June Tester, MD, MPH

Title(s)Professor, Pediatrics
SchoolSchool of Medicine
Address1550 Fourth Street
San Francisco CA 94158
PronounsShe/Her/Hers
ORCID ORCID Icon0000-0002-5460-5879 Additional info
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    Collapse Biography 
    Collapse Education and Training
    Harvard University, Cambridge, MAAB06/1996Biology
    UC San Francisco School of Medicine, San Francisco, CAMD06/2002Medicine
    UC Berkeley School of Public Health, Berkeley, CAMPH6/2001Interdisciplinary

    Collapse Overview 
    Collapse Overview
    I am an Adjunct Professor of Pediatrics who has a deep interest in cardiometabolic risk that has been informed by both my care of patients with obesity and my research program. For nine years, I was a co-director of a large pediatric weight management program at Children’s Hospital & Research Center Oakland (2,400+ patients). I have board certification in both Obesity Medicine as well as Clinical Lipidology, and currently see patients at UCSF Benioff Children’s Hospital Oakland for prediabetes and for lipid disorders.

    My current research focuses on interventions that support individuals with risk for diet-sensitive chronic disease such as diabetes. My current work centers around the following two projects:
    • The ADELANTE Trial: Testing a multi-level approach for improving household food insecurity and glycemic control among Latinos with diabetes. This randomized controlled trial will evaluate the impact of food deliveries and group support on the primary outcome of HbA1c in Latinos recruited from a federally-qualified health center who have type 2 diabetes and household food insecurity. (PI Rosas/Tester, NIMHD 1R01MD016738
    • Evaluating the effectiveness of a Food Prescription program in community health clinics as part of the Food as Medicine program in Alameda County called Recipe 4 Health. This is a large collaborative effort including multiple partners (HCSA, Dig Deep Farms, Open Source Wellness, Stanford University, and UCSF) in an ongoing food prescription program since 2020 that has thus far served over 3,000 patients in Alameda County.

    Other recent areas of focus have included:
    • Measurement dietary intake, using 24-hour diet recall data from NHANES, using Nutrition Data System for Research (NDSR) and ASA-24
    • Concurrent food insecurity and obesity in children (K23 HD075852)
    • Delivery interventions to increase consumption of whole grains
    • Longitudinal analyses of weight trajectory among children seen for weight management

    Previously, funded by the Robert Wood Johnson Foundation as a Health and Society Scholar and later as a grantee with the Healthy Eating Research and Active Living Research grant mechanisms, my research focused on other things: urban food access, public health potential for improved access with healthy mobile food vending, contribution of corner stores to food environment, and neighborhoods and parks.

    Collapse Research 
    Collapse Research Activities and Funding
    The ADELANTE Trial: Testing a multi-level approach for improving household food insecurity and glycemic control among Latinos with diabetes
    NIH R01MD016738Aug 4, 2021 - Apr 30, 2026
    Role: Co-Principal Investigator
    The impact of concurrent food insecurity and obesity in children
    NIH K23HD075852Dec 16, 2013 - Nov 30, 2018
    Role: Principal Investigator

