| Literature DB >> 35458143 |
Chelsea R Singleton1, Olufemi Fabusoro2, Margarita Teran-Garcia2,3, Sandraluz Lara-Cinisomo2,4.
Abstract
The onset of the COVID-19 pandemic resulted in record-high unemployment rates. Black and Latino adults experienced disproportionately higher rates of unemployment. We aimed to examine associations between pandemic-related employment status change and household food insecurity among an economically diverse sample of Black and Latino adults in Illinois during the early months of the COVID-19 pandemic. Furthermore, we evaluated the significance of Supplemental Nutrition Assistance Program (SNAP) participation to determine if it modified associations. We analyzed cross-sectional data collected from 1,809 Black and Latino adults in two waves: May 2020 and June/July 2020. Participants listed their change in employment status as "lost job entirely", "employed, but paid hours reduced", "employed, but anticipate job lost", or "no change". Participants self-reported their SNAP status and completed the USDA's six item U.S. Food Security Module to report household food security status. We used logistic regression to assess the significance of associations after controlling for socio-demographics. Approximately 15.5% of participants lost their job entirely, 25.2% were SNAP participants, and 51.8% reported low food security (LFS). All changes in employment were significantly associated with increased odds of LFS after adjusting for socio-demographics. SNAP participants who lost their job had higher odds of LFS (OR: 4.69; 95% CI: 2.69-8.17) compared to non-participants who lost their job (OR: 2.97; 95%: 1.95-4.52). In summary, we observed strong associations between changes in employment and household food insecurity, particularly among SNAP participants, which underscores the pandemic's impact on low-income and minority populations.Entities:
Keywords: COVID-19; Illinois; SNAP; disparities; food security; unemployment
Mesh:
Year: 2022 PMID: 35458143 PMCID: PMC9027174 DOI: 10.3390/nu14081581
Source DB: PubMed Journal: Nutrients ISSN: 2072-6643 Impact factor: 6.706
Demographic Characteristics of Survey Participants by Food Security Status.
| Variable | All Participants | Food Secure/ | Low Food | Very Low | |
|---|---|---|---|---|---|
| Age (years), mean (±sd) | 37.1 (±15.4) | 40.9 (±16.2) | 31.9 (±13.0) | 35.1 (±13.8) | <0.0001 |
| Sex, | 0.0005 | ||||
| Female | 1150 (63.9) | 581 (66.8) | 365 (57.8) | 204 (68.0) | |
| Other b | 651 (36.2) | 289 (33.2) | 266 (42.2) | 96 (32.0) | |
| Race/Ethnicity, | 0.65 | ||||
| Latino | 722 (39.9) | 346 (39.7) | 262 (41.1) | 114 (38.0) | |
| Non-Latino Black | 1087 (60.1) | 529 (60.3) | 375 (58.9) | 189 (62.0) | |
| Lives with Spouse/Partner, | 0.10 | ||||
| Yes | 662 (36.6) | 340 (39.0) | 204 (33.6) | 102 (35.1) | |
| No | 1147 (63.4) | 533 (61.0) | 404 (66.5) | 189 (64.9) | |
| Lives with Children, | 0.02 | ||||
| Yes | 648 (35.8) | 306 (35.1) | 214 (33.6) | 128 (42.7) | |
| No | 1161 (64.2) | 566 (64.9) | 423 (66.4) | 172 (57.3) | |
| Education Level, | <0.0001 | ||||
| ≤HS Diploma/GED | 510 (28.4) | 210 (24.2) | 198 (31.3) | 102 (34.2) | |
| Some College/Vocational | 595 (33.1) | 275 (31.7) | 221 (34.9) | 99 (33.2) | |
| College Degree | 459 (25.5) | 243 (28.0) | 146 (23.1) | 70 (23.5) | |
| Graduate/Professional Degree | 234 (13.0) | 139 (16.0) | 68 (10.7) | 27 (9.1) | |
| Pre-Pandemic Annual Income, | |||||
| <$20,000 | 455 (26.6) | 156 (19.1) | 195 (32.5) | 104 (35.7) | <0.0001 |
| $20,000–$49,999 | 543 (31.8) | 267 (32.6) | 196 (32.6) | 80 (27.5) | |
| $50,000–$99,999 | 477 (27.9) | 269 (32.9) | 139 (23.1) | 69 (23.7) | |
| ≥$100,000 | 235 (13.7) | 126 (15.4) | 71 (11.8) | 38 (13.1) | |
| Current SNAP Participant, | <0.0001 | ||||
| Yes | 456 (25.2) | 167 (19.1) | 180 (28.3) | 109 (36.3) | |
| No | 1353 (74.8) | 705 (80.9) | 457 (71.7) | 191 (63.7) | |
| Employment Status Change Due to COVID-19 Pandemic, | <0.0001 | ||||
| Lost Job Entirely | 281 (15.5) | 90 (10.3) | 99 (15.5) | 92 (30.7) | |
| Paid Hours Reduced | 372 (20.6) | 136 (15.6) | 156 (24.5) | 80 (26.7) | |
| Anticipate Job Lost | 253 (14.0) | 74 (8.5) | 145 (22.8) | 34 (11.3) | |
| No Change | 903 (49.9) | 572 (65.6) | 237 (37.2) | 94 (31.3) |
HS: High School; SNAP: Supplemental Nutrition Assistance Program; sd: standard deviation. Note: Frequencies in cells may not sum to total sample size due to missing data. a p-values calculated with a chi-square test of independence (categorical variables) or one-way ANOVA (continuous variables). p-values < 0.05 are considered statistically significant. b Other group for sex include participants who self-identified as male or non-binary.
