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Food Studies Commons

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2025

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Articles 61 - 90 of 164

Full-Text Articles in Food Studies

Unveiling Food Waste Patterns At Purdue University, Katherine S. Chiparus, Abigail S. Engelberth, Valentina Negri, Louis Tay Jul 2025

Unveiling Food Waste Patterns At Purdue University, Katherine S. Chiparus, Abigail S. Engelberth, Valentina Negri, Louis Tay

Discovery Undergraduate Interdisciplinary Research Internship

Ever wondered how much food waste is generated at Purdue University—or how we compare to other Big Ten schools? This project aims to both evaluate existing practices and behaviors across major universities, and administer a survey to collect data on Purdue’s campus. AI-assisted photo deconstruction and demographic data collection is used to analyze Purdue’s food waste composition and behavior patterns. Concurrently, a comparative analysis of food waste strategies - including categorization of effectiveness, reach, and transparency of waste management efforts while focusing on composting, diversion programs, and dining hall operations - across Big Ten institutions was conducted. To date, the …


Let Us Break Bread Together: A Historical Analysis Of African American Chefs’ Influence On American Gastronomy, Danielle S. King Jul 2025

Let Us Break Bread Together: A Historical Analysis Of African American Chefs’ Influence On American Gastronomy, Danielle S. King

Capstone Collection

This Capstone project examines the historical impact of African American chefs on American gastronomy, highlighting their substantial contributions to the nation's culinary heritage from 1619 to 2024. By employing Jessica B. Harris's book High on the Hog as a foundation, the research identifies a critical gap in existing study abroad programs: the Black diaspora within the United States. The proposed four-week educational program aims to immerse participants in African American culinary heritage across four culturally rich cities: Charleston, South Carolina; New Orleans, Louisiana; Chicago, Illinois, and Oakland, California. With a community cultural wealth framework, the program integrates historical research, hands-on …


Examining Weight Bias Attitude Changes After Exposure To A Brief Photovoice Assignment, Gretchen L. George, Hillary L. Roberts, Kristin Rose, Madison Clemens, Kate G. Burt Jul 2025

Examining Weight Bias Attitude Changes After Exposure To A Brief Photovoice Assignment, Gretchen L. George, Hillary L. Roberts, Kristin Rose, Madison Clemens, Kate G. Burt

Journal of Dietetic Education

Weight bias is present among pre-health professional students (e.g., nutrition, dietetics, nursing, physical therapy, medicine). Educators need support and guidelines about how to enhance learning through engaging assignments while also meeting accreditation requirements. This pilot study examined the impact of an innovative weight bias assignment using photovoice and reflection within existing nutrition education courses, measured through pre-post assessments from the Fat Attitudes Assessment Toolkit. While not all subscales showed significant change, improvements in the Fat Acceptance and Attribution Complexity Composites suggest these methods may be effective in shifting attitudes about fatness. Further research is needed to assess the long-term impact …


Cover, Table Of Contents, About The Journal, Diana Cuy Castellanos, M Elizabeth (Beth) Miller Jul 2025

Cover, Table Of Contents, About The Journal, Diana Cuy Castellanos, M Elizabeth (Beth) Miller

Journal of Dietetic Education

No abstract provided.


Editors' Message, Diana Cuy Castellanos, M Elizabeth (Beth) Miller Jul 2025

Editors' Message, Diana Cuy Castellanos, M Elizabeth (Beth) Miller

Journal of Dietetic Education

No abstract provided.


Savoring The Seaweeds: Health And Sustainability Through Creole Foods, Roxanna Belleau Jul 2025

Savoring The Seaweeds: Health And Sustainability Through Creole Foods, Roxanna Belleau

Ursidae: The Undergraduate Research Journal at the University of Northern Colorado

Incorporating kelp into American diets offers a promising avenue for enhancing nutrition and environmental sustainability. Despite its nutritional richness and ecological benefits as a "superfood" and carbon sink, cultural resistance presents a barrier to its widespread acceptance. This study delves into kelp's nutritional content and ecological advantages, exploring its potential to reshape dietary habits. Drawing insights from interviews and surveys, cultural norms emerge as a significant obstacle to kelp's integration into American cuisine. Strategies inspired by successful culinary adaptations, such as creole dishes, are proposed to navigate these challenges and shift societal perceptions. Furthermore, integrating kelp into familiar American foods …