    Collapse Bibliographic 
    Collapse Publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help. to make corrections and additions.
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    Altmetrics Details PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. Food as medicine, community as medicine: Mental health effects of a social care intervention. Health Serv Res. 2025 Jan 07; e14431. Thompson-Lastad A, Chiu DT, Ruvalcaba D, Chen WT, Tester J, Xiao L, Emmert-Aronson BO, Chen S, Rosas LG. PMID: 39775914.
      View in: PubMed   Mentions:    Fields:    
    2. The Effectiveness of Recipe4Health: A Quasi-Experimental Evaluation. Am J Prev Med. 2024 Nov 02. Rosas LG, Chen S, Xiao L, Baiocchi M, Ng E, Emmert-Aronson BO, Chen WT, Thompson-Lastad A, Martinez E, Perez J, Melendez E, Markle E, Radtke MD, Tester J. PMID: 39491775.
      View in: PubMed   Mentions:    Fields:    
    3. Addressing diabetes by elevating access to nutrition (ADELANTE) - A multi-level approach for improving household food insecurity and glycemic control among Latinos with diabetes: A randomized controlled trial. Contemp Clin Trials. 2024 Nov; 146:107699. Radtke MD, Chen WT, Xiao L, Rodriguez Espinosa P, Orizaga M, Thomas T, Venditti E, Yaroch AL, Zepada K, Rosas LG, Tester J. PMID: 39322114; PMCID: PMC11580734.
      View in: PubMed   Mentions:    Fields:    Translation:CTClinical Trials
    4. Greater Improvement in Obesity Among Children With Prediabetes in a Clinical Weight Management Program. Child Obes. 2024 May; 20(4):262-269. Tester JM, Xiao L, Chau CA, Tinajero-Deck L, Srinivasan S, Rosas LG. PMID: 37347933; PMCID: PMC11238840.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    5. Addressing food insecurity and chronic conditions in community health centres: protocol of a quasi-experimental evaluation of Recipe4Health. BMJ Open. 2023 04 06; 13(4):e068585. Rosas LG, Chen S, Xiao L, Emmert-Aronson BO, Chen WT, Ng E, Martinez E, Baiocchi M, Thompson-Lastad A, Markle EA, Tester J. PMID: 37024257; PMCID: PMC10083738.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    6. Food Insecurity Influences Weight Trajectory in Children with Obesity. Child Obes. 2022 Oct; 18(7):437-444. Tester JM, Xiao L, Tinajero-Deck L, Juarez L, Rosas LG. PMID: 35171045; PMCID: PMC9634962.
      View in: PubMed   Mentions: 7     Fields:    Translation:Humans
    7. Fiber-rich foods delivered to Low-Income Households: A feasibility study of children with prediabetes and spillover effect on their caregivers. Prev Med Rep. 2021 Dec; 24:101511. Tester JM, Leak TM. PMID: 34458078; PMCID: PMC8379487.
      View in: PubMed   Mentions: 4  
    8. Facilitators and barriers to preparing and offering whole grains to children diagnosed with prediabetes: qualitative interviews with low-income caregivers. BMC Public Health. 2021 05 17; 21(1):931. Leak TM, Gangrade N, Tester J. PMID: 34001074; PMCID: PMC8127312.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    9. Perceptions of SNAP and Stocking Standards: A Qualitative Study of California Small Food Store Owners and Managers. Nutrients. 2021 Feb 26; 13(3). Meza A, Tester JM, Yen IH, Laraia BA, Wolfson JA, Leung CW. PMID: 33652765; PMCID: PMC7996805.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    10. Whole Grain Intake and Impaired Fasting Glucose in Adolescents, National Health and Nutrition Examination Survey, 2005-2014. Prev Chronic Dis. 2020 10 22; 17:E130. Tester JM, Stiers KB, Garber A, Leung CW. PMID: 33092687; PMCID: PMC7587298.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    11. Food Insecurity and Pediatric Obesity: a Double Whammy in the Era of COVID-19. Curr Obes Rep. 2020 Dec; 9(4):442-450. Tester JM, Rosas LG, Leung CW. PMID: 33064269; PMCID: PMC7562757.
      View in: PubMed   Mentions: 62     Fields:    Translation:Humans
    12. The Association between Food Insecurity and Diet Quality Varies by Race/Ethnicity: An Analysis of National Health and Nutrition Examination Survey 2011-2014 Results. J Acad Nutr Diet. 2019 10; 119(10):1676-1686. Leung CW, Tester JM. PMID: 30579633; PMCID: PMC6584552.
      View in: PubMed   Mentions: 60     Fields:    Translation:Humans
    13. A Narrative Review of Medical and Genetic Risk Factors among Children Age 5 and Younger with Severe Obesity. Child Obes. 2018 10; 14(7):443-452. Mirza N, Phan TL, Tester J, Fals A, Fernandez C, Datto G, Estrada E, Eneli I. PMID: 29791184; PMCID: PMC6157342.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    14. Characteristics of Children 2 to 5 Years of Age With Severe Obesity. Pediatrics. 2018 03; 141(3). Tester JM, Phan TT, Tucker JM, Leung CW, Dreyer Gillette ML, Sweeney BR, Kirk S, Tindall A, Olivo-Marston SE, Eneli IU. PMID: 29487163; PMCID: PMC5847086.
      View in: PubMed   Mentions: 13     Fields:    Translation:Humans
    15. Recent Uptrend in Whole-Grain Intake Is Absent for Low-Income Adolescents, National Health and Nutrition Examination Survey, 2005-2012. Prev Chronic Dis. 2017 07 06; 14:E55. Tester JM, Leung CW, Leak TM, Laraia BA. PMID: 28682743; PMCID: PMC5510329.
      View in: PubMed   Mentions: 13     Fields:    Translation:Humans
    16. Household Food Insecurity and Ideal Cardiovascular Health Factors in US Adults. JAMA Intern Med. 2017 05 01; 177(5):730-732. Leung C, Tester J, Laraia B. PMID: 28319225; PMCID: PMC5540641.
      View in: PubMed   Mentions: 24     Fields:    Translation:Humans
