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Canadian Journal of Public Health

, Volume 108, Issue 1, pp e49–e55 | Cite as

Associations between the local food environment and the severity of food insecurity among new families using community food security interventions in Montreal

  • Elsury PérezEmail author
  • Federico Roncarolo
  • Louise Potvin
Quantitative Research
  • 3 Downloads

Abstract

OBJECTIVES: To examine the association between the local food environment and the severity of food insecurity among new families using community food security interventions in Montreal.

METHODS: In this cross-sectional study, we analyzed baseline data from 785 adults aged 18–65 years enrolled in the evaluation of the effects of organizations delivering community food security interventions in Montreal. The dependent variable was household food insecurity, while the independent variable was the local food environment, assessed through: location of the most frequently used grocery store, distance between the participant’s residence and the community organization used, mode of transportation, walking time to the most frequently used grocery store, satisfaction with the acceptability and affordability of food available at the most frequently used grocery store, and self-reported difficulties in accessing food. We used polytomous logistic regression to estimate the association between household food insecurity and the local food environment. In all the models, we coded food security status in three categories: food security, moderate food insecurity and severe food insecurity. The last group was used as a reference group.

RESULTS: Our data suggest that compared to households with severe food insecurity, those with moderate food insecurity (OR = 0.43, 95% CI: 0.28–0.62) and those with food security (OR = 0.1 3, 95% CI: 0.06–0.26) were less likely to report difficulties in accessing food due to food affordability. Food-secure households also had lower odds of reporting difficulties in accessing food due to transportation constraints (OR = 0.18, 95% CI: 0.06–0.55) compared with severe food-insecure households. Living a distance of between 1 and 2 km from the organization used was significantly correlated with moderate food insecurity (OR = 1.80, 95% CI: 1.12–2.88).

CONCLUSION: The local food environment is associated with severity of household food insecurity among new families using community food security interventions in Montreal. Future studies should study the relationship between the local food environment and food insecurity across all dimensions of food access.

Key Words

Food supply food assistance food environment Montreal food insecurity 

Résumé

OBJECTIFS: Examiner la relation entre l’environnement alimentaire local et la sévérité de l’insécurité alimentaire parmi les nouvelles familles utilisant les organismes communautaires d’intervention en sécurité alimentaire à Montréal.

MÉTHODE: Dans cette étude transversale, nous avons analysé les données de base de 785 adultes âgés de 18 à 65 ans qui ont participé à une enquête sur les effets des interventions en sécurité alimentaire à Montréal. Les variables dépendante et indépendante étaient respectivement, l’insécurité alimentaire des ménages et l’environnement alimentaire local. Cette dernière était évaluée selon différentes mesures: l’emplacement de l’épicerie la plus fréquemment utilisée, la distance entre le domicile du participant et l’organisme communautaire qu’il fréquentait, le mode de transport, le temps de marche pour se rendre à l’épicerie la plus fréquemment utilisée, la satisfaction quant à l’acceptabilité et le caractère abordable des aliments à l’épicerie la plus fréquemment utilisée, et les difficultés d’accès aux aliments. Nous avons utilisé des modèles de régression logistique multinomiale afin d’évaluer la relation entre l’insécurité alimentaire et l’environnement alimentaire local. Dans tous les modèles, l’insécurité alimentaire a été codée selon trois catégories: sécurité alimentaire, insécurité alimentaire modérée et insécurité alimentaire sévère. Le dernier groupe a été utilisé comme groupe de référence.

RÉSULTATS: Nos données suggèrent qu’en comparaison avec les ménages en situation d’insécurité alimentaire sévère, ceux en situation d’insécurité alimentaire modérée (OR = 0,43, IC 95%: 0,28–0,62) et ceux en sécurité alimentaire (OR = 0,1 3, IC 95%: 0,06–0,26) étaient moins susceptibles de déclarer des difficultés d’accès aux aliments à cause de la cherté des aliments. Les ménages en sécurité alimentaire avaient une probabilité plus faible de déclarer des difficultés d’accès aux aliments à cause de contraintes de transport (OR = 0,18, IC 95%: 0,06–0,55) en comparaison avec les ménages en situation d’insécurité alimentaire sévère. Habiter à une distance entre un et deux kilomètres de l’organisme utilisé était significativement corrélé avec l’insécurité alimentaire modérée (OR = 1,80, IC 95%: 1,12–2,88).

