{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T21:21:03Z","timestamp":1784582463321,"version":"3.55.0"},"reference-count":50,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T00:00:00Z","timestamp":1716422400000},"content-version":"unspecified","delay-in-days":143,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1368980024001174_as1\">\n\t    <jats:title>Objective:<\/jats:title>\n\t    <jats:p>To estimate the effect of income change on difficulty accessing food since the COVID-19 pandemic for South African youth and evaluate whether this effect was modified by receiving social grants.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1368980024001174_as2\">\n\t    <jats:title>Design:<\/jats:title>\n\t    <jats:p>A cross-sectional, online survey was conducted between December 2021 and May 2022. Primary outcome was increased difficulty accessing food since the COVID-19 pandemic. Income change was categorised as \u2018Decreased a lot\u2019, \u2018Decreased slightly\u2019 and \u2018Unchanged or increased\u2019. Multivariable logistic regressions were used, with an interaction term between social grant receipt and income change.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1368980024001174_as3\">\n\t    <jats:title>Setting:<\/jats:title>\n\t    <jats:p>eThekwini district, South Africa.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1368980024001174_as4\">\n\t    <jats:title>Participants:<\/jats:title>\n\t    <jats:p>Youth aged 16\u201324 years.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1368980024001174_as5\">\n\t    <jats:title>Results:<\/jats:title>\n\t    <jats:p>Among 1,620 participants, median age was 22 years (IQR 19\u201324); 861 (53 %) were women; 476 (29 %) reported increased difficulty accessing food; 297 (18 %) reported that income decreased a lot, of whom 149 (50 %) did not receive social grants. Experiencing a large income decrease was highly associated with increased difficulty accessing food during the COVID-19 pandemic (adjusted OR [aOR] 3\u00b763, 95 % CI 2\u00b770, 4\u00b788). The aOR for the effect of a large income decrease on difficulty accessing food, compared to no income change, were 1\u00b749 (95 % CI 0\u00b798, 2\u00b728) among participants receiving social grants, and 6\u00b763 (95 % CI 4\u00b739, 9\u00b799) among participants not receiving social grants.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1368980024001174_as6\">\n\t    <jats:title>Conclusions:<\/jats:title>\n\t    <jats:p>While social grant support made a great difference in lowering the effect of income decrease on difficulty accessing food, it was insufficient to fully protect youth from those difficulties. In post-pandemic recovery efforts, there is a critical need to support youth through economic empowerment programming and food schemes.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s1368980024001174","type":"journal-article","created":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T06:36:26Z","timestamp":1716446186000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":3,"title":["Increased difficulty accessing food and income change during the COVID-19 pandemic among youth living in the eThekwini district, South Africa"],"prefix":"10.1017","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9461-2520","authenticated-orcid":false,"given":"Julie","family":"Jesson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bongiwe","family":"Zulu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kalysha","family":"Closson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C Andrew","family":"Basham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mags","family":"Beksinska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Dong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Campion","family":"Zharima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rishav","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatiana","family":"Pakhomova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janan","family":"Dietrich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Kaida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2024,5,23]]},"reference":[{"key":"S1368980024001174_ref32","volume-title":"Community Survey 2016 \u2013 Statistical Release P031","year":"2023"},{"key":"S1368980024001174_ref36","first-page":"198","article-title":"Coloured and black relations in South Africa: the burden of racialized hierarchy","volume":"9","author":"Brown","year":"2000","journal-title":"Macalester Int"},{"key":"S1368980024001174_ref37","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1080\/02582470609464935","article-title":"\u2018God made the white man, god made the black man\u2026\u2019: popular racial stereotyping of coloured people in apartheid South Africa","volume":"55","author":"Adhikari","year":"2006","journal-title":"S Afr Hist J"},{"key":"S1368980024001174_ref9","volume-title":"P0211 - 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