Hilary Seligman, MD, MAS

Associate Professor in Res

Center for Vulnerable Populations, General Internal Medicine UCSF Health, General Internal Medicine ZSFG

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. Levi R, Ridberg R, Akers M, Seligman H. Survey Fraud and the Integrity of Web-Based Survey Research. American journal of health promotion : AJHP 2021. PMID: 34372667


  2. 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. BMC public health 2021. PMID: 34225674


  3. Seligman HK, Hamad R. Moving Upstream: The Importance of Examining Policies to Address Health Disparities. JAMA pediatrics 2021. PMID: 33779711


  4. 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. Journal of alternative and complementary medicine (New York, N.Y.) 2021. PMID: 33979531


  5. Wang M, Levi R, Seligman H. New SNAP Eligibility in California Associated With Improved Food Security and Health. Preventing chronic disease 2021. PMID: 33793394


  6. Nagata JM, Seligman HK, Weiser SD. Perspective: The Convergence of Coronavirus Disease 2019 (COVID-19) and Food Insecurity in the United States. Advances in nutrition (Bethesda, Md.) 2020. PMID: 32970098


  7. 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. JAMA network open 2021. PMID: 33749765


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


  9. Balasuriya L, Berkowitz SA, Seligman HK. Federal Nutrition Programs after the Pandemic: Learning from P-EBT and SNAP to Create the Next Generation of Food Safety Net Programs. Inquiry : a journal of medical care organization, provision and financing 2021. PMID: 33769116


  10. Leddy AM, Weiser SD, Palar K, Seligman H. A conceptual model for understanding the rapid COVID-19-related increase in food insecurity and its impact on health and healthcare. The American journal of clinical nutrition 2020. PMID: 32766740


  11. 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. American journal of public health 2020. PMID: 32941069


  12. 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. American journal of health promotion : AJHP 2020. PMID: 32878448


  13. Barnidge EK, Stenmark SH, DeBor M, Seligman HK. The Right to Food: Building Upon "Food Is Medicine". American journal of preventive medicine 2020. PMID: 32800425


  14. Golovaty I, Tien PC, Price JC, Sheira L, Seligman H, Weiser SD. Food Insecurity May Be an Independent Risk Factor Associated with Nonalcoholic Fatty Liver Disease among Low-Income Adults in the United States. The Journal of nutrition 2019. PMID: 31504710


  15. Smith M, Rosenmoss S, Seligman HK. Point-of-Care Hemoglobin A1C Testing System in Community Settings: Challenges, Opportunities, and Measurement Characteristics. Progress in community health partnerships : research, education, and action 2020. PMID: 33416608


  16. Bomberg EM, Rosenmoss S, Smith M, Waxman E, Seligman HK. Diabetes-Related Health Care Utilization and Dietary Intake Among Food Pantry Clients. Health equity 2019. PMID: 31872170


  17. Jih J, Nguyen TT, Jin C, Seligman H, Boscardin WJ, Ritchie CS. Food Insecurity Is Associated with Behavioral Health Diagnosis Among Older Primary Care Patients with Multiple Chronic Conditions. Journal of general internal medicine 2019. PMID: 31808129


  18. Berkowitz SA, Basu S, Gundersen C, Seligman HK. State-Level and County-Level Estimates of Health Care Costs Associated with Food Insecurity. Preventing chronic disease 2019. PMID: 31298210


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


  20. Wetherill MS, White KC, Seligman HK. Nutrition-Focused Food Banking in the United States: A Qualitative Study of Healthy Food Distribution Initiatives. Journal of the Academy of Nutrition and Dietetics 2019. PMID: 31262694


  21. 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. Public health nutrition 2019. PMID: 31111812


  22. 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. Health affairs (Project Hope) 2019. PMID: 30933599


  23. Seligman HK, Smith M, Golovaty I, Waxman E, Rosenmoss S. Seligman et al. Respond. American journal of public health 2019. PMID: 30726135


  24. Wetherill MS, White KC, Seligman H. Charitable food as prevention: Food bank leadership perspectives on food banks as agents in population health. Community development (Columbus, Ohio) 2019. PMID: 31057344


