A Multi-Site Analysis of the Prevalence of Food Insecurity in the United States, before and during the COVID-19 Pandemic

Author:

Niles Meredith T1ORCID,Beavers Alyssa W2,Clay Lauren A3,Dougan Marcelle M4,Pignotti Giselle A5,Rogus Stephanie6,Savoie-Roskos Mateja R7,Schattman Rachel E8,Zack Rachel M9,Acciai Francesco10,Allegro Deanne11,Belarmino Emily H1,Bertmann Farryl12,Biehl Erin13,Birk Nick9,Bishop-Royse Jessica14,Bozlak Christine15,Bradley Brianna16,Brenton Barrett P17,Buszkiewicz James18ORCID,Cavaliere Brittney N19,Cho Young20,Clark Eric M21,Coakley Kathryn22,Coffin-Schmitt Jeanne23,Collier Sarah M24,Coombs Casey7,Dressel Anne25,Drewnowski Adam18,Evans Tom26,Feingold Beth J27,Fiechtner Lauren28,Fiorella Kathryn J29,Funderburk Katie30,Gadhoke Preety31,Gonzales-Pacheco Diana22,Safi Amelia Greiner29,Gu Sen31,Hanson Karla L29,Harley Amy20,Harper Kaitlyn32,Hosler Akiko S33,Ismach Alan24,Josephson Anna34,Laestadius Linnea20ORCID,LeBlanc Heidi7,Lewis Laura R35,Litton Michelle M2,Martin Katie S19,Martin Shadai6,Martinelli Sarah10,Mazzeo John36,Merrill Scott C37,Neff Roni38,Nguyen Esther39,Ohri-Vachaspati Punam10,Orbe Abigail19,Otten Jennifer J24,Parmer Sondra30,Pemberton Salome40,Qusair Zain Al Abdeen36,Rivkina Victoria36,Robinson Joelle41,Rose Chelsea M18,Sadeghzadeh Saloumeh42,Sivaramakrishnan Brinda43,Arroyo Mariana Torres27,Voorhees McKenna7,Yerxa Kathryn44

Affiliation:

1. Department of Nutrition and Food Sciences, Gund Institute for Environment, University of Vermont, Burlington, VT

2. Department of Nutrition and Food Science, Wayne State University, Detroit, MI

3. Health Administration & Public Health Department, D'Youville College, Buffalo, NY

4. Department of Public Health and Recreation, San José State University, San José, CA

5. Department of Nutrition, Food Science, and Packaging, San José State University, San José, CA

6. Department of Family and Consumer Sciences, New Mexico State University, Las Cruces, NM

7. Department of Nutrition, Dietetics and Food Sciences, Utah State University, Logan, UT

8. School of Food and Agriculture, University of Maine, Orono, ME

9. Business and Data Analytics, The Greater Boston Food Bank, Boston, MA

10. College of Health Solutions, Arizona State University, Phoenix, AZ

11. Department of Kinesiology, Auburn University at Montgomery, Montgomery, AL

12. Department of Nutrition and Food Sciences, University of Vermont, Burlington, VT

13. Johns Hopkins Center for a Livable Future, Johns Hopkins University, Baltimore, MD

14. Faculty Scholarship Collaborative, College of Liberal Arts and Social Sciences, DePaul University, Chicago, IL

15. Health Policy, Management, and Behavior, University at Albany- State University of New York, Rensselaer, NY

16. Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD

17. Center for Civic Engagement, Binghamton University, Binghamton, NY

18. Department of Epidemiology, University of Washington, Seattle, WA

19. Institute for Hunger Research & Solutions, Connecticut Food Bank/Foodshare, Bloomfield, CT

20. Joseph J Zilber School of Public Health, University of Wisconsin-Milwaukee, Milwaukee, WI

21. Department of Plant and Soil Science, University of Vermont, Burlington, VT

22. Department of Individual, Family, and Community Education, University of New Mexico, Albuquerque, NM

23. Department of Natural Resources, Cornell University, Ithaca, NY

24. Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, WA

25. College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, WI

26. School of Geography, Development and Environment, University of Arizona, Tucson, AZ

27. Department of Environmental Health Sciences, University at Albany- State University of New York, Rensselaer, NY

28. Department of Gastroenterology and Nutrition, MassGeneral Hospital for Children, Boston, MA

29. Department of Population Medicine and Diagnostic Sciences and Master of Public Health Program, Cornell University, Ithaca, NY

