Food insecurity in Nunavut following the introduction of Nutrition North Canada
Auteurs: Andrée-Anne Fafard St-Germain, Tracey Galloway, et Valerie Tarasuk
Veuillez noter que les résumés n'apparaissent que dans la langue de la publication et peuvent ne pas avoir de traduction.
BACKGROUND: Household food insecurity, a measure of income-related problems of food access, is a pressing public health problem in Canada’s North, especially in Nunavut. We aimed to assess the impact of Nutrition North Canada, a food retail subsidy intended to improve food access and affordability in isolated communities, on household food insecurity in Nunavut. METHODS: Using data from 3250 Nunavut households sampled in the annual components of the Canadian Community Health Survey (2007 to 2016), we conducted interrupted time series regression analyses to determine whether the introduction of Nutrition North Canada was associated with changes in the rates of self-reported food insecurity, according to a validated instrument. We used propensity score weighting to control for several sociodemographic characteristics associated with food insecurity. RESULTS: Food insecurity affected 33.1% of households in 2010 (the year before the launch of Nutrition North Canada), 39.4% of households in 2011 (the year of the launch) and 46.6% of households in 2014 (the year after full implementation). After controlling for several covariates, we found the rate of food insecurity increased by 13.2 percentage points (95% confidence interval [CI] 1.7 to 24.7) after the full implementation of the subsidy program, and the increase in food insecurity first occurred in 2011 (9.6 percentage points, 95% CI 2.7 to 16.4), the year Nutrition North Canada was launched. INTERPRETATION: Food insecurity was a pervasive problem in Nunavut before Nutrition North Canada, but it has become even more prevalent since the program was implemented. Given the important health consequences of food insecurity, more effective initiatives to address food insecurity in Canada’s North are urgently needed. See related article at www.cmaj.ca/lookup/doi/10.1503/cmaj.190497
|Type||Article de journal|
|Auteur||Andrée-Anne Fafard St-Germain, Tracey Galloway, et Valerie Tarasuk|
|Année de pulication||2019|
|Titre||Food insecurity in Nunavut following the introduction of Nutrition North Canada|
|Nom du Journal||Canadian Medical Association Journal (CMAJ)|
|Langue de publication||Anglais|
- Andrée-Anne Fafard St-Germain
- Andrée-Anne Fafard St-Germain, Tracey Galloway, et Valerie Tarasuk
- Food insecurity in Nunavut following the introduction of Nutrition North Canada
- Canadian Medical Association Journal (CMAJ)
Natalie D. Riediger et Ian Clara (2011).
Prevalence of metabolic syndrome in the Canadian adult population
Canadian Medical Association Journal (CMAJ) , E1127-E1134
Kenneth Rockwood, Xiaowei Song, et Arnold Mitnitski (2011).
Changes in relative fitness and frailty across the adult lifespan: Evidence from the Canadian National Population Health Survey
Canadian Medical Association Journal (CMAJ) , E487-E494
Celia Rodd et Atul K. Sharma (2016).
Recent trends in the prevalence of overweight and obesity among Canadian children
Canadian Medical Association Journal (CMAJ) , E313-E320
Britt McKinnon, Seungmi Yang, Michael S. Kramer, Tracey Bushnik, Amanda J. Sheppard, et Jay S. Kaufman (2015).
Comparison of black-white disparities in preterm birth between Canada and the United States
Canadian Medical Association Journal (CMAJ) , E19-E26
Valerie Tarasuk, Joyce Cheng, Claire de Oliveira, Naomi Dachner, Craig Gundersen, et Paul Kurdyak (2015).
Association between household food insecurity and annual health care costs
Canadian Medical Association Journal (CMAJ) , E429-E436
Sarah A. Buchan, Laura C. Rosella, Michael Finkelstein, David Juurlink, Jennifer Isenor, Fawziah Marra, Anik Patel, Margaret L. Russell, Susan Quach, Nancy Waite, et Jeffrey C. Kwong (2017).
Impact of pharmacist administration of influenza vaccines on uptake in Canada
Canadian Medical Association Journal (CMAJ) , E146-152
Sarah K. Orr, Naomi Dachner, Lesley Frank, et Valerie Tarasuk (2018).
The relationship between household food insecurity and breastfeeding in Canada
Canadian Medical Association Journal (CMAJ) , E312-E319