  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. The Permanente journal 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. Journal of the American Geriatrics Society 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. American journal of health promotion : AJHP 2018. PMID: 30463414


  28. Seligman HK, Berkowitz SA. Aligning Programs and Policies to Support Food Security and Public Health Goals in the United States. Annual review of public health 2018. PMID: 30444684


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


  30. 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. Journal of hunger & environmental nutrition 2018. PMID: 31456865


  31. Berkowitz SA, Seligman HK, Meigs JB, Basu S. Food insecurity, healthcare utilization, and high cost: a longitudinal cohort study. The American journal of managed care 2018. PMID: 30222918


  32. Seligman HK, Smith M, Rosenmoss S, Marshall MB, Waxman E. Comprehensive Diabetes Self-Management Support From Food Banks: A Randomized Controlled Trial. American journal of public health 2018. PMID: 30024798


  33. 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. Diabetes care 2018. PMID: 29555650


  34. Jih J, Stijacic-Cenzer I, Seligman HK, Boscardin WJ, Nguyen TT, Ritchie CS. Chronic disease burden predicts food insecurity among older adults. Volume 21 of Issue 9. Public health nutrition 2018. PMID: 29388533


  35. 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. The Permanente journal 2018. PMID: 30296400


  36. Berkowitz SA, Seligman HK, Rigdon J, Meigs JB, Basu S. Supplemental Nutrition Assistance Program (SNAP) Participation and Health Care Expenditures Among Low-Income Adults. JAMA internal medicine 2017. PMID: 28973507


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


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


  39. 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. Journal of comparative pathology 2017. PMID: 28460796


  40. Seligman HK. Food Insecurity and "Unexplained" Weight Loss. JAMA internal medicine 2017. PMID: 28114602


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


  42. 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. Volume 94 of Issue 1. Journal of urban health : bulletin of the New York Academy of Medicine 2017. PMID: 28097614


  43. Choi SE, Seligman H, Basu S. Cost Effectiveness of Subsidizing Fruit and Vegetable Purchases Through the Supplemental Nutrition Assistance Program. American journal of preventive medicine 2017. PMID: 28153648


  44. 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. Volume 170. Social science & medicine (1982) 2016. PMID: 27771206


  45. Basu S, Wimer C, Seligman H. Moderation of the Relation of County-Level Cost of Living to Nutrition by the Supplemental Nutrition Assistance Program. American journal of public health 2016. PMID: 27631742


  46. Ippolito MM, Lyles CR, Prendergast K, Marshall MB, Waxman E, Seligman HK. Food insecurity and diabetes self-management among food pantry clients. Public health nutrition 2016. PMID: 27406399


  47. 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. Health affairs (Project Hope) 2015. PMID: 26526255


  48. Mayer VL, McDonough K, Seligman H, Mitra N, Long JA. Food insecurity, coping strategies and glucose control in low-income patients with diabetes. Public health nutrition 2015. PMID: 26328922


  49. Whittle HJ, Palar K, Hufstedler LL, Seligman HK, Frongillo EA, Weiser SD. Food insecurity, chronic illness, and gentrification in the San Francisco Bay Area: An example of structural violence in United States public policy. Volume 143. Social science & medicine (1982) 2015. PMID: 26356827


  50. 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). Health services research 2015. PMID: 26256117


  51. 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. JAMA internal medicine 2015. PMID: 25545780


  52. Lyles CR, Schafer AL, Seligman HK. Income, food insecurity, and osteoporosis among older adults in the 2007-2008 National Health and Nutrition Examination Survey (NHANES). Volume 25 of Issue 4. Journal of health care for the poor and underserved 2014. PMID: 25418225


  53. Basu S, Seligman HK, Gardner C, Bhattacharya J. Ending SNAP subsidies for sugar-sweetened beverages could reduce obesity and type 2 diabetes. Health affairs (Project Hope) 2014. PMID: 24889953


  54. 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. Journal of epidemiology and community health 2014. PMID: 24489044


  55. Berkowitz SA, Seligman HK, Choudhry NK. Treat or eat: food insecurity, cost-related medication underuse, and unmet needs. The American journal of medicine 2014. PMID: 24440543


