Shopping, Eating, and Dietary Behaviors of Maine Adults as a Result of COVID-19: A Focus on Older Adults

Through a survey conducted in 2020, we investigated changes in eating, shopping, and dietary behaviors of Maine adults by age group before COVID-19 (prior to March 2020) and during COVID-19 (August/September 2020). This investigation was part of a larger investigation to assess food security, access, and food systems during COVID-19.6 The survey was conducted in Maine between August and September 2020 and illustrates responses from a sample of 618 Maine adults aged 18 years and older. Findings include: Respondents who were 55 years and older were less likely to reduce fruit, vegetable and seafood consumption during COVID-19. Respondents in all age groups reported eating less processed and red meat during COVID-19 compared to before COVID-19. Respondents who were over 55 years of age were less likely to turn to food to cope with the stress of COVID-19. Respondents who were 55 years and older were more likely than respondents in other age groups to purchase local foods both prior to COVID-19 and since the onset of the pandemic. However, self-reported purchased local foods decreased since COVID-19 began. Respondents across all age groups that were more likely to choose vegetarian meals prior to the pandemic were more likely to continue to do so since the pandemic started

Food Insecurity and Use of Food-Assistance Programs and Food Pantries of Maine Adults as a Result of COVID-19

We investigated the food-security status and use of food assistance programs and food pantries of Maine adults before COVID-19 (prior to March 2020) and during COVID-19 (August to September 2020). Data were collected through an online survey administered to 618 Maine adults aged 18 years and older between August and September 2020. The survey was part of a larger study to assess food security, access, and food systems during COVID-19. We found that COVID-19 has increased the incidence of food security for survey respondents of all ages, but younger respondents (18 to 34 years) were the most likely age group to skip meals, eat less, or go hungry when food was scarce

COVID-19 Affects Coping Strategies and Food Access for Maine Adults

Food-coping strategies (FCS) are often measured as direct indicators of food insecurity, as they allow for an assessment of the vulnerability and sustainability of attempts to maintain a sufficient food supply by limited-resource individuals. They are often easier to assess than other household indicators of sufficiency, including income and food consumption. Because vulnerability is considered, food-security policies and programs that account for FCS can broaden their efforts from addressing current constraints to food consumption, to include actions that also address future threats to food security. Households may employ any one or a combination of the four types of coping strategies, depending on the severity and duration (chronic or temporary) of food insecurity experienced by that household

Policy Changes for a Nutrition Education Program in Maine: Issues and Implications

Food insecurity and preventable chronic disease have profound impacts on quality of life and health care costs in Maine. Many government programs have been developed to address these issues; however, effectiveness has often been limited by restrictive policies and less than optimal coordination. In this paper the authors draw upon their research and experiences in Maine, research conducted by others, and state and national statistics to elucidate some of these programs, including their efficacy, limitations, potential and threats to their sustainability. The authors contend that recent federal rule changes allow for greater impact through implementation of evidence-based strategies at the same time that budget cuts threaten to undermine progress. Short-term savings achieved through budget cuts to anti-hunger and preventive health programs may be outweighed in the long-term by decreased academic performance in children, increased health care costs and disability as a result of chronic diseases such as diabetes

Long-Term Behavior Change of Participants in a Northeast Nutrition Education Program

Limited data exist on the self-reported retention of core educational concepts by Maine Expanded Food and Nutrition Education Program (EFNEP) participants. We assessed the effectiveness of the program by comparing participants\u27 responses on an EFNEP checklist completed before starting the program, immediately after the program, and 6 months after graduation. Results indicate that participants maintained certain positive behaviors. Frequencies with which participants shopped with a grocery list and used the Nutrition Facts label to make food choices increased after education, and those behaviors persisted long-term. Room for improvement also exists. The findings have implications for future program planning

Positive Quality of Life Factors Identified from EFNEP Participant Stories

EFNEP collects stories from participants and educators regarding the program\u27s impacts. The objective of the study reported here was to qualitatively analyze these stories in the context of quality of life. Researchers analyzed 1,057 stories by identifying key words and developing codes to best describe the information. After analysis, codes were grouped into themes. The research demonstrated that EFNEP is perceived to have positively affected the quality of life of participants. These results not only confirm broader EFNEP benefits, but suggest an additional variable (quality of life) to consider as a measureable outcome

Providing Nutrition Education at a Food Pantry Affects Food-Related Behavior of Participants

