Hilary Seligman, MD
Professor
Dr. Seligman directs the National Clinician Scholars Program at UCSF, School of Medicine. NCSP aims to offer unparalleled training for clinicians as change agents driving policy-relevant research and partnerships to improve health and health care. The goal of the program is to cultivate health equity, eliminate health disparities, invent new models of care, and achieve higher quality health care at lower cost by training nurse and physician researchers who work as leaders and collaborators embedded in communities, healthcare systems, government, foundations, and think tanks in the United States and around the world (https://nationalcsp.org/).
Dr. Seligman is an expert in food insecurity and its health implications across the life course. Her policy and advocacy expertise focus on federal nutrition programs (particularly SNAP), food banking and the charitable food network, hunger policy, food affordability and access, and income-related drivers of food choice. She directs the Food Policy, Health, and Hunger Research Program at UCSF’s Center for Vulnerable Populations at Zuckerberg San Francisco General Hospital (https://cvp.ucsf.edu/programs/food-policy-health-and-hunger-research-program) and the CDC’s Nutrition and Obesity Policy, Research and Evaluation Network (www.nopren.org). She also serves as Senior Medical Advisor for Feeding America (feedingamerica.org).
Dr. Seligman founded EatSF, a healthy foods voucher program for low-income residents of San Francisco (www.eatsfvoucher.org). Vouchers are redeemable for fruits and vegetables at grocery stores, corner stores, and farmer's markets in underserved neighborhoods. Outside of San Francisco, EatSF is known as Vouchers for Veggies.
Dr. Seligman serves on the Board of Directors for the San Francisco-Marin Food Bank. She previously served on the Board of the California Food Policy Advocates and as a member of the Food Security Task Force for the City and County of San Francisco. She is a Fellow of the American College of Physicians.
Education
Publications
Levi R, Ridberg R, Akers M, Seligman H. Survey Fraud and the Integrity of Web-Based Survey Research. 2021. PMID: 34372667
Golovaty I, Wadhwa S, Fisher L, Lobach I, Crowe B, Levi R, Seligman H. Reach, engagement and effectiveness of in-person and online lifestyle change programs to prevent diabetes. 2021. PMID: 34225674
Seligman HK, Hamad R. Moving Upstream: The Importance of Examining Policies to Address Health Disparities. 2021. PMID: 33779711
Ho EY, Leung G, Chao MT, Chan D, Hsieh E, Pritzker S, Chi HL, Huang S, Ruan Q, Seligman HK. Integrative Nutritional Counseling Combining Chinese Medicine and Biomedicine for Chinese Americans with Type 2 Diabetes: A Mixed-Methods Feasibility Study. 2021. PMID: 33979531
Wang M, Levi R, Seligman H. New SNAP Eligibility in California Associated With Improved Food Security and Health. 2021. PMID: 33793394
Nagata JM, Seligman HK, Weiser SD. Perspective: The Convergence of Coronavirus Disease 2019 (COVID-19) and Food Insecurity in the United States. 2020. PMID: 32970098
Basu S, Akers M, Berkowitz SA, Josey K, Schillinger D, Seligman H. Comparison of Fruit and Vegetable Intake Among Urban Low-Income US Adults Receiving a Produce Voucher in 2 Cities. 2021. PMID: 33749765
Johnson KT, Palakshappa D, Basu S, Seligman H, Berkowitz SA. Examining the bidirectional relationship between food insecurity and healthcare spending. 2021. PMID: 33598952
Balasuriya L, Berkowitz SA, Seligman HK. Federal Nutrition Programs after the Pandemic: Learning from P-EBT and SNAP to Create the Next Generation of Food Safety Net Programs. 2021. PMID: 33769116
Leddy AM, Weiser SD, Palar K, Seligman H. A conceptual model for understanding the rapid COVID-19-related increase in food insecurity and its impact on health and healthcare. 2020. PMID: 32766740
