Household Food Insecurity Scores Are Higher among Adults Infected with COVID-19: A Cross-Sectional Online Study among an Iranian Population

Introduction: Food insecurity has negative impacts on health, including the function of the immune system. The association between food insecurity and COVID- 19 infection rates has not been fully understood. This study aimed to examine whether food-insecure households are more vulnerable to COVID-19 infection. Materials and Methods: This online cross- sectional study was conducted on 2,871 Iranian adults (31 provinces), from August to September 2020. Demographic and socio-economic information was collected using a questionnaire. The Household Food Insecurity Access Scale (HFIAS) was used for assessing household food insecurity. The data analysis was performed by SPSS.22, using Chi-square test, ANOVA test, and Multinomial Logistic Regression Model. Results: The findings indicated that healthcare personnel were at higher risk of COVID-19 (CI = 1.90, 7.05; OR = 3.66; P 0.001). It was also shown that HFIAS scores were significantly higher among infected people compared to non-infected (CI = 1.00, 1.05; OR = 1.03; P 0.05). Women were at lower risk of infection compared to men (CI = 0.41, 0.87; OR = 0.60; P 0.05). Conclusions: Based on the results, in addition to long-term policies to improve food security, policymakers are recommended to implement short- term policies to reduce the vulnerability of the community to COVID-19 virus.