McIntyre Lynn, Wu Xiuyun, Kwok Cynthia, Emery J C Herbert
Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB.
Can J Public Health. 2017 Jun 16;108(2):e135-e144. doi: 10.17269/cjph.108.5568.
Home ownership as opposed to renting is associated with lower rates of food insecurity, the latter being a marker of household economic deprivation associated with adverse health outcomes. It is unclear whether this relationship persists during a major economic decline, or whether different subgroups of home owners are equally protected. The 2008-2009 recession in Canada was tied to events in the United States related to inappropriate mortgage financing; the impact of the recession on food insecurity among home owners may identify policies to mitigate recessionary outcomes.
We used a before-and-after natural experimental design using data from the Canadian Community Health Survey (CCHS) cycles 2007/2008 (pre-recession) and 2009/2010 (post-recession) with information on household food insecurity, home ownership versus renting, and socio-demographics. Applying multivariable logistic regression, we examined changes in household food insecurity by housing tenure and sex over the period.
Pre-recession, food insecurity affected 3.3% of home owners and 17.1% of renter households. Among home owners, the risk of food insecurity increased post-recession by 10%, which was not statistically significant. Post-recession, and with adjustment, although renters' higher absolute risk of food insecurity persisted, male-respondent home owners experienced the highest rate of increase in food insecurity prevalence by subgroup (OR = 1.26, 95% CI: 1.06-1.50) versus renters (OR = 1.17, 95% CI: 1.05-1.29).
Housing policies in Canada protected most home owners from precarity during the 2008-2009 economic recession; however, male-respondent home owners exhibited a unique economic vulnerability during this time. Implications of Canadian home ownership policies are discussed in light of differential vulnerability of home owner groups.
与租房相比,拥有自有住房与较低的粮食不安全率相关,后者是家庭经济贫困的一个指标,与不良健康结果相关。尚不清楚这种关系在重大经济衰退期间是否持续存在,或者自有住房者的不同亚组是否受到同等保护。加拿大2008 - 2009年的经济衰退与美国与不当抵押贷款融资相关的事件有关;衰退对自有住房者粮食不安全的影响可能有助于确定减轻衰退影响的政策。
我们采用前后对比的自然实验设计,使用来自加拿大社区健康调查(CCHS)2007/2008周期(衰退前)和2009/2010周期(衰退后)的数据,这些数据包含家庭粮食不安全、自有住房与租房情况以及社会人口统计学信息。应用多变量逻辑回归,我们研究了在此期间按住房保有 tenure 和性别划分的家庭粮食不安全状况的变化。
衰退前,粮食不安全影响了3.3%的自有住房者和17.1%的租房家庭。在自有住房者中,衰退后粮食不安全风险增加了10%,但无统计学意义。衰退后并经过调整,尽管租房者粮食不安全的绝对风险仍然较高,但男性自有住房者在各亚组中粮食不安全患病率的增幅最高(比值比[OR] = 1.26,95%置信区间[CI]:1.06 - 1.50),而租房者为(OR = 1.17,95% CI:1.05 - 1.29)。
加拿大的住房政策在2008 - 2009年经济衰退期间保护了大多数自有住房者免受不稳定状况影响;然而,男性自有住房者在此期间表现出独特的经济脆弱性。根据自有住房者群体的不同脆弱性,讨论了加拿大家庭所有权政策的影响。