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16 to 1.42, all p0.001). The association between food insufficiency and poor mental health was attenuated among people who received free groceries or meals. Food insufficiency has increased during the COVID-19 pandemic and affects vulnerable populations, placing individuals at higher risk for symptoms of poor mental health. Particularly in the current crisis, clinicians should regularly screen patients for food insufficiency and mental health outcomes as well as provide support in accessing appropriate resources. Food insufficiency h