Patient perceptions of family physicians' roles in addressing food insecurity

BACKGROUND: Food insecurity (FI) affects health outcomes, yet screening in primary care remains limited and little is known about how patients view the physician's role. This study examined patient comfort and expectations with FI-related care. 

METHODS: A cross-sectional survey of adult patients was conducted at family medicine clinics in New Jersey. The survey assessed patient comfort and expectations regarding FI discussions. Associations were analyzed using ANOVA and probit regression. 

RESULTS: Among 250 respondents, 17.2% screened positive for FI. Few participants reported previous FI screening (1.2%), discussions with their primary care provider (1.2%), or referrals to FI resources (1.6%). Most respondents felt comfortable discussing FI. Patients identified roles for physicians in screening (24%) and providing referrals (37%). 

CONCLUSIONS: FI was common, yet screening, discussion, and referral rates were low despite patient comfort with physician involvement. Integrating patient perspectives into screening may improve FI identification and support within family medicine settings.