1. Introduction
Food insecurity—limited or uncertain access to sufficient, safe, and nutritious food, or inability to obtain food in socially acceptable and dignified ways—is a pervasive public health issue in the United States [
1]. In 2023, the U.S. Department of Agriculture estimated that 13.5% of American households experienced food insecurity at some point during the year, an increase from 12.8% in 2022 [
2]. Food insecurity is associated with a range of physical and mental health concerns, including increased risk of chronic diseases, depression, and disordered eating behaviors [
3,
4,
5,
6,
7,
8,
9]. One primary mechanism to alleviate food insecurity is the food aid system, which includes a network of food banks, food pantries, and community-based distribution programs. Among these, food pantries play a distinct role by offering direct, community-based food access to individuals [
10,
11]. While food pantries serve as critical access points, their effectiveness is shaped by structural and logistical factors that influence who is able to access their services and how frequently. Amidst these considerations, transportation remains a frequently overlooked yet pivotal factor influencing an individual’s ability to access food aid [
12].
While access to reliable transportation is routinely cited as a limiting factor for Americans attempting to access grocery stores [
13,
14,
15], there is limited research on how transportation shapes access to food aid. Interview studies have highlighted transportation as a significant problem for food pantry access, with clients citing barriers including cost, time, transit schedules, and ability to transport goods. Many added that these factors may influence what method of transportation they take to the pantry [
16,
17,
18]. Yet, the current literature fails to quantify how and why individuals alter their transportation methods when accessing food pantries. The ability to make such adjustments suggests a level of flexibility in transportation access, which is unlikely to be shared by all clients.
For many, limited transportation may directly translate to limited access to food. In the context of grocery access, previous work has demonstrated that those with limited transportation are more likely to be food insecure compared to those with access to a car [
13,
19,
20]. While these findings highlight a relationship between transportation and food access, to our knowledge no studies have examined how transportation resources affect food insecurity rates among recipients of food aid.
To more fully understand the interplay between transportation and food access, it is important to recognize the people it affects. Disparities in food security have consistently been shown to disproportionately affect minority populations, specifically African American and Hispanic adults [
21,
22]. Yet, the current literature rarely attempts to connect food insecurity with transportation resources. In a systematic review identifying higher rates of food insecurity among minority households, only one of ninety-eight reviewed articles attempted to investigate transportation as a contributor [
21]. This oversight persists despite a frequent association between transportation disparities and minority populations [
23,
24,
25]. There is a similar paucity of research attempting to characterize how other demographic variables relate to transportation and food aid access [
15,
26,
27]. However, the complexities of this topic extend beyond individual-level characteristics.
A discussion of transportation resources and food aid accessibility necessitates consideration of food pantry policies and the built environment. Previous interview studies of food pantry clients have highlighted the restrictive nature of food pantry operating times, among other policies, especially for those without access to a car [
16,
18,
28]. For many, the ability to access food relies on the alignment of client, pantry, and transit schedules [
29,
30]. Moreover, the accessibility of a food pantry for transit-reliant clients is dependent most simply upon the existence of transit lines and stops near food aid organizations. When a bus is available, clients report taking only the food items they can carry, suggesting the ability for clients to choose their items may facilitate pantry use among transit users [
16,
31]. The intersection of infrastructure and food access also extends to walking and biking. Previous work has associated walkability and presence of pedestrian infrastructure, such as sidewalks and bike lanes, with better food access [
32,
33,
34,
35,
36]. Currently available literature underlines the complexity of food access as it relates to individual city- and pantry-level factors, but few attempt to measure the interplay between these variables in relation to food pantry utilization [
16,
18,
28,
29,
30,
31,
32,
33,
34,
35,
36].
This is a quantitative, cross-sectional study that draws on a large cohort of food aid recipients and combines client- and pantry-level characteristics to address gaps in the literature and clarify how transportation resources shape access to food aid. The study sought to assess discrepancies in transportation modality when accessing food aid and whether these have any effect on food security. We hypothesized heightened disadvantage for those walking, biking, or taking a bus to the pantry and thus looked to explore whether perceptions and demographic characteristics differed by group. Further, this study aimed to assess if pantry policies—such as limits on use or client choice—or transportation infrastructure—such as number of bus lines or the presence of sidewalks—are associated with the use of specific types of transportation to access pantries. Taken together, this study will help inform targeted strategies for facilitating equitable access to food aid.
