Health EquityIdentifying Food Insecurity in Health Care Settings A Systematic Scoping Review of the EvidenceDe Marchis, Emilia H. MD; Torres, Jacqueline M. PhD, MPH; Fichtenberg, Caroline PhD, MS; Gottlieb, Laura M. MD, MPH Author Information Departments of Family & Community Medicine (Dr De Marchis and Dr Gottlieb) and Epidemiology & Biostatistics (Dr Torres), University of California, San Francisco; and Center for Health & Community, University of California, San Francisco (Dr Fichtenberg). Correspondence: Emilia H. De Marchis, MD, Department of Family & Community Medicine, University of California, 1001 Potrero Ave, Ward 83, San Francisco, CA ([email protected]). A version of this work was presented as a Webinar on February 27, 2018.The authors gratefully acknowledge Seth Berkowitz, MD; Alicia Cohen, MD, MSc; Stephanie Ettinger de Cuba, MPH; Megan Sandel, MD, MPH; Rich Sheward, MPP; and John Steiner, MD, MPH, for reading earlier drafts of this article and Holly Wing, MA, for her assistance in developing the search protocol.J.M.T., C.M.F., and L.M.G. were supported by the Kaiser Foundation Health Plan, Inc 127440A. Kaiser Foundation Health Plan, Inc had no role in study design; collection, analysis, or interpretation of data; writing the report; or the decision to submit the report for publication. E.H.D. was supported by a fellowship training grant, National Research Service Award (NRSA) T32HP19025. The manuscript's contents are solely the responsibility of the authors and do not represent the official views of the Kaiser Foundation Health Plan, Inc, or the NRSA.The authors declare no conflict of interest.Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.familyandcommunityhealth.com). Family & Community Health: January/March 2019 - Volume 42 - Issue 1 - p 20-29 doi: 10.1097/FCH.0000000000000208 Buy SDC Metrics Abstract This systematic scoping review explores evidence on food insecurity (FI) screening measures, acceptability, and program implementation in health care settings. Validation studies on brief screening tools suggest that instruments exist that adequately measure the construct of FI. Patients and clinicians found FI screening acceptable in a range of clinical settings, though studies are not high quality and rarely reflect substantial patient diversity. Targeted interventions successfully increased screening rates and reduced screening barriers. More research is needed to understand implementation and effectiveness of FI screening in diverse populations to ensure that evolving practices in this area do not widen health inequities. © 2019 Wolters Kluwer Health, Inc. All rights reserved.