• Akiko Kamimura, Rebecca Higham, Samin Panahi, Edward Lee, Rachel J Griffin, Justine Sundrud, and Mary Lucero.
• From the Department of Sociology, the Division of Public Health, the School of Medicine, and the Maliheh Free Clinic, University of Utah, Salt Lake City, and the Keck School of Medicine, University of Southern California, Los Angeles.
• South. Med. J. 2022 Jan 1; 115 (1): 1-7.

ObjectivesMedically uninsured individuals living in poverty experience poor health and face social barriers that negatively affect their health. The purpose of this study was to examine the association between social barriers, particularly healthy food availability and financial difficulty, and well-being among uninsured free clinic patients in the United States.MethodsData were collected using a self-administered paper survey at a free clinic from adult patients who spoke and read English or Spanish (N = 666) from January to April 2019.ResultsBetter neighborhood healthy food availability is associated with better self-reported general health. Food security is related to better emotional well-being and social functioning. Having difficulty paying rent or a mortgage is linked to worse emotional well-being and social functioning.ConclusionsProviding health education programs may not be sufficient to promote healthy eating among underserved populations because of the social barriers that they experience, such as food insecurity and financial difficulty. Future research could be performed to determine how these social factors influence those of different social and cultural backgrounds than the participants in this study.

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