{"id":"https://openalex.org/W7225731960","doi":"https://doi.org/10.1002/nau.70536","title":"Dose\u2010Response Relationship Between Household Food Insecurity Severity and Lower Urinary Tract Symptom Subtypes: A Nationally Representative Cross\u2010Sectional Study","display_name":"Dose\u2010Response Relationship Between Household Food Insecurity Severity and Lower Urinary Tract Symptom Subtypes: A Nationally Representative Cross\u2010Sectional Study","publication_year":2026,"publication_date":"2026-11-10","ids":{"openalex":"https://openalex.org/W7225731960","doi":"https://doi.org/10.1002/nau.70536","pmid":"https://pubmed.ncbi.nlm.nih.gov/43006804"},"language":"en","primary_location":{"id":"doi:10.1002/nau.70536","doi":"https://doi.org/10.1002/nau.70536","is_oa":false,"landing_page_url":"https://doi.org/10.1002/nau.70536","pdf_url":null,"source":{"id":"https://openalex.org/S22797964","display_name":"Neurourology and Urodynamics","issn_l":"0733-2467","issn":["0733-2467","1520-6777"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurourology and Urodynamics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5137307421","display_name":"Aaron Seto","orcid":"https://orcid.org/0009-0001-4423-5587","observed_orcids":["https://orcid.org/0009-0001-4423-5587"]},"institutions":[{"id":"https://openalex.org/I27804330","display_name":"Brown University","ror":"https://ror.org/05gq02987","country_code":"US","type":"education","lineage":["https://openalex.org/I27804330"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Aaron Seto","raw_affiliation_strings":["Warren Alpert Medical School of Brown University Providence Rhode Island USA"],"raw_orcid":"https://orcid.org/0009-0001-4423-5587","affiliations":[{"raw_affiliation_string":"Warren Alpert Medical School of Brown University Providence Rhode Island USA","institution_ids":["https://openalex.org/I27804330"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111853702","display_name":"Andrew I. Yang","orcid":"https://orcid.org/0009-0004-0072-3441","observed_orcids":["https://orcid.org/0009-0004-0072-3441"]},"institutions":[{"id":"https://openalex.org/I27804330","display_name":"Brown University","ror":"https://ror.org/05gq02987","country_code":"US","type":"education","lineage":["https://openalex.org/I27804330"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Andrew Yang","raw_affiliation_strings":["Warren Alpert Medical School of Brown University Providence Rhode Island USA"],"raw_orcid":"https://orcid.org/0009-0004-0072-3441","affiliations":[{"raw_affiliation_string":"Warren Alpert Medical School of Brown University Providence Rhode Island USA","institution_ids":["https://openalex.org/I27804330"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122324606","display_name":"Michael Sheen","orcid":"https://orcid.org/0000-0003-0808-1354","observed_orcids":["https://orcid.org/0000-0003-0808-1354"]},"institutions":[{"id":"https://openalex.org/I27804330","display_name":"Brown University","ror":"https://ror.org/05gq02987","country_code":"US","type":"education","lineage":["https://openalex.org/I27804330"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael Sheen","raw_affiliation_strings":["Warren Alpert Medical School of Brown University Providence Rhode Island USA"],"raw_orcid":"https://orcid.org/0000-0003-0808-1354","affiliations":[{"raw_affiliation_string":"Warren Alpert Medical School of Brown University Providence Rhode Island USA","institution_ids":["https://openalex.org/I27804330"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111727611","display_name":"J. Mulcrone","orcid":"https://orcid.org/0009-0005-5058-1223","observed_orcids":["https://orcid.org/0009-0005-5058-1223"]},"institutions":[{"id":"https://openalex.org/I27804330","display_name":"Brown University","ror":"https://ror.org/05gq02987","country_code":"US","type":"education","lineage":["https://openalex.org/I27804330"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jack Mulcrone","raw_affiliation_strings":["Warren Alpert Medical School of Brown University Providence Rhode Island USA"],"raw_orcid":"https://orcid.org/0009-0005-5058-1223","affiliations":[{"raw_affiliation_string":"Warren Alpert Medical School of Brown University Providence Rhode Island USA","institution_ids":["https://openalex.org/I27804330"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122315938","display_name":"Taemin Kim","orcid":"https://orcid.org/0009-0006-3438-3988","observed_orcids":["https://orcid.org/0009-0006-3438-3988"]},"institutions":[{"id":"https://openalex.org/I27804330","display_name":"Brown University","ror":"https://ror.org/05gq02987","country_code":"US","type":"education","lineage":["https://openalex.org/I27804330"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Taemin