EC Nutrition

Research Article Volume 19 Issue 4 - 2024

Food Insecurity in the United States: Implications for Health Outcomes and the Role of Food Assistance Programs

Kyle Copp1*, Kendall Brune2 and TimMarie Williams1

1University of the Incarnate Word School of Osteopathic Medicine, USA


2Arise Veteran Foundation, USA

*Corresponding Author: Kyle Copp, School of Medicine, University of the Incarnate Word School of Osteopathic Medicine, USA.
Received: March 18, 2024; Published: April 04, 2024



Food insecurity persists as a significant challenge in the United States, impacting diverse demographic groups. Understanding its health implications and the effectiveness of food assistance programs is critical. This review synthesized recent literature from databases such as ProQuest Public Health Database and PubMed, focusing on studies published since January 1, 2014. Search terms included food insecurity, health outcomes, chronic diseases, and rural communities. Relevant studies referenced in the articles were also included. The review reveals the complex relationship between food insecurity and adverse health outcomes, notably chronic diseases like cardiovascular disease, diabetes mellitus, and obesity. Vulnerable populations, including children, the elderly, minorities, individuals with disabilities and those in rural or economically distressed areas, bear a disproportionate burden. Moreover, the role of food assistance programs, such as Supplemental Nutrition Assistance Program (SNAP) and community-based interventions, in alleviating food insecurity and improving health outcomes is underscored. Evidence suggests that SNAP participation is associated with positive health outcomes and reduced healthcare costs among low-income individuals and families. Community-based interventions also play a significant role in addressing food insecurity and promoting nutrition education and social connections. Challenges persist in effectively addressing food insecurity, particularly in rural and underserved communities, due to geographic disparities and social determinants of health. Comprehensive strategies are needed, requiring collaboration among policymakers, communities, and individuals. Continued research, advocacy, and action are essential to combat food insecurity and its adverse health effects. Policymakers must prioritize supportive policies, communities should establish sustainable food systems, and individuals can advocate for food justice to ensure access to nutritious food and good health for all.

 Keywords: Food Security; Health Outcomes; Cardiovascular Disease; Diabetes; Obesity; Food Assistance Programs

  1. S. Department of Agriculture, Economic Research Service. “Definitions of food security” (2023).
  2. S. Department of Agriculture, Economic Research Service. “Food Security and Nutrition” (2023).
  3. Nord M. “Characteristics of low-income households with very low food security: An analysis of the USDA GPRA food security indicator”. USDA-ERS Economic Information Bulletin 25 (2007).
  4. Coleman-Jensen A and Nord M. “Food insecurity among households with working-age adults with disabilities”. USDA-ERS Economic Research Report 144 (2013).
  5. Huang J., et al. “Food insecurity and disability: Do economic resources matter?” Social Science Research1 (2010): 111-124.
  6. Gunderson C., et al. “Map the meal gap 2020”. Feeding America (2020).
  7. Coleman-Jensen A. “Household food security in the United States in 2016”. United States Department of Agriculture: Economic Research Report 237 (2017).
  8. Thomas BJ. “Food deserts and the sociology of space: distance to food retailers and food insecurity in an urban American neighborhood”. International Journal of Humanities and Social Sciences 4 (2010): 1545-1554.
  9. Dutko P., et al. “Characteristics and influential factors of food deserts”. USDA-ERA Economic Research Report 140 (2012).
  10. DeWitt E., et al. “Rural SNAP participants and food insecurity: How can communities leverage resources to meet the growing food insecurity status of rural and low-income residents?” International Journal of Environmental Research and Public Health17 (2020): 6037.
  11. Liu Y and Eicher-Miller HA. “Food insecurity and cardiovascular disease risk”. Current Atherosclerosis Reports6 (2021): 24.
  12. Virani S., et al. “Heart disease and stroke statistics-2020 update: a report from the American Heart Association”. Circulation 9 (2020): 139-596.
  13. Blackwell D and Villarroel M. “Tables of summary health statistics for US adults: 2017 National Health Interview Survey”. Centers for Disease Control and Prevention (2017).
  14. Micha R., et al. “Association between dietary factors and mortality from heart disease, stroke, and type 2 diabetes in the US”. JAMA9 (2017): 912-924.
  15. Mendy VL., et al. “Food insecurity and cardiovascular disease risk factors among Mississippi adults”. International Journal of Environmental Research and Public Health9 (2018): 2016.
  16. Ippolito MM., et al. “Food insecurity and diabetes self-management among food pantry clients”. Public Health Nutrition1 (2017): 183-189.
  17. Essien UR., et al. “Food insecurity and diabetes in developed societies”. Current Diabetes Reports9 (2016): 79.
  18. Gowda C., et al. “The association between food insecurity and inflammation in the US adult population”. American Journal of Public Health8 (2012): 1579-1586.
  19. Morales ME and Berkowitz SA. “The relationship between food insecurity, dietary patterns, and obesity”. Current Nutrition Reports1 (2016): 54-60.
  20. Carvajal-Aldaz D., et al. “Food insecurity as a risk factor for obesity: A review”. Frontiers in Nutrition 9 (2022): 1012734.
  21. Kowaleski-Jones L., et al. “Unpacking the paradox: testing for mechanisms in the food insecurity and BMI association”. Journal of Hunger and Environmental Nutrition5 (2019): 683-697.
  22. Potochnick S., et al. “Food insecurity among hispanic/latino youth: who is at risk and what are the health correlates?”. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine5 (2019): 631-639.
  23. Taylor EA., et al. “Examining factors related to the food insecurity-obesity paradox in low-income mothers and fathers”. Food and Nutrition Bulletin2 (2021): 309-316.
  24. Farrell P., et al. “How food insecurity could lead to obesity in LMICs: When not enough is too much: a realist review of how food insecurity could lead to obesity in low- and middle-income countries”. Health Promotion International5 (2018): 812-826.
  25. Mousa TY and Freeland-Graves J. “Food security of food recipients of a food pantry and soup kitchen”. Public Health Nutrition8 (2019): 1451-1460.
  26. An R., et al. “A systematic review of food pantry-based interventions in the USA”. Public Health Nutrition9 (2019): 1704-1716.
  27. Keith-Jennings B., et al. “Links of the supplemental nutrition assistance program with food insecurity, poverty, and health: evidence and potential”. American Journal of Public Health12 (2019): 1636-1640.
  28. Haynes-Maslow L., et al. “Examining rural food-insecure families’ perceptions of the supplemental nutrition assistance program: a qualitative study”. International Journal of Environmental Research and Public Health17 (2020): 6390.
  29. Hume C., et al. “Community gardens and their effects on diet, health, psychosocial and community outcomes: a systematic review”. BMC Public Health1 (2022): 1247.
  30. Barnidge EK., et al. “The effect of education plus access on perceived fruit and vegetable consumption in a rural African American community intervention”. Health Education Research5 (2015): 773-785.
  31. De Marco MM., et al. “Harvest of Hope: The impact of a church garden project on African American youth and adults in the rural American South”. Journal of Hunger and Environmental Nutrition3 (2016): 317-327.

Kyle Copp., et al., “Food Insecurity in the United States: Implications for Health Outcomes and the Role of Food Assistance Programs”. EC Nutrition  19.4 (2024): 01-10.