2015","journal-title":"J. Nutr. Health"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"233","DOI":"10.4162\/nrp.2022.16.2.233","article-title":"Development of the Korean Healthy Eating Index for adults, based on the Korea National Health and Nutrition Examination Survey","volume":"16","author":"Yun","year":"2022","journal-title":"Nutr. Res. Pract."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"e2014002","DOI":"10.4178\/epih\/e2014002","article-title":"The Korea National Health and Nutrition Examination Survey (KNHANES): Current status and challenges","volume":"36","author":"Kim","year":"2014","journal-title":"Epidemiol. Health"},{"key":"ref_38","first-page":"30","article-title":"Multiple imputation with multivariate imputation by chained equation (MICE) package","volume":"4","author":"Zhang","year":"2016","journal-title":"Ann. Transl. Med."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1172","DOI":"10.1016\/j.cgh.2016.03.034","article-title":"Development and Validation of the Framingham Steatosis Index to Identify Persons With Hepatic Steatosis","volume":"14","author":"Long","year":"2016","journal-title":"Clin. Gastroenterol. Hepatol."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"16494","DOI":"10.1038\/srep16494","article-title":"ZJU index: A novel model for predicting nonalcoholic fatty liver disease in a Chinese population","volume":"5","author":"Wang","year":"2015","journal-title":"Sci. Rep."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1111\/1467-8276.00460","article-title":"Food Security and Agricultural Protection in South Korea","volume":"85","author":"Beghin","year":"2003","journal-title":"Am. J. Agric. Econ."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"S32","DOI":"10.3350\/cmh.2024.0431","article-title":"Epidemiology of metabolic dysfunction-associated steatotic liver disease","volume":"31","author":"Younossi","year":"2025","journal-title":"Clin. Mol. Hepatol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"e27","DOI":"10.35371\/aoem.2025.37.e27","article-title":"Association between urinary polycyclic aromatic hydrocarbon metabolites and the prevalence of respiratory disease in residents living near Pohang Industrial Complex","volume":"37","author":"Kim","year":"2025","journal-title":"Ann. Occup. Environ. Med."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"e3","DOI":"10.35371\/aoem.2024.36.e3","article-title":"Cardiometabolic diseases according to the type and degree of hearing loss in noise-exposed workers","volume":"36","author":"Kim","year":"2024","journal-title":"Ann. Occup. Environ. Med."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"e10","DOI":"10.35371\/aoem.2024.36.e10","article-title":"Association between serum perfluoroalkyl substances concentrations and non-alcoholic fatty liver disease among Korean adults: A cross-sectional study using the National Environmental Health Survey cycle 4","volume":"36","author":"Park","year":"2024","journal-title":"Ann. Occup. Environ. Med."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"e23","DOI":"10.35371\/aoem.2024.36.e23","article-title":"Relationship between organophosphate and pyrethroid pesticides and metabolic syndrome in Korean farmers","volume":"36","author":"Kim","year":"2024","journal-title":"Ann. Occup. Environ. Med."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"e15","DOI":"10.35371\/aoem.2024.36.e15","article-title":"Rotating shift and BMI increase among healthcare workers in a military hospital: Pre- and post-pandemic analysis in Taiwan","volume":"36","author":"Chen","year":"2024","journal-title":"Ann. Occup. Environ. Med."},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Sohrabi, M., Amirkalali, B., Gholami, A., Hajjar, M., Sohrabi, M., NasiriToosi, M., Keyvani, H., Zamani, F., and Doustmohammadian, A. (2024). The association of food insecurity with non-alcoholic fatty liver disease (NAFLD) in a sample of Iranian adults: A path analysis of a cross-sectional survey. BMC Res. Notes, 17.","DOI":"10.1186\/s13104-024-06923-4"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"1427","DOI":"10.1016\/j.cgh.2024.03.017","article-title":"Effects of Food Insecurity on Hepatic Steatosis and Fibrosis in People With HIV","volume":"22","author":"Kardashian","year":"2024","journal-title":"Clin. Gastroenterol. Hepatol."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"020402","DOI":"10.7189\/jogh.10.020402","article-title":"Association between food insecurity and cardiometabolic risk in adults and the elderly: A systematic review","volume":"10","author":"Miguel","year":"2020","journal-title":"J. Glob. Health"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1111\/phn.12781","article-title":"Food insecurity as a predictor of metabolic syndrome in U.S. female adults","volume":"37","author":"Park","year":"2020","journal-title":"Public Health Nurs."