A report delivered Tuesday to the Sacramento County Board of Supervisors was conducted by three local assistance groups.
It says 218,000 people in the Sacramento area with incomes less than twice the Federal Poverty Level worry about having enough to eat.
Robyn Krock with the group, Valley Vision says food pantries could do a better job communicating healthy food options with people in need.
KROCK: "The nutrition information, the financial education, as well as increasing awareness of all of the resources that are available, so that when a food pantry near somebody is only open one day a month or a week, somebody knows where else they can go."
Krock says there are many reasons people go hungry, some of which include: they don't know where to get help, they don't know how to prepare healthy, inexpensive meals, or they lack transportation.
KROCK: "If you look at transportation issues of getting to grocery stores and people who don't have access to cars, I think that there are… I won't say food deserts, I'll say food swamps, because they are swamped with fast food. They are swamped with unhealthy food that everybody thinks is cheaper, but really isn't."
Valley Vision, Community Link, and the Sacramento Housing Alliance put together the report based on interviews with 500 low-income people and with 30 organizations who provide food for low-income households.
Unemployment was a primary cause of food insecurity of people who were interviewed. Only 19 percent of the people who say they are "food insecure" are employed. The rest receive government assistance.