COVID-19 caused serious food disruptions worldwide and raised food insecurity levels. To further understand how COVID-19 impacted food insecurity, this study used nationally representative data from Pakistan to examine the effect of negative COVID-19 shock on food insecurity and its heterogeneity across different income groups. COVID-19 shock was quantified by a subjective measure based on self-reported exposure to the severity of COVID-19. We found that households struck severely by COVID-19 were about 26% more likely to report a lack of healthy food, almost 35% more likely to skip a meal, around 33% more likely to run out of food, and around 20% more likely to go without food for one whole day in comparison to the households unexposed to the severe COVID-19 shock. Furthermore, households affected by severe COVID-19 shock, especially those in the lower income quartiles, faced acute food insecurity. We constructed two additional proxies for this negative COVID-19 shock based on the objective assessment of income loss due to the lockdown measures in Pakistan to examine the robustness of the findings, and they also led to similar outcomes. Overall, the findings suggested that poorer and COVID-19-stricken households faced severer food insecurity and required urgent support.
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Shifa Tameer e Millat Univ, Dept Med Technol, Shifa Coll Med Technol, Islamabad, PakistanShifa Tameer e Millat Univ, Dept Med Technol, Shifa Coll Med Technol, Islamabad, Pakistan
Iqbal, Rashid
Niazi, Muhammad Aamir Khan
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Shifa Tameer e Millat Univ, Dept Med Technol, Shifa Coll Med Technol, Islamabad, PakistanShifa Tameer e Millat Univ, Dept Med Technol, Shifa Coll Med Technol, Islamabad, Pakistan
Niazi, Muhammad Aamir Khan
Shabbir, Muhammad Usman
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Shifa Tameer e Millat Univ, Dept Med Technol, Shifa Coll Med Technol, Islamabad, PakistanShifa Tameer e Millat Univ, Dept Med Technol, Shifa Coll Med Technol, Islamabad, Pakistan
Shabbir, Muhammad Usman
Raza, Umama
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Shifa Tameer e Millat Univ, Dept Med Technol, Shifa Coll Med Technol, Islamabad, PakistanShifa Tameer e Millat Univ, Dept Med Technol, Shifa Coll Med Technol, Islamabad, Pakistan
Raza, Umama
Saleem, Alina
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Shifa Tameer e Millat Univ, Dept Med Technol, Shifa Coll Med Technol, Islamabad, PakistanShifa Tameer e Millat Univ, Dept Med Technol, Shifa Coll Med Technol, Islamabad, Pakistan
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Inst Nueva Escuela, Ave Juan Ponce De Leon 1101, San Juan, PR USAInst Nueva Escuela, Ave Juan Ponce De Leon 1101, San Juan, PR USA
Ostolaza, Cesar
Rosas, Carla
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Inst Nueva Escuela, Ave Juan Ponce De Leon 1101, San Juan, PR USAInst Nueva Escuela, Ave Juan Ponce De Leon 1101, San Juan, PR USA
Rosas, Carla
Garcia-Blanco, Ana Maria
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Inst Nueva Escuela, Ave Juan Ponce De Leon 1101, San Juan, PR USAInst Nueva Escuela, Ave Juan Ponce De Leon 1101, San Juan, PR USA
Garcia-Blanco, Ana Maria
Gittelsohn, Joel
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Johns Hopkins Univ, Bloomberg Sch Publ Hlth, Ctr Human Nutr, Dept Int Hlth, Baltimore, MD USAInst Nueva Escuela, Ave Juan Ponce De Leon 1101, San Juan, PR USA
Gittelsohn, Joel
Colon-Ramos, Uriyoan
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George Washington Univ, Sch Publ Hlth, Milken Inst, Dept Global Hlth, Washington, DC 20052 USAInst Nueva Escuela, Ave Juan Ponce De Leon 1101, San Juan, PR USA
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Washington Univ, Dept Psychol & Brain Sci, St Louis, MO 63130 USAWashington Univ, Dept Psychol & Brain Sci, St Louis, MO 63130 USA
Hill, Patrick L.
Oshiro, Caryn E.
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Kaiser Permanente Hawaii, Ctr Integrated Hlth Care Res, Honolulu, HI USAWashington Univ, Dept Psychol & Brain Sci, St Louis, MO 63130 USA
Oshiro, Caryn E.
Hillier, Teresa A.
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Kaiser Permanente Hawaii, Ctr Integrated Hlth Care Res, Honolulu, HI USA
Kaiser Permanente Northwest, Ctr Hlth Res, Portland, OR USAWashington Univ, Dept Psychol & Brain Sci, St Louis, MO 63130 USA
Hillier, Teresa A.
Strecher, Victor J.
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Univ Michigan, Sch Publ Hlth, Ann Arbor, MI USAWashington Univ, Dept Psychol & Brain Sci, St Louis, MO 63130 USA