Food Insufficiency and Coping Resources among Women: Postpandemic Racial, Ethnic, and Household Disparities

J Womens Health (Larchmt). 2024 Dec;33(12):1690-1698. doi: 10.1089/jwh.2023.0788. Epub 2024 Jul 11.

Abstract

Background: Empirical evidence shows women are more likely to report food hardship (e.g., food insufficiency and food insecurity) compared with men. Coronavirus disease-19 exacerbated these gender disparities; however, the impact of postpandemic social/economic/regulatory changes on women's food sufficiency and coping strategies has not been examined. This study evaluates factors associated with food insufficiency among women postpandemic. Methods: This study used a cross-sectional study design and analyzed data from the U.S. Census Bureau's Household Pulse Survey. Variations in the likelihood of food insufficiency by age, income, household composition, race/ethnicity, region, metropolitan status, and employment status among women were evaluated using logistic regression with state-level response clustering. Among women reporting food insufficiency, associations between these characteristics and likelihood of utilizing food assistance programs and/or donated foods were assessed. Interaction terms accounted for the intersectional nature of these characteristics. Results: Compared with White women, Black (odds ratio [OR] = 1.66, confidence interval [CI] = 1.47, 1.88) and Hispanic (OR = 1.77, CI = 1.52, 2.07) women were more likely to report food insufficiency. These likelihoods were higher in households earning <$100,000 (Black OR = 13.17, CI = 10.82, 16.02; Hispanic OR = 9.32, CI = 7.72, 11.25) and <$35,000 (Black OR = 8.65, CI = 15.31, 22.71; Hispanic OR = 17.86, CI = 3.64, 23.40). Racial/ethnic differences were observed among households with children; no effects appeared in multi-adult households. Food-insufficient Black (OR = 3.74, CI = 2.23, 6.28) and Hispanic (OR = 1.36, CI = 0.79, 2.36) women were more likely to use food assistance programs than Whites. Food-insufficient Hispanic women were more likely to use donated foods (OR = 2.71, CI = 1.84, 3.99). Conclusion: Food insufficiency among low-income Black and Hispanic women, particularly those with children, is likely to have persisted postpandemic, suggesting a high likelihood of dietary deficits in these households. Additional resources should be dedicated to meet the dietary needs of women and children in vulnerable households.

Keywords: food hardship; food insufficiency; postpandemic; women.

MeSH terms

  • Adaptation, Psychological*
  • Adolescent
  • Adult
  • Black or African American / psychology
  • Black or African American / statistics & numerical data
  • COVID-19* / epidemiology
  • COVID-19* / ethnology
  • COVID-19* / psychology
  • Cross-Sectional Studies
  • Ethnicity / psychology
  • Ethnicity / statistics & numerical data
  • Family Characteristics*
  • Female
  • Food Assistance / statistics & numerical data
  • Food Insecurity*
  • Food Supply / statistics & numerical data
  • Hispanic or Latino / psychology
  • Hispanic or Latino / statistics & numerical data
  • Humans
  • Middle Aged
  • Socioeconomic Factors
  • United States / epidemiology
  • White
  • Young Adult