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SNAP Participants and High Levels of Food Insecurity in the Early Stages of the COVID-19 Pandemic

Sameer M. Siddiqi, Jonathan Cantor, Madhumita Ghosh Dastidar, Robin Beckman, Andrea S. Richardson, Matthew Baird, Tamara Dubowitz

2021Public Health Reports51 citationsDOIOpen Access PDF

Abstract

OBJECTIVES: The coronavirus disease 2019 (COVID-19) pandemic has disproportionately strained households experiencing poverty, particularly Black and Latino households. Food insecurity, which entails having limited or uncertain access to a sufficient quantity of nutritious food, is a key pandemic-related consequence. We examined how people enrolled in the Supplemental Nutrition Assistance Program (SNAP) have been affected by the pandemic, particularly Black participants and participants residing in food deserts. METHODS: Using survey data from a longitudinal cohort study of predominantly Black low-income adults aged ≥18 residing in urban food deserts in Pittsburgh, Pennsylvania, we examined changes in food insecurity and SNAP participation before COVID-19 (2018) and early in the COVID-19 pandemic (March-May 2020). We modeled changes in food insecurity from 2018 to 2020 via covariate-adjusted logistic regression. RESULTS: < .001). Compared with cohort participants not enrolled in SNAP at both points, cohort participants enrolled in SNAP in 2018 and 2020 had the highest rates of using a food bank in 2020 (44.4%) and being newly food insecure in 2020 (28.9%) (ie, they were food insecure in 2020 but not in 2018). CONCLUSIONS: Food insecurity during the COVID-19 pandemic increased among low-income Black households enrolled in SNAP and residing in a food desert. Public health recovery efforts might focus on modifying SNAP to improve the food security of people experiencing poverty.

Topics & Concepts

PandemicPovertyFood securityEnvironmental healthFood insecurityMedicineCohortPublic healthSupplemental Nutrition Assistance ProgramCohort studyDemographyLogistic regressionCoronavirus disease 2019 (COVID-19)GerontologyGeographyDiseaseEconomic growthAgricultureInfectious disease (medical specialty)EconomicsArchaeologySociologyPathologyNursingInternal medicineFood Security and Health in Diverse PopulationsCOVID-19 Pandemic ImpactsChild Nutrition and Water Access