Journal article
Association of food insecurity with health, access to care, affordability of care, fi nancial burden of care, and fi nancial hardships among US adults during the COVID-19 pandemic
Public health (London), v 230, pp 183-189
01 May 2024
PMID: 38565064
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives: To examine the associations between food insecurity and health, access to care, affordability of care, financial burden of care, and financial hardships among US adults during the COVID-19 pandemic and examine whether the associations were less pronounced among adults with safety nets. Study design: We conducted a retrospective longitudinal cohort study using the 2020-2021 Medical Expenditure Panel Survey. Methods: Linear probability models were used to assess the associations between food insecurity in one year and the outcomes of interest in the following year while adjusting for baseline characteristics. We performed the analyses for the entire population and then conducted stratified analyses for adults with and without Supplemental Nutrition Assistance Program (SNAP) benefits or Medicaid coverage. Results: Compared with food -secure adults, food -insecure adults were 9.1 percentage points less likely to report life satisfaction and 9.9, 10.2, and 13.2 percentage points more likely to experience delays in getting medical care, postpone or forgo medical care because of cost, and struggle with paying medical bills. Food -insecure adults were 30.4, 27.2, and 23.5 percentage points more likely to face challenges in affording necessities, paying utility bills, and meeting rent or mortgage payments on time than foodsecure adults. Notably, the strengths of these associations were attenuated among adults with SNAP benefits or Medicaid coverage. Conclusions: Food insecurity was associated with poor health, limited access to and affordability of care, and a greater financial burden of care among US adults during the pandemic. Nevertheless, safety net programs can play a critical role in alleviating adverse consequences.
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Details
- Title
- Association of food insecurity with health, access to care, affordability of care, fi nancial burden of care, and fi nancial hardships among US adults during the COVID-19 pandemic
- Creators
- S. Park - Korea UniversityA. N. Ortega - University of Hawaiʻi at MānoaJ. Chen - University of Maryland, College ParkK. Mortensen - University of MiamiA. V. Bustamante - UCLA, UCLA Latino Policy & Polit Inst, Fielding Sch Publ Hlth, Dept Hlth Policy & Management, 650 Charles Young Dr S, Los Angeles, CA 90095 USA
- Publication Details
- Public health (London), v 230, pp 183-189
- Publisher
- Elsevier
- Number of pages
- 7
- Grant note
- RS-2023-00219289 / National Research Foundation of Korea (NRF) - Korea government (MSIT); National Research Foundation of Korea; Ministry of Science, ICT & Future Planning, Republic of Korea; Ministry of Science & ICT (MSIT), Republic of Korea
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:001223641400001
- Scopus ID
- 2-s2.0-85189659111
- Other Identifier
- 991021881482604721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health