Kim","raw_affiliation_strings":["Warren Alpert Medical School of Brown University Providence Rhode Island USA"],"raw_orcid":"https://orcid.org/0009-0006-3438-3988","affiliations":[{"raw_affiliation_string":"Warren Alpert Medical School of Brown University Providence Rhode Island USA","institution_ids":["https://openalex.org/I27804330"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5084550300","display_name":"Meredith C. Wasserman","orcid":"https://orcid.org/0000-0003-2856-605X","observed_orcids":["https://orcid.org/0000-0003-2856-605X"]},"institutions":[{"id":"https://openalex.org/I27804330","display_name":"Brown University","ror":"https://ror.org/05gq02987","country_code":"US","type":"education","lineage":["https://openalex.org/I27804330"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Meredith Wasserman","raw_affiliation_strings":["Department of Urology Brown University Health Providence Rhode Island USA"],"raw_orcid":"https://orcid.org/0000-0003-2856-605X","affiliations":[{"raw_affiliation_string":"Department of Urology Brown University Health Providence Rhode Island USA","institution_ids":["https://openalex.org/I27804330"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5137307421"],"corresponding_institution_ids":["https://openalex.org/I27804330"],"apc_list":{"value":3860,"currency":"USD","value_usd":3860},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10279","display_name":"Urinary Bladder and Prostate Research","score":0.6230000257492065,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10279","display_name":"Urinary Bladder and Prostate Research","score":0.6230000257492065,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11610","display_name":"Food Security and Health in Diverse Populations","score":0.2964000105857849,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11232","display_name":"Urinary Tract Infections Management","score":0.007499999832361937,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.866599977016449},{"id":"https://openalex.org/C2777333188","wikidata":"https://www.wikidata.org/wiki/Q1426443","display_name":"Nocturia","level":3,"score":0.8554999828338623},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.6065999865531921},{"id":"https://openalex.org/C2779874844","wikidata":"https://www.wikidata.org/wiki/Q1967281","display_name":"National Health and Nutrition Examination Survey","level":3,"score":0.5968999862670898},{"id":"https://openalex.org/C2779478474","wikidata":"https://www.wikidata.org/wiki/Q446372","display_name":"Lower urinary tract symptoms","level":4,"score":0.5189999938011169},{"id":"https://openalex.org/C2779159551","wikidata":"https://www.wikidata.org/wiki/Q1414874","display_name":"Comorbidity","level":2,"score":0.5117999911308289},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.47440001368522644},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.4657999873161316},{"id":"https://openalex.org/C549605437","wikidata":"https://www.wikidata.org/wiki/Q1229911","display_name":"Food security","level":3,"score":0.46560001373291016},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.4481000006198883},{"id":"https://openalex.org/C2993342163","wikidata":"https://www.wikidata.org/wiki/Q1229911","display_name":"Food insecurity","level":4,"score":0.4124999940395355},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.3970000147819519},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.39340001344680786},{"id":"https://openalex.org/C3019858935","wikidata":"https://www.wikidata.org/wiki/Q4340209","display_name":"Depressive symptoms","level":3,"score":0.3928999900817871},{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.313400000333786},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3003000020980835},{"id":"https://openalex.org/C179420905","wikidata":"https://www.wikidata.org/wiki/Q223871","display_name":"Mediation","level":2,"score":0.2971000075340271},{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.29499998688697815},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.2849000096321106},{"id":"https://openalex.org/C2778941218","wikidata":"https://www.wikidata.org/wiki/Q331231","display_name":"Overactive bladder","level":3,"score":0.2791000008583069},{"id":"https://openalex.org/C2778531004","wikidata":"https://www.wikidata.org/wiki/Q281490","display_name":"Urinary incontinence","level":2,"score":0.27730000019073486},{"id":"https://openalex.org/C2780892066","wikidata":"https://www.wikidata.org/wiki/Q1591167","display_name":"Household income","level":2,"score":0.2759000062942505},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.2743000090122223},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.2623000144958496},{"id":"https://openalex.org/C2777912814","wikidata":"https://www.wikidata.org/wiki/Q3858636","display_name":"Urinary