Social Determinants of Health - Food Security

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Introduction



macro shot of vegetable lot. Photo by Dan Gold on Unsplash

The following information is compiled and presented by Quality of Care NL, an applied health and social systems research and evaluation program aimed at improving social and health outcomes in Newfoundland and Labrador. Click here to download a PDF version of the information presented below

Food security is the adequate and secure access to nutritious, safe, and culturally appropriate food. Food insecurity is the inadequate or insecure access to these types of food due to financial constraints.

Food insecurity is a serious public health problem. It can have significant implications for people's health and well-being beyond just poor nutrition and diet. Individuals who are food insecure may be at an increased risk for a variety of negative health outcomes (such as diabetes, obesity, heart disease, mental health disorders and other chronic conditions). Food insecurity can also make it difficult for individuals to manage existing health problems and it can lead to worsening conditions.

Canadian Income Survey



In Canada, food insecurity is measured through the Household Food Security Survey Module of the Canadian Income Survey (CIS). Households are classified into one of four categories:

  • Food secure (no indication of any income-related problems of food access)

  • Marginally food insecure (worry about running out of food and/or limited food selection due to a lack of money for food)

  • Moderately food insecure (compromise in quality and/or quantity of food due to a lack of money for food)

  • Severely food insecure (miss meals, reduce food intake and, at the most extreme, go day(s) without food)

Source: Statistics Canada. Table 13-10-0835-01 Food Insecurity by selected demographic characteristics; Canadian Income Survey (CIS), 2019 to 2022



Key Points:

  • Overall, from 2019 to 2022, household food insecurity has increased across Canada.

  • From 2019 to 2022, the rate of food insecurity increased by 19.6% in NL (10.1% for Canada).

  • In 2022, NL ranked eighth for household food insecurity when compared to the other provinces (1=best and 10=worst).

Source: Statistics Canada. Table 13-10-0835-01 Food Insecurity by selected demographic characteristics; Canadian Income Survey (CIS), 2019 to 2022



Key Points:

  • In 2022, NL had the third highest rate of food insecurity in Canada at 22.6%.

  • In 2022, NL had the fourth highest rate of severe food insecurity.

Source: Statistics Canada. Table 13-10-0835-01 Food Insecurity by selected demographic characteristics; Canadian Income Survey (CIS), 2019 to 2022



Key Points:

  • Overall, from 2019 to 2022, the percentage of children living in food-insecure households increased for all provinces.

  • From 2019 to 2022, the rate of food insecurity in children under 18 years of age increased by 8.3% in NL (9.5% for Canada).

  • In 2022, NL had the fourth highest proportion of children under 18 years of age living in food-insecure households.

Newfoundland and Labrador Nutritious Food Basket



The Newfoundland and Labrador Nutritious Food Basket (NLNFB) consists of 61 foods from the 2019 Canada's Food Guide. The prices of specific amounts of these foods, combined with the nutrient needs of individuals and families determines the cost of the basket.

The basket is calculated based on a family of four, made up of a man and a woman (31-50 years), a boy (14-18 years) and a girl (4-8 years) and provides estimates for both urban and rural locations in Newfoundland and Labrador. Urban is defined as communities with a population of 5,000 and over. All other areas are defined as rural.

Cost of Nutritious Food Basket per Week in Newfoundland and Labrador by Region, 2016 to 2022

Region 2016 2017 2018 2021 2022
Eastern $262 $261 $261 $261 $292
Eastern Urban $261 $257 $259 $244 $274
Eastern Rural $263 $272 $268 $302 $340
Central $261 $263 $260 $288 $324
Central Urban $258 $251 $254 $246 $282
Central Rural $263 $268 $262 $306 $342
Western $272 $273 $256 $305 $335
Western Urban $271 $269 $240 $298 $327
Western Rural $274 $279 $278 $311 $342
Labrador-Grenfell $275 $276 $258 $314 $361
Labrador (North Coast) $380 $402 $368 $394 $467
Labrador (South Coast) $296 $308 $310 $363 $413
Labrador (Central West) $257 $256 $260 $289 $324
Northern Peninsula Portion of LGH $267 $258 $269 $325 $385
Province $264 $264 $261 $275 $309

Notes

  1. The 2021 and 2022 Newfoundland and Labrador Nutritious Food Basket (NLNFB) consists of 61 foods from the 2019 Canada's Food Guide. The price of specific amounts of these foods, combined with the nutrient needs of individuals and families, determines the cost of the basket. The NLNFB has undergone revisions since 2018 to include different food items based on the updated Canada's food guide; therefore, calculating the change from 2018 to 2021 is not advised.
  2. A change to one item in the basket, store selectional and regional definition of North Coast and South Coast Labrador has resulted in adjustments to the 2021 estimates. These changes ensure consistency when comparing 2021 and 2022.

