TY - JOUR PY - 2023// TI - Precarious young adults' mental health during the pandemic: the major impact of food insecurity independently of COVID-19 diagnosis JO - Nutrients A1 - Essadek, Aziz A1 - Shadili, Gérard A1 - Bergami Goulart Barbosa, Pablo A1 - Assous, Adèle A1 - Widart, Frédéric A1 - Payan, Ségolène A1 - Rabeyron, Thomas A1 - Corruble, Emmanuelle A1 - Falissard, Bruno A1 - Gressier, Florence SP - e3260 EP - e3260 VL - 15 IS - 14 N2 - The COVID-19 pandemic had a major impact on mental health across populations, especially young and precarious people. Furthermore, COVID-19 diagnosis itself has been associated with psychiatric symptoms. However, only a few studies have assessed the mental health of precarious youth, and examined a possible association with food insecurity, while including COVID-19 diagnosis in their analyses. We aimed to determine the prevalence of poor mental health in precarious youth during the COVID-19 pandemic, and to investigate its possible association with food insecurity, independently of COVID-19 diagnosis. In a cross-sectional study conducted in the context of an employment program for precarious youth (18-25 years) living in Paris, France, 823 individuals were assessed for depression, anxiety, subjective distress and food insecurity during the second lockdown of 2020. A directed acyclic graph (DAG)-based approach was used to identify confounders for inclusion in a multivariate regression model. Of the 823 precarious youth, 45.93% reported significant symptoms of depression, 36.69% anxiety, 39% distress and 25.39% suicidal ideation. In the multivariate analysis based on DAG, food insecurity (less than one meal per day) was associated with depression (OR = 2.30; CI%: 1.19-4.51), anxiety (OR = 2.51; CI%: 1.29-4.88), distress (OR = 2.36; CI%: 1.23-4.57) and suicidal ideation (OR = 4.81; CI%: 2.46-9.44), independently of age, gender, education, COVID-19 contact and COVID-19 diagnosis. This study highlights the importance of food insecurity on mental health among young precarious people during the COVID-19 pandemic. Reducing food insecurity is essential to help reduce psychological distress.

Language: en

LA - en SN - 2072-6643 UR - http://dx.doi.org/10.3390/nu15143260 ID - ref1 ER -