Kinsey EW, Hecht AA, Dunn CG, Levi R, Read MA, Smith C, Niesen P, Seligman HK, Hager ER. School Closures During COVID-19: Opportunities for Innovation in Meal Service. 2020. PMID: 32941069
White JS, Vasconcelos G, Harding M, Carroll MM, Gardner CD, Basu S, Seligman HK. Heterogeneity in the Effects of Food Vouchers on Nutrition Among Low-Income Adults: A Quantile Regression Analysis. 2020. PMID: 32878448
Barnidge EK, Stenmark SH, DeBor M, Seligman HK. The Right to Food: Building Upon "Food Is Medicine". 2020. PMID: 32800425
Golovaty I, Tien PC, Price JC, Sheira L, Seligman H, Weiser SD. Food Insecurity May Be an Independent Risk Factor Associated with Nonalcoholic Fatty Liver Disease among Low-Income Adults in the United States. 2019. PMID: 31504710
Smith M, Rosenmoss S, Seligman HK. Point-of-Care Hemoglobin A1C Testing System in Community Settings: Challenges, Opportunities, and Measurement Characteristics. 2020. PMID: 33416608
Bomberg EM, Rosenmoss S, Smith M, Waxman E, Seligman HK. Diabetes-Related Health Care Utilization and Dietary Intake Among Food Pantry Clients. 2019. PMID: 31872170
Jih J, Nguyen TT, Jin C, Seligman H, Boscardin WJ, Ritchie CS. Food Insecurity Is Associated with Behavioral Health Diagnosis Among Older Primary Care Patients with Multiple Chronic Conditions. 2019. PMID: 31808129
Berkowitz SA, Basu S, Gundersen C, Seligman HK. State-Level and County-Level Estimates of Health Care Costs Associated with Food Insecurity. 2019. PMID: 31298210
Patel KG, Borno HT, Seligman HK. Food insecurity screening: A missing piece in cancer management. 2019. PMID: 31287159
Wetherill MS, White KC, Seligman HK. Nutrition-Focused Food Banking in the United States: A Qualitative Study of Healthy Food Distribution Initiatives. 2019. PMID: 31262694
Wetherill MS, Williams MB, White KC, Seligman HK. Characteristics of Households of People With Diabetes Accessing US Food Pantries: Implications for Diabetes Self-management Education and Support. 2019. PMID: 31204590
Calloway EE, Seligman HK, Boyd LW, Stern KL, Rosenmoss S, Yaroch AL. Development and testing of the FRESH Foods Survey to assess food pantry clients' dietary behaviours and correlates. 2019. PMID: 31111812
Basu S, Gardner CD, White JS, Rigdon J, Carroll MM, Akers M, Seligman HK. Effects Of Alternative Food Voucher Delivery Strategies On Nutrition Among Low-Income Adults. 2019. PMID: 30933599
Seligman HK, Smith M, Golovaty I, Waxman E, Rosenmoss S. Seligman et al. Respond. 2019. PMID: 30726135
Wetherill MS, White KC, Seligman H. Charitable food as prevention: Food bank leadership perspectives on food banks as agents in population health. 2019. PMID: 31057344
Marpadga S, Fernandez A, Leung J, Tang A, Seligman H, Murphy EJ. Challenges and Successes with Food Resource Referrals for Food-Insecure Patients with Diabetes. 2019. PMID: 30939269
Pooler JA, Hartline-Grafton H, DeBor M, Sudore RL, Seligman HK. Food Insecurity: A Key Social Determinant of Health for Older Adults. 2018. PMID: 30586154
Kim-Mozeleski JE, Seligman HK, Yen IH, Shaw SJ, Buchanan DR, Tsoh JY. Changes in Food Insecurity and Smoking Status over Time: Analysis of the 2003 and 2015 Panel Study of Income Dynamics. 2018. PMID: 30463414
Seligman HK, Berkowitz SA. Aligning Programs and Policies to Support Food Security and Public Health Goals in the United States. 2018. PMID: 30444684
Seligman HK, Basu S. In an unhealthy food system, what role should SNAP play? 2018. PMID: 30278040
Bomberg EM, Neuhaus J, Hake MM, Engelhard EM, Seligman HK. Food Preferences and Coping Strategies among Diabetic and Nondiabetic Households Served by US Food Pantries. 2018. PMID: 31456865
Berkowitz SA, Seligman HK, Meigs JB, Basu S. Food insecurity, healthcare utilization, and high cost: a longitudinal cohort study. 2018. PMID: 30222918
