Food insecurity and food consumption by season in households with children in an Arctic city: a cross-sectional study

• Published in: BMC Public Health
• Main Authors: Catherine Huet, James D. Ford, Victoria L. Edge, Jamal Shirley, Nia King, IHACC Research Team, Sherilee L. Harper
• Format: Article in Journal/Newspaper
• Language: English
• Published: BMC 2017
• Subjects: Food security; Food preparation; Food consumption; Season; Socioeconomic status; Indigenous; Public aspects of medicine; RA1-1270; Arctic; Canada; Nunavut; Ormay; inuit; Iqaluit
• Online Access: https://doi.org/10.1186/s12889-017-4393-6; https://doaj.org/article/ada5f2c55f044a8eb0d51caa68176af9

Abstract Background High rates of food insecurity are documented among Inuit households in Canada; however, data on food insecurity prevalence and seasonality for Inuit households with children are lacking, especially in city centres. This project: (1) compared food consumption patterns for households with and without children, (2) compared the prevalence of food insecurity for households with and without children, (3) compared food consumption patterns and food insecurity prevalence between seasons, and (4) identified factors associated with food insecurity in households with children in Iqaluit, Nunavut, Canada. Methods Randomly selected households were surveyed in Iqaluit in September 2012 and May 2013. Household food security status was determined using an adapted United States Department of Agriculture Household Food Security Survey Module. Univariable logistic regressions were used to examine unconditional associations between food security status and demographics, socioeconomics, frequency of food consumption, and method of food preparation in households with children by season. Results Households with children (n = 431) and without children (n = 468) participated in the survey. Food insecurity was identified in 32.9% (95% CI: 28.5–37.4%) of households with children; this was significantly higher than in households without children (23.2%, 95% CI: 19.4–27.1%). The prevalence of household food insecurity did not significantly differ by season. Demographic and socioeconomic characteristics of the person responsible for food preparation, including low formal education attainment (ORSept = 4.3, 95% CI: 2.3–8.0; ORMay = 3.2, 95% CI: 1.8–5.8), unemployment (ORSept = 1.1, 95% CI: 1.1–1.3; ORMay = 1.3, 95% CI: 1.1–1.5), and Inuit identity (ORSept = 8.9, 95% CI: 3.4–23.5; ORMay = 21.8, 95% CI: 6.6–72.4), were associated with increased odds of food insecurity in households with children. Fruit and vegetable consumption (ORSept = 0.4, 95% CI: 0.2–0.8; ORMay = 0.5, 95% CI: 0.2–0.9), as well as eating cooked (ORSept = ...