Prevalence of food insecurity among students attending four Historically Black Colleges and Universities.


Objective: This study examined the prevalence of food insecurity (FI) among students attending Historically Black Colleges and Universities (HBCUs) in the Southeastern United States. Participants: Students attending four HBCUs (N = 351) completed an anonymous Web-based survey. Methods: Food insecurity was assessed using the 2-item Hunger Vital Sign Tool. Summary statistics were used to quantify FI experiences. Logistic regression was conducted to determine if student demographic characteristics were significantly associated with FI outcomes. Results: Nearly 3 in 4 students (72.9%) reported some level of FI in the past year. Students representing all levels of postsecondary education reported FI. Meal plan participation did not prevent FI. Conclusions: Students attending HBCUs experience FI at levels that exceed estimates reported among students attending predominantly White institutions. More work is needed to understand the lived experience of food-insecure HBCU students as a means to ensure institution-level food policies support student academic success and wellbeing.





Published Version (Please cite this version)


Publication Info

Duke, Naomi N, Santiba D Campbell, Derrick L Sauls, Robyn Stout, Mary T Story, Tomia Austin, Hayden B Bosworth, Asheley C Skinner, et al. (2021). Prevalence of food insecurity among students attending four Historically Black Colleges and Universities. Journal of American college health : J of ACH. pp. 1–7. 10.1080/07448481.2021.1877144 Retrieved from

This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.



Naomi Nichele Duke

Associate Professor of Pediatrics

Dr. Naomi Nichele Duke, MD, PhD, MPH, is an Associate Professor. Working at the intersection of medicine, sociology, and population health, Dr. Duke brings a unique perspective to address social drivers in maternal and child health and adult chronic disease onset. Her work focuses on advancing knowledge and advocacy efforts around the relevance of childhood social context for later disparities in health outcomes and the intergenerational transmission of health, including morbidity and mortality related to stress physiology, perceptions of physical and emotional weathering, and health-related behaviors. A main area of interest is in understanding the implications of youth experiences of oppression and marginalization for perceptions of survival and future orientation, and relationships between these experiences and actual trajectories of health. Her work includes focus on understanding relationships between shared sociocultural context and concordance and discordance in cardiometabolic outcomes across generations, including the transition from prediabetes to diabetes and timing in the development of hypertension. Dr. Duke is an academic affiliate with four multidisciplinary research collaborations: the Duke University Population Research Institute, the Duke Center for Child & Family Policy, the Duke Children’s Health & Discovery Initiative, and the Duke Center for Childhood Obesity Research.


Mary T Story

Professor in Family Medicine and Community Health

Asheley Cockrell Skinner

Professor in Population Health Sciences

Areas of expertise: Implementation Science, Health Services Research, Child Obesity, Pediatric Population Health, Opioids

Asheley Cockrell Skinner, PhD, is a health services researcher whose work addresses a variety of population health issues, particularly implementation of programs to improve the health of vulnerable populations. She is currently a Professor in Population Health Sciences at Duke University. She received her PhD in 2007 in Health Policy and Administration at the University of North Carolina at Chapel Hill.  A nationally-known expert in childhood obesity, her work uses a data-driven approach to understand pediatric obesity and improve implementation of evidence-based treatment. She applies this implementation science approach to other populations, including those with opioid use disorder and people who use drugs. In addition to her many roles in research, she also currently serves as the Director of Graduate Studies for Population Health Sciences, directs multiple training programs, and actively mentors undergraduate and graduate students, fellows, and junior faculty.

Unless otherwise indicated, scholarly articles published by Duke faculty members are made available here with a CC-BY-NC (Creative Commons Attribution Non-Commercial) license, as enabled by the Duke Open Access Policy. If you wish to use the materials in ways not already permitted under CC-BY-NC, please consult the copyright owner. Other materials are made available here through the author’s grant of a non-exclusive license to make their work openly accessible.