Seligman HK, Smith M, Rosenmoss S, Marshall MB, Waxman E. Comprehensive Diabetes Self-Management Support From Food Banks: A Randomized Controlled Trial. 2018. PMID: 30024798
Wetherill MS, White KC, Rivera C, Seligman HK. Challenges and opportunities to increasing fruit and vegetable distribution through the US charitable feeding network: increasing food systems recovery of edible fresh produce to build healthy food access. 2018. PMID: 31933710
Berkowitz SA, Karter AJ, Corbie-Smith G, Seligman HK, Ackroyd SA, Barnard LS, Atlas SJ, Wexler DJ. Food Insecurity, Food "Deserts," and Glycemic Control in Patients With Diabetes: A Longitudinal Analysis. 2018. PMID: 29555650
Jih J, Stijacic-Cenzer I, Seligman HK, Boscardin WJ, Nguyen TT, Ritchie CS. Chronic disease burden predicts food insecurity among older adults. 2018. PMID: 29388533
Stenmark SH, Steiner JF, Marpadga S, Debor M, Underhill K, Seligman H. Lessons Learned from Implementation of the Food Insecurity Screening and Referral Program at Kaiser Permanente Colorado. 2018. PMID: 30296400
Berkowitz SA, Seligman HK, Rigdon J, Meigs JB, Basu S. Supplemental Nutrition Assistance Program (SNAP) Participation and Health Care Expenditures Among Low-Income Adults. 2017. PMID: 28973507
Rigdon J, Berkowitz SA, Seligman HK, Basu S. Re-evaluating associations between the Supplemental Nutrition Assistance Program participation and body mass index in the context of unmeasured confounders. 2017. PMID: 28965002
Basu S, Berkowitz SA, Seligman H. The Monthly Cycle of Hypoglycemia: An Observational Claims-based Study of Emergency Room Visits, Hospital Admissions, and Costs in a Commercially Insured Population. 2017. PMID: 28481762
Berkowitz SA, Basu S, Meigs JB, Seligman HK. Food Insecurity and Health Care Expenditures in the United States, 2011-2013. 2017. PMID: 28608473
Barnidge E, Stenmark S, Seligman H. Clinic-to-Community Models to Address Food Insecurity. 2017. PMID: 28384732
Bomberg E, Birch L, Endenburg N, German AJ, Neilson J, Seligman H, Takashima G, Day MJ. The Financial Costs, Behaviour and Psychology of Obesity: A One Health Analysis. 2017. PMID: 28460796
Seligman HK. Food Insecurity and "Unexplained" Weight Loss. 2017. PMID: 28114602
Gundersen C, Engelhard EE, Crumbaugh AS, Seligman HK. Brief assessment of food insecurity accurately identifies high-risk US adults. 2017. PMID: 28215190
Palar K, Napoles T, Hufstedler LL, Seligman H, Hecht FM, Madsen K, Ryle M, Pitchford S, Frongillo EA, Weiser SD. Comprehensive and Medically Appropriate Food Support Is Associated with Improved HIV and Diabetes Health. 2017. PMID: 28097614
Choi SE, Seligman H, Basu S. Cost Effectiveness of Subsidizing Fruit and Vegetable Purchases Through the Supplemental Nutrition Assistance Program. 2017. PMID: 28153648
Whittle HJ, Palar K, Seligman HK, Napoles T, Frongillo EA, Weiser SD. How food insecurity contributes to poor HIV health outcomes: Qualitative evidence from the San Francisco Bay Area. 2016. PMID: 27771206
Basu S, Wimer C, Seligman H. Moderation of the Relation of County-Level Cost of Living to Nutrition by the Supplemental Nutrition Assistance Program. 2016. PMID: 27631742
Ippolito MM, Lyles CR, Prendergast K, Marshall MB, Waxman E, Seligman HK. Food insecurity and diabetes self-management among food pantry clients. 2016. PMID: 27406399
Seligman HK, Lyles C, Marshall MB, Prendergast K, Smith MC, Headings A, Bradshaw G, Rosenmoss S, Waxman E. A Pilot Food Bank Intervention Featuring Diabetes-Appropriate Food Improved Glycemic Control Among Clients In Three States. 2015. PMID: 26526255
Mayer VL, McDonough K, Seligman H, Mitra N, Long JA. Food insecurity, coping strategies and glucose control in low-income patients with diabetes. 2015. PMID: 26328922
Whittle HJ, Palar K, Hufstedler LL, Seligman HK, Frongillo EA, Weiser SD. Food insecurity, chronic illness, and gentrification in the San Francisco Bay Area: An example of structural violence in United States public policy. 2015. PMID: 26356827
