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AJPH First Look, published online ahead of print May 14, 2009
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AJPH.2007.130229v1
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July 2009, Vol 99, No. 7 | American Journal of Public Health 1203-1211
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2007.130229

FRAMING HEALTH MATTERS

A Rights-Based Approach to Food Insecurity in the United States

Mariana Chilton, PhD, MPH and Donald Rose, PhD, MPH

Mariana Chilton is with the Drexel University School of Public Health, Department of Health Management and Policy, Philadelphia, PA. Donald Rose is with the Department of Community Health Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA.

Correspondence: Requests for reprints should be sent to Mariana Chilton, PhD, MPH, Department of Health Management and Policy, Drexel University School of Public Health, 1505 Race St, 11th Floor, Mail Stop 1035, Philadelphia, PA 19102-1192 (e-mail: mariana.chilton{at}drexel.edu).

Food insecurity is a serious public health problem associated with poor cognitive and emotional development in children and with depression and poor health in adults. Despite sizable continued investments in federal food assistance, food insecurity still affects 11.1% of US households—almost the same rate as in 1995, when annual measurement began. As a fresh approach to solving the problem of food insecurity, we suggest adoption of a human rights framework. This approach could actively engage those affected and would ensure that food security monitoring would be compared to benchmarks in national action plans. We describe key elements of a right-to-food approach, review challenges to implementing it, and suggest actions to foster its adoption.






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