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Abstract: TH-PO715

Individual and Community-Level Risk Factors for Food Insecurity Among Patients on Hemodialysis

Session Information

Category: Diversity and Equity in Kidney Health

  • 800 Diversity and Equity in Kidney Health


  • Taylor, Kathryn, Johns Hopkins School of Nursing, Baltimore, Maryland, United States
  • Santos, Sydney, Johns Hopkins University, Baltimore, Maryland, United States
  • Perrin, Nancy A., Johns Hopkins School of Nursing, Baltimore, Maryland, United States
  • Crews, Deidra C., Johns Hopkins Medicine, Baltimore, Maryland, United States

Patients experiencing food insecurity are at increased risk to progress from chronic kidney disease to end-stage kidney disease (ESKD). However, sociodemographic risk factors and rates of food insecurity among patients on hemodialysis are largely unknown.


We analyzed food security data from an ongoing prospective cohort study of patients on hemodialysis at Maryland facilities of a large dialysis organization. We enrolled participants from February through November 2021. At baseline they completed a demographic survey and the US Adult Food Security Survey Module. We cross referenced participant zip codes with area-level indicators of socioeconomic status from the 2020 American Community Survey and Rand State Statistics. We conducted logistic regression to test associations between individual-level demographic variables and low or very low food security. For area-level predictors we used a mixed effects model to account for clustering by zip code.


Food security was assessed for 293 participants. 12.6% of the sample had low food security and 9.9% had very low food security (e.g. went hungry because there was not enough money for food). A one-year decrease in age increased odds of low or very low food security by 3%. Table 1 displays rates of low or very low food security among participants by other individual- and community-level demographics. Rates of low or very low food security were over 2 times higher in the sample compared to the broader Maryland population according to 2020 census data.


Younger age and community-level poverty were associated with low or very low food security among patients on hemodialysis. Additional research is needed to estimate food security and its implications for patient outcomes among patients on hemodialysis.


  • Other NIH Support