Lyles CR, Seligman HK, Parker MM, Moffet HH, Adler N, Schillinger D, Piette JD, Karter AJ. Financial Strain and Medication Adherence among Diabetes Patients in an Integrated Health Care Delivery System: The Diabetes Study of Northern California (DISTANCE). 2015. PMID: 26256117
Berkowitz SA, Meigs JB, DeWalt D, Seligman HK, Barnard LS, Bright OJ, Schow M, Atlas SJ, Wexler DJ. Material need insecurities, control of diabetes mellitus, and use of health care resources: results of the Measuring Economic Insecurity in Diabetes study. 2015. PMID: 25545780
Lyles CR, Schafer AL, Seligman HK. Income, food insecurity, and osteoporosis among older adults in the 2007-2008 National Health and Nutrition Examination Survey (NHANES). 2014. PMID: 25418225
Basu S, Seligman HK, Gardner C, Bhattacharya J. Ending SNAP subsidies for sugar-sweetened beverages could reduce obesity and type 2 diabetes. 2014. PMID: 24889953
Basu S, Seligman H, Winkleby M. A metabolic-epidemiological microsimulation model to estimate the changes in energy intake and physical activity necessary to meet the Healthy People 2020 obesity objective. 2014. PMID: 24832140
Kwan CM, Napoles AM, Chou J, Seligman HK. Development of a conceptually equivalent Chinese-language translation of the US Household Food Security Survey Module for Chinese immigrants to the USA. 2014. PMID: 24642365
Pandit AU, Bailey SC, Curtis LM, Seligman HK, Davis TC, Parker RM, Schillinger D, DeWalt D, Fleming D, Mohr DC, Wolf MS. Disease-related distress, self-care and clinical outcomes among low-income patients with diabetes. 2014. PMID: 24489044
Berkowitz SA, Seligman HK, Choudhry NK. Treat or eat: food insecurity, cost-related medication underuse, and unmet needs. 2014. PMID: 24440543
López A, Seligman HK. Online grocery store coupons and unhealthy foods, United States. 2014. PMID: 24406094
Seligman HK, Bolger AF, Guzman D, López A, Bibbins-Domingo K. Exhaustion of food budgets at month's end and hospital admissions for hypoglycemia. 2014. PMID: 24395943
Wolf MS, Seligman H, Davis TC, Fleming DA, Curtis LM, Pandit AU, Parker RM, Schillinger D, Dewalt DA. Clinic-based versus outsourced implementation of a diabetes health literacy intervention. 2013. PMID: 24002623
Mangurian C, Sreshta N, Seligman H. Food insecurity among adults with severe mental illness. Volume 64 of Issue 9. 2013. PMID: 24026843
Basu S, Seligman H, Bhattacharya J. Nutritional policy changes in the supplemental nutrition assistance program: a microsimulation and cost-effectiveness analysis. 2013. PMID: 23811757
Lyles CR, Drago-Ferguson S, Lopez A, Seligman HK. Nutritional assessment of free meal programs in San Francisco. 2013. PMID: 23721791
Berkowitz SA, Aragon K, Hines J, Seligman H, Lee S, Sarkar U. Do clinical standards for diabetes care address excess risk for hypoglycemia in vulnerable patients? A systematic review. Volume 48 of Issue 4. 2013. PMID: 23445498
Lyles CR, Wolf MS, Schillinger D, Davis TC, Dewalt D, Dahlke AR, Curtis L, Seligman HK. Food insecurity in relation to changes in hemoglobin A1c, self-efficacy, and fruit/vegetable intake during a diabetes educational intervention. 2012. PMID: 23275354
Handley MA, Robles M, Sanford E, Collins N, Seligman H, Defries T, Perez R, Grieshop J. Navigating changing food environments - Transnational perspectives on dietary behaviours and implications for nutrition counselling. 2012. PMID: 23088255
Stern RJ, Fernandez A, Jacobs EA, Neilands TB, Weech-Maldonado R, Quan J, Carle A, Seligman HK. Advances in measuring culturally competent care: a confirmatory factor analysis of CAHPS-CC in a safety-net population. 2012. PMID: 22895231
Fernandez A, Seligman H, Quan J, Stern RJ, Jacobs EA. Associations between aspects of culturally competent care and clinical outcomes among patients with diabetes. 2012. PMID: 22895235
