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Lack of Food Security: Focussed Literature Review and Research Framework - August 2001

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2. Selected Annotated Bibliography

2.1 Definitions and Conceptual Models

American Institute of Nutrition, as cited in Olson, C.M. "Food Insecurity and Hunger: Poverty Policy Issues for the 1990s and Beyond." Focus, vol. 18(2), fall/winter 1996: 61-64.

Key Words: food insecurity, research, public, private.

Olson reviews the advances made in first world food insecurity research over the last two decades, defining it as a condition existing "whenever the availability of nutritionally adequate and safe foods or the ability to acquire acceptable foods in socially acceptable ways is limited or uncertain." Food insecurity is identified at the individual and household levels, and evidence is cited validating its measurement through use of questionnaire-based methods, such as the Cornell/Radimer scale and the CCHIP (Community Childhood Hunger Identification Project). Lastly, food insecurity is considered for its human and financial costs to society, specifying the need for government intervention into what is described as a public problem.

Kramer-LeBlanc, Carol S.; and Kathryn McMurry (Eds.). (1998). "Discussion Paper on Domestic Food Security." Family Economics and Nutrition Review, 11 (1&2): 49-59.

Key Words: food security, economic security, United States, policy.

The United States is a nation characterized by an abundant supply of nutritious, high quality food that is accessible to the majority of the population, who spend a lower relative percentage of their income budget on food than many of their international counterparts. Despite the state of food security that exists for the most individuals, many citizens experience a daily struggle against food insecurity, fearing the hunger that may ensue should their battle be lost. Food insecurity in developed nations is perhaps more subtle than that documented elsewhere, encompassing not only the physical experience of hunger, but also coping mechanisms, nutritional concerns, social and psychological aspects. It is nonetheless a critical issue for consideration in any civil society, and this discussion paper reflects on ways to address food insecurity involving government, non-governmental organizations and individuals.

Food security is a function of many factors that empower individuals to access nutritionally adequate and safe food in appropriate ways, including employment, education and community variables. Economic security in particular is cited as a major determinant and outcome of individual health and nutritional status, and its maintenance is an important precursor to permanent food security. Economic security itself is a complex outcome related to steady, adequate income, family stability, affordable expenditures and access to a social safety net in times of need. In formulating policy directed at maintaining and enhancing domestic food security, it is also critical to consider economic security as a prerequisite of this condition.

Secondly, access is discussed as a major issue in food insecurity. An estimated 12% of the 100 million families in the United States are said to be food insecure, with 4% experiencing hunger and reduced intake as a result. Upon consideration of recent changes to United States Department of Agriculture food assistance to programs and overall welfare reform, this paper states that the number of food insecure individuals will likely increase. Specifically, several vulnerable groups are identified as targets for policy, and whose unique situations must be considered in its application. Homeless people depending largely on assistance organisations to meet their food needs may have difficulty in negotiating aid networks, and also in storing and preparing food. Changing eligibility requirements for aid programs also must be considered, particularly for immigrants and other such affected groups. Programs aimed at helping children meet their food needs are commonly characterised by temporal inconsistency, as in the summertime when school meal programs are no longer in effect. Aboriginal populations and others living in rural or remote areas may experience difficulty in accessing fresh, varied foods that they can afford, particularly in regions with high unemployment.

Stemming from the two aspects of food insecurity considered, namely economic security and food access, extensive policy recommendations are made which emphasise cooperation and collaboration among all groups involved, including all levels of government, individuals, communities and nongovernmental organizations.

McIntyre, Lynn; Sarah Connor; and James Warren. (1998). A Glimpse of Child Hunger in Canada, Working Paper W-98-26E, Applied Research Branch, Human Resources Development Canada.

Key Words: assessment, child, family.

Using hunger as a guide, these researchers aim to provide a glimpse of child poverty in Canada. Data was obtained from the National Longitudinal Survey on Children and Youth (NLSCY), consisting of extensive information pertaining to the socio-demographic, health, family functioning and educational characteristics of Canadian households. Objectives for this study consisted of identifying and describing the following: (1) characteristics of hungry families; (2) responses to hunger and coping strategies; and (3) characteristics of caregivers, families and children that predict hunger, responses to it and coping strategies used.

When attributes of food-insecure families were compared with other Canadians, they were found to be strikingly similar, with a few meaningful differences. The small sample of food insecure families were characterized by a high prevalence of single parents, very low income, and poor self-reported health status. Most of these families live in urban centres, and while no visible concentration of ethnic minorities or immigrants appeared, aboriginal families were disproportionately represented among the food insecure. Many of the women heading poor, food insecure households were educated beyond the high-school level, indicating that education is not sufficient in shielding individuals from poverty and hunger. In general, factors that are predictive of family food insecurity include very low income, single-parent status, receipt of social assistance benefits, poor respondent (Person most knowledgeable or PMK) health, aboriginal status, and parent seeking work.

The most common coping strategies that parents use to postpone hunger when faced with food insecurity include turning to friends and family for help, social assistance and food aid programs, skipping or having smaller meals and eliminating snacking. When food scarcity levels become dire, mothers have been known to deprive themselves of nourishment so as to feed their children. Hence, childhood hunger is the least common and most severe form of food insecurity. Hungry families also exhibit a markedly high rate of tobacco use, which could be considered a coping strategy for stress reduction and appetite suppression.

The fact that families receiving incomes from social assistance or minimum wage employment are subject to food insecurity pointed to the inadequacy of these safety net transfers. The relationship between ill health and food insecurity may have implications for future productivity and social well-being. Lastly, food banks have become virtually institutionalized in Canadian society, and although their efforts function to maintain the welfare of many citizens, they are often an unreliable source of assistance, and a non-charitable response is needed.

Olson, K.W. (1992). Final report: Edmonton Food Policy Council. Community Food Needs Assessment — A Community Development Approach. Health Promotion Contribution Program.

Key Words: hunger, food insecurity, community, solutions.

This study conducted interviews with 460 low-income Edmontonians with the aim of identifying criteria for defining food security, its levels and barriers in the target communities. Low-income was defined using the cut-off employed by Statistics Canada, as having spent 58.5% or more of income on food, clothing, and shelter. Both adult and child scales were used in the measures, which were developed from those used by FRAC (Food and Research Action Center), and CCHIP (Community Childhood Hunger Identification Project). The research was successful in identifying who was hungry, why, the types of coping strategies used, and what action is needed in terms of programs and services to alleviate food insecurity.

Overall, income was found to be the most critical variable in determining families' food security. Those individuals experiencing the greatest food insecurity are also those with the highest economic insecurity, namely single parents, recipients of social assistance and working poor families. The greatest perceived obstacle to food security is lack of income, as when incomes fall substantially below the poverty line, families simply run out of money to buy food. Additional barriers to food security include transportation, ill-health and disability, lack of job skills or education, lack of social support, low self-esteem, lack of affordable housing, and lack of childcare.