CONCLUSION: L’environnement alimentaire local est associé à la sévérité de l’insécurité alimentaire chez les nouvelles familles qui utilisent les interventions communautaires en sécurité alimentaire à Montréal. Des études futures devraient étudier la relation entre l’environnement alimentaire et l’insécurité alimentaire dans toutes les dimensions de l’accès aux ressources alimentaires.

Mots Clés

approvisionnement alimentaire aide alimentaire environnement alimentaire Montréal insécurité alimentaire 

References

  1. 1.
    Anderson S. Life sciences research office report: Core indicators of nutritional state for difficult-to-sample populations. J Nutr 1990;120:1555–600. PMID: 2243305.CrossRefGoogle Scholar
  2. 2.
    Tarasuk V, Mitchell A, Dachner N. Household Food Insecurity in Canada, 2013. Toronto, ON: Research to Identify Policy Options to Reduce Food Insecurity (PROOF), 2015.Google Scholar
  3. 3.
    Kirkpatrick S, Tarasuk V. Food insecurity is associated with nutrient inadequacies among Canadian adults and adolescents. J Nutr 2008;138(3): 604–12. PMID: 18287374.CrossRefGoogle Scholar
  4. 4.
    Laraia BA. Food insecurity and chronic disease. Adv Nutr 2013;4(2):203–12. PMID: 23493536. doi: 10.3945/an.ll2.003277.CrossRefGoogle Scholar
  5. 5.
    Vozoris NT, Tarasuk V. Household food insufficiency is associated with poorer health. J Nutr 2003;133(1):120–26. PMID: 12514278.CrossRefGoogle Scholar
  6. 6.
    Melchior M, Chastang JF, Falissard B, Galera C, Tremblay RE, Cote SM, et al. Food insecurity and children’s mental health: A prospective birth cohort study. PLoS ONE 2012;7(12):e52615. PMID: 23300723. doi: 10.1371/journal.pone.0052615.CrossRefGoogle Scholar
  7. 7.
    Kirkpatrick S, McIntyre L, Potestio ML. Child hunger and long-term adverse consequences for health. Arch Pediatr Adolesc Med 2010;164(8):754–62. PMID: 20679167. doi: 10.1001/archpediatrics.2010.117.CrossRefGoogle Scholar
  8. 8.
    Rose D. Economic determinants and dietary consequences of food insecurity in the United States. J Nutr 1999;129(2):517S–20S. PMID: 10064321.CrossRefGoogle Scholar
  9. 9.
    Gorton D, Bullen CR, Mhurchu CN. Environmental influences on food security in high-income countries. Nutr Rev 2010;68(1):1–29. PMID: 20041997. doi: 10.1111/j.1753-4887.2009.00258.X.CrossRefGoogle Scholar
  10. 10.
    Carter MA, Dubois L, Tremblay MS. Place and food insecurity: A critical review and synthesis of the literature. Public Health Nutr 2014;17(1):94–112. PMID: 23561752. doi: 10.1017/S1368980013000633.CrossRefGoogle Scholar
  11. 11.
    Power E; Dietitians of Canada. Individual and household food insecurity in Canada: Position of Dietitians of Canada. Can J Diet Pract Res 2005;65(1): 43–46. PMID: 17068874. doi: 10.3148/66.1.2005.43.Google Scholar
  12. 12.
    Loopstra R, Tarasuk V. Food bank usage is a poor indicator of food insecurity: Insights from Canada. Soc Policy Soc 2015;14(3):443–55. doi: 10.1017/ S1474746415000184.CrossRefGoogle Scholar
  13. 13.
    Hamelin A-M, Mercier C, Bédard A. Needs for food security from the standpoint of Canadian households participating and not participating in community food programmes. Int J Consum Stud 2011;35(1):58–68. doi: 10. 1111/j.1470-6431.2010.00927.X.CrossRefGoogle Scholar
  14. 14.
    Kirkpatrick S, Tarasuk V. Food insecurity and participation in community food programs among low-income Toronto families. Can J Public Health 2009;100(2):135–39. PMID: 19839291.Google Scholar
  15. 15.
