Background: Use of alcohol‐based tinctures is common during pregnancy and the postpartum period among Cambodians and other Southeast Asian populations. The consumption of alcohol‐based tinctures among Cambodians living in the U.S. has not been widely examined. This study investigates the association between household food security status and the consumption of a specific alcohol‐based medicinal tincture, sraa tenam, among Cambodian young women in Massachusetts.Method: Cambodian women aged 15‐30 years (n=127) were surveyed in this cross‐sectional study. Household food security was assessed using the U.S. Household Food Security 6‐item module. Participants provided data on their knowledge, attitudes, and practices of alcohol‐based medicinal tinctures. Multivariate logistic regression tested the association between the consumption of sraa tenam, an alcohol‐based medicinal tincture, and household food security scores, after adjusting for age, country of birth, and insurance coverage.Results: Approximately one‐fourth (25.6%) of the sample lived in low/very low food secure households. Forty‐two percent (42%) reported that they had consumed sraa tenam. Women with higher household food security scores were more likely to report consuming this alcohol‐based medicinal tincture compared to those with lower scores (β 0.423; 95% CI: 1.00, 2.33; p<0.05), after controlling for covariates.Conclusion: Consumption of an alcohol‐based medicinal tincture, sraa tenam, was associated with household food security status among Cambodian women in Massachusetts. Household food insecurity status may be an indicator of low utilization of conventional health care, leading to greater use of traditional medicine as a coping mechanism. Alcohol‐based tinctures have both risks and benefits: the use of alcohol in tinctures may contribute to nutritional deficiencies, and yet, alcohol‐based fermented tinctures may also have potential health benefits with levels of alcohol that may be too low to pose a risk to maternal and infant health. The overall risks and benefits of alcohol‐based medicinal tinctures need to be carefully investigated to support optimal maternal and child health. Raising awareness of traditional practices among health practitioners that serve SE Asian populations may also be important.Grant Funding Source: USDA