A 2-Group Path Analysis of a Food Environment Conceptual Model by Food Security Status: Home Food Environment Variables Were Associated With Healthy Eating Index 2015 Component Scores For Total Vegetables Among Those With Food Security.

Details

• Alternative Title:
  Journal of the Academy of Nutrition and Dietetics, 2026, v. 126, no. 2: A 2-Group Path Analysis of a Food Environment Conceptual Model by Food Security Status: Home Food Environment Variables Were Associated With Healthy Eating Index 2015 Component Scores For Total Vegetables Among Those With Food Security.
• Journal Article:
  Journal of the Academy of Nutrition and Dietetics
• Personal Author:
  Antonacci, Cerra C ; Haardörfer, Regine ; Winkler, Megan ; Hartman, Terry J ; Morshed, Alexandra B ; Muncy, Candace ; Kegler, Michelle C
• Description:
  The Model of Community Nutrition Environments is a well-known conceptual model in public health nutrition, although few studies have tested the model as a valid representation of food environment-diet pathways. Further, no study has explored whether the model differs by food security status, despite documented disparities in food environments and diet for those experiencing food insecurity.
  
  To test the Model of Community Nutrition Environments by food security status using multigroup path analysis.
  
  This secondary analysis of baseline data from a hybrid-effectiveness implementation trial, Healthy Homes/Healthy Families, which included a home environment survey and 2 unscheduled 24-hour dietary recalls, was merged with the US Department of Agriculture 2019 Food Access Research Atlas.
  
  Participants recruited through 4 United Way 2-1-1 agencies in Georgia were eligible if they were aged 18 to 70 years, spoke English, and self-reported a body mass index ≥20. Baseline data collection occurred from October 2020 to December 2022 (N = 510 participants).
  
  Main outcomes included Healthy Eating Index 2015 component scores for total fruits and total vegetables.
  
  Multigroup path analysis compared the unstandardized effects of pathways in the Model of Community Nutrition Environments for those who were food secure and food insecure.
  
  The 2-group model had good global model fit (root mean square error of approximation = 0.000, comparative fit index = 1.000, Tucker-Lewis index = 1.000, standardized root mean square residual = 0.047). Home availability (b = .08 ± .04; P = .029) and accessibility (b = .68 ± .27; P = .012) of fruits and vegetables were positively associated with Healthy Eating Index 2015 scores for total vegetables among those with food security. No significant associations were found with either outcome among those with food insecurity. The food secure model explained more variance in the outcomes than the food insecure model (food secure: R
  
  = 0.20, R
  
  = 0.36; food insecure: R
  
  = 0.10, R
  
  = 0.06).
  
  Additional mechanisms need to be added to the Model of Community Nutrition Environments to better explain food environment-diet pathways for those experiencing food insecurity.
• Content Notes:
  Author manuscript
• Subjects:
  • Humans
  • Vegetables
  • Diet, Healthy
  • Food Security
  • Adult
  • Female
  • Male
  • Middle Aged
  • Adolescent
  • Aged
  More +
• Keywords:
  • food insecurity
  • healthy eating index
  • food access
  • low-income populations
  • nutrition environment
• Source:
  Journal of the Academy of Nutrition and Dietetics, 2026, v. 126, no. 2
• DOI:
  https://doi.org/10.1016/j.jand.2025.156222
• ISSN:
  2212-2672
• Pubmed ID:
  41591953
• Pubmed Central ID:
  PMC12852992
• Document Type:
  Text
• Funding:
  U48 DP006377/DP/NCCDPHP CDC HHSUnited States/
• Genre:
  Journal Article
• Place as Subject:
  Georgia
• Pages in Document:
  156222 (19 pdf pages)
• Volume:
  126
• Issue:
  2
• Download URL:
  https://stacks.cdc.gov/view/cdc/260822/cdc_260822_DS1.pdf
• File Type:
  [PDF - 393.14 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:ad1d26f3c9bc5cfdcf16424b308db4cd4b3a6e0ca36d1d6ea129bfa124907c848bd6915df04e77aab223669ce85a872be6667d32219cad8260c6734271b8b6b6