No. 43: Migration, Food Insecurity And Angolan Migrants In Namibia, Lawrence N. Kazembe, Ndeyapo Nickanor, Godfrey Tawodzera Jun 2025

No. 43: Migration, Food Insecurity And Angolan Migrants In Namibia, Lawrence N. Kazembe, Ndeyapo Nickanor, Godfrey Tawodzera

Migration and Food Security (MiFOOD) Network

This study examines the food security challenges faced by Angolan migrants in Namibia, focusing on the interplay between migration, livelihoods, and food insecurity. Drawing on survey data from households in Northern towns and the capital city of Namibia, the research reveals high levels of food insecurity among Angolan migrants, characterized by limited dietary diversity and a reliance on coping strategies such as consuming less preferred foods and reducing meal portions. The findings highlight the marginalization of migrants, who primarily work in the informal sector with low incomes, exacerbating their vulnerability. The COVID-19 pandemic further worsened food insecurity by disrupting livelihoods …


Intermittent Fasting For Metabolic Syndrome Management, Tony Laborde Jun 2025

Intermittent Fasting For Metabolic Syndrome Management, Tony Laborde

Lynchburg Journal of Medical Science

This paper reviews the potential of intermittent fasting as a non-pharmacological therapeutic approach to the treatment of metabolic syndrome (MetS). MetS is a global health problem with risk factors that include obesity, hypertension, hyperglycemia, low high-density lipoprotein (HDL) cholesterol, and high triglycerides that predispose to cardiovascular disease and type 2 diabetes. Traditional treatment approaches, including pharmacological agents and lifestyle modification, are typically of short-term benefit. Intermittent fasting, with its scheduled cycles of eating and fasting, presents another strategy for improving weight control, insulin sensitivity, lipid profiles, and blood pressure. Various intermittent fasting regimens, including time-restricted feeding and alternate-day fasting, have …


Living Heritage, Resilience And Ethically Informed Infrastructures In Malawi, Martha B. Lerski, Frank Puluputu Mwale Jun 2025

Living Heritage, Resilience And Ethically Informed Infrastructures In Malawi, Martha B. Lerski, Frank Puluputu Mwale

Publications and Research

Rooted in a rural community’s needs, this paper explores how historically, and ethically informed infrastructures can support community engagement towards identification, documentation, and dissemination of local, traditional, and indigenous knowledge relating to climate change. The paper examines climate adaptation and sustainability issues through the lenses of community organizing and Library & Information Science best practices. It draws on a growing body of literature identifying a role for expanded epistemological and subject discipline perspectives. While the impacts of climate on material culture are increasingly recognized, intangible, and biocultural heritage have not received as much attention. Living heritage traditions and knowledge systems …


Political Ecologies Of The Livestock Industry, Jecca Bowen Jun 2025

Political Ecologies Of The Livestock Industry, Jecca Bowen

Electronic Theses and Dissertations

In the United States today, livestock production is dominated by an intensified, industrialized production paradigm whose growth in recent decades has utterly transformed the logistical realities and community impacts of animal agriculture. This dissertation investigates the effects of this production paradigm on livestock producers—whose decision-making is shaped by multi-scalar and often contradictory forces—as well as residents living near these large operations. To do so, I draw upon mixed-methods fieldwork, including in-depth interviews, spatial analysis, and field odor measurements in Weld and Morgan Counties in northern Colorado. I also use political ecologies of emotion, embodiment, and health to examine the complex …


Captured And Enhanced Potentials Of Wild Edible Fruits In Tabora Rural, Uyui And Sikonge Districts, Tabora In Tanzania, Mirau N. Mbise Jun 2025

Captured And Enhanced Potentials Of Wild Edible Fruits In Tabora Rural, Uyui And Sikonge Districts, Tabora In Tanzania, Mirau N. Mbise

Journal of Humanities and Social Sciences

Rural communities worldwide supplement food and income through wild edible fruits. However, the paucity of scientific inquiry on the perceptions and uses of wild edible fruits, value-addition, and marketing prompted this study. It interviewed respondents from 274 households in Tabora rural, Sikonge, and Uyui districts in the Tabora region of Tanzania. Descriptive and quantitative analyses were undertaken, and results showed that wild edible fruit activities are perceived to be for women, children, and less-educated people. Furthermore, the findings indicated that 100% (n = 274) of the respondents use wild edible fruits as food, and 48.6% (n = 133) use them …