An innovative strategy was used to determine potential solutions, involving meetings with the low-income community, government, and the food industry. In determining what action is needed in formulating long-term solutions to food insecurity, 62% of respondents said more money was necessary to ensure that they would obtain enough good food to eat. This translates again into a focus on income as a crucial factor in determining food insecurity, and other contextual factors related to that (i.e. economic context, income management, food acquisition, food management at home, and coping strategies).

Riches, G., ed. (1996). First-World Hunger: Food Security and Welfare Politics. St. Martin's Press, Inc: New York.

Key Words: food insecurity, developed countries, welfare reform.

This book operationalized the issues of food insecurity and welfare reform in a framework assessing hunger, exploring the issue of food as a human right through national case studies of Australia, Canada, New Zealand, the UK, and the U.S. Riches suggests three basic approaches for examining hunger: (1) hunger as a significant component of absolute poverty and a critical result of relative deprivation, (2) hunger as having a relationship with food security and well-being, and (3) hunger as a political problem and a basic human rights issue necessitating state intervention which goes beyond the "immediate issue of welfare". Cautioning the use of indirect indicators of hunger (i.e., food bank statistics and welfare rolls), it is also stated that within the context of high poverty rates, unemployment, and underemployment there can be no doubt of the existence of food insecurity in these five countries. Two explanations given for the increasing prevalence of food insecurity in developed countries are the changing economic context and adequacy of welfare programs in adjusting to them; and the responses, or lack thereof, by society and the state to health and welfare needs. Riches also described the Edmonton community food needs assessment as the most notable study on food insecurity in Canada to date, for recognizing the contextual and non-food related factors involved in food insecurity.

Tarasuk, Valerie; and Barbara Davis. (1996). "Responses to Food Insecurity in the Changing Canadian Welfare State." Journal of Nutrition Education, 28: 71-75.

Key Words: welfare state, food insecurity, Canada.

The Canadian welfare state as it has existed for most of the post-war era has been identified by universality of access and need-based eligibility, with the ultimate goal of creating an equitable and cohesive society. This system is identified as distinct from that of the United States in two ways: (1) social and health programs are matters of state interest, whereas in the U.S., private and charity models are the norm; (2) Canadian federal programs are focussed almost solely on income support, while in the U.S., state-run direct assistance programs are used (i.e. Food Stamps). In recent years, however, this has been changing, and the welfare state as it has been known is now in a state of flux and redefinition, shifting more towards the private/charity model. As public assistance programs are eroded, an extra-governmental system of ad hoc initiatives is taking its place in providing services to those in need.

Major restructuring of social programs has resulted in tightening of eligibility requirements, lowering of assistance, increased tax burdens for low and middle-income earners and only partial indexing of assistance benefits, calling into question the existence of a true needs-based system. This period of state restructuring has been exacerbated by insecure labour markets, the changing nature of work, and shifts in family structure of towards a greater number of single-parents and elderly individuals.

As a result of the above-mentioned social trends, poverty has become increasingly prevalent in Canada, as partly evidenced by the increase in use of food banks and ad hoc community aid organizations. These organizations focus specifically on the problems and exigencies of life in a low-income situation, providing assistance to individuals in terms of food, shelter and clothing. Two specific types of aid organizations are identified by Tarasuk and Davis. Firstly, food assistance programs, or food banks; organizations which coordinate the gathering, organization and distribution of surplus food to other agencies that then distribute it to people in need. Food banks came into existence as emergency, temporary relief programs, but have become a permanent fixture in Canadian cities and may even be identified as institutionalized. Secondly, self-help or community development organizations, following a more participatory model in providing assistance by providing clients with skill in the areas of food acquisition, preparation and management. Community development/skill programs such as these may consist of collective kitchens, food buying clubs, community gardens and nutrition education workshops.

Finally, the issues and implications of the existence of such an ad hoc network are discussed. The emergence of these programs as a departure from the traditional welfare state model is cited as cause for concern, for three reasons. Such a response frames food insecurity as primarily an emergency food-related problem, and although these programs are a necessary source of assistance for their clients, they fail to address the underlying poverty and structural inequality that exists. It is not to say that these issues are not recognized by program operators, but that they fall beyond the grasp of community organizations and their actions. The extra-governmental, ad hoc nature of community aid programs deters the achievement and maintenance of national standards of welfare and access to services, and contributes to the lack of recognition of poverty as a national social issue. Secondly, the provision of services is not considered a matter of entitlement, but rather is dependent upon the availability of services in one's community, and the meeting of discretionary eligibility requirements by those in need of assistance.

Wehler, C.A., Scott, R.I., Anderson, J.J. (1995). Community Childhood Hunger Identification Project: A Survey of Childhood Hunger in the United States. Food Research and Action Center: Washington, D.C.

Key Words: child hunger, characteristics, assessment.

The Community Childhood Hunger Identification Project (CCHIP) investigated the issue of hunger in families with children, specifically intending to detect and document food insufficiency resulting from limited household resources. It accomplishes this through a survey instrument of 165 questions in total, with eight main questions identifying families who are hungry or at risk of hunger. A total of 5,282 households were chosen from eleven regions so as to be representative of low-income families with children under age 12. Low-income is defined as having an income at or below, 185 percent of the federal poverty line ($26,548 for a family of four, 1993).

The results of this survey confirm the critical role of income in determining food security. Two factors are crucial in determining the amount of disposable income families have access to for food; the amount of financial resources (i.e. income, food stamps), and the amount that must be paid for fixed costs such as rent and utilities. As expected, food insecure families are characterized by very low-incomes, spending a significantly large amount of income on shelter, larger on average than do food secure families. When food insecurity strikes, children are usually the last to be affected, as parents will first restrict their own food intake in hopes of protecting their children from hunger. Affected children are more likely to suffer ill health in terms of fatigue, lack of concentration, weight loss and chronic illnesses such as colds and ear-infections. In addition, children from hungry families are more likely to miss school, hence affecting their performance.

In coping with food insecurity, many households participate in food assistance programs, such as the Food Stamp Program (FSP), five of which were examined in the CCHIP. Of the participants in food assistance programs, approximately one-quarter are meeting their food requirements, while the acquisition of adequate food resources remains a problem for another 25% that are described as 'hungry' in this study. The use of emergency food programs has risen dramatically since their inception, and many families must utilize the services of several different providers to meet their needs. This suggests that although food assistance programs provide a safety net that is effective for some in meeting their basic needs, it falls short for many users in terms of preventing hunger and a more comprehensive response to food insecurity is required.

2.2 Measurement and Indicators

Anderson, S.A., Ed. (1990). "Core Indicators of Nutritional State of Difficult-To-Sample Populations." Journal of Nutrition 120: 1559-1600.

Key Words: measurement, hunger, food insecurity, difficult-to-sample populations.

This report was developed by the Life Sciences Research Office, Federation of American Societies for Experimental Biology (FASEB). FASEB conducts assessments of issues in the biomedical sciences using extensive literature reviews, and the scientific opinions of qualified individuals working in specified areas of biology and medicine. Members of the panel used to formulate this report represented an array of backgrounds, including food consumption, food security, nutrition, survey design, public policy, and health, allowing for a comprehensive examination of the core indicators of nutritional status. The intent of this report is to provide a source of information that will be useful in planning an approach to assessing nutritional state in difficult-to-sample populations.

