Article ; Online: Food insufficiency and mental health service utilisation in the USA during the COVID-19 pandemic.
2021 Volume 25, Issue 1, Page(s) 76–81
Abstract: ... to mitigate the need for higher mental health service utilisation during the COVID-19 pandemic. ... Objective: To estimate the association between food insufficiency and mental health service ... logistic regression models were used to estimate the associations between food insufficiency and mental health service ...
| Abstract | Objective: To estimate the association between food insufficiency and mental health service utilisation in the USA during the COVID-19 pandemic. Design: Cross-sectional study. Multiple logistic regression models were used to estimate the associations between food insufficiency and mental health service utilisation. Setting: US Census Household Pulse Survey data collected in October 2020. Participants: Nationally representative sample of 68 611 US adults. Results: After adjusting for sociodemographic factors, experiencing food insufficiency was associated with higher odds of unmet mental health need (adjusted OR (AOR) 2·90; 95 % CI 2·46, 3·43), receiving mental health counselling or therapy (AOR 1·51; 95 % CI 1·24, 1·83) and psychotropic medication use (AOR 1·56; 95 % CI 1·35, 1·80). Anxiety and depression symptoms mediated most of the association between food insufficiency and unmet mental health need but not the associations between food insufficiency and either receiving mental health counselling/therapy or psychotropic medication use. Conclusions: Clinicians should regularly screen patients for food insufficiency, especially in the wake of the COVID-19 pandemic. Expanding access to supplemental food programmes may help to mitigate the need for higher mental health service utilisation during the COVID-19 pandemic. |
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| MeSH term(s) | Adult ; COVID-19 ; Counseling ; Cross-Sectional Studies ; Depression/epidemiology ; Humans ; Pandemics ; SARS-CoV-2 ; United States/epidemiology |
| Language | English |
| Publishing date | 2021-07-15 |
| Publishing country | England |
| Document type | Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't |
| ZDB-ID | 1436024-x |
| ISSN | 1475-2727 ; 1368-9800 |
| ISSN (online) | 1475-2727 |
| ISSN | 1368-9800 |
| DOI | 10.1017/S1368980021003001 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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