No. 42: Remittance Practices, Digital Technologies And The Ghana-Canada Migration Corridor, Naomi Sunu, Sujata Ramachandran Jun 2025

No. 42: Remittance Practices, Digital Technologies And The Ghana-Canada Migration Corridor, Naomi Sunu, Sujata Ramachandran

Migration and Food Security (MiFOOD) Network

Migrant remittances have been recognized as vital resources for the well-being of recipient households and communities, as well as for sustainable development in the Global South. However, these flows can be impeded by limitations in the infrastructure, financial systems, and regulatory environments of both sending and receiving countries, as exemplified by the high costs associated with remitting to sub-Saharan Africa. Consequently, the use of less secure but more affordable informal remittance channels persists. Driven by the rapid growth of fintech technologies in recent years, including mobile money and web-based platforms, the digitalization of remittance-sending and receiving processes has the potential …


Benefits And Challenges Of Collaborative Networks Addressing Food System Disruptions During The Covid-19 Pandemic, Dikshya Dahal, Tania Schusler Jun 2025

Benefits And Challenges Of Collaborative Networks Addressing Food System Disruptions During The Covid-19 Pandemic, Dikshya Dahal, Tania Schusler

School of Environmental Sustainability: Faculty Publications and Other Works

The COVID-19 pandemic disrupted food systems with disproportionate impacts on marginalized social groups, which in the USA included racial and ethnic minorities, working class families, immigrants, seniors, and people with disabilities, among others. The pandemic also greatly affected the operations of nonprofit organizations, which play important roles in disaster response. We explored how social networks supported non-profit organizations’ efforts to address increased food insecurity and food-related business disruptions during the pandemic in the Chicago region, IL, USA. We used mixed methods including a Social Network Analysis (SNA) of 48 organizations and their reported partners plus focus group discussions with representatives …


Arts-Based Sustainability: From New York To Malawi, Martha B. Lerski Jun 2025

Arts-Based Sustainability: From New York To Malawi, Martha B. Lerski

Publications and Research

Recognizing that libraries serve multiple constituencies and subject areas, this chapter documents and advocates for development of transdisciplinary arts-based research (ABR) and culture-related projects linked to environmental challenges. Libraries contribute collections and spaces, as well as the research of library and information scientists. Libraries are currently among invisible contributors to sustainability planning and services. The chapter will link this invisibility to the value of what visual arts refer to as negative space elements in subjects ranging from traditional ecological knowledge to environmental science. Library collections, projects, and research contribute to education for sustainable development (ESD) as required to achieve the …


Effectiveness Of Nutrition Education On Male Student Veterans From Cal Poly, San Luis Obispo University, Keith S. Kim Jun 2025

Effectiveness Of Nutrition Education On Male Student Veterans From Cal Poly, San Luis Obispo University, Keith S. Kim

Master's Theses

This pilot study evaluated the effectiveness of a 13-week nutrition education intervention designed to improve dietary patterns, physical health, and mental health outcomes among 10 student male military veterans at California Polytechnic State University, San Luis Obispo. The intervention, grounded in the Dietary Guidelines for Americans, 2020–2025, included a one-time educational presentation and periodic recap videos to reinforce key messages. Outcome measures included dietary intake, body mass index (BMI), handgrip strength, depressive symptoms (via the Beck Depression Inventory), and post-traumatic stress disorder (PTSD) symptoms (via the PCL-5). Results revealed no statistically significant changes in dietary patterns, BMI, handgrip strength, …


Environmental-Friendly Consumption: Measuring The Impact Of Lifestyle On Household Carbon Emissions, Faisal Madjid Alyasa, Adam Hawari, Afif Akbar Syawala, Estro Dariatno Dariatno Sihaloho Jun 2025

Environmental-Friendly Consumption: Measuring The Impact Of Lifestyle On Household Carbon Emissions, Faisal Madjid Alyasa, Adam Hawari, Afif Akbar Syawala, Estro Dariatno Dariatno Sihaloho

Economics and Finance in Indonesia

In 2060, Indonesia aims for a clean, emissions-free society. However, achieving this goal requires understanding how lifestyle choices affect household carbon emissions. This study, based on data from the Indonesian Family Life Survey 2014, examines the impact of different diets (plant-based, vegetarian, Mediterranean, full meat-based, and mixed) on carbon emissions. Using Ordinary Least Square Panel Data Regression, the research finds that plant-based and vegetarian diets have a lower carbon footprint compared to mixed and full meat-based diets. The findings suggest that transitioning to more environmentally friendly consumption patterns can help reduce carbon emissions and benefit the environment.