    Tarasuk V, Dachner N, Hamelin A-M, Ostry A, Williams P, Bosckei E, et al. A survey of food bank operations in five Canadian cities. BMC Public Health 2014;14(1):1–11. PMID: 25432209. doi: 10.1186/1471-2458-14-1234.CrossRefGoogle Scholar
  16. 16.
    Hamelin A-M, Mercier C, Bédard A. Discrepancies in households and other stakeholders viewpoints on the food security experience: A gap to address. Health Educ Res 2010;25(3):401–12. PMID: 19564176. doi: 10.1093/her/cyp033.CrossRefGoogle Scholar
  17. 17.
    Loopstra R, Tarasuk V. The relationship between food banks and household food insecurity among low-income Toronto families. Can Public Policy 2012;38(4):497–514. doi: 10.3138/CPP.38.4.497.CrossRefGoogle Scholar
  18. 18.
    Hamelin AM, Beaudry M, Habicht JP. Characterization of household food insecurity in Quebec: Food and feelings. Soc Sci Med 2002;54(1):119–32. PMID: 11820676. doi: 10.1016/S0277-9536(01)00013-2.CrossRefGoogle Scholar
  19. 19.
    Roncarolo F, Bisset S, Potvin L. Short-term effects of traditional and alternative community interventions to address food insecurity. PLoS ONE 2016;11(3):e0150250. PMID: 26974826. doi: 10.1371/journal.pone.0150250.CrossRefGoogle Scholar
  20. 20.
    Apparicio P, Cloutier MS, Shearmur R. The case of Montreal’s missing food deserts: Evaluation of accessibility to food supermarkets. Int J Health Geogr 2007;6:4. PMID: 17295912. doi: 10.1186/1476-072X-6-4.CrossRefGoogle Scholar
  21. 21.
    Glanz K, Sallis JF, Saelens BE, Frank LD. Healthy nutrition environments: Concepts and measures. Am J Health Promot 2005;19(5):330–33. PMID: 15895534. doi: 10.4278/0890-1171-19.5.330.CrossRefGoogle Scholar
  22. 22.
    Caspi CE, Sorensen G, Subramanian SV, Kawachi I. The local food environment and diet: A systematic review. Health Place 2012;18(5):1172–87. PMID: 22717379. doi: 10.1016/j.healthplace.2012.05.006.CrossRefGoogle Scholar
  23. 23.
    Bartfeld JS, Ryu J-H, Wang L. Local characteristics are linked to food insecurity among households with elementary school children. J Hunger Environ Nutr 2010;5(4):471–83. doi: 10.1080/19320248.2010.527278.CrossRefGoogle Scholar
  24. 24.
    Mayer VL, Hillier A, Bachhuber MA, Long JA. Food insecurity, neighborhood food access, and food assistance in Philadelphia. J Urban Health 2014;91(6):1087–97. PMID: 25047157. doi: 10.1007/s11524-014-9887-2.CrossRefGoogle Scholar
  25. 25.
    DeMartini TL, Beck AF, Kahn RS, Klein MD. Food insecure families: Description of access and barriers to food from one pediatric primary care center. J Commun Health 2013;38(6):1182–87. PMID: 23852328. doi: 10.1007/S10900-013-9731-8.CrossRefGoogle Scholar
  26. 26.
    Mabli J. SNAP Participation, Food Security, and Geographic Access to Food. Prepared by Mathematica Policy Research for the U.S. Department of Agriculture, Food and Nutrition Service, 2014.Google Scholar
  27. 27.
    Sharkey JR, Dean WR, Johnson CM. Association of household and community characteristics with adult and child food insecurity among Mexican-origin households in Colonias along the Texas-Mexico border. Int J Equity Health 2011;10:19. PMID: 21569496. doi: 10.1186/1475-9276-10-19.CrossRefGoogle Scholar
  28. 28.
    Kirkpatrick SI, Tarasuk V. Assessing the relevance of neighbourhood characteristics to the household food security of low-income Toronto families. Public Health nutr 2010;13(7):1139–48. PMID: 20196916. doi: 10.1017/ S1368980010000339.CrossRefGoogle Scholar
  29. 29.
    Roncarolo F, Adam C, Bisset S, Potvin L. Traditional and alternative community food security interventions in Montreal, Quebec: Different practices, different people. J Community Health 2014;40(2):199–207. PMID: 25012098. doi: 10.1007/s10900-014-9917-8.CrossRefGoogle Scholar
