Food insecurity affects 1 in 8 US households and has clear implications for population health disparities. We present a person-centered, multilevel framework for understanding how individuals living in food-insecure households cope with inadequate access to food themselves and within their households, communities, and broader food system. Many of these coping strategies can have an adverse impact on health, particularly when the coping strategies are sustained over time; others may be salutary for health. There exist multiple opportunities for aligning programs and policies so that they simultaneously support food security and improved diet quality in the interest of supporting improved health outcomes. Improved access to these programs and policies may reduce the need to rely on individual- and household-level strategies that may have negative implications for health across the life course.

中文翻译：

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调整计划和政策以支持美国的粮食安全和公共卫生目标。

粮食不安全影响了八分之一的美国家庭，并对人口健康差异产生了明显影响。我们提出了一个以人为本的多层次框架，用于了解生活在粮食不安全家庭中的个人如何应对自身以及家庭、社区和更广泛的粮食系统内粮食获取不足的问题。许多应对策略可能对健康产生不利影响，特别是当应对策略长期持续时；其他可能有益于健康。存在多种调整计划和政策的机会，以便它们同时支持粮食安全和改善饮食质量，以支持改善健康结果。改善这些计划和政策的获取可能会减少对个人和家庭层面策略的依赖，这些策略可能对整个生命周期的健康产生负面影响。