A Multisector Solution to Build a Culture of Health among Food Insecure Populations in Dallas County

The research team is working to expand the reach, scope, validity, and availability of The Hunger Center Longitudinal Database. They are also evaluating an ongoing, large-scale natural experiment of a shift in charitable food distribution to a community-based model. Their work will strengthen the evidence base for understanding health among food insecure populations and inform local, regional, and national efforts to ensure efficient and equitable food distribution.


The research team observed an inverse relationship between receipt of food assistance and health and health behaviors among food insecure people. Receipt of SNAP and food bank assistance was associated with the poorest health, while receiving no assistance was associated with the best health. For example, functional limitations were twice as prevalent among people receiving both types of food assistance than among those receiving none. Receipt of food assistance is an overlooked factor associated with health and has the potential to shape future chronic disease prevention efforts among the food insecure.

After controlling for client/household characteristics, Community Distribution Partner usage is associated with less household food insecurity. The association between food insecurity and Community Distribution Partner usage is almost entirely explained by the frequency with which clients choose to use food assistance.


Pathways to food insecurity flow chart


Development of the expansion of the Hunger Center Longitudinal database. Evaluation of the Community Distribution Partner (CDP) model looking at primary outcomes using spatial difference-in-difference methods, a quasi-experimental analytic strategy applied to longitudinal data. Multi-level, cross-sectional analyses for secondary health and economic outcomes.

Image of two people at a food bank
Grantee and Partner organizations
Grant status
Principal investigators
Sandi Pruitt, PhD
Tammy Leonard, PhD
Start date
Award amount
30 months

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