Land Access As Liberation: A Qualitative Study On Faith, Food, And Farming Of Urban And Rural Black Land Stewards In The United States, Dominique Edwards Jun 2025

Land Access As Liberation: A Qualitative Study On Faith, Food, And Farming Of Urban And Rural Black Land Stewards In The United States, Dominique Edwards

Dissertations

Since 1920, Black farmers in the United States have held less than 2% of the nation's farmland, a direct result of race-based discriminatory policies embedded within federal, state, local, and county-level institutions (Daniel, 2013). Structural barriers—ranging from exclusionary lending practices by the U.S. Department of Agriculture (USDA) to the systematic dispossession of land through legal loopholes, heirs’ property laws, and violent racial terror—have contributed to this staggering decline in Black land ownership (Gilbert et al., 2002). The erosion of Black agrarian landholdings intensified in the latter half of the 20th century, as government programs, civil rights legislation, and technological advancements, …


Terrashift, Mill Jignesh Shah, Mill Shah May 2025

Terrashift, Mill Jignesh Shah, Mill Shah

Masters Theses

Keywords: Adaptive Reuse, Vernacular Craftsmanship, Food Security, Urban Agriculture, Community Revitalization, Heritage Preservation, Regenerative Design

In India’s rapidly urbanizing landscape, Tier-I cities continue to dominate as aspirational centers, leaving smaller towns to face depopulation, economic drift, and cultural amnesia. Terrashift challenges this imbalance by proposing a regenerative model that reclaims the vitality of Tier-II and Tier-III towns through the layered strategies of adaptive reuse, vernacular craftsmanship, and integrated food systems.

Centered in Sidhpur, Gujarat—a town rich with Bohra Muslim architectural heritage and centuries of Hindu-Muslim cultural synthesis—this project envisions the transformation of abandoned havelis into vibrant community anchors. These spaces, …


No. 41: Crisis, Pandemic Precarity And Food Insecurity Among Migrant Households During The Covid-19 Pandemic In Quito, Ecuador, Mercedes Eguiguren, Taymi Milán, Cheryl Martens May 2025

No. 41: Crisis, Pandemic Precarity And Food Insecurity Among Migrant Households During The Covid-19 Pandemic In Quito, Ecuador, Mercedes Eguiguren, Taymi Milán, Cheryl Martens

Migration and Food Security (MiFOOD) Network

This study examines the food insecurity experiences of Venezuelan migrants in Quito, Ecuador, within the broader context of the Venezuelan crisis, regional migration responses, and the structural precarity migrants face. Moving beyond the dominant “migration crisis” narrative, this paper adopts a crisis-living framework to analyze how protracted instability and pandemic precarity shape migrants’ experiences. Based on a 2023 survey of migrants and refugees who lived in Quito throughout the COVID-19 pandemic, the findings reveal that food insecurity is a persistent challenge, disproportionately affecting female-led and extended households. Key factors influencing food insecurity include job instability and deteriorating employment conditions, limited …


Kid Eats App: Supporting Parents And Children Cooking Together, Amy S. Muise, Gabrielle A. Longo, Pamela N. Martinez, Umekia R. Taylor, Linda E. Torv, Barbara A. Chamberlin May 2025

Kid Eats App: Supporting Parents And Children Cooking Together, Amy S. Muise, Gabrielle A. Longo, Pamela N. Martinez, Umekia R. Taylor, Linda E. Torv, Barbara A. Chamberlin

Journal of Extension

Kid Eats is a free app for iPad encouraging children and parents to cook together at home using fruits and vegetables. A preliminary study with parents and children showed children enjoyed using the app and that it provided useful information to support children’s involvement in the kitchen, including guidance around safety concerns. Every family in the study voluntarily completed at least one of the recipes with their child at least once following the in-person activity. Parents reported that their children actively asked to cook the recipes from the app and felt the app helped increase their time spent cooking with …


