Prevalence and Predictors of Food Insecurity among Older People in Canada
| Autor: | Mark W. Rosenberg, Kathryn T. Morrison, Janette Leroux |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Male Canada Health Toxicology and Mutagenesis lcsh:Medicine Social Welfare Article Food Supply older people 03 medical and health sciences 0302 clinical medicine Environmental health food insecurity Health care Humans 030212 general & internal medicine Aged Aged 80 and over 030109 nutrition & dietetics Food security Poverty Descriptive statistics Geography business.industry lcsh:R aging Public Health Environmental and Occupational Health Socioeconomic Factors Community health Marital status Household income Female business |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 15 Issue 11 International Journal of Environmental Research and Public Health, Vol 15, Iss 11, p 2511 (2018) |
| ISSN: | 1660-4601 1661-7827 |
| Popis: | Background: Food insecurity research has been mainly examined among young people. The root causes of food insecurity are closely linked to poverty, and social policies and income supplements, including public and private pensions, have been shown to sharply curb food insecurity into later life. However, social, economic, and political trends that are closely connected to social and health inequalities threaten to undermine the conditions that have limited food insecurity among older people until now. Exploring the prevalence and predictors of food insecurity among older people across Canada has important implications for domestic policies concerning health, healthcare, and social welfare. Methods: Data come from the Canadian Community Health Survey 2012 Annual Component (n = 14,890). Descriptive statistics and a generalized linear model approach were used to determine prevalence and estimate the associations between food insecurity&mdash as measured by the Household Food Security Survey Module&mdash and social, demographic, geographic, and economic factors. Results: Approximately 2.4% of older Canadians are estimated to be moderately or severely food insecure. Income was by far the strongest predictor of food insecurity (total household income < $20,000 compared to > $60,000, OR: 46.146, 95% CI: 12.523&ndash 170.041, p < 0.001). Younger older people, and those with a non-white racial background also had significantly greater odds of food insecurity (ages 75+ compared to 65&ndash 74, OR: 0.322, 95% CI: 0.212&ndash 0.419, p < 0.001 and OR: 2.429, 95% CI: 1.438&ndash 4.102, p < 0.001, respectively). Sex, home ownership, marital status, and living arrangement were all found to confound the relationship between household income and food insecurity. Prevalence of food insecurity varied between provinces and territories, and odds of food insecurity were approximately five times greater for older people living in northern Canada as compared to central Canada (OR: 5.189, 95% CI: 2.329&ndash 11.562, p < 0.001). Conclusion: Disaggregating overall prevalence of food insecurity among older people demonstrates how disparities exist among sub-groups of older people. The seemingly negligible existence of food insecurity among older people has obscured the importance, practicality, and timeliness of including this age group in research on food insecurity. The current research underscores the critical importance of an income floor in preventing food insecurity among older people, and contributes a Canadian profile of the prevalence and predictors of food insecurity among older people to the broader international literature. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|