# Association between pre-pandemic wealth and material hardships during the COVID-19 pandemic: how racial and ethnic wealth inequities shape household vulnerability to national crises

**Authors:** Alexandra Skinner, Nicole C McCann, Chanelle J Howe, Kathryn M Leifheit, Lorraine T Dean, Yareliz Diaz, Catherine K Ettman, Julia Raifman, Paul R Shafer

PMC · DOI: 10.1093/haschl/qxaf078 · Health Affairs Scholar · 2025-04-09

## TL;DR

The paper shows how pre-pandemic wealth gaps, especially among racial and ethnic groups, made some households more vulnerable to hardships like food shortages and housing insecurity during the pandemic.

## Contribution

The study demonstrates how pre-pandemic wealth disparities contribute to racial and ethnic inequities in pandemic-related material hardships.

## Key findings

- Non-Hispanic White households were more likely to have over $100,000 in pre-pandemic wealth compared to Black and Hispanic/Latino households.
- Households with less than $100,000 in pre-pandemic wealth faced higher rates of food insufficiency and housing insecurity during the pandemic.
- Racial wealth gaps in the U.S. increase vulnerability to material hardships during national crises like the pandemic.

## Abstract

The COVID-19 pandemic was characterized by large racial and ethnic inequities in acute material hardships. Pre-pandemic economic conditions, including household wealth, may have contributed to these disparities. We used longitudinal data from the Understanding America Study surveys to (1) describe racial and ethnic differences in pre-pandemic household wealth; and to (2) evaluate the association between pre-pandemic household wealth and acute material hardships during the pandemic. We found large racial and ethnic inequities in pre-pandemic wealth, with 48.3% of non-Hispanic White households reporting wealth greater than $100,000, compared to 16.4% and 29.8% for non-Hispanic Black and Hispanic/Latino households, respectively. Adjusted Poisson regression models clustered by household revealed that, during the pandemic, households with less than $100,000 in pre-pandemic wealth had 1.7-3.0 times higher prevalence of food insufficiency and 1.4-2.0 times higher prevalence of housing insecurity compared with households with more than $100,000 in pre-pandemic wealth. Wealth inequities, which are racially patterned in the United States, shape vulnerability to material hardships such as food insufficiency and housing insecurity during economic crises.

## Full-text entities

- **Diseases:** food insufficiency (MESH:D000309), COVID-19 (MESH:D000086382)

## Full text

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## References

29 references — full list in the complete paper: https://tomesphere.com/paper/PMC12048749/full.md

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Source: https://tomesphere.com/paper/PMC12048749