Associations between Employment Status Change during COVID-19 Pandemic, SNAP Participation, and Low Food Security a.
| Variable | Unadjusted Models b | Adjusted Model 1 c | Adjusted Model 2 d |
|---|---|---|---|
| Employment Status Change Due to | |||
| Lost Job Entirely | 3.67 (2.76–4.88) | 2.70 (1.91–3.81) | 2.97 (1.95–4.52) |
| Paid Hours Reduced | 3.00 (2.33–3.85) | 2.07 (1.53–2.81) | 2.62 (1.85–3.70) |
| Anticipate Job Loss | 4.18 (3.09–5.66) | 2.54 (1.73–3.73) | 2.71 (1.77–4.15) |
| No Change | REF | REF | REF |
| Current SNAP Participant: | |||
| Yes | 1.88 (1.51–2.34) | 1.67 (1.25–2.23) | 2.26 (1.52–3.35) |
| No | REF | REF | REF |
| Interaction Effects: | |||
| Lost Job Entirely × SNAP | - | - | 4.69 (2.69–8.17) |
| Paid Hours Reduced × SNAP | - | - | 2.17 (1.26–3.73) |
| Anticipate Job Lost × SNAP | - | - | 4.41 (2.08–11.13) |
SNAP: Supplemental Nutrition Assistance Program. a Low food security includes survey participants with self-reported low and very low food security (n = 937). b Logistic regression model that includes only the variable of interest. c Logistic regression model that includes all variables in the table in addition to age, sex, race/ethnicity, partner status, children status, education level, income group, and survey wave number. d Logistic regression model that includes all variables included in adjusted model 1 and the interaction terms listed in the table. The reference group for all odds ratios is survey participants who had no change in employment status and are not a SNAP participant.
Associations between Employment Status Change during Pandemic, SNAP Participation, and Very Low Food Security a.
| Variable | Unadjusted Models b | Adjusted Model 1 c | Adjusted Model 2 d |
|---|---|---|---|
| Job Status Change Due to | |||
| Lost Job Entirely | 4.18 (3.02–5.82) | 3.61 (2.43–5.36) | 4.58 (2.74–7.67) |
| Paid Hours Reduced | 2.36 (1.70–3.27) | 2.19 (1.48–3.26) | 3.22 (2.01–5.17) |
| Anticipate Job Loss | 1.34 (0.88–2.03) | 1.71 (1.03–2.82) | 2.25 (1.24–4.06) |
| No Change | REF | REF | REF |
| Current SNAP Participant: | |||
| Yes | 1.91 (1.47–2.49) | 1.44 (1.03–2.03) | 2.55 (1.51–4.30) |
| No | REF | REF | REF |
| Interaction Effects: | |||
| Lost Job Entirely × SNAP | - | - | 6.07 (3.38–10.90) |
| Paid Hours Reduced × SNAP | - | - | 2.29 (1.13–4.66) |
| Anticipate Job Lost × SNAP | - | - | 2.37 (0.90–6.24) |
SNAP: Supplemental Nutrition Assistance Program. a Very low food security includes survey participants with self-reported very low food security (n = 300). b Logistic regression model that includes only the variable of interest. c Logistic regression model that includes all variables in the table in addition to age, sex, race/ethnicity, partner status, children status, education level, income group, and survey wave number. d Logistic regression model that includes all variables included in adjusted model 1 and the interaction terms listed in the table. The reference group for all odds ratios is survey participants who had no change in employment status and are not a SNAP participant.
Stratified Regression Models Examining Associations between Employment Status Change during Pandemic and Food Security Status.
| Variable | Low Food Security a | Very Low Food Security b | ||
|---|---|---|---|---|
| SNAP Participants | Non-Participants | SNAP Participants | Non-Participants | |
| Job Status Change Due to | ||||
| Lost Job Entirely | 2.15 (1.16–3.99) | 2.85 (1.86–4.37) | 2.82 (1.46–5.45) | 4.46 (2.64–7.52) |
| Paid Hours Reduced | 1.23 (0.66–2.32) | 2.51 (1.76–3.57) | 1.18 (0.53–2.63) | 3.03 (1.87–4.91) |
| Anticipate Job Loss | 2.58 (1.05–6.35) | 2.63 (1.70–4.05) | 1.23 (0.43–3.47) | 2.11 (1.16–3.83) |
| No Change | REF | REF | REF | REF |
SNAP: Supplemental Nutrition Assistance Program. a Outcome measure is low to very low food security status (n = 973). b Outcome measure is very low food security status (n = 300). c All logistic regression models adjusted for age, sex, race/ethnicity, partner status, children status, education level, income group, and survey wave number.