urgency","level":4,"score":0.2574999928474426}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1002/nau.70536","doi":"https://doi.org/10.1002/nau.70536","is_oa":false,"landing_page_url":"https://doi.org/10.1002/nau.70536","pdf_url":null,"source":{"id":"https://openalex.org/S22797964","display_name":"Neurourology and Urodynamics","issn_l":"0733-2467","issn":["0733-2467","1520-6777"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-140","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurourology and Urodynamics","raw_type":"journal-article"},{"id":"pmid:43006804","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/43006804","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurourology and urodynamics","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":22,"referenced_works":["https://openalex.org/W1885623455","https://openalex.org/W2033211931","https://openalex.org/W2057909624","https://openalex.org/W2059877874","https://openalex.org/W2160231177","https://openalex.org/W2267543226","https://openalex.org/W2611763887","https://openalex.org/W2794244008","https://openalex.org/W3173867410","https://openalex.org/W4200537350","https://openalex.org/W4307106838","https://openalex.org/W4309647992","https://openalex.org/W4376873170","https://openalex.org/W4387189839","https://openalex.org/W4389546586","https://openalex.org/W4390570378","https://openalex.org/W4391309732","https://openalex.org/W4407396301","https://openalex.org/W4408330507","https://openalex.org/W4417322552","https://openalex.org/W7127965316","https://openalex.org/W7155498435"],"related_works":[],"abstract_inverted_index":{"PURPOSE:":[0],"To":[1],"determine":[2],"whether":[3],"household":[4],"food":[5,59,130,209,237],"insecurity":[6,210,238],"severity":[7],"is":[8],"associated":[9,133,215],"with":[10,103,134,159,216],"lower":[11],"urinary":[12],"tract":[13],"symptom":[14],"subtypes":[15,178,218],"in":[16,25],"a":[17,26,104,160,240],"dose-response":[18,162],"manner":[19],"and":[20,44,82,85,120,154,179,186,194,202,213,225],"to":[21,200,204,245],"evaluate":[22],"mediating":[23],"pathways,":[24],"nationally":[27],"representative":[28],"sample":[29],"of":[30,74,137],"US":[31],"adults.":[32],"MATERIALS":[33],"AND":[34],"METHODS:":[35],"We":[36],"analyzed":[37],"pooled":[38],"data":[39],"from":[40],"the":[41,70,176],"National":[42],"Health":[43],"Nutrition":[45],"Examination":[46],"Survey,":[47],"2005-2020,":[48],"comprising":[49],"36":[50],"713":[51],"adults":[52],"aged":[53],"20":[54],"years":[55],"or":[56,64,231],"older.":[57],"Household":[58,76,208],"security":[60,131],"(full,":[61],"marginal,":[62],"low,":[63],"very":[65,128],"low)":[66],"was":[67,132,211],"defined":[68],"by":[69,90,113,222],"United":[71],"States":[72],"Department":[73],"Agriculture":[75],"Food":[77],"Security":[78],"Survey":[79],"Module.":[80],"Nocturia":[81],"urgency,":[83],"stress,":[84],"mixed":[86,155],"incontinence":[87,147,151,156],"were":[88,173],"ascertained":[89],"self-report.":[91],"Survey-weighted":[92],"logistic":[93],"regression":[94],"estimated":[95],"adjusted":[96,126],"odds":[97,136],"ratios":[98],"across":[99],"four":[100],"sequential":[101],"models,":[102,127],"test":[105],"for":[106,164,168,175,183,198],"linear":[107],"trend.":[108],"Secondary":[109],"analyses":[110],"evaluated":[111],"mediation":[112],"systemic":[114],"inflammation,":[115],"cardiometabolic":[116,192,226],"comorbidity,":[117],"dietary":[118],"intake,":[119],"depressive":[121,195,223],"symptoms.":[122],"RESULTS:":[123],"In":[124],"fully":[125],"low":[129],"higher":[135],"nocturia":[138],"(odds":[139],"ratio":[140],"1.52;":[141],"95%":[142],"confidence":[143],"interval,":[144],"1.31-1.77),":[145],"urgency":[146],"(1.60;":[148],"1.37-1.87),":[149],"stress":[150],"(1.37;":[152],"1.16-1.62),":[153],"(1.86;":[157],"1.52-2.27),":[158],"significant":[161],"trend":[163,169],"all":[165,217],"(all":[166],"p":[167],"<":[170],"0.0001).":[171],"Gradients":[172],"steepest":[174],"overactivity-associated":[177],"persisted":[180],"after":[181],"adjustment":[182],"income.":[184],"Inflammation":[185],"diet":[187],"showed":[188],"essentially":[189],"no":[190],"mediation;":[191],"comorbidity":[193,227],"symptoms":[196,224],"accounted":[197],"9%":[199],"18%":[201],"24%":[203],"30%,":[205],"respectively.":[206],"CONCLUSIONS:":[207],"independently":[212],"dose-responsively":[214],"examined,":[219],"partly":[220],"explained":[221],"but":[228],"not":[229],"inflammation":[230],"diet.":[232],"These":[233],"findings":[234],"support":[235],"recognizing":[236],"as":[239],"modifiable":[241],"social":[242],"determinant":[243],"relevant":[244],"bladder":[246],"health.":[247]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-11T00:00:00"}