  4. Discussion
This was a survey of food aid recipients with a focus on transportation disparities, collecting data on both client demographics and pantry characteristics to examine associations with transportation modality and identify barriers to equitable food access. We found there was a significant shift towards car use when accessing food pantries, and that on average those walking, biking, or taking a bus to the food pantry were more food insecure than those arriving by car. This group of walkers, bikers, and bus users was more likely to cite transportation as a limiting factor in food selection. They were also more likely to be single, identify as members of racial or ethnic minority groups, and have smaller household sizes. Pantries with more bus lines, closer bus stops, and decreased limits on use seemed to be favored by those walking, biking, and taking the bus. These findings expand on previous work emphasizing the importance of geographic accessibility and intentional pantry policies in supporting underserved populations [
45,
46,
47]. Overall, this study demonstrated that transportation remains an under-addressed barrier in the context of food aid, with many pantries insufficiently accessible to individuals without access to a car—a population who faces compounding vulnerabilities.
  4.1. Transportation Methods, Food Insecurity, and Perceptions
Our preliminary analysis of transportation methods confirms our initial hypothesis that transportation resources are an important component of food aid accessibility, a finding that aligns with current literature [
13,
20]. Furthermore, the apparent increase in car travel and reduction in those walking, biking, and taking the bus to the pantry suggested that pantry access may depend on, or be significantly facilitated by, access to a private vehicle. These findings justify a focused analysis on patrons with and without car access. Specifically, it was examined whether those without access to a car face measurable disadvantages, how they perceive these challenges, and how pantry- or city-level characteristics may reinforce or alleviate disparities.
With an observed shift towards car utilization when accessing food aid, it was hypothesized that those without access to a car would be disadvantaged. Specifically, this group was anticipated to report heightened food insecurity. The results indicated individuals who walked, biked, or took the bus to reach the pantry had significantly higher food insecurity scores than the car group. Additionally, when adjusting for confounding variables, having a higher food insecurity score was associated with increased odds of walking, biking, or taking the bus. Together, these findings suggested a compounding disadvantage, wherein those facing more severe food insecurity also encounter greater transportation-related barriers to accessing relief. This relationship reinforces previous findings in the literature, where individuals most in need of food aid may also be the least equipped to consistently and conveniently access it [
13,
48].
To further assess disadvantages among patrons walking, biking, or taking a bus, participants were surveyed to evaluate perspectives on transportation-related burdens. Our findings suggest that transportation goes as far as affecting food selection, as transportability was indicated to be a more important consideration for those who walked, biked, and took a bus when selecting food. This likely reflects the physical constraints of carrying groceries. This constraint has been identified in previous interviews with food pantry patrons; however, these studies did not attempt to quantify this across a larger cohort [
49,
50]. Additionally, our analysis highlights the perceived general difficulty of those accessing a pantry, with stratified analysis revealing meaningful differences by transportation type. Patrons with personal vehicles likely face less difficulty than those relying on a friend’s car or rideshare services, highlighting the nuance lost in binary categorizations of car access. Walkers, bikers, and public transit users face longer travel times and limited transit routes, coupled with economic constraints which exacerbate challenges for low-income households [
51]. Interestingly, while perceived transportation difficulty varied, perceptions of financial burden did not differ significantly between groups, likely reflecting broader economic stressors common to all pantry clientele.
