Racial/Ethnic Disparities in Household Food Insecurity During the COVID-19 Pandemic: a Nationally Representative Study

J Racial Ethn Health Disparities. 2021 Oct;8(5):1300-1314. doi: 10.1007/s40615-020-00892-7. Epub 2020 Oct 14.

Abstract

Previous research has demonstrated that the burden of household food insecurity is disproportionately high among racial/ethnic minority groups, yet no peer-reviewed studies have systematically examined racial/ethnic disparities in household food insecurity in the context of the COVID-19 pandemic. This cross-sectional study on household food insecurity during COVID-19 used data from a nationally representative sample of US households through the 2020 Household Pulse Survey (HPS) (including all 50 states and the District of Columbia, n = 74,413 households). Six generalized estimating equation (GEE) models were estimated, and the results indicated that households headed by Blacks, Asians, Hispanics, or other racial/ethnic minorities were not significantly more food insecure than White households during the pandemic. However, among food-insecure households, Black households were more likely to report that they could not afford to buy more food; Asian and Hispanic households were more likely to be afraid to go out to buy food; Asian households were more likely to face transportation issues when purchasing food; while White households were more likely to report that stores did not have the food they wanted. Moreover, racial/ethnic minorities were significantly less confident about their household food security for the next 4 weeks than Whites. The coronavirus pandemic crisis has exposed and exacerbated the food injustice in American society. Policymakers and local officials should take concerted actions to improve the capacity of food supply and ensure food equality across all racial/ethnic groups.

Keywords: COVID-19; Food insecurity; Household pulse survey; Race/ethnicity.

MeSH terms

  • Adult
  • Aged
  • COVID-19 / epidemiology*
  • Cross-Sectional Studies
  • District of Columbia / epidemiology
  • Ethnicity / statistics & numerical data*
  • Female
  • Food Insecurity*
  • Humans
  • Male
  • Middle Aged
  • Pandemics*
  • Racial Groups / statistics & numerical data*
  • Surveys and Questionnaires
  • United States / epidemiology