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Research ArticleArticle

Food Insecurity Is Associated with Vitamin B12 Deficiency: The All of Us Database

Daniel J. Parente
The Journal of the American Board of Family Medicine November 2024, 37 (Supplement2) S156-S163; DOI: https://doi.org/10.3122/jabfm.2023.230454R1
Daniel J. Parente
From the Family Medicine and Community Health, University of Kansas Medical Center, Kansas City, KS.
MD, PhD
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Article Figures & Data

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    Table 1.

    Characteristics of Participants

    CharacteristicNo. (%)
    All participants8,989 (100)
    Age, median (IQR, range)65.9 (53.0 to 73.7, 18.9 to 88.2)
    Sex
     Male3,243 (36.8)
     Female5,558 (63.2)
     Missing or other188
    Race
     Asian155 (1.9)
     Black or African American684 (8.4)
     White7,137 (87.4)
     Another single population56 (0.7)
     More than one population130 (1.6)
     Declined, None, Skipped, or Not  Indicated827
    Ethnicity
     Hispanic or Latino567 (6.6)
     Not Hispanic or Latino8,040 (93.4)
     Declined, None, Skipped382
    Metformin use
     Exposed1,354 (15.1)
     Not exposed7,635 (84.9)
    Food security, experienced
     Never true8,100 (90.1)
     Sometimes true713 (7.9)
     Often true176 (2.0)
    Food security, worried about
     Never true7,827 (87.1)
     Sometimes true927 (10.3)
     Often true235 (2.6)
    Food insecurity, experience and worry joint   distribution
     Neither experienced or nor worried7,728 (86.0)
     Not experienced, but worried about372 (4.1)
     Not worried about, but experienced99 (1.1)
     Both worried and experienced790 (8.8)
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    Table 2.

    Regression Model for Vitamin B12 Deficiency and Experience of Food Insecurity

    VariableBivariable or (95% CI)Multivariable or (95% CI)
    Food insecurity, experienced1.31 (1.07-1.59; P = .007**)1.24 (1.01-1.51; P = .037*)
    Age, decades0.93 (0.89-0.97; P < .001***)0.92 (0.88-0.96; P < .001***)
    Metformin exposed1.06 (0.89-1.26; P = .51)1.05 (0.88-1.25; P = .59)
    Male sex1.08 (0.95-1.23; P = .24)1.16 (1.01-1.34; P = .030*)
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The Journal of the American Board of Family     Medicine: 37 (Supplement2)
The Journal of the American Board of Family Medicine
Vol. 37, Issue Supplement2
November 2024
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Food Insecurity Is Associated with Vitamin B12 Deficiency: The All of Us Database
Daniel J. Parente
The Journal of the American Board of Family Medicine Nov 2024, 37 (Supplement2) S156-S163; DOI: 10.3122/jabfm.2023.230454R1

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Food Insecurity Is Associated with Vitamin B12 Deficiency: The All of Us Database
Daniel J. Parente
The Journal of the American Board of Family Medicine Nov 2024, 37 (Supplement2) S156-S163; DOI: 10.3122/jabfm.2023.230454R1
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Keywords

  • ADFM/NAPCRG Research Summitt 2023
  • Food Insecurity
  • Logistic Regression
  • Multicenter Studies
  • Precision Medicine
  • Retrospective Studies
  • Social Determinants of Health
  • Vitamin B12
  • Vitamin B12 Deficiency

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