Associations Between Household Food Insecurity and Participation in Nutrition Assistance Programs, and Ultraprocessed Food Consumption and Diet Quality Among Pregnant Women in NHANES, 2001-2018.

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Title: Associations Between Household Food Insecurity and Participation in Nutrition Assistance Programs, and Ultraprocessed Food Consumption and Diet Quality Among Pregnant Women in NHANES, 2001-2018.
Authors: Fernández CR; Cristina R. Fernández is with the Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons, New York, NY. Sandra H. Kahwaji, Pamela A. Koch, and Randi L. Wolf are with the Laurie M. Tisch Center for Food, Education and Policy, Program in Nutrition, Department of Health Studies and Applied Educational Psychology, Teachers College, Columbia University, New York, NY. Eurídice Martínez-Steele is with the Department of Nutrition, Faculty of Public Health and Center for Epidemiological Studies in Health and Nutrition, University of São Paulo, São Paulo, Brazil. Jennifer W. Cadenhead was with the Laurie M. Tisch Center for Food, Education and Policy, Program in Nutrition, Department of Health Studies and Applied Educational Psychology, Teachers College, Columbia University, for part of the time with this study and is with the Department of Environmental, Occupational, and Geospatial Health Sciences, Graduate School of Public Health, City University of New York, New York, NY., Kahwaji SH; Cristina R. Fernández is with the Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons, New York, NY. Sandra H. Kahwaji, Pamela A. Koch, and Randi L. Wolf are with the Laurie M. Tisch Center for Food, Education and Policy, Program in Nutrition, Department of Health Studies and Applied Educational Psychology, Teachers College, Columbia University, New York, NY. Eurídice Martínez-Steele is with the Department of Nutrition, Faculty of Public Health and Center for Epidemiological Studies in Health and Nutrition, University of São Paulo, São Paulo, Brazil. Jennifer W. Cadenhead was with the Laurie M. Tisch Center for Food, Education and Policy, Program in Nutrition, Department of Health Studies and Applied Educational Psychology, Teachers College, Columbia University, for part of the time with this study and is with the Department of Environmental, Occupational, and Geospatial Health Sciences, Graduate School of Public Health, City University of New York, New York, NY., Koch PA; Cristina R. Fernández is with the Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons, New York, NY. Sandra H. Kahwaji, Pamela A. Koch, and Randi L. Wolf are with the Laurie M. Tisch Center for Food, Education and Policy, Program in Nutrition, Department of Health Studies and Applied Educational Psychology, Teachers College, Columbia University, New York, NY. Eurídice Martínez-Steele is with the Department of Nutrition, Faculty of Public Health and Center for Epidemiological Studies in Health and Nutrition, University of São Paulo, São Paulo, Brazil. Jennifer W. Cadenhead was with the Laurie M. Tisch Center for Food, Education and Policy, Program in Nutrition, Department of Health Studies and Applied Educational Psychology, Teachers College, Columbia University, for part of the time with this study and is with the Department of Environmental, Occupational, and Geospatial Health Sciences, Graduate School of Public Health, City University of New York, New York, NY., Wolf RL; Cristina R. Fernández is with the Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons, New York, NY. Sandra H. Kahwaji, Pamela A. Koch, and Randi L. Wolf are with the Laurie M. Tisch Center for Food, Education and Policy, Program in Nutrition, Department of Health Studies and Applied Educational Psychology, Teachers College, Columbia University, New York, NY. Eurídice Martínez-Steele is with the Department of Nutrition, Faculty of Public Health and Center for Epidemiological Studies in Health and Nutrition, University of São Paulo, São Paulo, Brazil. Jennifer W. Cadenhead was with the Laurie M. Tisch Center for Food, Education and Policy, Program in Nutrition, Department of Health Studies and Applied Educational Psychology, Teachers College, Columbia University, for part of the time with this study and is with the Department of Environmental, Occupational, and Geospatial Health Sciences, Graduate School of Public Health, City University of New York, New York, NY., Martínez-Steele E; Cristina R. Fernández is with the Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons, New York, NY. Sandra H. Kahwaji, Pamela A. Koch, and Randi L. Wolf are with the Laurie M. Tisch Center for Food, Education and Policy, Program in Nutrition, Department of Health Studies and Applied Educational Psychology, Teachers College, Columbia University, New York, NY. Eurídice Martínez-Steele is with the Department of Nutrition, Faculty of Public Health and Center for Epidemiological Studies in Health and Nutrition, University of São Paulo, São Paulo, Brazil. Jennifer W. Cadenhead was with the Laurie M. Tisch Center for Food, Education and Policy, Program in Nutrition, Department of Health Studies and Applied Educational Psychology, Teachers College, Columbia University, for part of the time with this study and is with the Department of Environmental, Occupational, and Geospatial Health Sciences, Graduate School of Public Health, City University of New York, New York, NY., Cadenhead JW; Cristina R. Fernández is with the Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons, New York, NY. Sandra H. Kahwaji, Pamela A. Koch, and Randi L. Wolf are with the Laurie M. Tisch Center for Food, Education and Policy, Program in Nutrition, Department of Health Studies and Applied Educational Psychology, Teachers College, Columbia University, New York, NY. Eurídice Martínez-Steele is with the Department of Nutrition, Faculty of Public Health and Center for Epidemiological Studies in Health and Nutrition, University of São Paulo, São Paulo, Brazil. Jennifer W. Cadenhead was with the Laurie M. Tisch Center for Food, Education and Policy, Program in Nutrition, Department of Health Studies and Applied Educational Psychology, Teachers College, Columbia University, for part of the time with this study and is with the Department of Environmental, Occupational, and Geospatial Health Sciences, Graduate School of Public Health, City University of New York, New York, NY.
