This study underscores the importance of diet quality as part of the food security experience by assessing responses to
the item measuring access to diet quality in the ELCSA. High PAHD
was associated with higher intake of fats, sodium, and cholesterol, which
highlights the need to address these in future nutrition education efforts.
More insight is needed into which types of foods people consume as
their incomes allow, what the perceptions of healthy eating are among
households with limited food access, and the effect of the food environment
on households' decisions concerning food choices. This information
will allow for better design and targeting of nutrition education
efforts in communities vulnerable to food insecurity.