Understanding the impacts of COVID-19 on the determinants of food insecurity: A state-specific examination

This paper examines risk factors influencing food insecurity during the first year of the COVID-19 pandemic in a state in the U.S. heavily impacted by it and offers recommendations for multi-sector intervention.The U.S. Census Bureau Household Pulse Survey was analyzed to evaluate the impacts of COV...

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Main Authors: Eva Nelson, Candice Bangham, Shagun Modi, Xinyang Liu, Alyson Codner, Jacqueline Milton Hicks, Jacey Greece
Format: Article
Language:English
Published: Elsevier 2022-08-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211335522001784
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author Eva Nelson
Candice Bangham
Shagun Modi
Xinyang Liu
Alyson Codner
Jacqueline Milton Hicks
Jacey Greece
author_facet Eva Nelson
Candice Bangham
Shagun Modi
Xinyang Liu
Alyson Codner
Jacqueline Milton Hicks
Jacey Greece
author_sort Eva Nelson
collection DOAJ
description This paper examines risk factors influencing food insecurity during the first year of the COVID-19 pandemic in a state in the U.S. heavily impacted by it and offers recommendations for multi-sector intervention.The U.S. Census Bureau Household Pulse Survey was analyzed to evaluate the impacts of COVID-19 on food security in Massachusetts from April 2020 through March 2021 using a study sample of 57,678 participants. Food security was defined as a categorical variable (food security, marginal food security, low food security, very low food security) and binary variable (food security and food insecurity). Known or suspected factors that contribute to it, such as childcare, education, employment, housing, and transportation were examined in multivariate logistic regression models. Data imputation methods accounted for missing data.Sociodemographic characteristics, including lower education level and living in a household with children, were determinants of food insecurity. Another factor that influenced food insecurity was economic hardships, such as unemployment, being laid off due to COVID-19, not working due to concerns about contracting or spreading COVID-19, or not having enough money to buy food. A third factor influencing food insecurity was food environment, such as lack of geographic access to healthy foods. Some of these factors have been exacerbated by the pandemic and will continue to impact food security. These should be addressed through a comprehensive approach with public health efforts considering all levels of the social ecological model and the context created by the pandemic.
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spelling doaj.art-dfd1314b4908427da3f8c987423ed9e12022-12-22T03:00:05ZengElsevierPreventive Medicine Reports2211-33552022-08-0128101871Understanding the impacts of COVID-19 on the determinants of food insecurity: A state-specific examinationEva Nelson0Candice Bangham1Shagun Modi2Xinyang Liu3Alyson Codner4Jacqueline Milton Hicks5Jacey Greece6Boston University, School of Public Health, 801 Massachusetts Avenue, Boston, MA, USABoston University, School of Public Health, 801 Massachusetts Avenue, Boston, MA, USABoston University, School of Public Health, 801 Massachusetts Avenue, Boston, MA, USABoston University, School of Public Health, 801 Massachusetts Avenue, Boston, MA, USABoston University, School of Public Health, 801 Massachusetts Avenue, Boston, MA, USABoston University, School of Public Health, 801 Massachusetts Avenue, Boston, MA, USACorresponding author.; Boston University, School of Public Health, 801 Massachusetts Avenue, Boston, MA, USAThis paper examines risk factors influencing food insecurity during the first year of the COVID-19 pandemic in a state in the U.S. heavily impacted by it and offers recommendations for multi-sector intervention.The U.S. Census Bureau Household Pulse Survey was analyzed to evaluate the impacts of COVID-19 on food security in Massachusetts from April 2020 through March 2021 using a study sample of 57,678 participants. Food security was defined as a categorical variable (food security, marginal food security, low food security, very low food security) and binary variable (food security and food insecurity). Known or suspected factors that contribute to it, such as childcare, education, employment, housing, and transportation were examined in multivariate logistic regression models. Data imputation methods accounted for missing data.Sociodemographic characteristics, including lower education level and living in a household with children, were determinants of food insecurity. Another factor that influenced food insecurity was economic hardships, such as unemployment, being laid off due to COVID-19, not working due to concerns about contracting or spreading COVID-19, or not having enough money to buy food. A third factor influencing food insecurity was food environment, such as lack of geographic access to healthy foods. Some of these factors have been exacerbated by the pandemic and will continue to impact food security. These should be addressed through a comprehensive approach with public health efforts considering all levels of the social ecological model and the context created by the pandemic.http://www.sciencedirect.com/science/article/pii/S2211335522001784Food securityCOVID-19 pandemicSocial Ecological ModelSafety net interventions
spellingShingle Eva Nelson
Candice Bangham
Shagun Modi
Xinyang Liu
Alyson Codner
Jacqueline Milton Hicks
Jacey Greece
Understanding the impacts of COVID-19 on the determinants of food insecurity: A state-specific examination
Preventive Medicine Reports
Food security
COVID-19 pandemic
Social Ecological Model
Safety net interventions
title Understanding the impacts of COVID-19 on the determinants of food insecurity: A state-specific examination
title_full Understanding the impacts of COVID-19 on the determinants of food insecurity: A state-specific examination
title_fullStr Understanding the impacts of COVID-19 on the determinants of food insecurity: A state-specific examination
title_full_unstemmed Understanding the impacts of COVID-19 on the determinants of food insecurity: A state-specific examination
title_short Understanding the impacts of COVID-19 on the determinants of food insecurity: A state-specific examination
title_sort understanding the impacts of covid 19 on the determinants of food insecurity a state specific examination
topic Food security
COVID-19 pandemic
Social Ecological Model
Safety net interventions
url http://www.sciencedirect.com/science/article/pii/S2211335522001784
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