Frank Lesley, Waddington Madeleine, Sim Meaghan, Rossiter Misty, Grant Shannan, Williams Patricia L
Department of Sociology, Acadia University, 15 University Ave., Wolfville, Nova Scotia, B4P 2R6, Canada.
Nova Scotia Health Authority, Public Health Central Zone, 7 Mellor Ave, Unit 5, Dartmouth, NS, B3B 0E8, Canada.
Can J Public Health. 2020 Aug;111(4):531-542. doi: 10.17269/s41997-020-00306-5. Epub 2020 Mar 11.
This paper examines the affordability of a basic nutritious diet for low-income families in Nova Scotia over three developmental periods (pregnancy, perinatal, early infancy) using economic simulations that include food costing and secondary data.
The cost of a nutritious food basket was determined from a random sample of grocery stores in Nova Scotia (n = 21), along with the cost of infant formula (n = 29) and prenatal vitamins and vitamin D drops (n = 15), from randomly selected pharmacies. The monthly funds remaining to purchase a basic nutritious diet were calculated for several household scenarios, after deducting essential living expenses from net incomes. Each scenario included either a pregnant woman or a breastfed or formula-fed infant at 3 months, and either Income Assistance, Federal Maternity Benefits based on minimum wage employment, or a $15/h wage.
Income Assistance and Federal Maternity Benefits, based on minimum wage, were inadequate to purchase a basic nutritious diet during pregnancy or in early infancy whether breastfeeding or formula feeding. All household scenarios faced significant potential monthly deficits if they were to purchase a basic nutritious diet.
Minimum wage and income security programs are inadequate for the purchase of a basic nutritious diet throughout the prenatal, perinatal, and early infancy periods in Nova Scotia, emphasizing risk of food insecurity as a critical issue for young families facing income constraints. Adequate maternity protection is required to support access to food and nutrition essential for maternal and infant health.
本文通过包含食品成本计算和二手数据的经济模拟,研究新斯科舍省低收入家庭在三个发育阶段(孕期、围产期、婴儿早期)获取基本营养饮食的可承受能力。
从新斯科舍省的杂货店随机样本(n = 21)中确定营养食品篮的成本,同时从随机选择的药店获取婴儿配方奶粉(n = 29)以及产前维生素和维生素D滴剂(n = 15)的成本。在从净收入中扣除基本生活费用后,针对几种家庭情况计算出用于购买基本营养饮食的每月剩余资金。每种情况包括一名孕妇、一名3个月大的母乳喂养或配方奶喂养的婴儿,以及收入援助、基于最低工资就业的联邦产妇福利或每小时15加元的工资。
无论是在孕期还是婴儿早期,无论是母乳喂养还是配方奶喂养,基于最低工资的收入援助和联邦产妇福利都不足以购买基本营养饮食。如果所有家庭情况都要购买基本营养饮食,每月都面临显著的潜在赤字。
在新斯科舍省,最低工资和收入保障计划不足以在产前、围产期和婴儿早期购买基本营养饮食,这凸显了粮食不安全风险是面临收入限制的年轻家庭的一个关键问题。需要有足够的产妇保护措施来支持获取对母婴健康至关重要的食物和营养。