Prevalence and factors associated with food insecurity in eight high-altitude cities in Peru during the second wave of the COVID-19 pandemic: a retrospective, cross-sectional study

Abstract Background Food insecurity has increased during the COVID-19 pandemic, affecting an estimated 260 million people. However, little evidence is available on how pandemic-related characteristics influence food security in a high-altitude population. The objective of this study was to assess fa...

Full description

Bibliographic Details
Main Authors: J. Pierre Zila-Velasque, Pamela Grados-Espinoza, Katherine Quispe-Chura, Christopher G. Valdiviezo-Morales, Cristian Diaz-Vélez, Mario J. Valladares-Garrido
Format: Article
Language:English
Published: BMC 2022-10-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-022-14372-6
_version_ 1811257094973685760
author J. Pierre Zila-Velasque
Pamela Grados-Espinoza
Katherine Quispe-Chura
Christopher G. Valdiviezo-Morales
Cristian Diaz-Vélez
Mario J. Valladares-Garrido
author_facet J. Pierre Zila-Velasque
Pamela Grados-Espinoza
Katherine Quispe-Chura
Christopher G. Valdiviezo-Morales
Cristian Diaz-Vélez
Mario J. Valladares-Garrido
author_sort J. Pierre Zila-Velasque
collection DOAJ
description Abstract Background Food insecurity has increased during the COVID-19 pandemic, affecting an estimated 260 million people. However, little evidence is available on how pandemic-related characteristics influence food security in a high-altitude population. The objective of this study was to assess factors associated with food insecurity in high-altitude Peruvian cities during the second epidemic wave of COVID-19. Methods A retrospective, cross-sectional study was conducted in eight Peruvian cities over 1,500 m above sea level. An online survey measuring food security, presence of anxiety & depressive symptoms, sleep quality, post-traumatic stress disorder (PTSD), resilience, and sociodemographic characteristics was disseminated through social networks between December 2020 and February 2021. Generalized linear models were used to identify an association between the study variables. Results Of 700 participants, the median age was 23 years, and more than half were female (56.7%). The prevalence of food insecurity was 37.1%. Anxiety symptoms, depressive symptoms, and PTSD were present in 72.7%, 64.1%, and 15% of respondents, respectively. The prevalence of food insecurity was higher in people with fair (PR: 1.60, 95% CI: 1.23–2.07) and very bad perception of their health (PR: 4.06, 95% CI: 2.63–6.26), individuals seeking mental health support (PR: 1.42, 95% CI: 1.25–1.62), and in those who lost their job due to the pandemic (PR: 1.82, 95% CI: 1.62–2.04). Having moderate (PR: 1.52, 95% CI: 1.26–1.83) and moderate to severe depressive symptoms (PR: 1.58, 95% CI: 1.11–2.27) also increased the prevalence of food insecurity. Conclusion During the pandemic, the prevalence of food insecurity has increased in the Peruvian high-altitude population, revealing the need for preventive strategies. Identification of pandemic-related characteristics that influence food insecurity can guide interventions in at-risk individuals and reduce the long-term impact of this problem on overall health and quality of life.
first_indexed 2024-04-12T17:51:17Z
format Article
id doaj.art-d17627115f54421ca33e17963e06b4fa
institution Directory Open Access Journal
issn 1471-2458
language English
last_indexed 2024-04-12T17:51:17Z
publishDate 2022-10-01
publisher BMC
record_format Article
series BMC Public Health
spelling doaj.art-d17627115f54421ca33e17963e06b4fa2022-12-22T03:22:30ZengBMCBMC Public Health1471-24582022-10-0122111310.1186/s12889-022-14372-6Prevalence and factors associated with food insecurity in eight high-altitude cities in Peru during the second wave of the COVID-19 pandemic: a retrospective, cross-sectional studyJ. Pierre Zila-Velasque0Pamela Grados-Espinoza1Katherine Quispe-Chura2Christopher G. Valdiviezo-Morales3Cristian Diaz-Vélez4Mario J. Valladares-Garrido5School of Medicine, Universidad Nacional Daniel Alcides CarriónSchool of Medicine, Universidad Nacional Daniel Alcides CarriónSchool of Medicine, Universidad Nacional del AltiplanoSchool of Medicine, Universidad Nacional de PiuraSchool of Medicine, Universidad Privada Antenor OrregoUniversidad ContinentalAbstract Background Food insecurity has increased during the COVID-19 pandemic, affecting an estimated 260 million people. However, little evidence is available on how pandemic-related characteristics influence food security in a high-altitude population. The objective of this study was to assess factors