Evidence map›Paper›PMID 39868761›Full record

ArticleNutrition reviews2025

Beyond Food Assistance: A Scoping Review Examining Associations of Nonfood Social Safety Net Programs in the United States With Food Insecurity and Nutrition Outcomes.

Emily W Duffy, Mary Kathryn Poole, David Gonzalez, Joshua Petimar, Eliza W Kinsey, Paul R Shafer, Carrie Baldwin-SoRelle, Anna E Austin

Abstract readScoping Review
In one paragraph

Article in Nutrition reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Emily W DuffyDepartment of Health Behavior, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States.ORCID 0000-0003-0981-1291
Mary Kathryn PooleDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA 02215, United States.
David GonzalezDepartment of Health Policy and Management, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States.
Joshua PetimarDepartment of Population Medicine, Harvard Medical School & Harvard Pilgrim Health Care Institute, Boston, MA 02215, United States.ORCID 0000-0002-3025-5931
Eliza W KinseyDepartment of Family Medicine & Community Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, United States.
Paul R ShaferDepartment of Health Law, Policy, and Management, Boston University, Boston, MA 02118, United States.
Carrie Baldwin-SoRelleHealth Sciences Library, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States.
Anna E AustinDepartment of Health Behavior, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, United States.

Funding

CVD Epidemiology Training Program in Behavior, the Environment and Global HealthT32HL098048 · NHLBI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Goodarz Danaei, ERIC B RIMM · 2009 to 2026
$6.9M
Cancer Health Disparities Training ProgramT32CA128582 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ENG, EUGENIA, TATE, DEBORAH F. · 2009 to 2023
$3.4M
Cancer Health Disparities TrainingHealthy Eating ResearchNCI NIH HHS T32 CA128582NHLBI NIH HHS T32 HL098048NIH HHSNIH HHS T32CA128582Robert Wood Johnson FoundationT32 Cancer Health Disparities TrainingT32 training grant in cardiovascular epidemiology 5T32HL098048-14
6 · The paper itself

Abstract

objectiveTo conduct a scoping review to summarize the state of the evidence on associations between participation in nonfood social safety net programs (eg, income assistance, housing assistance) in the United States and food- and nutrition insecurity-related outcomes.

backgroundFood and nutrition insecurity are persistent public health challenges in the United States that increase chronic disease risk and exacerbate health disparities. Several food assistance programs enhance food and nutrition security. Nonfood social safety net programs, however, may also improve these outcomes by relieving households' financial strain. Understanding the scope of research on nonfood social safety net programs' associations with not only food insecurity but also nutrition insecurity is needed to understand their potential to reduce the burden of diet-related chronic disease.

methodsSix databases were systematically searched for peer-reviewed articles. Articles were included if they were published between 1995 and 2023; conducted in the United States; available in English; included a dependent variable of food- and/or nutrition insecurity-related measures; and included an independent variable of participation in a federally funded, nonfood social safety net program.

resultsIncluded articles (n = 65) reported on studies that examined 10 unique social safety net programs; 8 studies examined program interactions. Twenty studies focused on COVID-19 pandemic-era programs. Fifty-eight studies used food insecurity, food insufficiency, or food hardship as outcomes, and 11 studies used nutrition insecurity-related outcomes. Overall, results suggest that participation in nonfood social safety net programs is associated with reductions in food insecurity. Current evidence for an association between program participation and nutrition insecurity-related outcomes is limited.

conclusionFurther research is warranted on the association between nonfood social safety net programs and nutrition insecurity; potential interactions between social safety net programs; associations between the expiration of pandemic-era programs and food and nutrition insecurity; and how program impacts might differ among populations with persistent disparities in food and nutrition insecurity.

Indexed as

Food AssistanceFood InsecurityFood SupplyNutritional StatusSafety-net ProvidersCOVID-19HumansPovertyUnited Statesfood accessMedicaidpublic assistancesocial determinants of healthTANF

Identifiers

PMID39868761
PMCPMC12166179

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.