Association between Food Worry and Self-Rated Mental Health during the COVID-19 Pandemic

This study aimed to assess the association between food worry and self-rated anxiety and depression during the early phase of COVID-19. We recruited a cross-sectional proportional quota sample of 415 respondents from 15 May through July 2020 in New York State. A validated food access survey instrument was administered to the respondents, capturing demographic information and data on food access issues and self-rated mental health. Multiple logistic regression models were fitted to examine the relationship between food worry, anxiety, and depressive symptoms. Of the respondents included in the study, 43.4% were male, and 55.4% were female. Forty-three percent reported high food worry, and 39.5% and 41.2% reported symptoms suggestive of anxiety and depression, respectively. Respondents with high food worry were more likely than respondents with low or no food worry to experience anxiety symptoms (adjusted odds ratio (aOR) = 4.80; 95% CI: 3.02, 7.62). Likewise, respondents with high food worry had higher odds of reporting depressive symptoms than respondents with low or no food worry (aOR = 3.89; 95% CI: 2.45, 6.18). Identifying the personal and contextual drivers of food worry and mental health outcomes would guide public mental health intervention efforts.