Food Insecurity and COVID-19 Vaccination Status and Vaccination Hesitancy in the United States

Testa, Alexander; Sharma, Bonita B.

doi:10.1097/fch.0000000000000357

Cited by 6 publications

(4 citation statements)

References 21 publications

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“…For example, it is unknown whether depression, smoking status, body mass index (BMI), and other factors affect the risk for long COVID, and if so, which symptoms are most prevalent. Previous studies have found these groups were more vulnerable to severe health outcomes and were less likely to be vaccinated against COVID-19 [ 11 , 12 , 13 , 14 ]. Being vaccinated against COVID-19 is one of the best ways to prevent long COVID [ 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Factors Associated with Long COVID Symptoms among U.S. Adults, 2022

Nguyen,

Bao,

Mortazavi

et al. 2024

Vaccines

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Long COVID and its symptoms have not been examined in different subpopulations of U.S. adults. Using the 2022 BRFSS (n = 445,132), we assessed long COVID and each symptom by sociodemographic characteristics and health-related variables. Multivariable logistic regression was conducted to examine factors associated with long COVID and the individual symptoms. Prevalence differences were conducted to examine differences in long COVID by vaccination status. Overall, more than one in five adults who ever had COVID-19 reported symptoms consistent with long COVID (21.8%). The most common symptom was tiredness or fatigue (26.2%), followed by difficulty breathing or shortness of breath (18.9%), and loss of taste or smell (17.0%). Long COVID was more common among adults under 65 years, women, American Indian or Alaska Native or other/multi race group, smokers, and people with a disability, depression, overweight or obesity compared to their respective counterparts. The prevalence of long COVID was higher among unvaccinated adults (25.6%) than vaccinated adults (21.6%) overall, and for 20 of 32 subgroups assessed. These findings underscore the benefits of vaccination, the importance of early treatment, and the need to better inform health care resource allocation and support services for those experiencing long COVID.

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Section: Introductionmentioning

confidence: 99%

Prevalence and Factors Associated with Long COVID Symptoms among U.S. Adults, 2022

Nguyen,

Bao,

Mortazavi

et al. 2024

Vaccines

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show abstract

“…Food insecurity may also negatively impact vaccination uptake [ 22 ]. Research shows that individuals experiencing food insecurity may be less likely to engage in preventative health behaviors such as vaccinations due to cost (or perceived costs) and vaccine hesitancy, distrust in government, and logistical barriers [ 23 , 24 ]. Little research has explored food insecurity among AIAN people during the pandemic, likely in part due to the unique circumstances of research partnerships with AIAN communities during the pandemic, despite their high risk of food insecurity [ 25 – 28 ].…”

Section: Introductionmentioning

confidence: 99%

Food insecurity in urban American Indian and Alaska Native populations during the COVID-19 pandemic

Nelson,

Jackson,

Nguyen

et al. 2024

BMC Public Health

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Background Food insecurity is an important social determinant of health that was exacerbated by the COVID-19 pandemic. Both food insecurity and COVID-19 infection disproportionately affect racial and ethnic minority groups, particularly American Indian and Alaska Native communities; however, there is little evidence as to whether food insecurity is associated with COVID-19 infection or COVID-19 preventive behaviors such as vaccination uptake. The purpose of this study was to evaluate associations between food insecurity, COVID-19 infection, and vaccination status among urban American Indian and Alaska Native adults seen at 5 clinics serving urban Native people. Methods In partnership with health organizations in Alaska, Colorado, Kansas, Minnesota, and New Mexico, the study team conducted a cross-sectional survey in 2021 to assess food security status and attitudes, barriers, and facilitators for COVID-19 testing and vaccination. Logistic regression was used to examine the association of food security status with sociodemographic factors and COVID-19 infection and vaccination status. Marginal standardization was applied to present results as prevalence differences. Results Among 730 American Indian and Alaska Native adults, the prevalence of food insecurity measured during the pandemic was 38%. For participants who reported persistent food security status before and during the pandemic (n = 588), the prevalence of food insecurity was 25%. Prevalence of COVID-19 infection and vaccination did not vary by food security status after adjustment for confounders. Conclusions High rates of food insecurity among American Indian and Alaska Native communities likely increased during the COVID-19 pandemic. However, despite the high prevalence of food insecurity, community-led efforts to reduce COVID-19 infection and increase vaccination uptake across Indian Health Service and Tribal healthcare facilities may have mitigated the negative impacts of the pandemic for families experiencing food insecurity. These successful approaches serve as an important reference for future public health efforts that require innovative strategies to improve overall health in American Indian and Alaska Native communities.

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“…Studies have documented disparities in COVID-19 primary series and booster vaccination, with gaps in coverage identified by age group, sex, race/ethnicity, educational attainment, and annual household income [19][20][21][22][23][24][25][26]. Furthermore, vulnerable populations such as those with food insecurity, mental health conditions, disabilities, and those living in transient homes such as mobile homes, recreational vehicles (RVs), and vans have also been shown to have lower vaccination coverage [27][28][29]. Those with the greatest disparities in coverage are more likely to have a greater risk of severe COVID-19 outcomes and death [16,30].…”

Section: Introductionmentioning

confidence: 99%

Association between COVID-19 Booster Vaccination and COVID-19 Outcomes among U.S. Adults

Nguyen,

McChesney,

Patel

et al. 2024

Vaccines

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Understanding the association between booster vaccination and COVID-19 outcomes can help strengthen post-pandemic messaging and strategies to increase vaccination and reduce severe and long-term consequences of COVID-19. Using the Household Pulse Survey data collected from U.S. adults from 9 December 2022 to 13 February 2023 (n = 214,768), this study assessed the relationship between COVID-19 booster vaccination and COVID-19 outcomes (testing positive for COVID-19, moderate/severe COVID-19, and long COVID). Disparities were found in COVID-19 outcomes (e.g., testing positive for COVID-19, moderate/severe COVID-19, and long COVID) by sociodemographic characteristics, region of residence, food insecurity status, mental health status, disability status, and housing type. Receipt of a COVID-19 booster vaccination was negatively associated with testing positive for COVID-19 (aOR = 0.75, 95%CI: 0.72,0.79), having moderate/severe COVID-19 (aOR = 0.92, 95%CI: 0.88, 0.97), or having long COVID (aOR = 0.86 (0.80, 0.91)). Even among those who tested positive for COVID-19, those who received the booster vaccine were less likely to have moderate/severe COVID-19 and less likely to have long COVID. Communicating the benefits of COVID-19 booster vaccination, integrating vaccination in patient visits, and reducing access barriers can increase vaccination uptake and confidence for all individuals and protect them against the severe negative outcomes of COVID-19.

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Food Insecurity and COVID-19 Vaccination Status and Vaccination Hesitancy in the United States

Cited by 6 publications

References 21 publications

Prevalence and Factors Associated with Long COVID Symptoms among U.S. Adults, 2022

Prevalence and Factors Associated with Long COVID Symptoms among U.S. Adults, 2022

Food insecurity in urban American Indian and Alaska Native populations during the COVID-19 pandemic

Association between COVID-19 Booster Vaccination and COVID-19 Outcomes among U.S. Adults

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