Longitudinal Associations of Food Security with Health and Dietary Factors among Food FARMacy Participants during COVID-19 in New York City.

Publication date: Feb 01, 2024

In cross-sectional studies, food insecurity is associated with adverse health and dietary outcomes. Whether self-reported health and dietary outcomes change in response to improvements in food security has not been examined. We sought to examine how increases in food security are related to changes in health and dietary factors. In this longitudinal, observational study, we included adult participants in a clinical-community emergency food assistance program in New York City from July 2020 to November 2021. Program staff measured food security with a validated six-item measure at program enrollment and six-month re-enrollment. Participants self-reported health and dietary factors (vegetable, fruit, juice, and sugar-sweetened beverage (SSB) consumption frequency). We used multivariable regression to examine associations between change in food security with change in health and dietary factors over six months. Among 310 participants, the mean food security score improved by 1. 7 +/- 2. 3 points over six months. In unadjusted models, each point improvement in food security was associated with increased vegetable (β = 0. 10 times; 95% CI: 0. 05-0. 15); fruit (β = 0. 08 times; 95% CI: 0. 03-0. 14); and juice (β = 0. 10 times; 95% CI: 0. 05-0. 15) consumption. In adjusted models, results remained significant for vegetable and fruit consumption, but not juice. Change in food security was not associated with change in health or SSB outcomes. In this cohort during COVID-19, improved food security was associated with improved vegetable and fruit consumption. Randomized trials that examine the effectiveness of clinical-community partnerships focused on improving food security and nutrition are warranted.

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Concepts Keywords
Insecurity COVID-19
July emergency food assistance
Models food insecurity
November food pantry
Nutrition

Semantics

Type Source Name
disease MESH COVID-19
disease MESH emergency
drug DRUGBANK Etoperidone
disease VO Ssb
disease VO frequency
disease VO effectiveness
disease VO USA
disease VO population
drug DRUGBANK Coenzyme M
disease MESH obesity
disease MESH cardiovascular disease
disease IDO site
disease VO time
disease MESH Lifestyles
drug DRUGBANK Calcium Carbonate
disease VO USDA
drug DRUGBANK Aspartame

Original Article

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