TY - JOUR
T1 - Food insecurity is associated with higher health care use and costs among canadian adults
AU - Men, Fei
AU - Gundersen, Craig
AU - Urquia, Marcelo L.
AU - Tarasuk, Valerie
N1 - Funding Information:
This research was supported by Grant No. PJT 153260 from the Canadian Institutes of Health Research awarded to Valerie Tarasuk and Marcelo L. Urquia. The funding organization had no role in the design and conduct of the study; collection, management, analysis, and interpretation of data; or preparation, review, decision to submit for publication, or approval of the manuscript. This study has been approvedbytheHealthSciences Research Ethics Boards at the University of Toronto under Protocol No. 34032. Craig Gundersen received compensation from Feeding America and theUrbanInstitute.Theauthorsthank the editor and the two anonymous reviewers for their constructive feedback. This research was conducted at RDC Toronto, a part of the Canadian Research Data Centre Network (CRDCN). This service is provided through the support of the University of Toronto, the Canadian Foundation for Innovation, the Canadian Institutes of Health Research, the Social Science and Humanity Research Council, and Statistics Canada. All views expressed in this work are the authors’ own.
Funding Information:
Preliminary results of this research were presented at the Canadian Research Data Centre Network National Conference in Halifax, Nova Scotia, Canada, October 24, 2019. This research was supported by Grant No. PJT 153260 from the Canadian Institutes of Health Research awarded to Valerie Tarasuk and Marcelo L. Urquia. The funding organization had no role in the design and conduct of the study; collection, management, analysis, and interpretation of data; or preparation, review, decision to submit for publication, or approval of the manuscript. This study has been approved by the Health Sciences Research Ethics Boards at the University of Toronto under Protocol No. 34032. Craig Gundersen received compensation from Feeding America and the Urban Institute. The authors thank the editor and the two anonymous reviewers for their constructive feedback. This research was conducted at RDC Toronto, a part of the Canadian Research Data Centre Network (CRDCN). This service is provided through the support of the University of Toronto, the Canadian Foundation for Innovation, the Canadian Institutes of Health Research, the Social Science and Humanity Research Council, and Statistics Canada. All views expressed in this work are the authors’ own.
Publisher Copyright:
© 2020 Project HOPE— The People-to-People Health Foundation, Inc.
PY - 2020/8
Y1 - 2020/8
N2 - Food insecurity predicts poorer health, yet how it relates to health care use and costs in Canada remains understudied. Linking data from the Canadian Community Health Survey to hospital records and health care expenditure data, we examined the association of food insecurity with acute care hospitalization, same-day surgery, and acute care costs among Canadian adults, adjusting for sociodemographic characteristics. Compared with fully food-secure adults, marginally, moderately, and severely food-insecure adults presented 26 percent, 41 percent, and 69 percent higher odds of acute care admission and 15 percent, 15 percent, and 24 percent higher odds of having same-day surgery, respectively. Conditional on acute care admission, food-insecure adults stayed from 1.48 to 2.08 more days in the hospital and incurred $400–$565 more per person-year in acute care costs than their food-secure counterparts, with this excess cost representing 4.4 percent of total acute care costs. Programs reducing food insecurity, such as child benefits and public pensions, and policies enhancing access to outpatient care may lower health care use and costs.
AB - Food insecurity predicts poorer health, yet how it relates to health care use and costs in Canada remains understudied. Linking data from the Canadian Community Health Survey to hospital records and health care expenditure data, we examined the association of food insecurity with acute care hospitalization, same-day surgery, and acute care costs among Canadian adults, adjusting for sociodemographic characteristics. Compared with fully food-secure adults, marginally, moderately, and severely food-insecure adults presented 26 percent, 41 percent, and 69 percent higher odds of acute care admission and 15 percent, 15 percent, and 24 percent higher odds of having same-day surgery, respectively. Conditional on acute care admission, food-insecure adults stayed from 1.48 to 2.08 more days in the hospital and incurred $400–$565 more per person-year in acute care costs than their food-secure counterparts, with this excess cost representing 4.4 percent of total acute care costs. Programs reducing food insecurity, such as child benefits and public pensions, and policies enhancing access to outpatient care may lower health care use and costs.
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U2 - 10.1377/hlthaff.2019.01637
DO - 10.1377/hlthaff.2019.01637
M3 - Article
C2 - 32744947
AN - SCOPUS:85089045665
VL - 39
SP - 1377
EP - 1385
JO - Health Affairs
JF - Health Affairs
SN - 0278-2715
IS - 8
ER -