Association between household food insecurity and annual health care costs

Tarasuk, Valerie; Cheng, Joyce; Oliveira, Claire de; Dachner, Naomi; Gundersen, Craig; Kurdyak, Paul

doi:10.1503/cmaj.150234

Cited by 259 publications

(208 citation statements)

References 43 publications

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“…Food insecurity was defined as any affirmative response on the HFSSM, recognizing the heightened vulnerability associated with even a single affirmative response on this scale. 2 Chi-square tests were used to test for differences in categorical variables by food insecurity status, and logistic regressions with contrast tests were performed to compare continuous variables.…”

Section: Statistical Analysesmentioning

confidence: 99%

“…2 Both the socio-demographic correlates of household food insecurity and its observed sensitivity to improvements in households' material circumstances [3][4][5][6][7] suggest that this problem is largely one of resource constraints. Less is known about the importance of adults' food skills and self-provisioning activities in mitigating the effects of limited incomes on household food security, but community cooking and gardening programs and other educational initiatives aimed at strengthening individuals' basic food skills are widely perceived as valuable interventions to improve the food security of low-income households.…”

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confidence: 99%

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Adults’ food skills and use of gardens are not associated with household food insecurity in Canada

Huisken

Orr

Tarasuk

2016

Can J Public Health

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OBJECTIVES: To determine the extent to which Canadian adults' food preparation and cooking skills and use of home or community gardens relate to their household food insecurity status; and to compare the food shopping and cooking behaviours of adults in food-secure and food-insecure households.METHODS: Data were drawn from two Rapid Response Modules appended to the Canadian Community Health Survey in 2012 and 2013. The analytic sample comprised 16,496 respondents 18 years and older. Multivariable logistic regression analyses were conducted to determine the association between food insecurity and adults' self-rated cooking abilities, food preparation skills score, use of gardens, food shopping behaviours, and cooking behaviours, while adjusting for socio-demographic characteristics.RESULTS: Adults in food-insecure households did not differ significantly from others with respect to their food preparation skills or cooking ability, and neither variable predicted the odds of household food insecurity when socio-demographic characteristics were taken into account. Adults in food-insecure households were less likely to use a garden for food, but gardening was unrelated to the odds of food insecurity. Shopping with a budget was more common among adults in food-insecure households, but no other differences in food shopping behaviours were observed after adjustment for socio-demographic characteristics. Adults in food-insecure households were as likely as others to adjust recipes to make them healthier, but they had higher odds of adjusting recipes to reduce their fat content. CONCLUSION:Our findings suggest that household food insecurity in Canada is not a problem of insufficient food skills.KEY WORDS: Canada; food insecurity; gardening; cooking La traduction du résumé se trouve à la fin de l'article.

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Section: Statistical Analysesmentioning

confidence: 99%

mentioning

confidence: 99%

Adults’ food skills and use of gardens are not associated with household food insecurity in Canada

Huisken

Orr

Tarasuk

2016

Can J Public Health

Self Cite

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“…We restricted our analysis to single, low-income individuals, as this demographic group is most vulnerable to experiencing food insecurity, a metric of both poverty and health risk. [15][16][17] To identify these individuals, we included only those respondents who a) had an annual household income of CAD $20,000 or less, b) had a personal income of $20,000 or less, so that personal and household were likely equivalent, and c) were not married or attached (e.g., were single, divorced, separated or widowed). The Canadian Community Health Survey categorizes annual income in $10,000 increments.…”

Section: Data Sourcementioning

confidence: 99%

Impact of a guaranteed annual income program on Canadian seniors’ physical, mental and functional health

McIntyre

Kwok

Emery

et al. 2016

Can J Public Health

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“…1 Studies from Canada and the United States have demonstrated that household food insecurity is a major public health problem, associated with elevated health care costs 2 and numerous adverse health outcomes. 3 The social epidemiology of food insecurity is well documented in Canada, with multiple characteristics indicative of financial vulnerability identified as risk factors, including low income [4][5][6][7] and renting versus owning a dwelling.…”

mentioning

confidence: 99%

High vulnerability to household food insecurity in a sample of Canadian renter households in government-subsidized housing

St-Germain

Tarasuk

2017

Can J Public Health

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OBJECTIVES: To determine the prevalence and severity of household food insecurity and examine household material circumstances related to food insecurity in a sample of renter households in government-subsidized housing. METHODS:Cross-sectional data from the 2010 Survey of Household Spending were used to determine the food insecurity status of 455 renter households living in the 10 provinces and receiving a government housing subsidy. Multivariable logistic regressions were conducted to examine the relationship between household characteristics describing material circumstances and food insecurity.RESULTS: One in two households was food insecure. Marginal, moderate and severe food insecurity affected 9.0%, 23.3% and 18.5% of households respectively. Household economic resources, as captured with after-tax income, after-rent income, or total expenditure, had an independent, inverse relationship with food insecurity. Among the other characteristics examined, more adults or children in the household, presence of a member with disability, and receipt of social assistance increased the odds of food insecurity, but receipt of social assistance lost statistical significance when controlling for total expenditure. Presence of a senior in the household was independently associated with lower odds of food insecurity. CONCLUSION:Our findings suggest that more effective income-based interventions are needed to address food insecurity among low-income households receiving government housing subsidies. A better integration of housing and income-based policies is necessary to support household food security among government-subsidized renter households.KEY WORDS: Food insecurity; renters; housing subsidy; Canada La traduction du résumé se trouve à la fin de l'article.

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Association between household food insecurity and annual health care costs

Cited by 259 publications

References 43 publications

Adults’ food skills and use of gardens are not associated with household food insecurity in Canada

Adults’ food skills and use of gardens are not associated with household food insecurity in Canada

Impact of a guaranteed annual income program on Canadian seniors’ physical, mental and functional health

High vulnerability to household food insecurity in a sample of Canadian renter households in government-subsidized housing

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