  4.2. Client Characteristics
While an analysis of demographic factors is warranted to ensure generalizability and investigate possible confounders, we also believe it is important to characterize underserved populations that future work may be attempting to reach. We were specifically interested in elucidating the connection between household size and transportation as it relates to food security, an understudied topic in the current literature. It was discovered that those accessing the pantry by car had on average more total persons living in their household. Additionally, those living in smaller households were more likely to walk, bike, or take the bus when adjusting for demographic variables. These findings are possibly due to a variety of factors including the probability of car ownership per house increasing as the number of adults increases, the potential for group-funding of a vehicle, and the necessity of car transport for bulk food aid when providing for larger household sizes [
52]. Furthermore, those in smaller households may have less social support, aligning with prior work linking social isolation to higher food insecurity [
53,
54,
55]. Thus, household size does not merely reflect a demographic trait but may also serve as a proxy for broader relational vulnerabilities that may impact how individuals access food aid. This aligns with our analysis of relationship status which demonstrated a disproportionate number of single patrons accessing food aid regardless of transportation type [
56]. Non-partnered patrons also represent a larger proportion of those walking, biking, or taking a bus to the pantry than those arriving by car. Partnership status may relate to household size as there is an increased chance for cohabitation and children in a partnered relationship; however, our regression indicates that household size is associated with car use independent of relationship status [
57]. Furthermore, our regression revealed individuals currently married or divorced are less likely to walk, bike, or take the bus to access food aid when compared to single, never-married individuals, suggesting a possible conferred advantage in transportation access within a food aid context. While existing literature rarely examines the intersection of partnership status and transportation modality [
58], divorce has been demonstrated to be associated with economic disadvantage and decreased car ownership [
59,
60]. However, our findings indicate that divorced food aid patrons were more likely to access the pantry by car. The potential reasons for this result are likely complex and may indicate that our subpopulation of divorced patrons accessing food aid may be different from the general divorced population.
Our discussion of demographic associations with transportation would be incomplete without consideration of race and ethnicity. Minority populations consistently represent a disproportionate share of the food-insecure population in the United States, and this pattern is shaped by intersecting socioeconomic barriers, structural racism, and historical disinvestment in marginalized communities [
61,
62,
63,
64]. While our study population aligns with this national trend, clients arriving to the pantry by walking, biking, or taking the bus were more likely to identify with a racial or ethnic minority group compared to those arriving by car. These findings are consistent with prior studies documenting disparities in vehicle access and car ownership across racial and ethnic lines [
24,
25].
When controlling for other demographic characteristics, race remained a significant predictor of transportation method. Specifically, patrons identifying as African American had significantly higher odds of walking, biking, or taking the bus to access food aid. This pattern is reinforced by previous research demonstrating that Black households are more likely to be carless and rely on public transportation or non-motorized forms of mobility, a trend not solely attributable to income or urban location [
23,
24,
25].
Additionally, our regression analysis revealed that clients who were grouped as Other, of whom more than half identified as American Indian/Alaskan Native, were also significantly more likely to arrive by walking, biking, or taking the bus. Existing evidence suggests that these communities often experience systemic geographic isolation and infrastructural underinvestment, leading to a reliance on private transportation frequently in the form of carpooling [
65,
66,
67]. However, there is limited literature regarding resource disparities outside of reservation settings. It is likely that many inequities still exist for Native Americans in this context, and our results suggest that access to private transportation is limited for this sub-group.
Our analysis did not find statistically significant associations between walking, biking, and taking the bus and identifying as Hispanic or multiracial. This may reflect the distinct transportation strategies employed within the Hispanic community. Previous research has shown that Hispanic households, particularly immigrant families, frequently rely on shared transportation methods such as carpooling or family vehicle sharing [
68,
69]. Thus, the lack of significant differences in walking, biking, or bus use among Hispanic clients is consistent with these established patterns of car access and resource-sharing networks [
69,
70].
While our analysis indicates that minority populations may disproportionately walk, bike, or take the bus to access food aid, it is important to recognize that historically, minority neighborhoods often have less access to public transportation, and worse overall investment into transportation infrastructure [
71,
72]. This only compounds the difficulty these groups may face when attempting to access food aid and may indicate an opportunity for a targeted approach in improving transportation infrastructure.
  4.3. Pantry Characteristics
Our analysis of pantry characteristics reveals how organizational features may influence the transportation patterns of food pantry clients. These findings offer critical insight into the infrastructure and policies that either enable or constrain access for transportation-vulnerable populations.
