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The association between food insecurity and mental health during the COVID-19 pandemic

Di Fang, Michael R. Thomsen, Rodolfo M. Nayga

BMC Public Health · 2021 · CC BY

Abstract

Objective. To explore the association between food insecurity and mental health outcomes among low-income Americans during the COVID-19 pandemic.

Methods. We conducted a survey of 2714 low-income respondents nationwide from June 29, 2020 to July 21, 2020. A proportional odds logit model was employed to estimate the associations between food insecurity and anxiety and between food insecurity and depression.

Results. Food insecurity is associated with a 257% higher risk of anxiety and a 253% higher risk of depression. Losing a job during the pandemic is associated with a 32% increase in risk for anxiety and a 27% increase in risk for depression.

Conclusions. Food insecurity caused by the pandemic was associated with increased risk of mental illness. The relative risk of mental illness from being food insecure is almost three-fold that of losing a job during the pandemic. Public health measures should focus on getting direct subsidies of food purchases to poor families, especially families with children. They should also reduce the stigma and shame that is associated with accepting charitable foods.

Supplementary Information. The online version contains supplementary material available at 10.1186/s12889-021-10631-0.

References 35

1.
Disparities in Incidence of COVID-19 Among Underrepresented Racial/Ethnic Groups in Counties Identified as Hotspots During June 5–18, 2020 — 22 States, February–June 2020 · 2020
No notice
2.
Nelson LM, Simard JF, Oluyomi A, Nava V, Rosas LG, Bondy M, Linos E. US public concerns about the COVID-19 pandemic from results of a survey given via social media. JAMA Intern Med. 2020;180(7):1020-1022.
Not in our library10.1001/jamainternmed.2020.1369
3.
Coibion O, Gorodnichenko Y, Weber M. The cost of the COVID-19 crisis: lockdowns, macroeconomic expectations, and consumer spending. Natl Bur Econ Res. 2020; https://www.nber.org/papers/w27141.
Not in our library
4.
Ganong P, Noel PJ, Vavra JS. US Unemployment Insurance Replacement Rates During the Pandemic. Natl Bur Econ Res. 2020. https://www.nber.org/papers/w27216 Accessed 20 Aug 2020.
Not in our library10.1016/j.jpubeco.2020.104273
5.
Yip PS, Cheung Y, Chau PH, Law Y. The impact of epidemic outbreak: the case of severe acute respiratory syndrome (SARS) and suicide among older adults in Hong Kong. Crisis. 2010;31(2):86-92.
Not in our library10.1027/0227-5910/a000015
6.
Prevalence of Depression Symptoms in US Adults Before and During the COVID-19 Pandemic · 2020
No notice
7.
World Health Organization. Mental health and COVID-19. 2020.
Not in our library
8.
Mental health outcomes in times of economic recession: a systematic literature review · 2015
No notice
9.
Cannuscio CC, Tappe K, Hillier A, Buttenheim A, Karpyn A, Glanz K. Urban food environments and residents’ shopping behaviors. Am J Prev Med. 2013;45(5):606-614.
Not in our library10.1016/j.amepre.2013.06.021
10.
Dunn CG, Kenney E, Fleischhacker SE, Bleich SN. Feeding low-income children during the COVID-19 pandemic. N Engl J Med. 2020;382(18):e40.
Not in our library10.1056/nejmp2005638
11.
Nanama S, Frongillo EA. Altered social cohesion and adverse psychological experiences with chronic food insecurity in the non-market economy and complex households of Burkina Faso. Soc Sci Med. 2012;74(3):444-451.
Not in our library10.1016/j.socscimed.2011.11.009
12.
Bernal J, Frongillo EA, Jaffe K. Food insecurity of children and shame of others knowing they are without food. J Hunger Environ Nutr. 2016;11(2):180-194.
Not in our library10.1080/19320248.2016.1157543
13.
USDA-FNS. Families First Coronavirus Response Act. https://www.fns.usda.gov/resource/families-first-coronavirus-response-act Accessed 20 Aug 2020.
Not in our library
14.
US Department of the Treasury. The CARES Act Works for All Americans. 2020.
Not in our library
15.
Stone C. CARES Act Measures Strengthening Unemployment Insurance Should Continue While Need Remains. 2020.
Not in our library
16.
Rosenbaum D, Bolen E, Neuberger Z, Dean S. USDA, States Must Act Swiftly to Deliver Food Assistance Allowed by Families First Act. Center on Budget and Policy Priorities 2020. 2020.
Not in our library
17.
Han J, Meyer BD, Sullivan JX. Income and Poverty in the COVID-19 Pandemic. National Bureau of Economic Research. 2020.
Not in our library
18.
Gundersen C, Oliveira V. The food stamp program and food insufficiency. Am J Agric Econ. 2001;83(4):875-887.
Not in our library10.1111/0002-9092.00216
19.
Swales S, May C, Nuxoll M, Tucker C. Neoliberalism, guilt, shame and stigma: a Lacanian discourse analysis of food insecurity. J Community Appl Soc Psychol. 2020;30(6):673-687.
Not in our library10.1002/casp.2475
20.
Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019 · 2020
No notice
21.
Xiao H, Zhang Y, Kong D, Li S, Yang N. The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 (COVID-19) in January and February 2020 in China. Med Sci Monit. 2020;26:e923549-e923541.
Not in our library10.12659/msm.923549
22.
USDA-FNS. Survey Tools. 2020.
Not in our library
23.
Gundersen C, Ziliak JP. Food insecurity and health outcomes. Health Aff. 2015;34(11):1830-1839.
Not in our library10.1377/hlthaff.2015.0645
24.
Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606-613.
Not in our library10.1046/j.1525-1497.2001.016009606.x
25.
Martin A, Rief W, Klaiberg A, Braehler E. Validity of the brief patient health questionnaire mood scale (PHQ-9) in the general population. Gen Hosp Psychiatry. 2006;28(1):71-77.
Not in our library10.1016/j.genhosppsych.2005.07.003
26.
Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092-1097.
Not in our library10.1001/archinte.166.10.1092
27.
Mossman SA, Luft MJ, Schroeder HK, et al. The generalized anxiety disorder 7-item (GAD-7) scale in adolescents with generalized anxiety disorder: signal detection and validation. Ann Clin Psychiatry. 2017;29(4):227.
Not in our library
28.
Agresti A. Logistic regression models using cumulative logits. Analysis of Ordinal Categorical Data. 2010;44-87.
Not in our library
29.
USDA-ERS. Food Security in the US: Key Statistics & Graphics. 2019.
Not in our library
30.
USDA-FNS. Supplemental Nutrition Assistance Program (SNAP). 2020.
Not in our library
31.
USDA-FNS. Child and Adult Care Food Program. 2020.
Not in our library
32.
Cummings P. The relative merits of risk ratios and odds ratios. Arch Pediatr Adolesc Med. 2009;163(5):438-445.
Not in our library10.1001/archpediatrics.2009.31
33.
Jones AD. Food insecurity and mental health status: a global analysis of 149 countries. Am J Prev Med. 2017;53(2):264-273.
Not in our library10.1016/j.amepre.2017.04.008
34.
Ahn S, Smith TA, Norwood FB. Can internet surveys mimic food insecurity rates published by the US government? Appl Econ Perspect Policy. 2020;42(2):187-204.
Not in our library10.1002/aepp.13002
35.
Hastings J, Shapiro JM. How are SNAP benefits spent? Evidence from a retail panel. Am Econ Rev. 2018;108(12):3493-3540.
Not in our library10.1257/aer.20170866

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