Difficult-to-sample populations were defined as: (1) those covered by existing sampling frames but who were too small in number to make reliable estimates from (e.g. women who are pregnant); (2) those covered 'in principle' by existing household survey frames, but who are not adequately represented because members could not be accurately identified (e.g. alcohol abusers); and (3) those not covered in traditional household-based sampling frames (e.g. institutionalized groups and migrant workers. They concluded it was not possible to develop a comprehensive design for assessment of nutritional status for all difficult-to-sample populations and public policy purposes.

Blumberg, S., Bialostosky, K., Hamilton, W. L., Briefel, R. (1999). "The Effectiveness of a Short Form of the Household Food Security Scale." American Journal of Public Health, Volume 89, No. 8 1231-1234.

Key Words: food insecurity, measurement, hunger, validity.

This paper represents a joint effort between researchers from the National Center for Health Statistics, Centers for Disease Control and Prevention and Abt Associates Ltd. to create a valid short form version of the Household Food Security Scale for use when time and/or financial considerations prevent use of the full scale. Based on data collected in the April 1995 Current Population Survey (CPS), 6 items primarily focusing on financial contributors to food insecurity were selected from the full scale using non-linear item analysis. Results indicate that this short form classified 97.7% of households correctly in terms of food security status, and only underestimated the prevalence of overall food insecurity and food insecurity with hunger by 0.3 percent. Results were also roughly equal for households with and without children (95.6% and 99.0% correctly classified respectively). The authors suggest that, due to these encouraging results, this short form may be potentially useful for national surveys.

This short form may not be appropriate for all populations however, specifically those that may deviate largely in composition from the 1995 CPS sample. Focusing largely (though admittedly not entirely) on financial constraints related to food insecurity ignores certain other potential involuntary limitations such as physical disability and community availability of sufficient quantities of nutritious food. The short form also combines the categories of "moderate" and "severe" hunger, so those requiring a greater level of sensitivity would best use another measure. Noting that the prevalence of food insecurity as reported by the 1995 CPS data is relatively quite low, hypothetical higher sample rates of food insecurity in combination with the short form's low sensitivity would have resulted in lower concordance.

Kendall, A., Olson, C.M., Frongillo, E.A., Jr. (1995). "Validation of the Radimer/Cornell Measures of Hunger and Food Insecurity." Journal of Nutrition, 125: 2793-2801.

Key Words: measurement, hunger, food insecurity, validity.

Table 1 : Dimensions of food insecurity based on qualitative research by Radimer (1990)
  Individual level Household level
Quantitative Insufficient Intake Food depletion
Qualitative Nutritional inadequacy Unsuitable food
Psychological Lack of choice, feelings of deprivation. Food anxiety
Social Disrupted eating patterns Food acquisition in socially unacceptable ways.

Identifying hunger and food insecurity as critical indicators in assessing individual nutritional status necessitates the construction and subsequent validation of measures of these phenomena. This study builds upon earlier research resulting in the Radimer/Cornell measures of hunger and food insecurity, and tests three areas of the measures' validity: internal consistency, construct and criterion related validity. A survey was administered to a sample of 193 households with women and children residing in rural New York State. Questions were asked pertaining to socio-demographic characteristics, fruit and vegetable consumption, household food supplies and included the Radimer/Cornell measures. From the results of the survey, measures were constructed identifying households with hungry children and food insecurity at the individual and household levels.

When validity of the measures was tested, their efficacy in identifying food insecurity was confirmed. Using factor analysis to assess construct validity confirmed several aspects of the Radimer/Cornell framework: hunger and food insecurity are experienced differently at the household level, the individual level has distinct adult and childhood aspects, and diet consists of two components related to the quality and quantity of food eaten. Cronbach's alpha was employed to measure internal consistency, confirming the validity of this measure. Lastly, criterion-related validity was determined by comparing the results of demographic and dietary characteristics in their relationships to food insecurity. Results showed that demographic and household dietary characteristics differed in their direction of relationship to food insecurity, while still showing significant associations. This supports the ability of the Radimer/Cornell measures in identifying food insecurity among individuals and/or households experiencing different degrees of food insecurity.

Radimer, K.L., Olson, C.M., Greene, J.C., Campbell, C.C., & Habicht, J-P. (1992). "Understanding Hunger and Developing Indicators To Assess It in Women and Children." Journal of Nutritional Education, vol. 24(1): 36S-44S.

Key Words: hunger, definitions, conceptual models, measurement.

Addressing food insecurity and hunger in developed countries is a critical issue in contemporary policy debates, and the lack of an operational definition for use in this dialogue is cited as a major barrier to progress. The aim was to develop a definition of hunger as perceived by women and to construct indicators to measure it directly in similar populations. In order to construct a definition of hunger relevant to the population under examination, interviews were conducted using a method of naturalistic inquiry with subjects purposely sampled for maximum diversity. Participants in the interviews were comprised of 32 women of childbearing age from rural and urban regions of Upstate New York.

The conceptualization of hunger that emerged from these interviews was found to have both broad and narrow dimensions. Narrowly defined, hunger is described in terms of its physical sensations and the temporal aspects of those sensations. In terms of broad definitions, a more complex picture emerges that is defined on two levels, those of the household and individual. As perceived by these women, individual hunger has four components: insufficient intake, nutritional inadequacy, psychological aspects (i.e. lack of choice and feelings of deprivation and loss of control), and social aspects (i.e. disruption of the social norm of three meals per day). The second level of hunger, that of the household, is also thought to have four components: depletion of food resources, unsuitable food options, food anxiety, and the acquisition of food in socially unacceptable ways.

Based on this information survey items were developed and evaluated, and three scales emerged for use as indicators of hunger at the household, adult and child levels. It has become clear that hunger is a fluid state experienced differently by individuals, and a process that is constantly managed as it varies over time. Although this may appear problematic from a sampling perspective, there is an identifiable sequence of stages of hunger that exist, and this serves merely to highlight the critical importance of specifying the target population and creating measures based upon their conceptualization of food insecurity.

Wolfe, Wendy S.; Olson, Christine M.; et al. (1998). "Hunger and Food Insecurity in the Elderly: Its Nature and Measurement." Journal of Aging and Health, 10 (3): 327-351.

Key Words: measurement, characteristics, hunger, food insecurity, elderly.

Elderly individuals have been identified as a population subgroup greatly at risk for hunger and food insecurity due to low incomes, poor health and limited mobility. Estimates of prevalence of food insecurity among elderly people range from 3.4% to 22%, depending on questions asked and the defined sampling frame. This evidences a need for effective, standardized measures to correctly assess this phenomenon and formulate effective solutions. Two steps in doing this are to understand the elderly experience of food insecurity, achieved through qualitative interviews; and to evaluate the efficacy of existing questionnaires in measuring this experience.

