Food insecurity among Canadian youth and young adults: insights from the Canada Food Study.
Canada
Food insecurity
Young adult
Youth
Journal
Canadian journal of public health = Revue canadienne de sante publique
ISSN: 1920-7476
Titre abrégé: Can J Public Health
Pays: Switzerland
ID NLM: 0372714
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
received:
06
11
2019
accepted:
21
12
2020
pubmed:
24
2
2021
medline:
27
10
2021
entrez:
23
2
2021
Statut:
ppublish
Résumé
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. RéSUMé: OBJECTIF: Explorer les associations entre le profil sociodémographique, l’état de santé autodéclaré et la sécurité alimentaire du ménage chez les jeunes adultes. MéTHODE: Des participants d’une étude de cohorte nationale de Toronto, Montréal, Vancouver, Edmonton et Halifax (Canada) âgés de 16 à 30 ans (n = 2 149) ont répondu à des sondages en ligne. Nous avons procédé à une régression logistique multinomiale, pondérée selon les proportions d’âge et de sexe dans le recensement de 2016, pour examiner les associations entre l’état de sécurité alimentaire et ses covariables. RéSULTATS: Près de 30 % des répondants vivaient dans des ménages aux prises avec l’insécurité alimentaire, dont 19 % dans des ménages « modérément » exposés à l’insécurité alimentaire et 10 % dans des ménages en situation d’insécurité alimentaire « grave ». Les répondants s’étant identifiés comme étant noirs ou autochtones étaient plus susceptibles de vivre dans des ménages en situation d’insécurité alimentaire modérée (RCa = 1,96, IC : 1,10, 3,50; RCa = 3,15, IC : 1,60, 6,20) et grave (RCa = 4,25, IC : 2,07, 8,74; RCa = 6,34, IC : 2,81, 14,30) que les répondants s’étant identifiés comme étant d’ethnicité mixte/autre. Les répondants qui trouvaient « très difficile » de joindre les deux bouts étaient plus susceptibles d’être en situation d’insécurité alimentaire modérée (RCa = 20,37, IC : 11,07, 37,46) et grave (RCa = 101,33, IC : 41,11, 249,77). Les répondants classés comme étant de poids « normal » (RCa = 0,64, IC : 0,43, 0,96) ou en surpoids (RCa = 0,53, IC : 0,34, 0,83) étaient moins susceptibles d’être en situation d’insécurité alimentaire modérée que les répondants touchés par l’obésité. Comparativement aux réponses « très bonne ou excellente », la santé, la qualité du régime ou la santé mentale « mauvaise » était associée positivement à l’insécurité alimentaire grave (RCa = 7,09, IC : 2,44, 20,61; RCa = 2,63, IC : 1,08, 6,41; RCa = 2,09, IC : 1,03, 4,23, respectivement). CONCLUSION: La forte prévalence des corrélats de l’insécurité alimentaire chez les jeunes adultes indique qu’il faut des politiques qui tiennent compte des difficultés uniques (p. ex. le revenu précaire) et de la vulnérabilité associées à ce stade de la vie.
Autres résumés
Type: Publisher
(fre)
RéSUMé: OBJECTIF: Explorer les associations entre le profil sociodémographique, l’état de santé autodéclaré et la sécurité alimentaire du ménage chez les jeunes adultes. MéTHODE: Des participants d’une étude de cohorte nationale de Toronto, Montréal, Vancouver, Edmonton et Halifax (Canada) âgés de 16 à 30 ans (n = 2 149) ont répondu à des sondages en ligne. Nous avons procédé à une régression logistique multinomiale, pondérée selon les proportions d’âge et de sexe dans le recensement de 2016, pour examiner les associations entre l’état de sécurité alimentaire et ses covariables. RéSULTATS: Près de 30 % des répondants vivaient dans des ménages aux prises avec l’insécurité alimentaire, dont 19 % dans des ménages « modérément » exposés à l’insécurité alimentaire et 10 % dans des ménages en situation d’insécurité alimentaire « grave ». Les répondants s’étant identifiés comme étant noirs ou autochtones étaient plus susceptibles de vivre dans des ménages en situation d’insécurité alimentaire modérée (RCa = 1,96, IC : 1,10, 3,50; RCa = 3,15, IC : 1,60, 6,20) et grave (RCa = 4,25, IC : 2,07, 8,74; RCa = 6,34, IC : 2,81, 14,30) que les répondants s’étant identifiés comme étant d’ethnicité mixte/autre. Les répondants qui trouvaient « très difficile » de joindre les deux bouts étaient plus susceptibles d’être en situation d’insécurité alimentaire modérée (RCa = 20,37, IC : 11,07, 37,46) et grave (RCa = 101,33, IC : 41,11, 249,77). Les répondants classés comme étant de poids « normal » (RCa = 0,64, IC : 0,43, 0,96) ou en surpoids (RCa = 0,53, IC : 0,34, 0,83) étaient moins susceptibles d’être en situation d’insécurité alimentaire modérée que les répondants touchés par l’obésité. Comparativement aux réponses « très bonne ou excellente », la santé, la qualité du régime ou la santé mentale « mauvaise » était associée positivement à l’insécurité alimentaire grave (RCa = 7,09, IC : 2,44, 20,61; RCa = 2,63, IC : 1,08, 6,41; RCa = 2,09, IC : 1,03, 4,23, respectivement). CONCLUSION: La forte prévalence des corrélats de l’insécurité alimentaire chez les jeunes adultes indique qu’il faut des politiques qui tiennent compte des difficultés uniques (p. ex. le revenu précaire) et de la vulnérabilité associées à ce stade de la vie.
Identifiants
pubmed: 33620691
doi: 10.17269/s41997-020-00469-1
pii: 10.17269/s41997-020-00469-1
pmc: PMC8225736
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
663-675Subventions
Organisme : CIHR
Pays : Canada
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