Disparities in food insecurity during the COVID-19 pandemic: A two-year analysis.

While the overall level of food insecurity in the United States has remained stable during the COVID-19 pandemic, certain individuals and regions have fared worse than others. This study examines state-level variables affecting individual- and household-level food insecurity during the recent two years of the pandemic beginning in 2020 by utilizing the Household Pulse Survey, a new nationally representative dataset developed by the United States Census Bureau. The results of this study suggest a set of statewide factors, such as pandemic-driven market conditions, COVID-19 prevalence, and the implementation of federal programs, are associated with the level of food insecurity that individuals have experienced during the pandemic over the past two years. The associations varied by household income levels, indicating a strong relationship between higher-income households and market conditions, as well as the importance of federal programs and state policies in alleviating food insecurity among lower-income households. The food insecurity indices also overlapped with different socioeconomic and health hardships caused by the pandemic, such as employment income loss, housing instability, and mental health problems. The findings of this study highlight state-level contexts, particularly the role of state governments, in responding to pandemic-related food insecurity.