Home food procurement associated with improved food security during the COVID-19 pandemic

medRxiv (Cold Spring Harbor Laboratory)(2023)

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摘要
Home food procurement (HFP), including gardening, is associated with food security and improved health behaviors and outcomes. In the beginning of the COVID-19 pandemic, HFP increased in many high-income countries; yet little evidence has demonstrated what impact HFP had on food security. Furthermore, existing HFP studies are largely qualitative from unrepresentative samples, limiting population-level understanding of HFP engagement and impact. Using data from a representative sample of residents (n=988) in northern New England in the United States conducted in Spring/Summer 2021, we explore the relationship between HFP engagement in the first year of the pandemic and changes in food security status. We employ matching techniques to compare food security outcomes in households with observably similar demographic and social characteristics, and examine food security outcomes in three periods among households who do and do not participate in HFP. Our results show that nearly 60% of respondents engaged in at least one kind of HFP in the first year of the COVID-19 pandemic, with food insecure households being more likely to do HFP. Food insecure households (both newly and chronically food insecure) were also more likely to do HFP activities for the first time or more intensely than they had previously. Newly food insecure households were the most likely to engage in HFP overall, especially gardening. Furthermore, HFP engagement early in the COVID-19 pandemic is associated with improved food security for food insecure households in the 9-12 months after the start of the pandemic, though these improvements were primarily associated with newly, not chronically, food insecure households. Future research about HFP should continue to explore multiple HFP strategies and their potentially myriad relationships to food security, diet, and health outcomes. ### Competing Interest Statement The authors have declared no competing interest. ### Funding Statement Funding for this study was provided by the Joint Catalyst Award from the Gund Institute for Environment at the University of Vermont and the Northern New England Clinical and Translational Research Network. Additional funding was made possible from the USDA National Institute of Food and Agriculture under award proposal 2022-67023-36452 and through Hatch project numbers ME022103 and ME022122 through the Maine Agricultural & Forest Experiment Station, and from the UVM ARS Food Systems Research Center. ### Author Declarations I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained. Yes The details of the IRB/oversight body that provided approval or exemption for the research described are given below: The University of Vermont Institutional Review Board gave ethical approval for this work as an exempt study. I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals. Yes I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance). Yes I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable. Yes The survey materials associated with this manuscript are available at Harvard Dataverse
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关键词
improved food security,food security,pandemic
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