Hilary Seligman, MD

Associate Professor

Hilary Seligman, MD, MAS is Associate Professor at the University of California San Francisco with appointments in the Departments of Medicine and of Epidemiology and Biostatistics.

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 a nationally recognized expert in food insecurity, particularly its health implications across the life course. Her policy and advocacy expertise focus on federal nutrition programs (particularly SNAP), food banking and the charitable feeding 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 California Food Policy Advocates and the San Francisco-Marin Food Bank. She also serves on the Food Security Task Force for the City and County of San Francisco. She is a Fellow of the American College of Physicians.
Education
Master's of Advanced Studies (MAS), 2006 - Clinical Research, University of California, San Francisco
Clinical Fellowship, 2006 - Internal Medicine, University of California, San Francisco
Internship & Residency, 2003 - Internal Medicine, University of California, San Francisco
MD with Honors, 2000 - , Baylor College of Medicine
BA, 1996 - Biology, Williams College
Publications
  1. Food Insecurity May Be an Independent Risk Factor Associated with Nonalcoholic Fatty Liver Disease among Low-Income Adults in the United States.
  2. State-Level and County-Level Estimates of Health Care Costs Associated with Food Insecurity.
  3. Food insecurity screening: A missing piece in cancer management.
  4. Nutrition-Focused Food Banking in the United States: A Qualitative Study of Healthy Food Distribution Initiatives.
  5. Characteristics of Households of People With Diabetes Accessing US Food Pantries: Implications for Diabetes Self-management Education and Support.
  6. Development and testing of the FRESH Foods Survey to assess food pantry clients' dietary behaviours and correlates.
  7. Effects Of Alternative Food Voucher Delivery Strategies On Nutrition Among Low-Income Adults.
  8. Seligman et al. Respond.
  9. Charitable food as prevention: Food bank leadership perspectives on food banks as agents in population health.
  10. Challenges and Successes with Food Resource Referrals for Food-Insecure Patients with Diabetes.
  11. Food Insecurity: A Key Social Determinant of Health for Older Adults.
  12. Changes in Food Insecurity and Smoking Status over Time: Analysis of the 2003 and 2015 Panel Study of Income Dynamics.
  13. Aligning Programs and Policies to Support Food Security and Public Health Goals in the United States.
  14. In an unhealthy food system, what role should SNAP play?
  15. Food Preferences and Coping Strategies among Diabetic and Nondiabetic Households Served by US Food Pantries.
  16. Food insecurity, healthcare utilization, and high cost: a longitudinal cohort study.
  17. Comprehensive Diabetes Self-Management Support From Food Banks: A Randomized Controlled Trial.
  18. Food Insecurity, Food "Deserts," and Glycemic Control in Patients With Diabetes: A Longitudinal Analysis.
  19. Chronic disease burden predicts food insecurity among older adults.
  20. Lessons Learned from Implementation of the Food Insecurity Screening and Referral Program at Kaiser Permanente Colorado.
  21. Supplemental Nutrition Assistance Program (SNAP) Participation and Health Care Expenditures Among Low-Income Adults.
  22. Re-evaluating associations between the Supplemental Nutrition Assistance Program participation and body mass index in the context of unmeasured confounders.
  23. The Monthly Cycle of Hypoglycemia: An Observational Claims-based Study of Emergency Room Visits, Hospital Admissions, and Costs in a Commercially Insured Population.
  24. Food Insecurity and Health Care Expenditures in the United States, 2011-2013.
  25. Clinic-to-Community Models to Address Food Insecurity.
  26. The Financial Costs, Behaviour and Psychology of Obesity: A One Health Analysis.
  27. Food Insecurity and "Unexplained" Weight Loss.
  28. Brief assessment of food insecurity accurately identifies high-risk US adults.
  29. Comprehensive and Medically Appropriate Food Support Is Associated with Improved HIV and Diabetes Health.
  30. Cost Effectiveness of Subsidizing Fruit and Vegetable Purchases Through the Supplemental Nutrition Assistance Program.
  31. How food insecurity contributes to poor HIV health outcomes: Qualitative evidence from the San Francisco Bay Area.
  32. Moderation of the Relation of County-Level Cost of Living to Nutrition by the Supplemental Nutrition Assistance Program.
  33. Food insecurity and diabetes self-management among food pantry clients.
  34. A Pilot Food Bank Intervention Featuring Diabetes-Appropriate Food Improved Glycemic Control Among Clients In Three States.
  35. Food insecurity, coping strategies and glucose control in low-income patients with diabetes.
  36. Food insecurity, chronic illness, and gentrification in the San Francisco Bay Area: An example of structural violence in United States public policy.
  37. Material need insecurities, control of diabetes mellitus, and use of health care resources: results of the Measuring Economic Insecurity in Diabetes study.
  38. Income, food insecurity, and osteoporosis among older adults in the 2007-2008 National Health and Nutrition Examination Survey (NHANES).
  39. Ending SNAP subsidies for sugar-sweetened beverages could reduce obesity and type 2 diabetes.
  40. A metabolic-epidemiological microsimulation model to estimate the changes in energy intake and physical activity necessary to meet the Healthy People 2020 obesity objective.
  41. Development of a conceptually equivalent Chinese-language translation of the US Household Food Security Survey Module for Chinese immigrants to the USA.
  42. Treat or eat: food insecurity, cost-related medication underuse, and unmet needs.
  43. Online grocery store coupons and unhealthy foods, United States.
  44. Exhaustion of food budgets at month's end and hospital admissions for hypoglycemia.
  45. Food insecurity among adults with severe mental illness.
  46. Nutritional policy changes in the supplemental nutrition assistance program: a microsimulation and cost-effectiveness analysis.
  47. Nutritional assessment of free meal programs in San Francisco.
  48. Do clinical standards for diabetes care address excess risk for hypoglycemia in vulnerable patients? A systematic review.
  49. Navigating changing food environments - Transnational perspectives on dietary behaviours and implications for nutrition counselling.
  50. Advances in measuring culturally competent care: a confirmatory factor analysis of CAHPS-CC in a safety-net population.
  51. Associations between aspects of culturally competent care and clinical outcomes among patients with diabetes.
  52. Risk factors for reporting poor cultural competency among patients with diabetes in safety net clinics.
  53. Diabetes Implementation of a Self-management Program in Resource Poor and Rural Community Clinics.
  54. Clinical Management of the Food Insecure Patient with Diabetes
  55. Food insecurity and glycemic control among low-income patients with type 2 diabetes.
  56. The association between housing instability, food insecurity, and diabetes self-efficacy in low-income adults.
  57. Food insecurity and hypoglycemia among safety net patients with diabetes.
  58. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes.
  59. Food insecurity is associated with chronic disease among low-income NHANES participants.
  60. Improving physical activity resource guides to bridge the divide between the clinic and the community.
  61. Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients.
  62. Electrocardiographic criteria for detecting acute myocardial infarction in patients with left bundle branch block: a meta-analysis.
  63. Racial and ethnic differences in receipt of primary care services between medicaid fee-for-service and managed care plans.
  64. Food insecurity is associated with diabetes mellitus: results from the National Health Examination and Nutrition Examination Survey (NHANES) 1999-2002.
  65. Physician notification of their diabetes patients' limited health literacy: A randomized, controlled trial.
  66. Treatment of acute hepatitis C with interferon alfa-2b.