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Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Public+Health+Nutr 2022 ; 25 (1): 76-81 Nephropedia Template TP
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Food insufficiency and mental health service utilisation in the USA during the COVID-19 pandemic #MMPMID34261566
Public Health Nutr 2022[Jan]; 25 (1): 76-81 PMID34261566show ga
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.