Food Insecurity Is Associated with Depression, Anxiety, and Stress: Evidence from the Early Days of the COVID-19 Pandemic in the United States.
Health Equity
; 5(1): 64-71, 2021.
Article
in English
| MEDLINE | ID: covidwho-1099565
ABSTRACT
Purpose:
To understand associations between food insecurity and depression, anxiety, and stress during the COVID-19 pandemic among low-income adults in the United States.Methods:
During March 19-24, 2020, we fielded a national, web-based survey (53% response rate) among low-income adults (<250% of the federal poverty line) in the United States (N=1,476). Food security status was measured using the 18-question USDA Household Food Security Module. Multivariable-adjusted logistic regression models examined the association between food insecurity and psychological distress outcomes and COVID-19-specific worries. Qualitative data from an open-response question were also analyzed.Results:
More than one-third of low-income adults screened positive for depression (33%), anxiety (39%), and high stress (39%). Greater food insecurity was associated with a dose-response relationship with all psychological distress outcomes (all outcomes p-trend <0.001) and COVID-19-specific worries (all outcomes p-trend <0.001). Compared to food-secure adults, adults with very low food security were more likely to screen positive for depression (odds ratio [OR] 7.72; 95% confidence interval [CI] 5.52-10.80), anxiety (OR 6.19; 95% CI 4.51-8.51), and high perceived stress (OR 10.91; 95% CI 7.78-15.30). Very low food security was also associated with increased worries about the effect of COVID-19 on one's health (OR 2.56; 95% CI 1.90-3.45), income (OR 5.18; 95% CI 3.78-7.06), and ability to feed one's family (OR 9.24; 95% CI 6.61-12.92).Conclusions:
The COVID-19 pandemic is negatively associated with the mental health of low-income adults in the United States, with disproportionate associations among adults experiencing food insecurity. These disparities have the potential to increase mental health disparities over the long term.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Type of study:
Observational study
/
Prognostic study
/
Qualitative research
Language:
English
Journal:
Health Equity
Year:
2021
Document Type:
Article
Affiliation country:
Heq.2020.0059
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