Evidence map›Paper›PMID 42179264›Full record

ArticleJournal of the American Heart Association2026

Clinical Care and Referral Pathways for Food Security Screening in Health Care: A Scoping Review.

Sydney Yearley, Ronit Ridberg, Allie Tatarian, Lizbeth Moreno Loaeza, Saverio Feudo, Saahil Patel, Molly Duncan, Dariush Mozaffarian

Abstract readScoping Review
In one paragraph

Article in Journal of the American Heart Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. 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.

Sydney YearleyFood Is Medicine Institute, Friedman School of Nutrition Science and Policy Tufts University Boston MA USA.ORCID 0009-0005-3935-3115
Ronit RidbergFood Is Medicine Institute, Friedman School of Nutrition Science and Policy Tufts University Boston MA USA.ORCID 0000-0001-7920-3342
Allie TatarianTufts University, Hirsh Health Sciences Library Boston MA USA.ORCID 0000-0003-1468-5373
Lizbeth Moreno LoaezaFood Is Medicine Institute, Friedman School of Nutrition Science and Policy Tufts University Boston MA USA.ORCID 0000-0001-8214-3782
Saverio FeudoFood Is Medicine Institute, Friedman School of Nutrition Science and Policy Tufts University Boston MA USA.
Saahil PatelFood Is Medicine Institute, Friedman School of Nutrition Science and Policy Tufts University Boston MA USA.ORCID 0000-0003-2025-5281
Molly DuncanFood Is Medicine Institute, Friedman School of Nutrition Science and Policy Tufts University Boston MA USA.ORCID 0009-0006-1491-8033
Dariush MozaffarianFood Is Medicine Institute, Friedman School of Nutrition Science and Policy Tufts University Boston MA USA.ORCID 0000-0001-7958-9492

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFood and nutrition insecurity are linked to poor health outcomes and disparities, yet how health care systems implement screening and referrals remains poorly understood.

methodsWe searched for studies evaluating screening and referral processes for food and nutrition insecurity for patients of all ages in US health care settings. Searches were performed through May 2025 in MEDLINE (via PubMed), Cochrane (via Ovid), Cumulative Index of Nursing and Allied Health (EBSCO), and Social Interventions Research and Evaluation Network Evidence and Resource Library. Studies were included if they reported both a screening process and referral mechanism. Findings were synthesized narratively.

resultsOf 11 406 records identified, 136 studies met the inclusion criteria; all screened for food insecurity, and none screened for nutrition insecurity. Most studies screened general populations across age, sex, race, and ethnicity, with few restricting by socioeconomic status or clinical conditions. Screening primarily used tools embedded within broader social determinants of health screenings (46%) and integrated into electronic health records (48%), typically in outpatient settings (49%). Screening methods varied, most commonly self-administered by patients (21%) or by clinic staff (20%) and were unspecified in one fifth of studies (21%). A total of 129 studies described 39 unique referral strategies across 4 categories: community-based resources (46%), health care-embedded services (35%), federal nutrition programs (12%), and Food Is Medicine interventions (7%), with 46% spanning multiple categories. While about half of studies (46%) reported referral rates, only about one third (37%) reported referral completion.

conclusionsThese findings highlight current practices and evidence gaps, informing priorities to strengthen screening and referral systems that advance food security, nutrition, health, and health equity.

Indexed as

Food InsecurityFood SecurityMass ScreeningReferral and ConsultationSocioeconomic Disparities in HealthHumansSocial Determinants of HealthUnited Statesfood securitynutrition securitysocial determinants of health

Identifiers

PMID42179264
PMCPMC13315125

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.