Source: Compiled by the Newfoundland and Labrador Statistics Agency (NLSA) based on survey data from the Newfoundland & Labrador Nutritious Food Basket (NLNFB), 2016-2022



Key Points:

  • Food costs have consistently been highest in the Labrador-Grenfell region (with the highest being on the North Coast of Labrador) of the province.

  • From 2021 to 2022, the cost of a nutritious food basket has increased by 12% in NL.

    • 12% in Eastern

    • 13% in Central

    • 10% in Western

    • 15% in Labrador-Grenfell

Food Banks Canada Report: HungerCount 2023



Since 1997, Food Banks Canada has conducted the HungerCount, a cross-sectional, census-type survey of most food bank agencies, organizations and programs. The HungerCount provides a point-in-time snapshot of food bank use in Canada.

According to survey respondents, the top three reasons people accessed a food bank in March 2023 were:

  1. Food Costs

  2. Housing Costs

  3. Low wages or not enough hours of work.

Food Bank Visits and Age Distribution of Users by Province, March 2023

Age Category Served as % of Total
Region Total Visits, March 2023 Total Visits (Children), March 2023 % Change in Total Visits (2022-23) % Change in Total Visits (2019-23) <18 years 18-64 years 65+ years
NL 15,425 5,305 12.4% 44.1% 31.2% 58.2% 10.6%
PEI 4,212 1,420 26.9% 42.3% 33.6% 59.5% 6.9%
NS 32,498 10,039 8.8% 26.8% 31.4%% 62.0% 6.6%
NB 29,846 10.322 24.7% 34.0% 34.0% 60.3% 5.7%
QC 682,724 240,325 38.0% 97.8% 35.7% 55.7% 8.6%
ON 681,292 202,914 40.1% 100.6% 30.6% 60.8% 8.6%
MB 57,351 20,794 30.4% - 42.3% 52.9% 4.8%
SK 55,753 22,193 24.3% 49.8% 40.3% 55.15% 4.6%
AB 174,311 63,729 11.9% 94.1% 35.1% 59.5% 5.4%
BC 195,925 62,481 20.0% 57.1%% 30.9% 59.4% 9.7%
Canada 1,935,911 642,257 32.0% 79.0% 33.1% 59.0% 7.9%

Source: Food Banks Canada. (2023). HungerCount 2023. When is it Enough? https://hungercount.foodbankscanada.ca

Characteristics of Food Bank Clients by Province, March 2023

Household Type Source of Income Housing Type
Region % single-parent families % single people % social assistance % job income % pension income % rental market % social housing tenants % homeowners
NL 22.6 49.5 64.3 5.6 12.4 50.1 26.5 20.1
PEI 15.3 41.8 23,1 32.9 3.9 57.9 26.6 9.3
NS 17.6 48.7 35.9 17.9 9.9 70.4 10.0 12.7
NB 17.0 50.0 43.7 13.8 10.2 61.5 15.8 14.8
QC 18.9 37.1 42.4 18.6 12.0 67.5 15.4 7.5
ON 16.3 46.8 20.5 13.0 8.8 71.2 14.7 5.3
MB 17.2 34.7 25.7 15.8 5.5 48.2 25.0 11.9
SK 25.5 41.3 40.7 14.3 7.3 71.4 13.1 7.0
AB 19.2 40.9 22.6 21.7 8.6 64.7 7.4 10.4
BC 12.2 53.3 16.9 21.7 12.8 72.7 8.0 7.7
Canada 17.3 43.8 28.8 16.7 9.9 67.7 15.0 7.7

Source: Food Banks Canada. (2023). HungerCount 2023. When is it Enough? https://hungercount.foodbankscanada.ca

Newfoundland and Labrador Food Bank User Statistics




Source: Food Banks Canada. (2023). HungerCount 2023. When is it Enough? https://hungercount.foodbankscanada.ca


Source: Food Banks Canada. (2023). HungerCount 2023. When is it Enough? https://hungercount.foodbankscanada.ca

Key Points:

  • NL had a 12% increase in food bank usage from March 2022 to March 2023 (the eighth highest increase amongst the Canadian provinces).

  • 31.2% of food bank clients in NL are children (<18 years) and 10.6% are seniors (65+ years)

  • Single-person households account for 49.5% of food bank clients in NL (the third highest rate amongst the Canadian provinces)

  • 64.3% of food bank clients in NL were receiving social assistance (the highest rate amongst the Canadian provinces) and 18% were either employed or receiving a pension

  • Renters and social housing tenants make up over 76% of food bank clients in NL.

Quality of Care NL

Quality of Care NL is a is a campaign to implement the right treatment, for the right patient at the right time. Get more information at www.qualityofcarenl.ca

Faculty of Medicine,
Memorial University,
St. John's, NL