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1080\/19371910903547017","article-title":"Developments and general features of national health insurance in Korea","volume":"25","author":"Kim","year":"2010","journal-title":"Soc. Work Public Health"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"1506","DOI":"10.1017\/S0007114525103504","article-title":"Association of food insecurity with diet quality and anthropometric measurements among American elderly: Results from 2017 to 2020 National Health and Nutrition Examination Survey","volume":"133","author":"Wang","year":"2025","journal-title":"Br. J. Nutr."},{"key":"ref_54","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_55","doi-asserted-by":"crossref","first-page":"684","DOI":"10.3945\/ajcn.114.084525","article-title":"Food insecurity and dietary quality in US adults and children: A systematic review","volume":"100","author":"Hanson","year":"2014","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1093\/ajcn\/nqac049","article-title":"Food insecurity and ultra-processed food consumption: The modifying role of participation in the Supplemental Nutrition Assistance Program (SNAP)","volume":"116","author":"Leung","year":"2022","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_57","doi-asserted-by":"crossref","unstructured":"Xie, R.Z., Li, X.S., Zhao, W.Q., Liang, Y.F., and Huang, J.F. (2025). Food insecurity and muscle health: Exploring the role of protein, vitamin D, and calcium intake in low muscle mass. BMC Public Health, 25.","DOI":"10.1186\/s12889-025-23784-z"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"1579","DOI":"10.2105\/AJPH.2011.300551","article-title":"The association between food insecurity and inflammation in the US adult population","volume":"102","author":"Gowda","year":"2012","journal-title":"Am. J. Public Health"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1002\/jgh3.12709","article-title":"Implication of food insecurity on the gut microbiota and its potential relevance to a multi-ethnic population in Malaysia","volume":"6","author":"Shafiee","year":"2022","journal-title":"JGH Open"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"107294","DOI":"10.1016\/j.appet.2024.107294","article-title":"Food insecurity, poor diet, and metabolic measures: The roles of stress and cortisol","volume":"197","author":"Chiu","year":"2024","journal-title":"Appetite"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1093\/jn\/nxz021","article-title":"Inflammation and Stress Biomarkers Mediate the Association between Household Food Insecurity and Insulin Resistance among Latinos with Type 2 Diabetes","volume":"149","author":"Wagner","year":"2019","journal-title":"J. Nutr."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"C1637","DOI":"10.1152\/ajpcell.00951.2024","article-title":"Pathophysiological underpinnings of metabolic dysfunction-associated steatotic liver disease","volume":"328","author":"Kuchay","year":"2025","journal-title":"Am. J. Physiol. Cell Physiol."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"2925","DOI":"10.1017\/S1368980014001906","article-title":"Inverse association between social support and household food insecurity in a metropolitan area of Rio de Janeiro, Brazil","volume":"18","year":"2015","journal-title":"Public Health Nutr."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1016\/j.amepre.2019.06.004","article-title":"Adverse Childhood Experiences and Household Food Insecurity: Findings From the 2016 National Survey of Children\u2019s Health","volume":"57","author":"Jackson","year":"2019","journal-title":"Am. J. Prev. Med."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"2377","DOI":"10.1017\/S1368980021000719","article-title":"Food insecurity, food skills, health literacy and food preparation activities among young Canadian adults: A cross-sectional analysis","volume":"24","author":"Pepetone","year":"2021","journal-title":"Public Health Nutr."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1007\/s13668-023-00478-9","article-title":"Fatty Liver Disease and Food Insecurity: Excess in Scarcity","volume":"12","author":"Yadlapati","year":"2023","journal-title":"Curr. Nutr. Rep."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/17\/2806\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T04:43:29Z","timestamp":1787978609000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/17\/2806"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,27]]},"references-count":66,"journal-issue":{"issue":"17","published-online":{"date-parts":[[2026,9]]}},"alternative-id":["nu18172806"],"URL":"https:\/\/doi.org\/10.3390\/nu18172806","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,27]]}}}