COVID-19-Related Food Insecurity Among Households with Dietary Restrictions: A National Survey.
J Allergy Clin Immunol Pract
; 9(9): 3323-3330.e3, 2021 09.
Article
in English
| MEDLINE | ID: covidwho-1281442
ABSTRACT
BACKGROUND:
Food insecurity dramatically increased because of the COVID-19 pandemic; however, little is known about pandemic-related food insecurity in households with dietary restrictions.OBJECTIVE:
To examine pre-pandemic rates of and pandemic-related change in food insecurity among households with and without dietary restrictions.METHODS:
A cross-sectional, panel-based survey of 3200 U.S. women was conducted in April 2020. Pre-pandemic food insecurity and early pandemic-related change in food insecurity were assessed using the adapted Hunger Vital Sign. Weighted, multivariate logistic regression was used to model the odds of pre-pandemic food insecurity and the odds of incident or worsening pandemic-related food insecurity among households with and without dietary restrictions. In models predicting pandemic-related outcomes, interaction effects between race/ethnicity and dietary restrictions were examined.RESULTS:
Before the COVID-19 pandemic, households with self-reported food allergy (adjusted odds ratio [aOR] 1.5, 95% confidence interval [CI] 1.2-1.9), celiac disease (aOR 2.3, 95% CI 1.4-3.5), or both (aOR 2.1, 95% CI 1.2-3.6) were significantly more likely to be food insecure than households without restrictions. Households with dietary restrictions were also significantly more likely to experience incident or worsening food insecurity during the early pandemic (food allergy aOR 1.6, 95% CI 1.3-2.1) (celiac disease aOR 2.3, 95% CI 1.5-3.5) (both aOR 2.0, 95% CI 1.2-3.4). Race/ethnicity was not a significant moderator of the relationship between dietary restrictions and pandemic-related food insecurity.CONCLUSION:
Households with dietary restrictions were more likely to experience both pre-pandemic and pandemic-related incident or worsening food insecurity than households without restrictions. Clinical care for patients with dietary restrictions requires attention to food insecurity.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pandemics
/
COVID-19
Type of study:
Observational study
/
Prognostic study
/
Randomized controlled trials
Limits:
Female
/
Humans
Language:
English
Journal:
J Allergy Clin Immunol Pract
Year:
2021
Document Type:
Article
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