associated with food insecurity in high-altitude Peruvian cities during the second epidemic wave of COVID-19. Methods A retrospective, cross-sectional study was conducted in eight Peruvian cities over 1,500 m above sea level. An online survey measuring food security, presence of anxiety & depressive symptoms, sleep quality, post-traumatic stress disorder (PTSD), resilience, and sociodemographic characteristics was disseminated through social networks between December 2020 and February 2021. Generalized linear models were used to identify an association between the study variables. Results Of 700 participants, the median age was 23 years, and more than half were female (56.7%). The prevalence of food insecurity was 37.1%. Anxiety symptoms, depressive symptoms, and PTSD were present in 72.7%, 64.1%, and 15% of respondents, respectively. The prevalence of food insecurity was higher in people with fair (PR: 1.60, 95% CI: 1.23–2.07) and very bad perception of their health (PR: 4.06, 95% CI: 2.63–6.26), individuals seeking mental health support (PR: 1.42, 95% CI: 1.25–1.62), and in those who lost their job due to the pandemic (PR: 1.82, 95% CI: 1.62–2.04). Having moderate (PR: 1.52, 95% CI: 1.26–1.83) and moderate to severe depressive symptoms (PR: 1.58, 95% CI: 1.11–2.27) also increased the prevalence of food insecurity. Conclusion During the pandemic, the prevalence of food insecurity has increased in the Peruvian high-altitude population, revealing the need for preventive strategies. Identification of pandemic-related characteristics that influence food insecurity can guide interventions in at-risk individuals and reduce the long-term impact of this problem on overall health and quality of life.https://doi.org/10.1186/s12889-022-14372-6High-altitude citiesCOVID-19Food securityMental healthPublic healthPeru
spellingShingle J. Pierre Zila-Velasque
Pamela Grados-Espinoza
Katherine Quispe-Chura
Christopher G. Valdiviezo-Morales
Cristian Diaz-Vélez
Mario J. Valladares-Garrido
Prevalence and factors associated with food insecurity in eight high-altitude cities in Peru during the second wave of the COVID-19 pandemic: a retrospective, cross-sectional study
BMC Public Health
High-altitude cities
COVID-19
Food security
Mental health
Public health
Peru
title Prevalence and factors associated with food insecurity in eight high-altitude cities in Peru during the second wave of the COVID-19 pandemic: a retrospective, cross-sectional study
title_full Prevalence and factors associated with food insecurity in eight high-altitude cities in Peru during the second wave of the COVID-19 pandemic: a retrospective, cross-sectional study
title_fullStr Prevalence and factors associated with food insecurity in eight high-altitude cities in Peru during the second wave of the COVID-19 pandemic: a retrospective, cross-sectional study
title_full_unstemmed Prevalence and factors associated with food insecurity in eight high-altitude cities in Peru during the second wave of the COVID-19 pandemic: a retrospective, cross-sectional study
title_short Prevalence and factors associated with food insecurity in eight high-altitude cities in Peru during the second wave of the COVID-19 pandemic: a retrospective, cross-sectional study
title_sort prevalence and factors associated with food insecurity in eight high altitude cities in peru during the second wave of the covid 19 pandemic a retrospective cross sectional study
topic High-altitude cities
COVID-19
Food security
Mental health
Public health
Peru
url https://doi.org/10.1186/s12889-022-14372-6
work_keys_str_mv AT jpierrezilavelasque prevalenceandfactorsassociatedwithfoodinsecurityineighthighaltitudecitiesinperuduringthesecondwaveofthecovid19pandemicaretrospectivecrosssectionalstudy
AT pamelagradosespinoza prevalenceandfactorsassociatedwithfoodinsecurityineighthighaltitudecitiesinperuduringthesecondwaveofthecovid19pandemicaretrospectivecrosssectionalstudy
AT katherinequispechura prevalenceandfactorsassociatedwithfoodinsecurityineighthighaltitudecitiesinperuduringthesecondwaveofthecovid19pandemicaretrospectivecrosssectionalstudy
AT christophergvaldiviezomorales prevalenceandfactorsassociatedwithfoodinsecurityineighthighaltitudecitiesinperuduringthesecondwaveofthecovid19pandemicaretrospectivecrosssectionalstudy
AT cristiandiazvelez prevalenceandfactorsassociatedwithfoodinsecurityineighthighaltitudecitiesinperuduringthesecondwaveofthecovid19pandemicaretrospectivecrosssectionalstudy
AT mariojvalladaresgarrido prevalenceandfactorsassociatedwithfoodinsecurityineighthighaltitudecitiesinperuduringthesecondwaveofthecovid19pandemicaretrospectivecrosssectionalstudy