Your browser doesn't support javascript.
COVID-19-Related Food Insecurity Among Households with Dietary Restrictions: A National Survey.
Guillaume, Jessica D; Jagai, Jyotsna S; Makelarski, Jennifer A; Abramsohn, Emily M; Lindau, Stacy Tessler; Verma, Ritu; Ciaccio, Christina E.
  • Guillaume JD; Pritzker School of Medicine, The University of Chicago, Chicago, Ill.
  • Jagai JS; Department of Obstetrics and Gynecology, The University of Chicago, Chicago, Ill; School of Public Health, University of Illinois at Chicago, Chicago, Ill.
  • Makelarski JA; Department of Obstetrics and Gynecology, The University of Chicago, Chicago, Ill.
  • Abramsohn EM; Department of Obstetrics and Gynecology, The University of Chicago, Chicago, Ill.
  • Lindau ST; Department of Obstetrics and Gynecology, The University of Chicago, Chicago, Ill; Department of Medicine-Geriatrics, The University of Chicago, Chicago, Ill.
  • Verma R; Department of Pediatric Gastroenterology, Hepatology, and Nutrition, The University of Chicago, Chicago, Ill.
  • Ciaccio CE; Department of Pediatric Allergy and Immunology, The University of Chicago, Chicago, Ill. Electronic address: cciaccio@bsd.uchicago.edu.
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.
Subject(s)
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

Similar

MEDLINE

...
LILACS

LIS


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