# Food insecurity and gender-based violence against women during the COVID-19 pandemic: a systematic review

## TL;DR

This study explores how food insecurity and gender-based violence against women were linked during the COVID-19 pandemic and how they affected mental health and household stability.

## Contribution

The study provides a systematic review of the interplay between food insecurity and GBV during the pandemic, offering insights for gender-sensitive crisis response strategies.

## Key findings

- Food insecurity and GBV during the pandemic were linked to mental health issues like anxiety and depression.
- Immigrant women faced higher risks of both food insecurity and GBV.
- Restrictive pandemic policies and cultural norms worsened food insecurity and GBV at the societal level.

## Abstract

Gender-based violence (GBV) and food insecurity are conditions that affect women and may also exacerbate each other, as women experience disproportionately higher levels of both globally. Both of these conditions also increased during the COVID-19 pandemic. The purpose of this systematic review was to describe how the association between food insecurity and GBV across multiple global regions during the COVID-19 pandemic impacted women. The review aims to inform equity-driven interventions and policy development in the event for use during future emergency crises.

The social-ecological model (SEM) and the intersectionality framework were the frameworks used for this systematic review. The PRISMA guidelines guided this systematic review methodology. The literature search was conducted using the APA PsycINFO, CINAHL, MEDLINE, PubMed, and Web of Science databases in November 2025. The inclusion criteria were as follows: (1) studies conducted during the COVID-19 pandemic; (2) studies that assessed the association between food insecurity and GBV among women during the COVID-19 pandemic; and (3) studies published in English in peer-reviewed journals. The exclusion criterion was any study that was not primary research. The Quality Assessment Tool for Studies with Diverse Designs (QATSDD) was used for quality appraisal. Thematic analysis, guided by Hennink and colleagues (2020), was used to synthesize the results.

Thirty-two studies were included in the data analysis. At the individual level, food insecurity and GBV during the COVID-19 pandemic were associated with a greater likelihood of reporting mental health conditions such as anxiety and depression. Additionally, being an immigrant was associated with a high risk of experiencing food insecurity and GBV. At the relationship level, food insecurity and GBV were associated with household instability and family dysfunction. At the community level, the association was influenced by poverty and limited employment opportunities. At the societal level, restrictive COVID-19 policies and prevailing cultural norms contributed to intensifying food insecurity and GBV.

This study offers support for strengthening crisis‒response systems across socio-ecological levels that incorporate gender-sensitive food security and violence prevention strategies during public health emergencies. New policies are needed to create effective support systems to promote women's health, especially marginalized groups, who experience the greatest vulnerability.

The online version contains supplementary material available at 10.1186/s12889-026-26253-3.