Bhawra Jasmin, Kirkpatrick Sharon I, Hammond David
School of Public Health & Health Systems, Faculty of Health, University of Waterloo, 200 University Avenue West, B.C. Matthews Hall, Rm. LHN 1716, Waterloo, ON, N2L 3G1, Canada.
Can J Public Health. 2021 Aug;112(4):663-675. doi: 10.17269/s41997-020-00469-1. Epub 2021 Feb 23.
This study explored associations between socio-demographic characteristics, self-reported health, and household food security among young adults.
National cohort study participants from Toronto, Montreal, Vancouver, Edmonton, and Halifax, Canada, aged 16-30 years (n = 2149) completed online surveys. Multinomial logistic regression, weighted to reflect age and sex proportions from the 2016 census, was conducted to examine associations between food security status and covariates.
Almost 30% of respondents lived in food-insecure households, with 19% in "moderately" food-insecure and 10% in "severely" food-insecure households. Respondents identifying as Black or Indigenous were more likely to live in moderately (AOR = 1.96, CI: 1.10, 3.50; AOR = 3.15, CI: 1.60, 6.20) and severely (AOR = 4.25, CI: 2.07, 8.74; AOR = 6.34, CI: 2.81, 14.30) food-insecure households compared with those identifying as mixed/other ethnicity. Respondents who found it "very difficult" to make ends meet were more likely to be moderately (AOR = 20.37, CI: 11.07, 37.46) and severely (AOR = 101.33, CI: 41.11, 249.77) food insecure. Respondents classified as "normal" weight (AOR = 0.64, CI: 0.43, 0.96) or overweight (AOR = 0.53, CI: 0.34, 0.83) were less likely to be moderately food insecure compared with those affected by obesity. Compared with "very good or excellent," "poor" health, diet quality, and mental health were each positively associated with severe food insecurity (AOR = 7.09, CI: 2.44, 20.61; AOR = 2.63, CI: 1.08, 6.41; AOR = 2.09, CI: 1.03, 4.23, respectively).
The high prevalence of correlates of food insecurity among young adults suggests the need for policies that consider the unique challenges (e.g., precarious income) and vulnerability associated with this life stage.
本研究探讨了社会人口学特征、自我报告的健康状况与青年成年人家庭粮食安全之间的关联。
来自加拿大多伦多、蒙特利尔、温哥华、埃德蒙顿和哈利法克斯的全国队列研究参与者,年龄在16至30岁之间(n = 2149),完成了在线调查。进行了多项逻辑回归分析,并根据2016年人口普查的年龄和性别比例进行加权,以检验粮食安全状况与协变量之间的关联。
近30%的受访者生活在粮食不安全的家庭中,其中19%生活在“中度”粮食不安全家庭,10%生活在“重度”粮食不安全家庭。自我认定为黑人或原住民的受访者,与认定为混合/其他种族的受访者相比,更有可能生活在中度(优势比[AOR]=1.96,置信区间[CI]:1.10,3.50;AOR = 3.15,CI:1.60,6.20)和重度(AOR = 4.25,CI:2.07,8.74;AOR = 6.34,CI:2.81,14.30)粮食不安全家庭。那些认为“很难”维持收支平衡的受访者,更有可能处于中度(AOR = 20.37,CI:11.07,37.46)和重度(AOR = 101.33,CI:41.11,249.77)粮食不安全状态。与肥胖者相比,体重被归类为“正常”(AOR = 0.64,CI:0.43,0.96)或超重(AOR = 0.53,CI:0.34,0.83)的受访者,中度粮食不安全的可能性较小。与“非常好或优秀”相比,“差”的健康状况、饮食质量和心理健康状况均与重度粮食不安全呈正相关(分别为AOR = 7.09,CI:2.44,20.61;AOR = 2.63,CI:1.08,6.41;AOR = 2.09,CI:1.03,4.23)。
青年成年人中粮食不安全相关因素的高流行率表明,需要制定政策来考虑与这一生命阶段相关的独特挑战(如不稳定收入)和脆弱性。