Americans’ access to basic necessities is at recession-level lows, according to a poll released by Gallup.

Gallup’s Basic Access Index score fell to 81.4 last month — on par with the 81.5 measured in February and March 2009.

The polling firm’s index looks at 13 basic necessities that includes health, food, shelter and safety from crime. Access to health care and food are down the most since September 2008, the depths of the recession. And more Americans are having trouble paying for food and shelter.

The report notes that the majority of Americans still have access to basic necessities, but there hasn’t been any evident recovery from a recession sparked decline. “Gallup’s global research finds Americans are now struggling more than Chinese to afford food, a reversal from 2008. If the worries about a double-dip recession come to fruition, even more Americans may start having problems meeting their basic needs,” said Elizabeth Mendes of Gallup.