Department of Nutritional Sciences, University of Toronto, Toronto, Ontario, Canada; Department of Consumer Sciences, The University of Alabama, Tuscaloosa, Alabama, USA.
Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada; Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario, Canada.
Prev Med. 2021 Jul;148:106558. doi: 10.1016/j.ypmed.2021.106558. Epub 2021 Apr 20.
Food insecurity, inadequate access to food due to financial constraints, affects 17.3% of Canadian children, with serious health repercussions. Capitalizing on the geo-temporal variation in social policies and economic environments across Canadian provinces between 2005 and 2018, we examined the association between provincial policies and economic environments and likelihood of experiencing food insecurity among households with children. Drawn from 13 years of the Canadian Community Health Survey, our sample comprised 123,300 households with below-median income with children under 18 in the ten provinces. We applied generalized ordered logit models on the overall sample and subsamples stratified by Low-Income Measure (LIM). Higher minimum wage, lower income tax, and lower unemployment rate were associated with lower odds of food insecurity in the overall sample. A hypothetical one-dollar increase in minimum wage was associated with 0.8 to 1.0-percentage-point decrease in probability of food insecurity. The probability of food security increased by 1.2 to 1.6 percentage points following a one-percentage-point drop in bottom-bracket income tax rate. One-percentage-point lower unemployment rate corresponded to 0.6 to 0.8-percentage-point higher probability of food security. Higher welfare income and lower housing price predicted lower likelihood of severe food insecurity in the below-LIM subsample. Higher sales tax and median wage predicted higher likelihood of food insecurity among above-LIM households. Income support policies, favorable labor market conditions, and affordable living costs were all related to reduced food insecurity among Canadian households with children. Policies that increase minimum wage, reduce taxes, and create jobs may help alleviate food insecurity.
由于经济限制导致食物无法充分获取而造成的食物不安全状况影响了 17.3%的加拿大儿童,对其健康造成严重影响。利用 2005 年至 2018 年加拿大各省社会政策和经济环境的地理时间变化,我们研究了省级政策和经济环境与有子女家庭经历食物不安全的可能性之间的关联。我们的样本来自 13 年的加拿大社区健康调查,其中包括 10 个省份中收入低于中位数且有 18 岁以下子女的 123,300 个家庭。我们在整个样本和按低收入衡量标准(LIM)分层的子样本中应用了广义有序逻辑回归模型。较高的最低工资、较低的所得税和较低的失业率与整个样本中食物不安全的可能性较低有关。最低工资提高一元与食物不安全的可能性降低 0.8 到 1.0 个百分点相关。所得税税率降低一个百分点,食物安全的概率增加 1.2 到 1.6 个百分点。失业率每降低一个百分点,食物安全的概率就会增加 0.6 到 0.8 个百分点。较高的福利收入和较低的房价预示着 LIM 以下子样本中严重食物不安全的可能性较低。较高的销售税和中等工资预示着 LIM 以上家庭食物不安全的可能性较高。收入支持政策、有利的劳动力市场条件和负担得起的生活成本都与加拿大有子女家庭食物不安全程度降低有关。提高最低工资、减税和创造就业机会的政策可能有助于缓解食物不安全状况。