US state-level containment policies not associated with food insecurity changes during the early COVID-19 pandemic: a multilevel analysis
Abstract Objective: To investigate the relationship between US containment measures during the COVID-19 pandemic and household food insecurity. Design: To investigate these relationships, we developed a framework linking COVID-19-related containment policies with different domains of food securi...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2025-01-01
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| Series: | Public Health Nutrition |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S1368980024002696/type/journal_article |
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| author | Samantha M Sundermeir Erin Tigue Francesco Acciai Emma Moynihan Meredith T Niles Roni Neff |
| author_facet | Samantha M Sundermeir Erin Tigue Francesco Acciai Emma Moynihan Meredith T Niles Roni Neff |
| author_sort | Samantha M Sundermeir |
| collection | DOAJ |
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Abstract
Objective:
To investigate the relationship between US containment measures during the COVID-19 pandemic and household food insecurity.
Design:
To investigate these relationships, we developed a framework linking COVID-19-related containment policies with different domains of food security and then used multilevel random effects models to examine associations between state-level containment policies and household food security. Our framework depicts theorised linkages between stringency policies and five domains of food security (availability, physical access, economic access, acceptability in meeting preferences and agency, which includes both self-efficacy and infrastructure). We used US national data from a representative survey data from the National Food Access and COVID research Team that was fielded in July–August 2020 and April 2021. Containment policy measures came from the Oxford Stringency Index and included policies such as stay-at-home orders, closing of public transit and workplace closures.
Setting:
The USA.
Participants:
3071 adult individuals from the National Food Access and COVID research Team survey.
Results:
We found no significant associations between state-level containment policies and overall food insecurity at the state level or any of the individual domains of food insecurity.
Conclusions:
This research suggests that while food insecurity across all domains was a significant problem during the studied phases of the pandemic, it was not associated with these containment measures. Therefore, impacts may have been successfully mitigated, likely through a suite of policies aimed at maintaining food security, including the declaration of food workers as essential and the expansion of federal nutrition programmes.
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| format | Article |
| id | doaj-art-ae8d9a37ad864a0ca1eeaf35c81ae16e |
| institution | Kabale University |
| issn | 1368-9800 1475-2727 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Public Health Nutrition |
| spelling | doaj-art-ae8d9a37ad864a0ca1eeaf35c81ae16e2025-02-10T13:24:28ZengCambridge University PressPublic Health Nutrition1368-98001475-27272025-01-012810.1017/S1368980024002696US state-level containment policies not associated with food insecurity changes during the early COVID-19 pandemic: a multilevel analysisSamantha M Sundermeir0https://orcid.org/0000-0003-4471-0621Erin Tigue1Francesco Acciai2Emma Moynihan3Meredith T Niles4https://orcid.org/0000-0002-8323-1351Roni Neff5Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore MD, USAJohns Hopkins Center for a Livable Future, Johns Hopkins University, Baltimore, MD, USACollege of Health Solutions, Arizona State University, Phoenix, AZ, USADepartment of Environmental Health & Engineering, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USADepartment of Nutrition and Food Sciences and Food Systems Program, University of Vermont, Burlington, VT, USA Gund Institute for Environment, University of Vermont, Burlington, VT, USAJohns Hopkins Center for a Livable Future, Johns Hopkins University, Baltimore, MD, USA Department of Environmental Health & Engineering, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA Abstract Objective: To investigate the relationship between US containment measures during the COVID-19 pandemic and household food insecurity. Design: To investigate these relationships, we developed a framework linking COVID-19-related containment policies with different domains of food security and then used multilevel random effects models to examine associations between state-level containment policies and household food security. Our framework depicts theorised linkages between stringency policies and five domains of food security (availability, physical access, economic access, acceptability in meeting preferences and agency, which includes both self-efficacy and infrastructure). We used US national data from a representative survey data from the National Food Access and COVID research Team that was fielded in July–August 2020 and April 2021. Containment policy measures came from the Oxford Stringency Index and included policies such as stay-at-home orders, closing of public transit and workplace closures. Setting: The USA. Participants: 3071 adult individuals from the National Food Access and COVID research Team survey. Results: We found no significant associations between state-level containment policies and overall food insecurity at the state level or any of the individual domains of food insecurity. Conclusions: This research suggests that while food insecurity across all domains was a significant problem during the studied phases of the pandemic, it was not associated with these containment measures. Therefore, impacts may have been successfully mitigated, likely through a suite of policies aimed at maintaining food security, including the declaration of food workers as essential and the expansion of federal nutrition programmes. https://www.cambridge.org/core/product/identifier/S1368980024002696/type/journal_articleFood securityContainment policiesStringency IndexCOVID-19 |
| spellingShingle | Samantha M Sundermeir Erin Tigue Francesco Acciai Emma Moynihan Meredith T Niles Roni Neff US state-level containment policies not associated with food insecurity changes during the early COVID-19 pandemic: a multilevel analysis Public Health Nutrition Food security Containment policies Stringency Index COVID-19 |
| title | US state-level containment policies not associated with food insecurity changes during the early COVID-19 pandemic: a multilevel analysis |
| title_full | US state-level containment policies not associated with food insecurity changes during the early COVID-19 pandemic: a multilevel analysis |
| title_fullStr | US state-level containment policies not associated with food insecurity changes during the early COVID-19 pandemic: a multilevel analysis |
| title_full_unstemmed | US state-level containment policies not associated with food insecurity changes during the early COVID-19 pandemic: a multilevel analysis |
| title_short | US state-level containment policies not associated with food insecurity changes during the early COVID-19 pandemic: a multilevel analysis |
| title_sort | us state level containment policies not associated with food insecurity changes during the early covid 19 pandemic a multilevel analysis |
| topic | Food security Containment policies Stringency Index COVID-19 |
| url | https://www.cambridge.org/core/product/identifier/S1368980024002696/type/journal_article |
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