Across several measures, one key factor identified was pantry access policy. Our findings suggest that pantries that are open more frequently throughout the week and place less limitations on use are preferred by those who walk, bike, or take the bus. However, only monthly use limits remained significant in our multivariable analyses. This may suggest that increased temporal flexibility can compensate for the rigidities of transit-based travel. Such constraints include cost and fixed transit schedules [
73,
74]. Less restrictive use limits may also alleviate the need for bulk transportation for those who walk, bike, or take the bus. It is important to note that limits on pantry use may be imposed for a variety of reasons, some of which are limited food supply, volunteering capacity, and the imperative to distribute resources equitably across a high-need population [
28,
49,
75]. This is made further complex by a combination of regulations from federal, state, and local governments, as well as agreements with suppliers and food banks [
76,
77,
78]. Therefore, monthly use limits often reflect not only rationing practices but also broader structural limitations that shape how and when clients can access food aid.
Pantry food distribution format also appears to shape access. Specifically, pantries offering ready-made meals attracted a higher proportion of clients walking, biking, and taking the bus. This may speak to the practical needs of many in this population, such as housing instability or limited capacity to cook or store food. However, interpretation of this result warrants caution as it was excluded from the regression due to high multicollinearity. Interestingly, the ability for clients to shop for specific items had no effect on transportation method. It was anticipated that those who walk, bike or take the bus to the pantry would favor complete or partial choice in selecting food items due to the level of flexibility it grants patrons to take what they can comfortably transport [
16]. While the majority of those walking, biking, and taking the bus did access complete and partial choice pantries, the same is true for those in the car group. These findings may suggest that principles of food dignity and autonomy are favored by all and may not directly influence transportation-related access. However, these findings could also be explained by a disproportionate representation of choice-model pantries in our area, or possibly a greater shift towards client-choice models for food aid organizations in general [
79,
80,
81].
Beyond pantry-specific policies, local infrastructure plays a critical role in food aid accessibility. Our initial analysis of pedestrian infrastructure suggests that pantries with sidewalks and bike lanes are more attractive to those walking, biking, or taking a bus to the pantry. However, the presence of sidewalks was an insignificant predictor in our regression, and the presence of bike lanes had to be excluded due to high multicollinearity. With respect to transit infrastructure, pantries with closer bus stops were significantly favored by those walking, biking, or taking the bus. Our findings support prior research linking spatial proximity to food-related service utilization among carless households [
82,
83]. Similarly, pantries with a greater number of bus lines within a half-mile walking radius were preferred by those walking, biking, or taking the bus. This may reflect how a greater number of nearby bus lines potentially reduces route complexity and minimizes transfer requirements, making the pantry more accessible from multiple neighborhoods. Together, these results emphasize the importance of mitigating travel burdens for clients navigating a limited transit system. Of note, the number of bus lines and closeness of bus stops were found to be highly collinear. While this is likely due to the increased probability of having a closer bus stop as the number of bus lines increases, we do not believe this affects their interpretation.
  4.4. Strength and Limitations
This study has several strengths. A large and diverse sample of food aid recipients were surveyed at various locations, which allowed for multiple sub-analyses and nuanced examination of the understudied intersection of transportation and food aid. To our knowledge, it is the first study to assess this relationship with an integrated analysis of client- and panty-level characteristics. However, our study is not without limitations. First, this study was conducted as an in-person survey, which limits geographic reach and introduces inherent biases. Specifically, pantries and clients who declined or were unable to participate may differ systematically from those who participated. Language barriers may also have excluded those with limited English or Spanish proficiency. Additionally, our survey allowed participants to skip questions, leading to discrepancies in response rates. Second, the cross-sectional nature of the study limits its ability to draw conclusions on temporal or causal relationships. Relatedly, due to differences in pantry schedules and surveying resources, there was unavoidable variability in survey duration at each site. Each location also experienced varying levels of client traffic. Third, to our knowledge, no validated instruments exist that accurately capture our study goals. Thus, survey questions evaluating transportation methods and perceptions were developed. Further research is needed to assess their accuracy and reliability. Lastly, our statistical analysis was complicated by small sample sizes in stratified tests and multicollinearity in regressions, both of which may limit our ability to detect statistical significance and the interpretation of results. Concerns regarding multicollinearity were mitigated by either dropping highly collinear variables or conducting separate regression analyses.