30. Alabama Cooperative Extension System, Auburn University, Auburn, AL

31. Department of Pharmacy Administration and Public Health, College of Pharmacy and Health Sciences, St. John's University (at the time of study administration), Jamaica, NY

32. Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD

33. Department of Epidemiology and Biostatistics, University at Albany- State University of New York, Rensselaer, NY

34. Department of Agricultural and Resource Economics, University of Arizona, Tucson, AZ

35. Community and Economic Development, Washington State University, Port Hadlock, WA

36. Master of Public Health Program, College of Liberal Arts and Social Sciences, DePaul University, Chicago, IL

37. Department of Plant and Soil Science, Gund Institute for Environment, University of Vermont, Burlington, VT

38. Department of Environmental Health & Engineering, Bloomberg School of Public Health; Johns Hopkins Center for a Livable Future, Johns Hopkins University, Baltimore, MD

39. Center for Public Health Nutrition, University of Washington, Seattle, WA

40. Hunter College, City University of New York, New York, NY

41. Department of Health, Behavior and Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD

42. School of Management, Binghamton University, Binghamton, NY

43. Health, Business, & Professional Services, Tacoma Community College, Tacoma, WA

44. Cooperative Extension, University of Maine, Orono, ME

Abstract

ABSTRACT Background The coronavirus disease 2019 (COVID-19) pandemic profoundly affected food systems including food security. Understanding how the COVID-19 pandemic impacted food security is important to provide support and identify long-term impacts and needs. Objective The National Food Access and COVID research Team (NFACT) was formed to assess food security over different US study sites throughout the pandemic, using common instruments and measurements. This study presents results from 18 study sites across 15 states and nationally over the first year of the COVID-19 pandemic. Methods A validated survey instrument was developed and implemented in whole or part through an online survey of adults across the sites throughout the first year of the pandemic, representing 22 separate surveys. Sampling methods for each study site were convenience, representative, or high-risk targeted. Food security was measured using the USDA 6-item module. Food security prevalence was analyzed using ANOVA by sampling method to assess statistically significant differences. Results Respondents (n = 27,168) indicate higher prevalence of food insecurity (low or very low food security) since the COVID-19 pandemic, compared with before the pandemic. In nearly all study sites, there is a higher prevalence of food insecurity among Black, Indigenous, and People of Color (BIPOC), households with children, and those with job disruptions. The findings demonstrate lingering food insecurity, with high prevalence over time in sites with repeat cross-sectional surveys. There are no statistically significant differences between convenience and representative surveys, but a statistically higher prevalence of food insecurity among high-risk compared with convenience surveys. Conclusions This comprehensive study demonstrates a higher prevalence of food insecurity in the first year of the COVID-19 pandemic. These impacts were prevalent for certain demographic groups, and most pronounced for surveys targeting high-risk populations. Results especially document the continued high levels of food insecurity, as well as the variability in estimates due to the survey implementation method.

Publisher

Oxford University Press (OUP)

Subject

Nutrition and Dietetics,Food Science,Medicine (miscellaneous)

Reference68 articles.

1. WHO coronavirus (COVID-19) dashboard,2021

2. Timeline: WHO's COVID-19 response;World Health Organization (WHO),2021

3. Provisional mortality data – United States, 2020;Ahmad;MMWR Morb Mortal Wkly Rep,2021

4. Unemployment rates during the COVID-19 pandemic;Falk,2021

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