What is already known on this topic? Food insecurity is a risk factor for type 2 diabetes, and household food insecurity is more prevalent where a household member has diabetes. What is added by this report? Food bank clients at risk for diabetes were offered a year-long diabetes prevention pilot intervention near Oakland, California. The intervention featured diabetes-appropriate food, text-based education, and health care referrals. At midpoint (6 months), we found significant improvements in food security, dietary intake, physical activity, and health status. Twelve-month results were unchanged from midpoint. What are the implications for public health practice? Food banks, which serve highly vulnerable communities, can improve food security and nutrition, but further reducing chronic disease risk and improving health outcomes may require additional partnerships.

The IBIS model was well calibrated for the high-risk Marin mammography population and demonstrated the best calibration of the 3 models in nulliparous women. The IBIS model also achieved the greatest overall discrimination and displayed superior discrimination for women with age at first birth > 30 years.

Objective: Food security status is a continuum ranging from high to very low food security. While marginal food security falls next to high food security on the spectrum, new quantitative research indicates marginal food security status is associated with negative health outcomes and poor academic performance among college students. Qualitative research focusing on college students experiencing marginal food security has not been conducted. This study aims to qualitatively explore experiences of college students with marginal food security and to identify themes to better understand and provide context regarding how marginal food security impacts students. Design: Students were recruited for semi-structured interviews with questions designed to study the challenges associated with students’ food situations. All interviews were recorded and transcribed with themes identified via an inductive approach. Setting: A large public university on the US west coast. Participants: Thirty college students. Results: Key themes that emerged: purchasing cheap unhealthy foods; insufficient time to prepare and eat meals on a regular basis; stress and anxiety around the inability to eat healthy food and future health issues; self-perception of health when eating poorly along with physical symptoms; and low academic motivation by not fully participating in their courses due to few healthy food options or missing meals. Conclusion: Marginal food security can potentially diminish students’ health and their capacity to learn and succeed in their coursework. The results emphasize that students experiencing marginal food security should not be grouped with students experiencing high food security.

Restaurant delivery services have gained in popularity among college students; however, students participating in the Supplemental Nutrition Assistance Program (SNAP) are not allowed to redeem their benefits via restaurant delivery services. This mixed-methods head-to-head crossover trial assessed whether college students experiencing marginal food security prefer benefits via a grocery store gift card (as a proxy for traditional SNAP benefits) or via a restaurant delivery service gift card of equivalent value, and which type of benefit is more effective at improving food security status. Thirty college students experiencing marginal food security were recruited to receive $80 in cash equivalent benefits to spend over a two-month period in the form of grocery store gift cards and restaurant delivery service gift cards. Participants completed surveys and interviews to measure their food security status and share their experiences with each benefit type. After four months of benefits, 48.3% of participants improved their food security status. However, neither type of benefit was statistically better at improving food security status. Most participants preferred grocery store benefits (89.7%) over restaurant delivery service benefits (10.3%). However, more research is needed to explore whether allowing SNAP recipients to redeem their benefits with restaurant delivery services is a viable mechanism to address food challenges among college students experiencing marginal food security.