The association between food insecurity status and COVID-19 in an Iranian population: a case–control study

Badri-Fariman, Sepideh; Daneshi-Maskooni, Milad; Badri-Fariman, Mahtab; Gargari, Bahram Pourghassem

doi:10.1007/s10389-023-01867-8

Cited by 2 publications

(1 citation statement)

References 28 publications

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“… 12 , 13 One study in an Iranian population found that after controlling for confounders, food insecurity increased the risk of COVID-19 threefold. 14 Data from the 2021 National Health Interview Survey revealed that food insecurity was independently associated with COVID-19 after controlling for sociodemographic and health-related factors. 15 Food insecurity may also negatively impact vaccination uptake.…”

Section: Introductionmentioning

confidence: 99%

Food Insecurity in Urban American Indian and Alaska Native Populations During the COVID-19 Pandemic

Nelson,

Jackson,

Nguyen

et al. 2023

Preprint

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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 AIAN communities.

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Section: Introductionmentioning

confidence: 99%

Food Insecurity in Urban American Indian and Alaska Native Populations During the COVID-19 Pandemic

Nelson,

Jackson,

Nguyen

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

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

Nelson,

Jackson,

Nguyen

et al. 2024

BMC Public Health

View full text Add to dashboard Cite

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.

show abstract

The association between food insecurity status and COVID-19 in an Iranian population: a case–control study

Cited by 2 publications

References 28 publications

Food Insecurity in Urban American Indian and Alaska Native Populations During the COVID-19 Pandemic

Food Insecurity in Urban American Indian and Alaska Native Populations During the COVID-19 Pandemic

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

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