The Connection Between An Unequitable Distribution Of Care Responsibilities And A Widening Gender Nutrition Gap In Latin America, Alexis Nicole Bodlak May 2025

The Connection Between An Unequitable Distribution Of Care Responsibilities And A Widening Gender Nutrition Gap In Latin America, Alexis Nicole Bodlak

Honors Program: Senior Projects (Public)

The notion of care refers to activities that satisfy the basic needs of existence and reproduction. Within rural communities, care work such as the production and preparation of food contributes to food security at the household level. Care work supports the paid workforce, allowing workers to focus on commercial productive activities that generate economic income in rural communities. Women perform 6.3 to 29.5 more hours per week than men in unpaid care work, reducing their time for income-generating activities and personal nutrition management. Affecting their economic independence and ability to access and consume nutritious food. Studies show that in food-insecure …


Exploring Extension Agents' Understandings Of Local And Resilient Food Systems, Hannah Dankbar, Brooke Matusko May 2025

Exploring Extension Agents' Understandings Of Local And Resilient Food Systems, Hannah Dankbar, Brooke Matusko

Journal of Extension

Currently, there is a focus on bolstering local food systems to support overall food system resilience. Local and resilient food systems, though related, are distinct concepts. Their use in food system development is complicated by varying interpretations. Data from a survey of North Carolina Extension agents, a group of food system practitioners, identified a range of definitions of these terms. The results underscore the complex landscape of local food system development and identify a need to build on conceptual understandings within the Extension community and establish shared understandings within food system development efforts.


Cooking For A Cause: Food Insecurity In Lafayette County, Ms, Anna K. Richie May 2025

Cooking For A Cause: Food Insecurity In Lafayette County, Ms, Anna K. Richie

Honors Theses

Many people in Lafayette County, MS, experience ongoing difficulties with consistent access to healthy food options. According to the Mississippi Health & Hunger Atlas, “food insecurity rates in Mississippi are consistently and statistically higher than national averages—having been ranked as #1 or #2 for highest food insecurity rate every year for the past 15 years” (Haggard, Cafer & Green, 2017). This capstone project examines how a Little Free Pantry (LFP) initiative can contribute to local food security efforts and evaluates cooking demonstration outcomes using ingredients found in LFPs. The approach combines quantitative and qualitative methods by tracking pantry inventory data …


Challenges Us Study Abroad Students Face When Acculturating To A Foreign Food Environment, Sydney C. Davis May 2025

Challenges Us Study Abroad Students Face When Acculturating To A Foreign Food Environment, Sydney C. Davis

Honors Theses

Studying abroad presents a unique opportunity for college students to immerse themselves in new cultures, including experiencing different food environments and dietary customs. However, adapting to a foreign food culture can pose various challenges that impact students’ overall health, eating behaviors, and study abroad experiences. The purpose of this study to develop a survey instrument designed to investigate the extent to which U.S. study abroad students embrace, accept, and face challenges with different aspects of Italian food culture, using the Social Ecological Model (SEM) as a guiding framework. Initial survey items were developed with information obtained from focus group discussions …


Client-Centered Food Distribution: An Analysis Of Patron Preferences At The Oxford Food Pantry, Ella Mann May 2025

Client-Centered Food Distribution: An Analysis Of Patron Preferences At The Oxford Food Pantry, Ella Mann

Honors Theses

Food insecurity has long penetrated the rural South. This limits access to nutritious foods like fresh produce and contributes to chronic health conditions that may arise. Food pantries serve as a vital resource in addressing these disparities by providing free food to families in need. Many of these pantries incorporate strategies to increase consumption of nutrient dense options such as fruits as vegetables. These strategies can vary but the client choice model has proven to align with the self determination theory and promote greater autonomy in food selection. This study aimed to assess the food preferences of patrons at the …


No. 40: Migrant Shelters And Food Insecurity In Mexico City And Its Metropolitan Area During The Covid-19 Lockdown, Fernanda Vázquez-Vela, Guénola Capron May 2025

No. 40: Migrant Shelters And Food Insecurity In Mexico City And Its Metropolitan Area During The Covid-19 Lockdown, Fernanda Vázquez-Vela, Guénola Capron