We investigated effects of nutrition education provided to food pantry clients by trained volunteers. Specifically, we assessed effects on food security, nutrition practices, and food safety by examining the food pantry clients\u27 intent to use beneficial kitchen practices and self-reported behavior following the education. Participants who engaged in at least one educational lesson completed an intent survey after the education. After the 4-month period during which the lessons were provided, participants and members of a comparison group completed retrospective questionnaires. Participants reported both high intent to use resources and behavior change (p ≤ .05). Offering nutrition education in food pantries is useful for participants and constitutes worthwhile Extension programming

Home Food Production and Food Security Since the COVID-19 Pandemic

We conducted a Northern New England survey to understand the initial and continued impacts of the COVID-19 pandemic on food security, food access, and home food production (HFP) (i.e. gardening, fishing, harvesting shellfish, foraging, hunting, trapping, raising animals for meat, dairy, or eggs, and food preservation such as canning, drying or freezing). The surveys were conducted in the Spring and Summer of 2021 (March – June). The survey was conducted in Maine (n = 562) and Vermont (n = 426). The cohort of respondents was representative of racial and ethnic identities of Vermont and Maine state populations. The data presented in this research brief were weighted to be representative of income in both states. Here, we summarize our findings related to changes in food security, food sourcing, and HFP before and since the COVID-19 pandemic. When data are referred to as “significant” it indicates a statistical significance at p\u3c 0.05

A 2022 Assessment of Food Security and Health Outcomes during the COVID-19 Pandemic

We conducted a Northern New England survey to understand the impacts of the COVID-19 pandemic on food security, food access, home food production, health behaviors, and health outcomes. The surveys were conducted in the spring of 2022 (April-May) with a total of 1,013 adults (598 in Maine and 415 in Vermont) responding to the survey. Key findings include:1. The prevalence of food insecurity remains similarly high to early points in the pandemic, likely driven by inflation and food prices, and long-term impacts from the pandemic. 2. The majority (62%) indicated the recent rise in food prices affected their food purchasing, this was significantly higher (90%) for food insecure respondents. 3. 1/3 of respondents utilized food assistance programs in the last 12 months. They reported difficulty traveling to food program offices to apply or recertify as a key challenge. 4. 2/3 of respondents engaged in some kind of home food production (HFP) and half of those did HFP activities for the first time or did existing HFP activities more in the last 12 months. 5. Nearly 1/3 reported weight gain during the COVID-19 pandemic. Food insecure respondents were significantly more likely to report weight gain. 6. Nearly 40% of food insecure respondents ate fewer fruits and vegetables and certain animal products in the last 12 months. These changes are significantly higher than for food secure respondents. 7. Half of the respondents faced a health care challenge in the last 12 months, with canceled appointments and trouble finding a timely appointment being the most commonly reported challenges. 8. More than 50% of respondents indicated anxiety and/or depression, with 17% of those with a diagnosis newly diagnosed in the last 12 months. 9. Compared to food secure respondents, food insecure respondents were significantly more likely to face a variety of health challenges in the last 12 months, including difficulty accessing healthcare, being diagnosed with anxiety and depression, stopping and skipping medications due to cost, and using habit-forming substances

Change in Food Security and Health Outcomes Since the COVID-19 Pandemic in Northern New England

We conducted a Northern New England survey in March-June of 2021 to understand the initial and continued impacts of the COVID-19 pandemic on food security, health behaviors, and health outcomes. A total of 988 adults (562 in Maine and 426 in Vermont) responded regarding food access and availability, health behaviors such as diet composition and exercise, and use of habit-forming substances (e.g. alcohol, tobacco, etc.) before and in the year following the onset of the COVID-19 pandemic. Key findings include: 1. 39.1% of Maine and 43.2% of Vermont respondents indicated weight gain since the start of the COVID-19 pandemic. 2. Individuals with food insecurity were significantly less likely to consume fruits and vegetables and engage in physical activity than those who report being food secure. 3. Nearly half of respondents indicated anxiety or depression during the COVID-19 pandemic. 4. Those with persistent food insecurity (i.e. food insecure before and during the COVID-19 pandemic) were 8.8 times more likely to experience higher levels of stress, 2.6 times more likely to experience anxiety and be diagnosed with diabetes type 2 and hypertension during the COVID-19 pandemic. 5. Individuals who identify as LGBTQ+ were more likely to be food insecure, 4 times more likely to report anxiety or depression, and also experienced higher levels of stress than individuals who did not identify as LGBTQ+ during the COVID-19 pandemic. 6. Individuals with food insecurity were up to 7 times more likely to skip or stop their medication for anxiety, depression, and/or hypertension, as compared to food secure respondents. 7. Individuals reporting the use of substances prior to the onset of the pandemic (e.g., tobacco, alcohol, and drugs) were more likely to have increased their use of additional habit-forming substances during the COVID-19 pandemic. Substance use was also associated with a higher prevalence of stress