ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026
Food for cancer health: the impact of a culturally tailored food voucher intervention on food insecurity and quality of life among Latino/a/e/x patients with cancer.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeFood assistance interventions that are culturally tailored, minimize stigma, and promote self-efficacy are needed to promote uptake among low-income, racial, and ethnic minoritized people with cancer. We developed a culturally tailored food voucher intervention and tested its associations with food insecurity (primary outcome) and health-related quality of life (HRQOL), financial toxicity, and cancer treatment adherence (exploratory outcomes).
methodsBetween July 2023 and August 2023, we recruited low-income, racial, and ethnic minoritized adults > 18 years of age with cancer receiving treatment who screened positive for food insecurity using the 2-item Hunger Vital Sign in a community oncology clinic. All consented participants received $40 monthly gift cards redeemable at preferred, local retailers for 6 months along with usual care comprised of trained community health workers who screened for and assisted with addressing health-related social needs. We conducted validated surveys at baseline (time of enrollment) and 6-month follow-up (post-intervention) to assess patient-reported outcomes and assessed adherence to cancer treatment through chart review. We compared pre- and post-intervention food insecurity using McNemar's tests and mean HRQOL and financial toxicity using paired t-tests.
resultOf 30 people eligible, all (100%) participated; 27 (90%) identified as Latino/a/e/x; 24 (80%) spoke Spanish as their preferred language; and 16 (53%) had stage 3 or 4 cancer. At 6-month follow-up, as compared to baseline, food insecurity decreased from 100% to 16.7% (95% CI 0.48-0.84, p < 0.001); HRQOL improved (mean score ± standard deviation 71.9 ± 16.1 (p = 0.025) versus 78.9 ± 10.2); and 100% adhered to recommended treatment.
conclusionsThis culturally tailored food voucher intervention may be one approach to improve food insecurity and clinical outcomes among low-income Latino/a/e/x patients with cancer.
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