Life In A Food Desert: How Lack Of Healthy Food Affects Mental Health

Medically reviewed by Julie Dodson, MA, LCSW
Updated January 14, 2025by BetterHelp Editorial Team

Throughout the United States, millions of people live in what are known as food deserts. These are areas without large grocery stores or markets that offer nutrient-rich foods. Food deserts can exist in rural areas or urban areas, and living in one can significantly affect a person’s physical and mental health and well-being. Below, we’ll discuss food deserts, how they often affect low-income communities, and programs that aim to end food deserts. 

A close up image of four bowls filled with cooked vegetables and cherry tomatoes which are sitting on a table.
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What is a food desert according to the US Department of Agriculture?

A food desert is an area with few or no large grocery stores, supercenters, or supermarkets. According to the United States Department of Agriculture’s Economic Research Service, food desert census tracts tend to be characterized by higher rates of vacant or abandoned homes, low populations, low educational levels, higher unemployment, and lower incomes. These can be rural or urban food deserts, and some people may be surprised at how close they live to a food desert. 

When there are food deserts, where do people obtain nutritious food?

When a person lives in a food desert, it can be challenging to find nutritious food options. Some people end up relying on fast food restaurants or corner stores, which may limit their food choices. Many of these stores do not have fresh fruits and vegetables, stocking more processed foods instead. According to the Centers for Disease Control and Prevention (CDC), approximately 60% of the foods Americans consume are processed, and food deserts likely play a role in these statistics. 

Consuming lots of ultra-processed foods has been linked to poor health outcomes. People who live in a food desert often want to find more nutritious foods, but this may require traveling more than a mile by bus to get to a grocery store. 

How many food deserts are there in the United States?

A report from 2021 shares estimates of how many people in the United States live in food deserts. It’s a range based on how food deserts are defined.

According to this source, anywhere from 35.2 to 83.5 million people (5.6% to 17.7% of the population) live in an area that can qualify as a food desert in the United States.
A woman wearing a backpack has her back to the camera as she pushes a cart down an aisle in a grocery store.
Getty/David Espejo

What are the effects of food deserts on mental health?

According to research published in the Journal of Adolescent Health, food insecurity is associated with poorer sleep and poorer mental health outcomes. Also, individuals living with mental health challenges may feel less able to work, which can affect their financial stability and worsen food insecurity. 

Some people may also experience low self-esteem and other mental health challenges as a result of food insecurity. Those who go to school or work without nutritious food yet see others eating nourishing food there may feel isolated. Even if people offer them food, they may feel embarrassed to accept it, and anxiety, depression, or loneliness could result.

Mental health support options

For people who are living with food insecurity, it may be helpful to connect with a mental health professional. There are places that offer the opportunity to connect with a licensed counselor or social worker, sometimes on a sliding scale. These professionals may be able to offer information on new food programs in the community, including those that accept SNAP or other benefits. They may also be able to offer mental health support for stress or any underlying mental health conditions a person may be experiencing. 

Another option that may be more viable for many is online counseling. Online therapy tends to be more affordable than traditional in-person therapy. It allows individuals to connect with a licensed therapist from home or anywhere they have an internet connection, which may be helpful for those who live in an area with limited public transportation or not enough care providers. Online therapy sessions can take place via audio, video, or live chat. Individuals can also reach out to their therapist 24/7 through in-app messaging, and their therapist will respond as soon as they are able. This option may be useful if someone experiences emotional challenges between therapy sessions. 

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What does the literature say about online therapy?

Many peer-reviewed studies support the effectiveness of online therapy in many cases. For example, one study suggests that online therapy can be effective for treating social anxiety disorder, depression, generalized anxiety disorder, panic disorder, and substance use disorder, among others.

If you are struggling with substance use, contact the SAMHSA National Helpline at (800) 662-4357 to receive support and resources. Support is available 24/7.

Takeaway

Food deserts are areas that lack supermarkets, supercenters, or large food stores. In these census tracts (as measured by the US Census Bureau), people often have to resort to convenience stores or fast food restaurants. This may lead many to eat fewer nutrient-rich foods than they would otherwise or than they may need. Living in a food desert can cause significant mental health challenges, potentially affecting mood and cognition, and can also lead to isolation and low self-esteem. Some communities may have organizations that provide food assistance or information on how to obtain affordable food for those who live in a food desert. If you’re experiencing mental health challenges, whether related to food insecurity or not, you may benefit from connecting with a counselor online or in person.
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