The household food insecurity gradient and potential reductions in adverse population mental health outcomes in Canadian adults

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dc.contributor.authorJessiman-Perreault, Genevieve
dc.contributor.authorMcIntyre, Lynn
dc.date.accessioned2017-06-17T02:44:56Z
dc.date.available2017-06-17T02:44:56Z
dc.date.issued2017-05-31
dc.description.abstractPurpose: Household food insecurity is related to poor mental health. This study examines whether the level of household food insecurity is associated with a gradient in the risk of reporting six adverse mental health outcomes. This study further quantifies the mental health impact if severe food insecurity, the extreme of the risk continuum, were eliminated in Canada. Methods: Using a pooled sample of the Canadian Community Health Survey (N = 302,683), we examined the relationship between level of food insecurity, in adults 18–64 years, and reporting six adverse mental health outcomes. We conducted a probit analysis adjusted for multi-variable models, to calculate the reduction in the odds of reporting mental health outcomes that might accrue from the elimination of severe food insecurity. Results: Controlling for various demographic and socioeconomic covariates, a food insecurity gradient was found in six mental health outcomes. We calculated that a decrease between 8.1% and 16.0% in the reporting of these mental health outcomes would accrue if those who are currently severely food insecure became food secure, after controlling for covariates. Conclusion: Household food insecurity has a pervasive graded negative effect on a variety of mental health outcomes, in which significantly higher levels of food insecurity are associated with a higher risk of adverse mental health outcomes. Reduction of food insecurity, particularly at the severe level, is a public health concern and a modifiable structural determinant of health worthy of macro-level policy intervention.en_US
dc.description.grantingagencyCanadian Institutes of Health Researchen_US
dc.description.refereedYesen_US
dc.description.sponsorshipProgrammatic Grant in Health and Health Equity from the Canadian Institutes of Health Research (CIHR) (Grant no. FRN 115208) and a CIHR Graduate Student Awarden_US
dc.identifier.citationJessiman-Perreault G, McIntyre L.The Household Food Insecurity Gradient and Potential Reductions in Adverse Population Mental Health Outcomes in Canadian Adults, SSM - Population Health 2017;3:464-472en_US
dc.identifier.grantnumberFRN 115208en_US
dc.identifier.urihttp://hdl.handle.net/1880/52103
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.publisher.departmentCommunity Health Sciencesen_US
dc.publisher.facultyCumming School of Medicineen_US
dc.publisher.institutionUniversity of Calgaryen_US
dc.publisher.urlhttps://doi.org/10.1016/j.ssmph.2017.05.013en_US
dc.subjectfood insecurityen_US
dc.subjectchronic stressen_US
dc.subjectmental healthen_US
dc.subjectCanadian adultsen_US
dc.titleThe household food insecurity gradient and potential reductions in adverse population mental health outcomes in Canadian adultsen_US
dc.typejournal article
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