Money speaks: Reductions in severe food insecurity follow the Canada Child Benefit
Money speaks: Reductions in severe food insecurity follow the Canada Child Benefit
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DOI：
10.1016/j.ypmed.2019.105876
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发表时间：
2019-12-01
影响因子：
5.1
通讯作者：
Tarasuk, Valerie
中科院分区：
文献类型：
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作者：
Brown, Erika M.;Tarasuk, Valerie
粮食不安全是高收入国家普遍存在的公共卫生问题，对有儿童的家庭影响尤为严重。尽管它与社会经济地位和社会保障计划投资密切相关，但人们对其对具体政策干预措施（尤其是家庭政策干预措施）的敏感性知之甚少。我们实施了双重差分 (DID) 设计，以评估在推出新的全国性收入转移计划：加拿大儿童福利金 (CCB) 后，有孩子的加拿大家庭与没有孩子的加拿大家庭相比，粮食不安全状况是否有所减轻。数据来自 2015-2018 年加拿大社区健康调查周期。我们使用多项逻辑回归来测试三个样本中 CCB 与粮食不安全之间的关联：报告任何收入的家庭 (N = 41,455)、中等收入或以下的家庭 (N = 18,191) 以及低收入衡量标准 (LIM) 或以下的家庭 (N = 7579)。粮食不安全的普遍性和严重性随着经济脆弱性的增加而增加，并且在有儿童的家庭中始终较高。然而，CCB 后，他们经历严重粮食不安全的可能性也显着下降；在报告 LIM 或更低的患者中最为显着（DID：- 4.7%，95% CI：- 8.6，- 0.7）。这些结果表明，CCB 使最容易受到粮食不安全影响的家庭受益匪浅。此外，我们的研究结果还表明，即使经济环境发生微小变化，粮食不安全也可能受到影响，这说明收入转移有可能帮助人们满足基本需求。
Food insecurity is a pervasive public health problem in high income countries, disproportionately affecting households with children. Though it has been strongly linked with socioeconomic status and investments in social protection programs, less is known about its sensitivity to specific policy interventions, particularly among families. We implemented a difference-in-difference (DID) design to assess whether Canadian households with children experienced reductions in food insecurity compared to those without following the roll-out of a new country-wide income transfer program: the Canada Child Benefit (CCB). Data were derived from the 2015-2018 cycles of Canadian Community Health Survey. We used multinomial logistic regressions to test the association between CCB and food insecurity among three samples: households reporting any income (N = 41,455), the median income or less (N = 18,191) and the Low Income Measure (LIM) or less (N = 7579). The prevalence and severity of food insecurity increased with economic vulnerability, and were both consistently higher among households with children. However, they also experienced significantly greater drops in the likelihood of experiencing severe food insecurity following CCB; most dramatically among those reporting the LIM or less (DID: - 4.7%, 95% CI: - 8.6, - 0.7). These results suggest that CCB disproportionately benefited families most susceptible to food insecurity. Furthermore, our findings also indicate that food insecurity may be impacted by even modest changes to economic circumstance, speaking to the potential of income transfers to help people meet their basic needs.