In this study, we show how household health, economic instability, and food insecurity are inextricably linked and how disruptions in individual health or income create cumulative and interdependent challenges faced by multiple household members. Drawing upon semistructured focus groups with English‐ and Spanish‐speaking clients of an urban food pantry, we demonstrate: (1) the impact of economic scarcity on health, (2) the impact of one household member's health on the health and food security of all household members, and (3) food‐sharing behaviors among family and social networks, including multigenerational families and nonkin individuals. We identify the gap in the literature between household‐level assessments of food insecurity and individual‐level health reports, which may obscure poor health among other household members. Understanding the social and family context of health and food insecurity may inform future interventions that address the interrelated challenges of diverse and disadvantaged households and communities.

中文翻译：

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家庭和社会背景导致经济不安全，粮食不安全和卫生之间的相互作用

在这项研究中，我们展示了家庭健康，经济不稳定和粮食不安全之间如何密不可分的联系，以及个人健康或收入的中断如何造成多个家庭成员面临的累积和相互依存的挑战。利用与城市食品储藏室讲英语和西班牙语的客户的半结构化焦点小组，我们证明：（1）经济稀缺对健康的影响，（2）一个家庭成员的健康对健康和食品安全的影响所有家庭成员，以及（3）家庭和社交网络（包括多代家庭和非亲属）之间的食物共享行为。我们在文献中发现了家庭层面的粮食不安全评估与个人层面的健康报告之间的差距，这可能掩盖了其他家庭成员的不良健康状况。