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Food insufficiency and mental health service utilisation in the USA during the COVID-19 pandemic

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 serv...

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Autores principales: Nagata, Jason M, Ganson, Kyle T, Cattle, Chloe J, Whittle, Henry J, Tsai, Alexander C, Weiser, Sheri D
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8367866/
https://www.ncbi.nlm.nih.gov/pubmed/34261566
http://dx.doi.org/10.1017/S1368980021003001
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author Nagata, Jason M
Ganson, Kyle T
Cattle, Chloe J
Whittle, Henry J
Tsai, Alexander C
Weiser, Sheri D
author_facet Nagata, Jason M
Ganson, Kyle T
Cattle, Chloe J
Whittle, Henry J
Tsai, Alexander C
Weiser, Sheri D
author_sort Nagata, Jason M
collection PubMed
description 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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spelling pubmed-83678662021-08-17 Food insufficiency and mental health service utilisation in the USA during the COVID-19 pandemic Nagata, Jason M Ganson, Kyle T Cattle, Chloe J Whittle, Henry J Tsai, Alexander C Weiser, Sheri D Public Health Nutr Short Communication 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. Cambridge University Press 2022-01 2021-07-15 /pmc/articles/PMC8367866/ /pubmed/34261566 http://dx.doi.org/10.1017/S1368980021003001 Text en © The Authors 2021 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Short Communication
Nagata, Jason M
Ganson, Kyle T
Cattle, Chloe J
Whittle, Henry J
Tsai, Alexander C
Weiser, Sheri D
Food insufficiency and mental health service utilisation in the USA during the COVID-19 pandemic
title Food insufficiency and mental health service utilisation in the USA during the COVID-19 pandemic
title_full Food insufficiency and mental health service utilisation in the USA during the COVID-19 pandemic
title_fullStr Food insufficiency and mental health service utilisation in the USA during the COVID-19 pandemic
title_full_unstemmed Food insufficiency and mental health service utilisation in the USA during the COVID-19 pandemic
title_short Food insufficiency and mental health service utilisation in the USA during the COVID-19 pandemic
title_sort food insufficiency and mental health service utilisation in the usa during the covid-19 pandemic
topic Short Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8367866/
https://www.ncbi.nlm.nih.gov/pubmed/34261566
http://dx.doi.org/10.1017/S1368980021003001
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