Seligman HK, Fernandez A, Stern RJ, Weech-Maldonado R, Quan J, Jacobs EA. Risk factors for reporting poor cultural competency among patients with diabetes in safety net clinics. 2012. PMID: 22895232
Davis TC, Seligman HK, Dewalt DA, Platt DJ, Reynolds C, Timm DF, Arnold CL. Diabetes Implementation of a Self-management Program in Resource Poor and Rural Community Clinics. 2012. PMID: 23804167
Lopez A, Seligman HK. Clinical Management of the Food Insecure Patient with Diabetes 2012. PMID:
Seligman HK, Jacobs EA, López A, Tschann J, Fernandez A. Food insecurity and glycemic control among low-income patients with type 2 diabetes. 2011. PMID: 22210570
Vijayaraghavan M, Jacobs EA, Seligman H, Fernandez A. The association between housing instability, food insecurity, and diabetes self-efficacy in low-income adults. 2011. PMID: 22080709
Seligman HK, Jacobs EA, Lopez A, Sarkar U, Tschann J, Fernandez A. Food insecurity and hypoglycemia among safety net patients with diabetes. Volume 171 of Issue 13. 2011. PMID: 21747017
Seligman HK, Davis TC, Schillinger D, Wolf MS. Food insecurity is associated with hypoglycemia and poor diabetes self-management in a low-income sample with diabetes. 2010. PMID: 21099074
Seligman HK, Schillinger D. Hunger and socioeconomic disparities in chronic disease. 2010. PMID: 20592297
Sarkar U, Handley MA, Gupta R, Tang A, Murphy E, Seligman HK, Shojania KG, Schillinger D. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. Volume 19 of Issue 3. 2010. PMID: 20378619
Seligman HK, Laraia BA, Kushel MB. Food insecurity is associated with chronic disease among low-income NHANES participants. Volume 140 of Issue 2. 2009. PMID: 20032485
DeWalt DA, Davis TC, Wallace AS, Seligman HK, Bryant-Shilliday B, Arnold CL, Freburger J, Schillinger D. Goal setting in diabetes self-management: taking the baby steps to success. 2009. PMID: 19359123
Wallace AS, Seligman HK, Davis TC, Schillinger D, Arnold CL, Bryant-Shilliday B, Freburger JK, DeWalt DA. Literacy-appropriate educational materials and brief counseling improve diabetes self-management. 2009. PMID: 19167857
Seligman HK, Grossman MD, Bera N, Stewart AL. Improving physical activity resource guides to bridge the divide between the clinic and the community. 2008. PMID: 19080024
Sarkar U, Handley MA, Gupta R, Tang A, Murphy E, Seligman HK, Shojania KG, Schillinger D. Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients. Volume 23 of Issue 4. 2008. PMID: 18373145
Tabas JA, Rodriguez RM, Seligman HK, Goldschlager NF. Electrocardiographic criteria for detecting acute myocardial infarction in patients with left bundle branch block: a meta-analysis. 2008. PMID: 18342992
Seligman HK, Wallace AS, DeWalt DA, Schillinger D, Arnold CL, Shilliday BB, Delgadillo A, Bengal N, Davis TC. Facilitating behavior change with low-literacy patient education materials. 2007. PMID: 17931139
Seligman HK, Chattopadhyay A, Vittinghoff E, Bindman AB. Racial and ethnic differences in receipt of primary care services between medicaid fee-for-service and managed care plans. 2007. PMID: 17581438
Seligman HK, Bindman AB, Vittinghoff E, Kanaya AM, Kushel MB. Food insecurity is associated with diabetes mellitus: results from the National Health Examination and Nutrition Examination Survey (NHANES) 1999-2002. Volume 22 of Issue 7. 2007. PMID: 17436030
Seligman HK, Wang FF, Palacios JL, Wilson CC, Daher C, Piette JD, Schillinger D. Physician notification of their diabetes patients' limited health literacy. A randomized, controlled trial. 2005. PMID: 16307624
Seligman HK, Wang FF, Palacios JL, Wilson CC, Daher CA, Piette JD, Schillinger D. Physician notification of their diabetes patients' limited health literacy: A randomized, controlled trial. 2005. PMID: 27519856
Seligman HK, Fox RK. Treatment of acute hepatitis C with interferon alfa-2b. 2002. PMID: 11936120