The current study conducted interviews with 41 elderly persons in rural and urban locations and then compared food insecurity status based on the interview with that determined through quantitative measures. Five measures were tested: the Radimer/Cornell, Community Childhood Hunger Identification Project (CCHIP), Nutrition Screening Initiative (NSI), United States Department of Agriculture food sufficiency and Urban Institute. All five measures showed reasonable specificity and effectiveness in identifying those in the most severe stages of food insecurity, however, the Radimer/Cornell, CCHIP and NSI exhibited greater sensitivity in identifying those in lesser stages of insecurity.

The descriptions of food insecurity given by elderly respondents suggest that their experience is one of a progression of severity. It is not simply a categorical division between being 'food secure,' or 'food insecure,' but is characterized by a continuum along which an individual may pass in either direction at any given time. This progression is similar to that found for other subgroups, and identification of the stages involved may be beneficial in determining effects of contextual changes and risk factors on future stages of food insecurity.

Tarasuk, Valerie. (2001). Discussion Paper on Household and Individual Food Insecurity. Paper prepared for the Office of Nutrition Policy and Promotion, Health Canada.

The author points out that food insecurity is a broad concept, including issues regarding the nature, quality and security of food supply and access. The term food insecurity meant the limited, inadequate or insecure access of individuals and households to sufficient, safe, nutritious, personally acceptable food both in quality and quantity to meet their dietary requirements for a healthy and productive life. Tarasuk notes four key elements: 1) Food insecurity is experienced at the household and individual levels in different ways. Whereas the individual relates to issues of food consumption and allocation and includes the sensation of hunger, the households deals with the food supply management, acquisition and allocation. 2) The experience of food insecurity is dynamic based on a temporal sequence of events and experiences that can be considered in terms of frequency, duration and periodicity. 3) The sequence of stages are related to graded levels of severity, ranging from qualitative compromises in food consumption to quantitative reduction of intake as resources are depleted. Hunger is the most severe stage. Households manage the events in the process and the compromises they make describes their pathway to food insecurity. 4) Within households, individual experiences of food insecurity differ. Adults tend to minimize the impact on children by foregoing their on consumption of food. Direct and indirect indicators of food insecurity that could contribute to a nutrition monitoring system at the individual and household level was the major objective of the paper.

2.3 Characteristics of Food Insecure Individuals and Their Experience

Andrews, M., Nord, M., Bickel, G. and Carlson, S. (2000). Household Food Security in the United States, 1999. Food Assistance and Nutritional Report No. 8. U.S. Department of Agriculture.

Key words: Food security, food insecurity, hunger.

This report, published by the Food and Rural Economics Division of the U.S. Department of Agriculture, examined both prevalence of food security and hunger in 1999 and trends in food security in the United States between 1995 and 1999. In the twelve months preceding April 1999, approximately 10.1% of American Households experienced some degree of food insecurity due to inadequate resources, and a further 10% of these households had at least one individual reporting hunger. Data was collected by the Food Security Supplements to the Current Population Survey between 1995 and 1999, though it is noteworthy that due to a change in survey administration after 1997, two different data editing protocols were used in the report. The patterns of a given household's responses on certain behavioural and household conditions allowed them to be classified into one of three categories (food secure, food insecure and food insecure with hunger).

In general, both food insecurity and food insecurity with hunger declined between 1995 and 1999, despite the existence of significant increases in both 1996 and 1998. The incidence of food insecurity also declined across all household types, particularly in the case of female-headed households with children, Hispanic households and urban households. However, for households with income between 50 and 130% of the poverty line, the percentage of food insecure households increased. The trends for food insecurity with hunger were similar, although among low income households, the prevalence of hunger declined even in the face of increasing prevalence of food insecurity.

Looking specifically at the 1999 data, the authors note many discrepancies traditionally demonstrated in food security levels between various groups (e.g. income, ethnicity, geography). For instance, households with children generally experience twice the prevalence of food insecurity as those without (14.8% v. 7.4%) and food insecurity is six times as evident, and hunger eight times as prevalent, within households having an annual income below 185% of the poverty line than those above it. Further, as has been frequently noted in the literature, households facing multiple risk factors are particularly more likely to experience food insecurity.

The authors conclude the report by discussing several limitations to their method. For example, though food insecurity and hunger are thought to be a result of insufficient household resources, many factors that might affect a household's food security (e.g. job loss, divorce) are not taken into account by annual income measures alone. Finally, the authors note that, due to certain methodological and data analytic issues, their results may not be the most valid estimate of children directly experiencing hunger, but instead perhaps may represent an upper bound for this number. Ongoing analyses may be able to refine these estimates in future reports.

Canadian Association of Food Banks. (1998). HungerCount 98. www.icomm.ca/cafb/hunger_count.html.

Key words: food banks, household income sources, provincial and regional comparison.

HungerCount 98 is a survey conducted by the Canadian Association of Food Banks (CAFB) which main purpose is to document the usage of food banks nationwide. CAFB is a national coalition of organizations which gathers and distributes food to people in need through member food banks. It also serves as a liaison between food banks, industry and governments. Funding is derived from a large variety of sources, from Procter & Gamble to Campbell's Soup. These results represent data collected in 1998 from 394 food banks (63% of the 625 contacted), with data from an additional 68 food banks being estimated by provincial co-ordinators. As some of these food banks are often hubs for a number of member agencies/affiliates, CASF reports the total number of food banks assessed (including these additional agencies) to be 2,141.

The survey reports that in March of 1998, 716,496 people (2.4% of total population) were assisted with food hampers, a figure that had increased by 5.4% from the previous year, and 118% since 1989. 27.6% of the increase is accounted for by Eastern provinces. Inter-provincial variations in usage were reflective of unemployment —the greater the unemployment rate, the greater the rate of food bank use (exception: Manitoba and New Brunswick, which saw the opposite effect). Though children represent approximately one-quarter of Canada's population, 41.5% of food recipients in Canada were children. Only two provinces/territories average more than 2 children per household receiving assistance, while the average household varied between 2 and 3 persons, which all suggests a relatively large proportion of families with 1 or 2 children (particularly single parents). For most families receiving assistance from grocery programs, social assistance is the main source of income, while only 10% of assisted families received employment income (the "working poor"). It should be noted that grocery programs, only capable of providing limited assistance at best, are not an appropriate substitute for policy reform in abating the prevalence of hunger.

Geographically, rates of food bank use tended to decline from east to west. Food bank use may be impeded in northern regions, such as the territories, by low population density and decreased urbanization. The 5.4% overall growth in people assisted may be due to factors such as the comparable increase in available food banks (5.2%). However, the fact that increased use in some areas, such as Nova Scotia, often far outstripped growth in availability indicates that the increase in food bank usage may be also driven by deteriorating levels of livelihood.

Two trends were noted. The first is the over-representation of children, suggesting that those most vulnerable to the adverse cognitive and developmental effects are experiencing food insecurity. The second is that even in a period of general economic growth, hunger throughout Canada continues to increase.

Castner, L., Rosso, R. (2000). Characteristics of Food Stamp Households, Fiscal Year 1998. Mathematica Inc.: Washington, D.C. www.fns.usda.gov/oane/menu/published/fsp/FILES/char98.pdf

Key words: Food stamp program, poverty, demographics.

