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Prevalence and Predictors of Food Insecurity among Older People in Canada

Author

Listed:
  • Janette Leroux

    (School of Kinesiology and Health Studies, Queen’s University, Kingston, ON K7L 3N6, Canada)

  • Kathryn Morrison

    (Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC H3A 0B9, Canada
    Department of Geography and Planning, Queen’s University, Kingston, ON K7L 3N6, Canada)

  • Mark Rosenberg

    (Department of Geography and Planning, Queen’s University, Kingston, ON K7L 3N6, Canada)

Abstract

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—as measured by the Household Food Security Survey Module—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: 12.523–170.041, 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 65–74, OR: 0.322, 95% CI: 0.212–0.419, p < 0.001; and OR: 2.429, 95% CI: 1.438–4.102, 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: 2.329–11.562, 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.

Suggested Citation

  • Janette Leroux & Kathryn Morrison & Mark Rosenberg, 2018. "Prevalence and Predictors of Food Insecurity among Older People in Canada," IJERPH, MDPI, vol. 15(11), pages 1-17, November.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:11:p:2511-:d:181722
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    References listed on IDEAS

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    1. Alisha Coleman-Jensen, 2010. "U.S. Food Insecurity Status: Toward a Refined Definition," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 95(2), pages 215-230, January.
    2. Nord, Mark & Coleman-Jensen, Alisha & Andrews, Margaret & Carlson, Steven, 2010. "Household Food Security in the United States, 2009," Economic Research Report 262246, United States Department of Agriculture, Economic Research Service.
    3. Hamparsum Bozdogan, 1987. "Model selection and Akaike's Information Criterion (AIC): The general theory and its analytical extensions," Psychometrika, Springer;The Psychometric Society, vol. 52(3), pages 345-370, September.
    4. Dechief, Diane & Oreopoulos, Philip, 2012. "Why do some employers prefer to interview Matthew but not Samir? New evidence from Toronto, Montreal and Vancouver," CLSSRN working papers clsrn_admin-2012-8, Vancouver School of Economics, revised 19 Feb 2012.
    5. Jung Sun Lee & Edward A. Frongillo Jr., 2001. "Factors Associated With Food Insecurity Among U.S. Elderly Persons," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 56(2), pages 94-99.
    6. Lynn McIntyre & Daniel J. Dutton & Cynthia Kwok & J.C. Herbert Emery, 2016. "Reduction of Food Insecurity among Low-Income Canadian Seniors as a Likely Impact of a Guaranteed Annual Income," Canadian Public Policy, University of Toronto Press, vol. 42(3), pages 274-286, September.
    7. Logan McLeod & Michael Veall, 2006. "The dynamics of food insecurity and overall health: evidence from the Canadian National Population Health Survey," Applied Economics, Taylor & Francis Journals, vol. 38(18), pages 2131-2146.
    8. Nord, Mark, 2002. "Food Security Rates Are High for Elderly Households," Food Review/ National Food Review, United States Department of Agriculture, Economic Research Service, vol. 25(2), pages 1-6.
    9. Nord, Mark & Andrews, Margaret S. & Carlson, Steven, 2003. "Household Food Security In The United States, 2002," Food Assistance and Nutrition Research Reports 33857, United States Department of Agriculture, Economic Research Service.
    10. Diez Roux, A.V., 2001. "Investigating neighborhood and area effects on health," American Journal of Public Health, American Public Health Association, vol. 91(11), pages 1783-1789.
    11. Nord, Mark & Andrews, Margaret S. & Carlson, Steven, 2004. "Household Food Security In The United States, 2003," Food Assistance and Nutrition Research Reports 33835, United States Department of Agriculture, Economic Research Service.
    12. Nord, Mark & Andrews, Margaret S. & Carlson, Steven, 2009. "Household Food Security in the United States, 2008," Economic Research Report 55953, United States Department of Agriculture, Economic Research Service.
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    2. Joana Sampaio & Ana Henriques & Elisabete Ramos & Isabel Dias & Alexandra Lopes & Sílvia Fraga, 2022. "Influence of Social Adversity on Perceived Health Status and Depressive Symptoms among Portuguese Older People," IJERPH, MDPI, vol. 19(11), pages 1-12, May.
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    4. Nicola Luigi Bragazzi & Dan Beamish & Jude Dzevela Kong & Jianhong Wu, 2021. "Illicit Drug Use in Canada and Implications for Suicidal Behaviors, and Household Food Insecurity: Findings from a Large, Nationally Representative Survey," IJERPH, MDPI, vol. 18(12), pages 1-11, June.

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