  56. López A, Seligman HK. Online grocery store coupons and unhealthy foods, United States. Preventing chronic disease 2014. PMID: 24406094


  57. Seligman HK, Bolger AF, Guzman D, López A, Bibbins-Domingo K. Exhaustion of food budgets at month's end and hospital admissions for hypoglycemia. Health affairs (Project Hope) 2014. PMID: 24395943


  58. 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. Journal of general internal medicine 2013. PMID: 24002623


  59. Mangurian C, Sreshta N, Seligman H. Food insecurity among adults with severe mental illness. Volume 64 of Issue 9. Psychiatric services (Washington, D.C.) 2013. PMID: 24026843


  60. Basu S, Seligman H, Bhattacharya J. Nutritional policy changes in the supplemental nutrition assistance program: a microsimulation and cost-effectiveness analysis. Medical decision making : an international journal of the Society for Medical Decision Making 2013. PMID: 23811757


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


  62. 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. Health services research 2013. PMID: 23445498


  63. 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. Diabetes care 2012. PMID: 23275354


  64. 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. Global public health 2012. PMID: 23088255


  65. 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. Medical care 2012. PMID: 22895231


  66. Fernandez A, Seligman H, Quan J, Stern RJ, Jacobs EA. Associations between aspects of culturally competent care and clinical outcomes among patients with diabetes. Medical care 2012. PMID: 22895235


  67. 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. Medical care 2012. PMID: 22895232


  68. 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. Journal of primary care & community health 2012. PMID: 23804167


  69. Lopez A, Seligman HK. Clinical Management of the Food Insecure Patient with Diabetes Diabetes Spectrum 2012. PMID:


  70. Seligman HK, Jacobs EA, López A, Tschann J, Fernandez A. Food insecurity and glycemic control among low-income patients with type 2 diabetes. Diabetes care 2011. PMID: 22210570


  71. Vijayaraghavan M, Jacobs EA, Seligman H, Fernandez A. The association between housing instability, food insecurity, and diabetes self-efficacy in low-income adults. Journal of health care for the poor and underserved 2011. PMID: 22080709


  72. 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. Archives of internal medicine 2011. PMID: 21747017


  73. Seligman HK, Davis TC, Schillinger D, Wolf MS. Food insecurity is associated with hypoglycemia and poor diabetes self-management in a low-income sample with diabetes. Journal of health care for the poor and underserved 2010. PMID: 21099074


  74. Seligman HK, Schillinger D. Hunger and socioeconomic disparities in chronic disease. The New England journal of medicine 2010. PMID: 20592297


  75. 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. Quality & safety in health care 2010. PMID: 20378619


  76. Seligman HK, Laraia BA, Kushel MB. Food insecurity is associated with chronic disease among low-income NHANES participants. Volume 140 of Issue 2. The Journal of nutrition 2009. PMID: 20032485


  77. 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. Patient education and counseling 2009. PMID: 19359123


  78. 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. Patient education and counseling 2009. PMID: 19167857


  79. Seligman HK, Grossman MD, Bera N, Stewart AL. Improving physical activity resource guides to bridge the divide between the clinic and the community. Preventing chronic disease 2008. PMID: 19080024


  80. 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. Journal of general internal medicine 2008. PMID: 18373145


  81. Tabas JA, Rodriguez RM, Seligman HK, Goldschlager NF. Electrocardiographic criteria for detecting acute myocardial infarction in patients with left bundle branch block: a meta-analysis. Annals of emergency medicine 2008. PMID: 18342992


  82. 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. American journal of health behavior 2007. PMID: 17931139


  83. Seligman HK, Chattopadhyay A, Vittinghoff E, Bindman AB. Racial and ethnic differences in receipt of primary care services between medicaid fee-for-service and managed care plans. The Journal of ambulatory care management 2007. PMID: 17581438


  84. 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. Journal of general internal medicine 2007. PMID: 17436030


  85. 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. Journal of general internal medicine 2005. PMID: 16307624


  86. 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. Journal of general internal medicine 2005. PMID: 27519856


  87. Seligman HK, Fox RK. Treatment of acute hepatitis C with interferon alfa-2b. The New England journal of medicine 2002. PMID: 11936120