Using household data collected by the U.S. Department of Agriculture's Food and Nutrition Services for quality control purposes, the authors document some of the participation and cost figures of the Food Stamp Program (FSP), as well as some of the characteristics of participant families.

Castner and Rosso report that in the average month of the fiscal year 1998, 19.8 million people living in 8.2 million households received benefits from the FSP, each household receiving an average of $165 per month in food stamp benefits. The total cost for the program was $18.9 billion for the year, of which $16.9 billion was for food stamp benefits. In comparison with the previous fiscal year, level of FSP participation had declined by 13%, and FSP benefit costs by 14%. However, it is likely that an increased stringency in eligibility requirements, rather than an actual reduction in food in security, was responsible for these declines.

The following characteristics of families participating in FSP were included among those reported for fiscal 1998: slightly over half of participants were children, 39% non-elderly adults and 8% elderly; more than 2/3 of adults were women; more than 90% of FSP households lived in poverty; FSP benefits were concentrated among poorer households —37% of households had income less than or equal to half of poverty guidelines, while these households received 57% of benefits; 88% of food stamp households contained either a child (58%), or an elderly (18%) or disabled person (24%); 68% of households with children receiving FSP benefits were led by a single parent, and the majority of these (58%) received support from the Temporary Assistance for Needy Families (TANF); only 39% of households with children received earned income; 34% of single parent and 56% of multiple adult households had earnings.; when calculated in financial terms as gross income, the provision of food stamps helped move 7% of recipient families above the poverty line, and increased 21% of the poorest families to within 50% of poverty indicators. This research highlights the characteristics of individuals who rely on in-kind assistance provided by the food stamp program but generalization to Canadians experiencing food insecurity is not possible.

Cohen, B., Olhs, J., Andrews, M., Ponza, M., Moreno, L., Zambowski, A., Cohen, R. (1999). Food Stand Participants' Food Security and Nutrient Availability: Final Report. Mathematica Inc: Princeton NJ.http://www.fns.usda.gov/oane/MENU/Published/NutritionEducation/FILES/nutrient.pdf

Key Words: food security, Food Stamp Program (FSP), nutrient availability.

The Food and Nutrition Service (FNS) of the U.S. Department of Agriculture, which administers the nation's Food Stamp Progam (FSP) commissioned Mathematica Policy Research Inc. to conduct the National Food Stamp Program Survey (NFSPS). The purpose of this research was to assess the levels of food security of FSP participants, as well as the possible relationship between nutrient availability and food security. Degree of food security was measured using an 18 item set of questions developed by Hamilton et al (1997). Data was collected between June 1996 and January 1997 from FSP participants, as well as those not receiving who are FSP-eligible or near eligible. Some important limitations should be noted however, including: only individuals with telephones were surveyed; the accuracy of non participant eligibility determinations was only approximate; lag time between data collection and participant sampling may have led to an overrepresentation of long-term participants, as many short term participants had dropped off of FSP by the time they were contacted, and were not included.

After examining the survey data, the authors report that, on a national level, 50% of FSP participants experience food insecurity to varying degrees, including 5% classified as being food insecure with severe hunger. Lack of financial resources was cited as the primary impediment, and FSP participants reported lower incomes than either the FSP-eligible or near eligible groups. Surprisingly, the average nutrient availability exceeded Recommended Dietary Allowances (RDA) for the key nutrients examined.

Despite this, the authors indicate it must be noted that substantial percentages of houses still have nutrient availability below their Recommended Dietary Allowances. Relationships between food security and variables measuring access to food stores were generally quite weak. A relatively strong relationship was found between food security and access to a car, but this may be reflective of an individual's financial situation. This goes in some degree of contrast to reports from rural settings which report physical access barriers as significant impediments. Another surprising report was that level of food security may be negatively associated with nutrient availability. Several possible explanations for this are offered. This research may be possibly useful in a roughly complimentary role to the previously cited work by Castner and Rosso (2000) which provides a basic demographic picture of FSP participants (though from a more recent data set), but does not directly address food insecurity levels.

Daponte, Beth Osborne. (1996). Private Versus Public Relief: Utilization of Food Pantries Versus Food Stamps Among Poor Households in Allegheny County, Pennsylvania. Discussion Paper no. 1091-96, Institute for Research on Poverty, University of Madison-Wisconsin.

Key Words: food insecurity, coping mechanisms, public, private.

Individuals living in a state of food insecurity use many coping strategies to meet their nutritional needs and stave off hunger, and different organizations play a role in this decision. Options for food assistance fall into either the public or private category, and these researchers have studied the factors influencing what assistance choices poor families make in order to meet their needs, as well as the efficacy of aid organizations in combating food insecurity.

The 1993 Food Distribution Research Project sampled low-income families in Allegheny County, and households were screened out based on poverty level for use in this study. When analyses were conducted so as to ascertain household attitudes toward assistance seeking and preferences regarding public or private organizations, several trends emerged. The non-elderly grouping preferred the Food Stamp Program to private community organizations for meeting their food needs. The FSP provides greater flexibility in terms of food choices, and higher value and certainty of benefits; these are possible reasons for this preference. Food insecure elderly persons, however, made greater use of food pantries, for several possible reasons. The informal nature of community organizations may lend itself more to being perceived as "giving a little extra help" in tight times as opposed to receiving government aid, hence being more appealing. As well, the assets of elderly people may exceed the level allowed by the FSP to receive benefits. Poor families with children were found to use both assistance networks, likely because Food Stamps become exhausted near the end of the month and food banks must be visited as a supplementary source of food aid.

In assessing the efficacy of food assistance programs in preventing food insecurity and ameliorating its effects, it is unfortunate that longitudinal research is not available, as only the degrees of insecurity can be measured and the characteristics of families experiencing them, not the outcomes of particular variables. Children were assessed anthropometrically, although these measures were based on self-report and hence subject to a high margin of error. It was found that children whose parents received food assistance were more likely to be anthropometric outliers than those who were not, with a tendency toward obesity. In addition, household subjective perceptions of food insecurity were measured, and an index was created. Households participating in food assistance programs reported a greater degree of insecurity than those who did not, and it may be assumed that food aid is not completely effective in lessening the burden of food insecurity. Those reporting the greatest insecurity included families with children, single persons, and blacks, while the elderly reported the least food insecurity.

Self-reported food insecurity status exists in poor families that use food assistance as well as those that do not, calling into question the actual impact of food outreach programs. This raises some concerns related to the effectiveness of food assistance programs in meeting the needs of people experiencing food insecurity, and what measures must be taken to mitigate its effects. Nutritional consequences of food insecurity are well-established, however there are other, more indirect, but nonetheless important outcomes. Chronic illness, child mal-development or under-development, and hence diminished social well being and productivity are serious potential results of food insecurity and serious cause for action.

Davis, Carlton G. (1994). "Domestic Food Programs, Hunger and Undernutrition in Rural America: How Secure is the Safety Net?" Review of Black Political Economy, 22 (4): 179-203.

Key Words: definitions/conceptual models, food assistance, rural poor.

