Evidence map›Paper›PMID 33602534›Full record

ArticleAmerican journal of preventive medicine2021

Food Insufficiency and Mental Health in the U.S. During the COVID-19 Pandemic.

Jason M Nagata, Kyle T Ganson, Henry J Whittle, Jonathan Chu, Orlando O Harris, Alexander C Tsai, Sheri D Weiser

Abstract read
In one paragraph

Article in American journal of preventive medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

59 citing papers in PubMed.

  1. Trial
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  9. Neural and Behavioral Correlates of Binge Eating in 9- to 10-Year-Old Children.Journal of the American Academy of Child and Adolescent Psychiatry · 2025
    Observational
  10. Article
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  16. Food Insecurity across Age Groups in the United States during the COVID-19 Pandemic.International journal of environmental research and public health · 2024
    Article
  17. Article
  18. Article
  19. Review
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jason M NagataDivision of Adolescent & Young Adult Medicine, Department of Pediatrics, University of California San Francisco, San Francisco, California. Electronic address: jasonmnagata@gmail.com.
Kyle T GansonFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada.
Henry J WhittleDivision of Psychiatry, University College London, London, United Kingdom.
Jonathan ChuDivision of Adolescent & Young Adult Medicine, Department of Pediatrics, University of California San Francisco, San Francisco, California.
Orlando O HarrisDepartment of Community Health Systems, School of Nursing, University of California San Francisco, San Francisco, California.
Alexander C TsaiCenter for Global Health, Massachusetts General Hospital, Boston, Massachusetts; Mongan Institute, Massachusetts General Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts.
Sheri D WeiserDivision of HIV, Infectious Diseases & Global Medicine, School of Medicine, University of California San Francisco, San Francisco, California.

Funding

Mentoring in Patient Oriented Research on Food Insecurity, HIV and AgingK24AI134326 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SHERI Dawn WEISER · 2017 to 2026
$1.4M
NIAID NIH HHS K24 AI134326
6 · The paper itself

Abstract

introductionDuring the COVID-19 pandemic, the rates of food insecurity and mental illness have been projected to increase in the U.S. owing to significant social and economic disruption. This study aims to estimate the prevalence of food insufficiency (often the most extreme form of food insecurity), the correlates of food insufficiency, and the associations between food insufficiency and symptoms of poor mental health in the U.S. during the COVID-19 pandemic.

methodsCross-sectional data from 63,674 participants of the U.S. Census Household Pulse Survey were collected and analyzed in 2020. Multiple Poisson regression models were used to estimate associations with food insufficiency.

resultsFood insufficiency rose from 8.1% to 10.0% from March to June 2020. Factors associated with food insufficiency included lower age, Black/African American or Latinx race/ethnicity, being unmarried, larger household size, recent employment loss, income below the federal poverty line, and lower education (all p<0.001). Food insufficiency was independently associated with all symptoms of poor mental health, adjusting for socioeconomic and demographic factors (adjusted RRs ranged from 1.16 to 1.42, all p<0.001). The association between food insufficiency and poor mental health was attenuated among people who received free groceries or meals.

conclusionsFood insufficiency has increased during the COVID-19 pandemic and affects vulnerable populations, placing individuals at higher risk for symptoms of poor mental health. Particularly in the current crisis, clinicians should regularly screen patients for food insufficiency and mental health outcomes as well as provide support in accessing appropriate resources.

Indexed as

AdultCOVID-19Cross-Sectional StudiesFemaleFood InsecurityFood SupplyHumansMaleMental DisordersMental HealthMiddle AgedPandemicsPrevalenceRisk FactorsSocioeconomic FactorsSurveys and Questionnaires

Identifiers

PMID33602534
PMCPMC9067067

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.