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金钱的力量:加拿大儿童福利金减少后,严重粮食不安全状况也随之减少。

Money speaks: Reductions in severe food insecurity follow the Canada Child Benefit.

机构信息

Department of Epidemiology, University of California, Berkeley, 2121 Berkeley Way West, Berkeley, CA 94704, United States of America.

Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, 1 King's College Circle, Toronto, ON M5S 1A8, Canada.

出版信息

Prev Med. 2019 Dec;129:105876. doi: 10.1016/j.ypmed.2019.105876. Epub 2019 Oct 22.

Abstract

Food insecurity is a pervasive public health problem in high income countries, disproportionately affecting households with children. Though it has been strongly linked with socioeconomic status and investments in social protection programs, less is known about its sensitivity to specific policy interventions, particularly among families. We implemented a difference-in-difference (DID) design to assess whether Canadian households with children experienced reductions in food insecurity compared to those without following the roll-out of a new country-wide income transfer program: the Canada Child Benefit (CCB). Data were derived from the 2015-2018 cycles of Canadian Community Health Survey. We used multinomial logistic regressions to test the association between CCB and food insecurity among three samples: households reporting any income (N = 41,455), the median income or less (N = 18,191) and the Low Income Measure (LIM) or less (N = 7579). The prevalence and severity of food insecurity increased with economic vulnerability, and were both consistently higher among households with children. However, they also experienced significantly greater drops in the likelihood of experiencing severe food insecurity following CCB; most dramatically among those reporting the LIM or less (DID: -4.7%, 95% CI: -8.6, -0.7). These results suggest that CCB disproportionately benefited families most susceptible to food insecurity. Furthermore, our findings also indicate that food insecurity may be impacted by even modest changes to economic circumstance, speaking to the potential of income transfers to help people meet their basic needs.

摘要

在高收入国家,粮食不安全是一个普遍存在的公共卫生问题, disproportionately 影响有儿童的家庭。尽管它与社会经济地位和社会保护计划投资密切相关,但人们对其对特定政策干预措施的敏感性知之甚少,尤其是在家庭中。我们实施了差异(DID)设计,以评估加拿大有儿童的家庭在推出一项新的全国性收入转移计划:加拿大儿童福利金(CCB)后,是否与没有儿童的家庭相比,粮食不安全状况有所减少。数据来自加拿大社区健康调查 2015-2018 年的周期。我们使用多项逻辑回归检验 CCB 与三种样本之间的粮食不安全之间的关联:报告任何收入的家庭(N=41455),中等收入或以下的家庭(N=18191)和低收入衡量标准(LIM)或以下的家庭(N=7579)。粮食不安全的发生率和严重程度随着经济脆弱性的增加而增加,而且有儿童的家庭始终更高。但是,他们在经历严重粮食不安全的可能性方面也显著下降,特别是那些报告 LIM 或以下的家庭(DID:-4.7%,95%CI:-8.6,-0.7)。这些结果表明,CCB 不成比例地使最容易受到粮食不安全影响的家庭受益。此外,我们的研究结果还表明,即使经济状况发生微小变化,粮食不安全状况也可能受到影响,这表明收入转移有可能帮助人们满足其基本需求。

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