Conducting a literature review of empirical research on the effectiveness and distributional impacts of food assistance programs in rural America, Davis argues that food programs are an effective safety net only when used in conjunction with other programs that increase the effective demand for food by increasing employment. In order to provide a contextual framework for other, future discussions on this issue, focus is placed on the relationship nexus occurring between household income, food consumption and nutrient consumption.

First, factors related to household food and nutrient consumption are addressed in three sections. Income level is cited as a major factor, although a distinction is made between income-food expenditure and income-nutrient consumption relationships. Although income level has consistently been found to have a positive correlation with food expenditure, in some studies an increase in income has been correlated with the purchase of less nutritious foods. This may be the case where as income increases, the percent allocation to high-cost luxury foods increases, while the percent of income spent on staple goods decreases as a proportion of income. Domestic food assistance programs, particularly the Food Stamp Program (FSP), are identified as the main mechanism of the food safety net and the FSP has been found to have a positive effect on food expenditure, nutritional status, food energy and nutrient consumption. The education level of female heads of households also is positively correlated with food expenditures and nutrient consumption. Lastly, family size may have a positive effect on food expenditure, while negatively influencing nutrient consumption.

Changing family structures and the rise of single-parent families are also exacerbating any trends towards food insecurity and poverty that may be emerging. In rural areas this trend is not as strong, and may serve to moderate and/or delay these effects, as two-parent families are more the norm, and single-parenting and solitary living are less common. Although this is true for most rural residents, those who do live in single-parent families may be worse off than their urban counterparts due to greater overall economic hardship.

Data was then examined pertaining to the characteristics of rural society and the ways that they may structure food security. In rural regions, the incidence of poverty is not only greater than that found in urban areas, but is also typified by different socio-demographic trends. Rural communities are much more likely to be populated by two-parent families, and residents, although poor, are more likely to have a job and be "working poor" than to be receiving social assistance. The rural poor are also comprised of a greater proportion of the elderly, of whites and have lower education levels than their urban counterparts. In rural regions the non-participation rate of FSP eligible persons is lower than that in urban centres, and the mean per capita FSP bonus was $368 per month for the urban poor, and $222 per month for rural residents in the mid-1980's. In terms of food insecurity and hunger, the rural poor are significantly worse off than those living in poverty in urban areas. As such, Davis cites a need for different policies to be formulated, targeting this distinct population.

Frongillo Jr., Edward A. and Lee, Jung Sun. (2001). "Food Insecurity Among the U.S. Elderly." Poverty Research News, Vol 5(2) 12-13.

Key words: food insecurity, elderly, national survey, effect of food programs.

Research on food security has traditionally focused on young adults and children, often has overlooked the elderly, who may face unique challenges. Using data from the Third National Health and Nutrition Examination Survey (NHANES III), the Nutritional Survey of the Elderly in New York State (NSENY) and, to a lesser extent, the Longitudinal Study of Aging, the authors have analyzed the issue of food insecurity as faced by elderly individuals. This article was based on a working research paper.

Approximately 2% of elderly persons sampled were found to be food insecure. Prevalence increased dramatically if an individual is a member of one, or particularly when a member of more than one, high risk groups (e.g. social isolation, minority). In addition to difficulties obtaining food due to insufficient financial resources, a major contributor to food insecurity in the elderly is an inability to prepare or eat the food available due to functional impairments. Further to this point, the authors found that limited ability to use food had an independent association with food insecurity, regardless of its availability in the household —thus demonstrating that food security in the elderly is more complex of an issue than simply one of lack of access.

When looking at health issues in the elderly, it is often difficult to distinguish which problems are a result of the natural aging process and which are the result of food insecurity. The authors believe, regardless of this potential confound, the elderly generally consume far less than their Recommended Dietary Allowances of specific nutrient groups. This deficiency is particularly pronounced in food insecure elderly.

The Food Stamp program and Elderly Nutrition Program have become America's primary sources of food assistance for the elderly. Though acknowledging that their effectiveness is difficult to evaluate, the authors report that participation in food assistance programs was not related to improved nutrient intake, nor was it found to be improving the health of the most vulnerable elderly. Finally, the authors document various policy and research implications of their results. Firstly, that the issue of functional impairments needs to be more fully examined. Secondly, that more attention by food assistance programs is needed towards ensuring adequate nutrition levels in the elderly are maintained. Thirdly, that more research is needed in the area of program evaluation, to ensure the impact of food assistance participation is accurately assessed.

Quandt, Sara A., and Pamela Rao (1999). "Hunger and Food Security Among Older Adults in a Rural Community." Human Organization, Vol. 58(1): 28-35.

Key words: food insecurity, nutrition, nutrition policy, rural elderly, poverty.

Elderly individuals are recognized as being particularly vulnerable to the ill effects associated with food insecurity and malnutrition. Despite this, relatively little systematic research focusing on food security in the elderly exists, and even less on rural elderly in particular. Rural individuals may face unique barriers to food security arising from different life experiences and environmental characteristics associated with rural living. This study, funded through the Urban Institute and the University of Kentucky Research Committee, examines the levels and predictors of food insecurity in a sample of 192 rural Appalachian seniors (65 and older). Data was taken from a larger survey on hunger and the elderly commissioned by the Urban Institute in 1993.

The study concentrates on three categories of barriers thought to be risk factors associated with increased food insecurity: material ( low income); social (limited social networks); health. As this research is intended to direct policy change, the focus was on barriers that are more malleable, as opposed to more inflexible socio-demographic factors (age). Results indicate that 24% of individuals reported at least one food insecurity indicator, while 10% reported two or more. The most commonly reported indicator was taking personal actions within the last 6 months to cope with not having enough food to eat. Participation in government sponsored nutrition programs was particularly low — only 4% reported any regular involvement, and only the food stamp program showed greater participation for individuals who reported food insecurity as opposed to those who did not. All of the proposed barriers had significant relationships with food insecurity. The three strongest predictors of food insecurity were income at 150% of poverty level or less (material), taking 3 or more prescription drugs (health), and eating alone (social).

Quandt and Rao feel that specific factors associated with living in rural areas may have had direct influence on the identified barriers. Many males had spent their lives employed in the resource harvesting industry (mining, forestry), occupations which had seen long periods of unemployment and seasonal layoffs, and which typically lack pension benefits. Income from other assets, such as investments and real estate, was also particularly lacking. Outward migration of young people due to high unemployment rates may have helped erode social networks. Finally, the low participation of government funded programs may be due to a variety of factors, including a greatly dispersed population and difficulty in access due to lack of available resources to purchase transportation, rough terrain and harsh climate. Clearly, there is a need for specific policy initiatives to address concerns unique to individuals in these conditions.

Rose, Donald; and Victor Oliveira. (1997). "Nutrient Intakes of Individuals from Food-Insufficient Households in the United States." American Journal of Public Health, 87 (12): 1956-1961.

Key Words: assessment, nutrients, food-insufficiency.

