Food insecurity during the COVID-19 pandemic among people who use drugs in Vancouver, Canada.

Approximately one in five PWUD reported food insecurity during this time. PWUD with mobility issues, who experienced difficulty accessing services, and/or those engaged in precarious street-based income generation were more likely to report food insecurity. Food security is paramount to the success of interventions to prevent COVID-19 and drug toxicity deaths. These findings suggest a need for a more unified state response to food insecurity that prioritizes and incorporates accessibility and autonomy of the communities they serve.