Migration and Food Security (MiFOOD) Network

The COVID-19 pandemic dramatically exacerbated vulnerabilities among migrant populations globally, and Mexico was no exception. This paper examines the experiences of four migrant shelters in Mexico City and its metropolitan area during the pandemic lockdown, highlighting how these institutions responded to the twin challenges of public health and food insecurity. The study draws on ethnographic and documentary research to analyse the coping strategies developed by managers and volunteers at the four shelters. These shelters serve diverse and particularly vulnerable groups, including undocumented migrants, women and children fleeing violence, and members of the LGBTTIQ+ community. Despite facing increased demand, reduced donations, …


Relationship Between Nutritional Knowledge And Eating Disorder Risk Levels, Valeria Fernandez May 2025

Relationship Between Nutritional Knowledge And Eating Disorder Risk Levels, Valeria Fernandez

Human Nutrition and Hospitality Management Undergraduate Honors Theses

The prevalence of disordered eating is a critical public health concern that often progresses towards the development of a diagnosable eating disorder (ED). This, in turn, has detrimental physical and psychological consequences for individuals. Organizations such as the American Society of Parenteral and Enteral Nutrition (ASPEN) and the Academy of Nutrition and Dietetics (AND) have recognized nutrition education as a crucial component of prevention and recovery. Determining the extent to which nutrition knowledge is related to risk factors for EDs is worth investigating due to its implications for healthcare approaches – especially among adolescent and young adult populations. The goal …


Understanding University-Level Food Recovery Programs’ Approaches To Minimizing Food Waste While Combating Food Insecurity In The United States, Ella F. Flesher May 2025

Understanding University-Level Food Recovery Programs’ Approaches To Minimizing Food Waste While Combating Food Insecurity In The United States, Ella F. Flesher

Crop, Soil and Environmental Sciences Undergraduate Honors Theses

Food is wasted every day at each level of the food system from production to consumption. This surplus has significant negative impacts on the environment after food is sent to the landfill and allowed to rot. However, some surplus food can be repurposed and diverted from the landfill. This study served as an initial investigation to explore multiple food waste diversion programs and analyze their structure, best practices, and methods to divert leftover food. This study specifically aimed to compare and contrast food recovery programs by interviewing participants from three food recovery programs from different university institutions. With the key …


The Impact Of Food Deserts And Food Insecurity On Cardiovascular Outcomes In New Jersey, Amina Baig, Cheyenne Myklebust, Jack Hennen, Leah Perez, Rhoda Ukenna-Izuwa, Tayyiaba Farooq May 2025

The Impact Of Food Deserts And Food Insecurity On Cardiovascular Outcomes In New Jersey, Amina Baig, Cheyenne Myklebust, Jack Hennen, Leah Perez, Rhoda Ukenna-Izuwa, Tayyiaba Farooq

Rowan-Virtua Research Day

Food deserts - areas with limited access to affordable, healthful food - are increasingly being recognized as risk factors for adverse cardiovascular outcomes. This review discusses the link between food desert density and cardiovascular disease risk with a special emphasis on New Jersey. A systematic PubMed, Cochrane, and Embase literature review of studies from 2014 through 2024 was conducted, with some relevant older research dating back to 2001. Some of the keywords used in the search included "food desert," "food insecurity," "cardiovascular disease," and "New Jersey." The search was restricted to English-language research conducted within the United States. The literature …


Association Between Food Insecurity And Chronic Eye Disease In The National Institutes Of Health's All Of Us Research Program, Ramin Talebi, Fei Yu, Victoria L. Tseng, Anne L. Coleman May 2025

Association Between Food Insecurity And Chronic Eye Disease In The National Institutes Of Health's All Of Us Research Program, Ramin Talebi, Fei Yu, Victoria L. Tseng, Anne L. Coleman

SKMC Student Presentations and Publications

Purpose

Food insecurity is a potential risk factor for visual impairment; however, its association with specific eye diseases remains unknown. This study aims to examine the association between food insecurity and chronic eye diseases including glaucoma, age-related macular degeneration (AMD), diabetic retinopathy (DR), and cataracts.

Design

Cross-sectional.

Participants

Participants of the All of Us (AoU) Research Program, who had electronic health record data and responded to survey questions regarding food insecurity.

Methods

Population-based. Multivariable logistic regression was used to examine associations between food insecurity and each eye disease.

Main Outcome Measure(s)

Primary outcomes included glaucoma, AMD, DR, or cataracts, based …