Rose and Oliveira aim to create a greater understanding of the relationship between food insecurity and nutrient intake for three at-risk groups: pre-schoolers, adult women and elderly people. Using data from the Continuing Survey of Food Intake by Individuals (CSFII), a nationally representative data set, sub-samples were drawn of 1379 pre-schoolers, 3764 adult women, and 2215 elderly people. Dietary nutrient intake was assessed with an in-home interview regarding food consumption over the previous 24 hours. Respondents were then screened into one of two groups based on their agreement with the following statements: (1) "Enough of the kinds of food we want to eat"; (2) "Enough, but not always what we want to eat"; (3) "Sometimes not enough to eat"; (4) "Often not enough to eat." Those households that agreed with either of the last two statements were considered food insufficient, and any others food sufficient. Further information was then obtained regarding socio-demographic and economic variables.

When statistical analyses were performed, it was found that those who were food insufficient had lower incomes, education and were more likely to live in households headed by a single adult. The strongest association found between food insufficiency and nutrient intake was for the elderly group, as elderly food insufficient persons were found to consume a mean of 58% of the recommended daily energy intake, hence consuming less than the Recommended Dietary Allowances for many nutrients. Food insufficient adult women were said to be approximately 1.4 times more likely than their food sufficient counterparts to consume less than 50% of the recommended energy intake, and were below two-thirds of the Recommended Dietary Allowances for six nutrients. Results for pre-schoolers were the least definitive, and there were no strong associations found between food insufficiency and reduced intake for this group. A plausible reason for this may be that in families where food insecurity is an issue, mothers go hungry in order to ensure adequate nutrition for their children.

The authors also raise the question as to whether or not self-report measurements of hunger are valid, and their answer appears to be "yes." As public resources are shrinking, detailed, expensive surveys are not as feasible to conduct as they once were. In light of this they claim that the credibility of quick and simple measures, such as self-report surveys, become critical in assessing food insecurity.

Starkey, L.J.; H.V. Kuhnlein; K. Gray-Donald. (1998). "Food Bank Users: Sociodemographic and Nutritional Characteristics." Canadian Medical Association Journal, 158 (9): 1143-1149.

Key Words: definitions/conceptual models, food assistance, sociodemographics, nutrition.

Since their introduction in the 1980's, private food assistance agencies, or food banks, have become pervasive features of society. As such, these authors aim to examine the socio-demographic and nutritional characteristics of people relying on this service. A survey was conducted of 490 clients served by 57 food banks in urban Montreal. Subjects were distributed equally between genders, with a mean age of 41 years, and an overall range of 18 to 85 years. Data was obtained through personal interviews, consisting of two components: socio-demographic characteristics, and a 24-hour dietary recall. Participants were surveyed regarding their ethnic origin, language, education, age and sex of household members fed, health and income status. The dietary recall component posed questions related to food intake, cigarettes, alcohol and use of food assistance programs over the last 24 hours.

Most participants reported themselves to be in good health, although the overall mean body mass index (BMI) score exceeds the upper limit of the recommended healthy range, particularly for clients over age 50. Of the 126 people reporting health problems or conditions, the most common were chronic physical conditions (back, eye, ear problems). This was followed by medical problems, (high blood pressure, diabetes, cancer) psychological problems, dietary concerns and other.

The 490 participants represented households responsible for feeding a total of 1170 people, with a mean household size of 2.4. Approximately one-third (30.4%) of these were under 18 years of age, again one-third of which were children of single parents. The principal source of income was social assistance, and only 2.6% of people participated in paid employment. For those employed, incomes were still extremely low, and these individuals may be said to represent the "working poor." Mean monthly household income for families in this study was approximately $900, well below the low-income cut-off point of $1816, although nearly half of the men and 27.4% of the women in the sample had completed post-secondary education.

Of the number of people seeking food assistance, one-third were frequent users, while 14.7% were first-time food bank clients. Most of the respondents (85.1%) cited not enough money after paying other bill as the reason for patronizing food banks. Results of the survey also indicate that the likelihood of men and women using food banks is roughly the same.

Income from social assistance is below the level required for these families to meet their basic needs, and hence they must frequent food banks to fulfil their nutritional requirements. The frequency with which subjects are using food banks further entrenches their presence in communities, no longer as emergency response providers, but as necessary, permanent fixtures. The large number of working-age users living in a state of potential food insecurity is also a critical point of note for the concerns that it may raise regarding labour force productivity, human and social capital. Lastly, it is interesting that a concentration of those traditionally associated with food insecurity (the very young, elderly, single parents) did not arise, and it is possible that they are perhaps seeking assistance through other channels.

Wilde, Parke; and Christine Ranney. (1998). A Monthly Cycle in Food Expenditure and Intake by Participants in the U.S. Food Stamp Program. Discussion Paper no. 1163-98, Institute for Research on Poverty, University of Madison-Wisconsin.

Key Words: food expenditure, food intake, Food Stamp Program.

Food insecure individuals and those participating in social assistance programs often consume food unevenly over time. These authors aim to study the monthly cycles in food expenditure and intake by Food Stamp recipients and their implications for research and policy related to food insecurity and the efficacy of the Food Stamp Program (FSP). Employing data from two nationally representative surveys, the Diary of Consumer Expenditure Survey (CEX) and the Continuing Survey of Food Intake by Individuals (CSFII), the different monthly cycles for various groups were studied.

The overall pattern of expenditure and intake that these individuals engage in is characterized by a sharp peak in the three days after receipt of benefits, in this case, Food Stamps, and a decline towards the end of the month. Little variation in spending patterns was found, but when food intake was examined, several notable differences emerged. Recipients of Aid for Families with Dependent Children (AFDC) had a fairly constant intake over the month, versus non-recipients who receive lower FSP benefits, and exhibited a sharp drop in food intake in the last week. Based on head-of-household, it was discovered that single-female-headed households experienced little fluctuation in food intake, two-person (presumably couples) households moderate fluctuations, and male-headed households the greatest variation in intake over the month. Regarding shopping frequency, recipients of Food Stamps made major trips once a month or less, a behaviour that was associated with greater fluctuations in food intake. This may reflect barriers to shopping that low-income individuals face related to transportation, and food storage. When comparing families with and without children, significant inter- and intra-family variation appeared. Of all groups, children's intake was the highest relative to recommended daily allowances, while parents were shown to absorb the majority of food level fluctuations, presumably to prevent their offspring from nutritional inadequacy.

Several research and policy implications stemming from this study are discussed. Noting the monthly variation in food expenditure and intake raises the issue of how this cycle may be smoothed out. Although the Food Stamp Program is a distinctly American creation, the findings discussed here may be extrapolated and considered in a Canadian context regarding individuals receiving social assistance and their patterns of food management over the month. The nutritional consequences of food intake fluctuations may be an important issue for parent health, child development and hence the quality of human capital.

Daily Food Bank. (1996, September). Can Welfare Recipients Pay Rent and Eat Too? A Comparison of Shelter Allowances and Spending on Accommodation Among Welfare Recipients Served by Food Banks in Toronto. Daily Bread Food Bank: Toronto.

Key Words: welfare reform, welfare benefits, food insecurity.

