Objective: Investigate acquisition and mobility experiences of food-insecure individuals across urbanicity levels (i.e., urban, suburban, rural) in the early months of the COVID-19 pandemic. Design: Cross-sectional study using a nationally representative online panel to measure where food-insecure individuals acquired food, food acquisition barriers, and mobility to food sources, which were evaluated across urbanicity levels using chi-squared tests and 95% CIs. Setting: United States Participants: 2,011 adults (18 years or older) Results: Food insecurity impacted 62.3% of adults in urban areas, 40.5% in rural areas, and 36.7% in suburban areas (p<0.001). Food acquisition barriers that were significantly more prevalent among food-insecure adults in urban areas were a change in employment status (34.2%; 95% CI = 27.2%, 41.1%; p<0.0001) and limited availability of food in retailers (38.8%; 95% CI = 31.7%, 45.9%; p<0.001). In rural areas, food-insecure adults primarily acquired food for the household from supercenters (61.5%; 95% CI = 50.4%, 72.5%; p<0.05), while locally sourced foods were less common among food-insecure adults in rural areas (6.9%; 95% CI = 0.01%, 13.0%) compared to urban areas (19.8%; 95% CI = 14.3%, 25.4%; p<0.01). Transportation as a barrier did not vary significantly by urbanicity, but food-insecure adults across urbanicity levels reported utilizing a range of transportations modes to acquire food. Conclusions: A planning approach that links urban and rural areas could address food insecurity by enhancing the integration of food production, transportation, and food distribution, building toward a more resilient and equitable food system for all Americans.

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