Hilary Seligman, MD

Professor

Hilary Seligman, MD, MAS is 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 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
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. Bomberg EM, Palzer EF, Rudser KD, Kelly AS, Bramante CT, Seligman HK, Noni F, Fox CK. Anti-obesity medication prescriptions by race/ethnicity and use of an interpreter in a pediatric weight management clinic. 2022. PMID: 35432917


  2. Gundersen C, Seligman H. How Can We Fully Realize SNAP's Health Benefits? 2022. PMID: 35417933


  3. Hecht AA, Dunn CG, Kinsey EW, Read MA, Levi R, Richardson AS, Hager ER, Seligman HK. Estimates of the Nutritional Impact of Non-Participation in the National School Lunch Program during COVID-19 School Closures. 2022. PMID: 35406001


  4. Levi R, Schwartz M, Campbell E, Martin K, Seligman H. Nutrition standards for the charitable food system: challenges and opportunities. 2022. PMID: 35287656


  5. Seligman HK, Levi R, Ridberg R, Smith M, Hills N, Waxman E. Impact of Enhanced Food Pantry Services on Food Security among Adults with Diabetes Using a Crossover Study Design. 2022. PMID: 35415385


  6. Berkowitz SA, Palakshappa D, Seligman HK, Hanmer J. Changes in Food Insecurity and Changes in Patient-Reported Outcomes: a Nationally Representative Cohort Study. 2022. PMID: 34993877


  7. Savin K, Morales A, Levi R, Alvarez D, Seligman H. "Now I Feel a Little Bit More Secure": The Impact of SNAP Enrollment on Older Adult SSI Recipients. 2021. PMID: 34959914


  8. Bayne D, Srirangapatanam S, Hicks CR, Armas-Phan M, Showen A, Suskind A, Seligman H, Bibbins-Domingo K, Stoller M, Chi TL. Community Income, Healthy Food Access, and Repeat Surgery for Kidney Stones. 2021. PMID: 34813836


  9. Budd Nugent N, Byker Shanks C, Seligman HK, Fricke H, Parks CA, Stotz S, Yaroch AL. Accelerating Evaluation of Financial Incentives for Fruits and Vegetables: A Case for Shared Measures. 2021. PMID: 34831902


  10. Berkowitz SA, Palakshappa D, Rigdon J, Seligman HK, Basu S. Supplemental Nutrition Assistance Program Participation and Health Care Use in Older Adults : A Cohort Study. 2021. PMID: 34662150


  11. Levi R, Ridberg R, Akers M, Seligman H. Survey Fraud and the Integrity of Web-Based Survey Research. 2021. PMID: 34372667


  12. 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


  13. 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


  14. 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


  15. Johnson KT, Palakshappa D, Basu S, Seligman H, Berkowitz SA. Examining the bidirectional relationship between food insecurity and healthcare spending. 2021. PMID: 33598952


  16. 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


  17. 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


  18. Barnidge EK, Stenmark SH, DeBor M, Seligman HK. The Right to Food: Building Upon "Food Is Medicine". 2020. PMID: 32800425


  19. 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


  20. 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


  21. Patel KG, Borno HT, Seligman HK. Food insecurity screening: A missing piece in cancer management. 2019. PMID: 31287159


  22. 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


  23. 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


  24. Seligman HK, Smith M, Golovaty I, Waxman E, Rosenmoss S. Seligman et al. Respond. 2019. PMID: 30726135


  25. 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


  26. 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


  27. 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


  28. Seligman HK, Basu S. In an unhealthy food system, what role should SNAP play? 2018. PMID: 30278040


  29. 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


  30. Berkowitz SA, Seligman HK, Meigs JB, Basu S. Food insecurity, healthcare utilization, and high cost: a longitudinal cohort study. 2018. PMID: 30222918


  31. 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


  32. 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


  33. 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


  34. 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


  35. 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


  36. Berkowitz SA, Basu S, Meigs JB, Seligman HK. Food Insecurity and Health Care Expenditures in the United States, 2011-2013. 2017. PMID: 28608473


  37. Barnidge E, Stenmark S, Seligman H. Clinic-to-Community Models to Address Food Insecurity. 2017. PMID: 28384732


  38. 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


  39. Seligman HK. Food Insecurity and "Unexplained" Weight Loss. 2017. PMID: 28114602


  40. Gundersen C, Engelhard EE, Crumbaugh AS, Seligman HK. Brief assessment of food insecurity accurately identifies high-risk US adults. 2017. PMID: 28215190


  41. 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


  42. 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


  43. 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


  44. 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


  45. 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


  46. 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


  47. 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


  48. 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


  49. 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


  50. Berkowitz SA, Seligman HK, Choudhry NK. Treat or eat: food insecurity, cost-related medication underuse, and unmet needs. 2014. PMID: 24440543


  51. López A, Seligman HK. Online grocery store coupons and unhealthy foods, United States. 2014. PMID: 24406094


  52. 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


  53. 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


  54. Mangurian C, Sreshta N, Seligman H. Food insecurity among adults with severe mental illness. Volume 64 of Issue 9. 2013. PMID: 24026843


  55. Lyles CR, Drago-Ferguson S, Lopez A, Seligman HK. Nutritional assessment of free meal programs in San Francisco. 2013. PMID: 23721791


  56. 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


  57. 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


  58. 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


  59. 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


  60. 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


  61. 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


  62. 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


  63. 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


  64. 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


  65. 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


  66. Seligman HK, Schillinger D. Hunger and socioeconomic disparities in chronic disease. 2010. PMID: 20592297


  67. 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


  68. 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


  69. 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


  70. 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


  71. 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


  72. 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


  73. 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


  74. 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


  75. 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


  76. 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


  77. Seligman HK, Fox RK. Treatment of acute hepatitis C with interferon alfa-2b. 2002. PMID: 11936120