Food insecurity among New York City taxi and for-hire vehicle drivers

BACKGROUND: New York City’s (NYC’s) taxi/for-hire vehicle (FHV) drivers have occupational and demographic characteristics associated with food insecurity (low income, comorbidities, minority race/ethnicity). OBJECTIVE: To analyze food insecurity rates in a sample of NYC drivers and to identify associated factors. METHODS: At health fairs, we recruited a cross-sectional sample of licensed taxi/FHV drivers willing to receive study text messages. Most lacked a primary care provider. Food insecurity prevalence and associations with health and economic indicators were analyzed. RESULTS: Of 503 participants who completed a 2-item food security screener, 39.2% were food insecure. Significantly fewer food insecure than food secure drivers reported a doctor visit within the past year (48% vs 25% ; P <  .001). Food insecure drivers had greater weekly traffic ticket expenditure ($34 vs $24; P = .02) and were more likely to report insufficient household income (61% vs 39% ; P <  .001) and history of depression (14% vs 7% ; P = .02), to have elevated (>200) measured total cholesterol (50% vs 37% ; P = .02), and to have Perceived Stress Scale scores indicating greater stress than food secure drivers (14 vs 11, P = .002). In a binary logistic regression analysis, drivers who reported that their total household income was enough to meet their basic needs had significantly lower odds of being food insecure (0.695 odds ratio; P = .016). CONCLUSION: Food insecurity was high in this group of taxi/FHV drivers. Food insecurity interventions are needed and could be occupationally based, with worksite screening and resource navigation. Policies should address improving wages and healthcare access.