  30. 30.
    Health Canada. Canadian Community Health Survey, Cycle 2.2, Nutrition (2004): Income-Related Household Food Security in Canada. Report No. 4696. Ottawa, ON: Office of Nutrition Policy and Promotion, Health Products and Food Branch, Health Canada, 2007.Google Scholar
  31. 31.
    Silva V, Grande A, Rech CR, Peccin MS. Geoprocessing via Google Maps for assessing obesogenic built environments related to physical activity and chronic noncommunicable diseases: Validity and reliability. J Healthc Eng 2015;6(1):41–54. PMID: 25708376. doi: 10.1260/2040-2295.6.1.41.CrossRefGoogle Scholar
  32. 32.
    Ware J, Kosinski M, Turner-Bowker D, Gandek B. How to Score Standard Form Scales and Summary Measures. In. Ware J, Kosinski M, Turner-Bowker D, Gandek B (Eds.), User’s Manual for the SF-12v2® Health Survey (with a supplement documenting FS-12 Health Survey). Lincoln, RI: QualityMetric Incorporated, 2002.Google Scholar
  33. 33.
    Ambler G, Rumana Z, Royston P. A comparison of imputation techniques for handling missing predictor values in a risk model with a binary outcome. Stat Methods Med Res 2007;16:277–98. PMID: 17621472. doi: 10.1177/0962280206074466.CrossRefGoogle Scholar
  34. 34.
    Tolzman C, Rooney B, Duquette RD, Rees K. Perceived barriers to accessing adequate nutrition among food insecure households within a food desert. WMJ 2014;113(4):139–43. PMID: 25211800.PubMedGoogle Scholar
  35. 35.
    Zhang Q, Jones S, Ruhm CJ, Andrews M. Higher food prices may threaten food security status among American low-income households with children. J Nutr 2013;143(10):1659–65. PMID: 23946342. doi: 10.3945/jn.112.170506.CrossRefGoogle Scholar
  36. 36.
    Nolan M, Williams M, Rikard-Bell G, Mohsin M. Food insecurity in three socially disadvantaged localities in Sydney, Australia. Health Promot J Austr 2006;17(3):247–54. PMID: 17176242.CrossRefGoogle Scholar
  37. 37.
    Burns C, Bentley R, Thornton L, Kavanagh A. Reduced food access due to a lack of money, inability to lift and lack of access to a car for food shopping: A multilevel study in Melbourne, Victoria. Public Health Nutr 2011;14(6): 1017–23. PMID: 21338555. doi: 10.1017/S136898001000385X.CrossRefGoogle Scholar
  38. 38.
    Macintyre S. Deprivation amplification revisited; or, is it always true that poorer places have poorer access to resources for healthy diets and physical activity? Int J Behav Nutr Phys 2007;4(1):32. doi: 10.1186/1479-5868-4-32.CrossRefGoogle Scholar
  39. 39.
    Leroy JL, Ruel M, Frongillo EA, Harris J, Ballard TJ. Measuring the food access dimension of food security: A critical review and mapping of indicators. Food Nutr Bull 2015;36(2):167–95. PMID: 26121701. doi: 10.1177/0379572115 587274.CrossRefGoogle Scholar

Copyright information

© The Canadian Public Health Association 2017

Authors and Affiliations

  • Elsury Pérez
    • 1
    • 2
    • 3
    Email author
  • Federico Roncarolo
    • 1
    • 2
    • 3
  • Louise Potvin
    • 1
    • 2
    • 3
    • 4
  1. 1.Institut de recherche en santé publique de l’université de Montréal (IRSPUM)MontréalCanada
  2. 2.Institut de recherche en santé publique de l’université de Montréal (IRSPUM)MontréalCanada
  3. 3.Chaire de recherche du Canada - Approches communautaires et inégalités de santé (CACIS)Université de MontréalMontréalCanada
  4. 4.Centre de recherche Léa-Roback sur les inégalités sociales de santé de MontréalMontréalCanada

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