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Food Access in New York City During the COVID-19 Pandemic: Social Media Monitoring Study
The onset of the COVID-19 pandemic only exacerbated these issues as New York City officials reported that “2 million or more” residents faced food insecurity in May 2020 [7]. This was especially acute among Black people, Indigenous people, and other racial and ethnic minorities [8]. While New York City worked quickly to feed hungry residents, existing infrastructure was not equipped to meet this overwhelming need, and many residents still struggled for basic needs [9,10].
JMIR Form Res 2025;9:e49520
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In the short term, obesity in youth may lead to issues such as an increased risk of elevated blood pressure and lipid concentrations, anxiety, and depression [5,6]. In the long term, adverse health conditions, including cardiovascular disease, diabetes, and disabilities, can manifest in youth who are obese and be maintained into adulthood [7-10].
JMIR Form Res 2025;9:e58460
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Concurrent think-aloud is effective for the collection of a user’s candid thought processes as they engage with a tool in real time, but verbalizing perceptions may feel unnatural to some users which could cause users to cognitively process information differently than if the tool were to be used in a real-world setting [29].
JMIR Form Res 2024;8:e50557
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Visual narratives such as comics may engage today’s youth population around health topics and promote positive psychosocial and behavioral outcomes [7-9]. Moreover, narrative-based health communication interventions can be effective with populations that have strong storytelling traditions such as Latino and African American communities, especially when cultural elements are incorporated [10-13].
JMIR Res Protoc 2018;7(11):e10682
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Therefore, visual images relevant to the story’s message, such as those incorporated in manga comics, may further impact attitudes and beliefs.
Social cognitive theory is a frequently used framework in effective dietary behavior change interventions [36,37], and it also lends explanation to ways in which a manga comic may influence health behavior in youth [22,23].
JMIR Form Res 2018;2(2):e21
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