Source: American journal of public health [Am J Public Health] 2026 Jul; Vol. 116 (7), pp. 971-980. Date of Electronic Publication: 2026 Jun 03.
Publication Type: Journal Article
Journal Info: Publisher: American Public Health Association Country of Publication: United States NLM ID: 1254074 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1541-0048 (Electronic) Linking ISSN: 00900036 NLM ISO Abbreviation: Am J Public Health Subsets: MEDLINE
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  Data: Associations Between Household Food Insecurity and Participation in Nutrition Assistance Programs, and Ultraprocessed Food Consumption and Diet Quality Among Pregnant Women in NHANES, 2001-2018.
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Tisch Center for Food, Education and Policy, Program in Nutrition, Department of Health Studies and Applied Educational Psychology, Teachers College, Columbia University, for part of the time with this study and is with the Department of Environmental, Occupational, and Geospatial Health Sciences, Graduate School of Public Health, City University of New York, New York, NY.<br /><searchLink fieldCode="AU" term="%22Kahwaji+SH%22">Kahwaji SH</searchLink>; Cristina R. Fernández is with the Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons, New York, NY. Sandra H. Kahwaji, Pamela A. Koch, and Randi L. Wolf are with the Laurie M. Tisch Center for Food, Education and Policy, Program in Nutrition, Department of Health Studies and Applied Educational Psychology, Teachers College, Columbia University, New York, NY. 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Tisch Center for Food, Education and Policy, Program in Nutrition, Department of Health Studies and Applied Educational Psychology, Teachers College, Columbia University, New York, NY. Eurídice Martínez-Steele is with the Department of Nutrition, Faculty of Public Health and Center for Epidemiological Studies in Health and Nutrition, University of São Paulo, São Paulo, Brazil. Jennifer W. Cadenhead was with the Laurie M. Tisch Center for Food, Education and Policy, Program in Nutrition, Department of Health Studies and Applied Educational Psychology, Teachers College, Columbia University, for part of the time with this study and is with the Department of Environmental, Occupational, and Geospatial Health Sciences, Graduate School of Public Health, City University of New York, New York, NY.<br /><searchLink fieldCode="AU" term="%22Wolf+RL%22">Wolf RL</searchLink>; Cristina R. 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Tisch Center for Food, Education and Policy, Program in Nutrition, Department of Health Studies and Applied Educational Psychology, Teachers College, Columbia University, for part of the time with this study and is with the Department of Environmental, Occupational, and Geospatial Health Sciences, Graduate School of Public Health, City University of New York, New York, NY.<br /><searchLink fieldCode="AU" term="%22Martínez-Steele+E%22">Martínez-Steele E</searchLink>; Cristina R. Fernández is with the Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons, New York, NY. Sandra H. Kahwaji, Pamela A. Koch, and Randi L. Wolf are with the Laurie M. Tisch Center for Food, Education and Policy, Program in Nutrition, Department of Health Studies and Applied Educational Psychology, Teachers College, Columbia University, New York, NY. Eurídice Martínez-Steele is with the Department of Nutrition, Faculty of Public Health and Center for Epidemiological Studies in Health and Nutrition, University of São Paulo, São Paulo, Brazil. Jennifer W. Cadenhead was with the Laurie M. Tisch Center for Food, Education and Policy, Program in Nutrition, Department of Health Studies and Applied Educational Psychology, Teachers College, Columbia University, for part of the time with this study and is with the Department of Environmental, Occupational, and Geospatial Health Sciences, Graduate School of Public Health, City University of New York, New York, NY.<br /><searchLink fieldCode="AU" term="%22Cadenhead+JW%22">Cadenhead JW</searchLink>; Cristina R. Fernández is with the Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons, New York, NY. Sandra H. Kahwaji, Pamela A. Koch, and Randi L. Wolf are with the Laurie M. Tisch Center for Food, Education and Policy, Program in Nutrition, Department of Health Studies and Applied Educational Psychology, Teachers College, Columbia University, New York, NY. Eurídice Martínez-Steele is with the Department of Nutrition, Faculty of Public Health and Center for Epidemiological Studies in Health and Nutrition, University of São Paulo, São Paulo, Brazil. Jennifer W. Cadenhead was with the Laurie M. Tisch Center for Food, Education and Policy, Program in Nutrition, Department of Health Studies and Applied Educational Psychology, Teachers College, Columbia University, for part of the time with this study and is with the Department of Environmental, Occupational, and Geospatial Health Sciences, Graduate School of Public Health, City University of New York, New York, NY.
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