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In this study we used 2018 and 2019 data from the Behavioral Risk Factor Surveillance System (BRFSS) to examine health-related metrics of food chain workers, combined and by industry sector, compared to non-food chain workers, among 32 U.S. states. Logistic regression indicated U.S. food chain workers had higher prevalences of barriers to health care access, smoking, no physical exercise, and poor self-reported health than all other workers. Patterns were similar among food chain workers in all industry sectors except wholesale. Additionally, commercial food services workers had higher prevalence of poor mental health, while institutional food services workers had higher prevalences of obesity, diabetes, and hypertension than all other workers. We discuss implications of these results for interventions, with specific attention to improving employment conditions. Food chain worker health is critical for food system sustainability and population health equity.<\/jats:p>","DOI":"10.1177\/27551938241285109","type":"journal-article","created":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T06:29:36Z","timestamp":1728368976000},"page":"148-161","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Health of Those Who Feed Us: An Assessment of Health Inequities Along the United States Food Chain"],"prefix":"10.1177","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-3177-1661","authenticated-orcid":false,"given":"Emilia F.","family":"Vignola","sequence":"first","affiliation":[{"name":"Department of Epidemiology, University of Washington School of Public Health, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jia","family":"Li","sequence":"additional","affiliation":[{"name":"National Institute for Occupational Safety and Health, Division of Field Studies and Engineering, Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon R.","family":"Silver","sequence":"additional","affiliation":[{"name":"National Institute for Occupational Safety and Health, Division of Field Studies and Engineering, Cincinnati, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sherry","family":"Baron","sequence":"additional","affiliation":[{"name":"Queens College, Barry Commoner Center for Health and the Environment, Flushing, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,10,7]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"The Impact of COVID-19 on Restaurant Workers Across America. 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