In 1995, General Welfare Assistance (GWA) was reduced by 21.6% in the province of Ontario, with major consequences for the lives of recipients. This resulted in many being forced to dip into their basic living allowance in order to pay their rent, the occurrence of which is the subject of this study. The Daily Bread Food Bank conducts a survey of food assistance recipients on an annual basis by interviewing patrons at neighbourhood and community food banks in the Greater Toronto Area. Their findings suggest that by the spring of 1996, 66% of single persons receiving GWA were paying rent in excess of the maximum shelter allowance, up from 43% in 1995. This trend was also noted among single parents and couples with one or two children, 50% and 75% of which respectively paid rent in excess of the shelter allowance.

As people are forced to obtain accommodation with costs in excess of resources, money was withdrawn from their food budget to meet rent obligations, hence diminishing their ability to finance other basic necessities. The calibration of social assistance to economic costs is of critical importance to avoid food insecurity and to safeguard the welfare and health of recipients and their children. The capacity of adults to seek employment may also be diminished through compromised health status.

Daily Bread Food Bank. (1996, October). Who Goes Hungry? A Profile of Food Recipients in the GTA Served by Member Agencies of the Daily Bread Food Bank. Daily Bread Food Bank: Toronto.

Key Words: food banks, patrons, characteristics.

Based upon the 1996 Daily Bread Food Bank survey of 900 food bank users in the Greater Toronto Area, this report identified factors placing individuals at risk for hunger and policy implications stemming from the findings. Factors specified as contributing to being at risk for hunger were as follows: being between the ages of 25 and 49, female, single, supporting children, a child (more than twice the risk of adults), lacking a high school diploma, unemployed, on some form of social assistance, having rent that exceeds the social assistance shelter limit, and the use of coping strategies to stretch the budget.

The authors assert that programs aimed at addressing the needs of children must address the needs of all families with children and their members, as for children to grow and develop properly they need nurturing on many levels, including good parenting which requires food security for all family members. Secondly, under current welfare regulations two parent families face economic disincentives and this must be changed to encourage families to stay together. Third, employment must be available for assistance recipients to make a successful, permanent transition into labour force participation, as many food bank clients are well educated, but still unemployed. Affordable housing must also be available. Typically, rent absorbs 50-60% of food recipients' income, leaving insufficient funds for other needs. Alternately, shelter benefits must be adjusted to reflect true housing market prices. Lastly, the reliance on the non-profit and charitable sector is insufficient.

2.4 Factors Influencing Food Insecurity

Daily Bread Food Bank. (1996, June). Toronto's Hungry Children: The Impact of Welfare Reductions on Children in the Greater Toronto Area. Daily Bread Food Bank: Toronto.

Key Words: food insecurity, hunger, children, welfare.

Since the 1995 reduction in General Welfare Assistance (GWA) benefits in Ontario, there has been a marked increase in the number of families appealing to food banks in the Greater Toronto Area (GTA) for assistance. The Daily Bread Food Bank, a local, non-profit organization in the GTA aims to document this trend and, more specifically, its impacts on children. Overall, the number of people patronizing food banks has risen dramatically over the period 1995-1996, concurrent with reductions in GWA benefits. Consequently, the number of children living in families requiring food bank assistance also rose, exhibiting an estimated 65% increase over one year.

The Daily Bread Food Bank estimated that in 1995 11% of food bank children went hungry at least once a week, a number that rose to 16% in 1996. As children are often last to experience hunger in food insecure households, these estimates are potentially indicative of extreme levels of deprivation within this population. The temporal aspects of the increase of food insecurity as it is concurrent with cuts to social assistance payments implies a direct link between increasing insecurity and benefit reductions, making this a potential topic to be considered in policy and program formation.

Daily Bread Food Bank. (1997, March). The Difference a Job Makes: Hunger Among Working and Unemployed People Served by Food Banks. Daily Bread Food Bank: Toronto.

Key Words: hunger, food insecurity, income, employment.

Using the results of the Daily Bread's 1996 survey of food recipients in the Greater Toronto Area, this report examined the situations of unemployed food recipients and those engaged in full-time and part-time work. Though hunger was present among all three groups, it was increasingly widespread among those who were employed part time or unemployed. It was estimated that approximately 2.9% of food recipients were employed full-time, 7.7% part-time, and over half of all recipients were self-described as unemployed. Of those individuals employed full-time and unemployed, approximately 15% had graduated from college or university, and over one-third of part-time employees had also done so. Although employment and formal education are often correlated with increased food security, this data indicates that the relationship may be inconsistent in its application.

Variation among the groups in terms of hunger was also found to be consistent with differences based on income and shelter expenditure. Although food recipients are generally characterized by having low incomes, many of who receive social assistance, those employed full-time earn considerably more and hence experience less food insecurity. Accordingly, full-time workers also spend a smaller proportion of their monthly income on shelter, increasing the amount of disposable income available for expenditure on food, which ultimately may reduce the likelihood of their being food insecure. This research asserts the critical nature of income as a factor in the economic context affecting the likelihood of an individual becoming food insecure, thus identifying income security as a prerequisite for food security.

Mauldon, J. (1996, October). Predicting Hunger and Overcrowding: How Much Difference Does Income Make? Discussion Papers no. 1114-96, Institute for Research on Poverty, University of Madison-Wisconsin.

Key Words: hunger, poverty, indicators, validity.

A study involving telephone interviews of 2214 adults receiving AFDC in Los Angeles, San Bernardino, Alameda, and San Joaquin counties was conducted to examine the issues of hunger and overcrowding, and the validity of income as an indicator of deprivation. Hunger was defined as not having enough to eat at some point in the past 12 months because of a lack of money. Four main problems with using income as an indicator of material hardship (i.e. hunger) were discussed: 1) use of gross income; 2) sensitivity of estimates of the size of poverty population to the accounting period selected (e.g. shorter periods typically produce greater numbers of people experiencing poverty); 3) poverty status as a calculation of households, thus making the assumption that all members of the household have equal access to resources; and 4) the establishment of poverty threshold based upon an absolute measure of poverty created in 1967, which is indexed for yearly changes in prices, but not for changes in patterns of consumption or in the overall increase in the standard of living. Although income and poverty status are factors involved in hunger, the authors maintained that they are poor indicators when used on their own. The most effective method to ascertain levels of hunger, they claim, is to ask people directly about their experiences.

Olson, C.M., Rauschenback, B.S., Frongillo, E.A., Jr., & Kendall, A. (1996, September). Factors Contributing to Household Food Insecurity in a Rural Upstate New York County. Discussion Papers no. 1107-96, Institute for Research on Poverty, University of Madison-Wisconsin.

A sample of approximately 200 women with children in their households in rural upstate New York was used to examine food insecurity. Two independent measures of food insecurity were employed: household food supplies and the Radimer/Cornell measure, as it had been previously validated. Significant variables involved in food insecurity were identified as the following: low income, low educational level, single head of household, renting a home, six or more people in the household, and minority race or ethnicity. Thus, in designing a research framework from which to study food insecurity, it is critical to recognize multiple socio-demographic and contextual factors as determinants for individual and household risk for food insecurity.

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