    17. Biobehavioral Factors That Shape Nutrition in Low-Income Populations: A Narrative Review. Am J Prev Med. 2017 Feb; 52(2S2):S118-S126. Laraia BA, Leak TM, Tester JM, Leung CW. PMID: 28109413; PMCID: PMC10281773.
      View in: PubMed   Mentions: 55     Fields:    Translation:Humans
    18. SNAP Participation and Diet-Sensitive Cardiometabolic Risk Factors in Adolescents. Am J Prev Med. 2017 Feb; 52(2S2):S127-S137. Leung CW, Tester JM, Rimm EB, Willett WC. PMID: 28109414; PMCID: PMC5264513.
      View in: PubMed   Mentions: 6     Fields:    Translation:HumansPHPublic Health
    19. Revised WIC Food Package and Children's Diet Quality. Pediatrics. 2016 05; 137(5). Tester JM, Leung CW, Crawford PB. PMID: 27244804; PMCID: PMC4845874.
      View in: PubMed   Mentions: 63     Fields:    Translation:HumansAnimals
    20. Dyslipidemia and Food Security in Low-Income US Adolescents: National Health and Nutrition Examination Survey, 2003-2010. Prev Chronic Dis. 2016 Feb 11; 13:E22. Tester JM, Laraia BA, Leung CW, Mietus-Snyder ML. PMID: 26866948; PMCID: PMC4752514.
      View in: PubMed   Mentions: 11     Fields:    Translation:Humans
    21. Disordered eating behaviours and food insecurity: A qualitative study about children with obesity in low-income households. Obes Res Clin Pract. 2016 Sep - Oct; 10(5):544-552. Tester JM, Lang TC, Laraia BA. PMID: 26689335; PMCID: PMC4903957.
      View in: PubMed   Mentions: 33     Fields:    Translation:HumansCells
    22. Gender differences in prediabetes and insulin resistance among 1356 obese children in Northern California. Diabetes Metab Syndr. 2013 Jul-Sep; 7(3):161-5. Tester J, Sharma S, Jasik CB, Mietus-Snyder M, Tinajero-Deck L. PMID: 23953182.
      View in: PubMed   Mentions: 23     Fields:    Translation:HumansPHPublic Health
    23. Small retailer perspectives of the 2009 Women, Infants and Children Program food package changes. Am J Health Behav. 2012 Sep; 36(5):655-65. Gittelsohn J, Laska MN, Andreyeva T, Foster G, Rose D, Tester J, Lee SH, Zenk SN, Odoms-Young A, McCoy T, Ayala GX. PMID: 22584093; PMCID: PMC4703098.
      View in: PubMed   Mentions: 20     Fields:    Translation:Humans
    24. Using mobile fruit vendors to increase access to fresh fruit and vegetables for schoolchildren. Prev Chronic Dis. 2012; 9:E102. Tester JM, Yen IH, Laraia B. PMID: 22632739; PMCID: PMC3457766.
      View in: PubMed   Mentions: 13     Fields:    Translation:HumansAnimals
    25. Stocking characteristics and perceived increases in sales among small food store managers/owners associated with the introduction of new food products approved by the Special Supplemental Nutrition Program for Women, Infants, and Children. Public Health Nutr. 2012 Sep; 15(9):1771-9. Ayala GX, Laska MN, Zenk SN, Tester J, Rose D, Odoms-Young A, McCoy T, Gittelsohn J, Foster GD, Andreyeva T. PMID: 22583675.
      View in: PubMed   Mentions: 23     Fields:    Translation:HumansAnimals
    26. Healthy food availability and participation in WIC (Special Supplemental Nutrition Program for Women, Infants, and Children) in food stores around lower- and higher-income elementary schools. Public Health Nutr. 2011 Jun; 14(6):960-4. Tester JM, Yen IH, Pallis LC, Laraia BA. PMID: 21205402; PMCID: PMC4577276.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    27. An analysis of public health policy and legal issues relevant to mobile food vending. Am J Public Health. 2010 Nov; 100(11):2038-46. Tester JM, Stevens SA, Yen IH, Laraia BL. PMID: 20864711; PMCID: PMC2951932.
      View in: PubMed   Mentions: 6     Fields:    Translation:HumansPHPublic Health
    28. Childhood obesity and the built environment. Pediatr Ann. 2010 Mar; 39(3):133-9. Razani N, Tester J. PMID: 20302244.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    29. Mobile food vending and the after-school food environment. Am J Prev Med. 2010 Jan; 38(1):70-3. Tester JM, Yen IH, Laraia B. PMID: 20117559; PMCID: PMC4577277.
      View in: PubMed   Mentions: 22     Fields:    Translation:Humans
    30. Healthy food availability in small urban food stores: a comparison of four US cities. Public Health Nutr. 2010 Jul; 13(7):1031-5. Laska MN, Borradaile KE, Tester J, Foster GD, Gittelsohn J. PMID: 19968901; PMCID: PMC3077559.
      View in: PubMed   Mentions: 61     Fields:    Translation:HumansAnimals
    31. The built environment: designing communities to promote physical activity in children. Pediatrics. 2009 Jun; 123(6):1591-8. Committee on Environmental Health, Tester JM. PMID: 19482771.
      View in: PubMed   Mentions: 57     Fields:    Translation:Humans
    32. Making the playfields even: evaluating the impact of an environmental intervention on park use and physical activity. Prev Med. 2009 Apr; 48(4):316-20. Tester J, Baker R. PMID: 19463491.
      View in: PubMed   Mentions: 64     Fields:    Translation:Humans
    33. Environment shapes health, including children's mental health. J Am Acad Child Adolesc Psychiatry. 2008 Feb; 47(2):129-131. Jackson RJJ, Tester J. PMID: 18216714.
      View in: PubMed   Mentions: 7     Fields:    Translation:Humans
    34. A matched case-control study evaluating the effectiveness of speed humps in reducing child pedestrian injuries. Am J Public Health. 2004 Apr; 94(4):646-50. Tester JM, Rutherford GW, Wald Z, Rutherford MW. PMID: 15054019; PMCID: PMC1448312.
      View in: PubMed   Mentions: 26     Fields:    Translation:HumansPHPublic Health
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