ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2018
The Relation between Food Insecurity and Mental Health Care Service Utilization in Ontario.
Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.
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Who cites it
44 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Health outcomes following childhood or adolescent exposure to household food insecurity: a rapid systematic review.Public health nutrition · 2025Pooled it
- Food-based interventions to mitigate household food insecurity in Canada: a systematic review.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2025Pooled it
- Lived experiences of food insecurity and mental health: the role of socio-demographic inequalities.BMC public health · 2026Article
- Food insecurity and acute care utilisation: a systematic review and meta-analysis.BMJ public health · 2026Article
- Household food security and its influence on psychological well-being: a cross-sectional study among adults in slums in Bangladesh.BMJ open · 2025Article
- Food insecurity and body dissatisfaction in a sample of Canadian adults.Journal of health psychology · 2025Article
- Article
- Association between food insecurity, ethnicity, and mental health in the UK: An analysis of the Family Resource Survey.PloS one · 2025Article
- The relationship between neighbourhood income and youth mental health service use differs by immigration experience: analysis of population-based data in British Columbia, Canada.International journal for equity in health · 2024Article
- Community Asset Density and Past-Year Mental Health Symptoms Among Youths.JAMA network open · 2024Article
- A Microfinance Intervention With or Without Peer Support to Improve Mental Health Among Transgender and Nonbinary Adults (the Creating Access to Resources and Economic Support Study): Protocol for a Randomized Controlled Trial.JMIR research protocols · 2024Article
- The association between household food insecurity and healthcare costs among Canadian children.Canadian journal of public health = Revue canadienne de sante publique · 2024Article
- Article
- Food security definition, measures and advocacy priorities in high-income countries: a Delphi consensus study.Public health nutrition · 2023Article
- Household food insecurity and health service use for mental and substance use disorders among children and adolescents in Ontario, Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
- Food Insecurity, Healthcare Utilization, and Healthcare Expenditures: A Longitudinal Cohort Study.International journal of public health · 2023Article
- Food insecurity and its association with mental health among Syrian refugees resettled in Norway: A cross-sectional study.Journal of migration and health · 2023Article
- Prevalence and factors associated with food insecurity in eight high-altitude cities in Peru during the second wave of the COVID-19 pandemic: a retrospective, cross-sectional study.BMC public health · 2022Article
- Moment of reckoning for household food insecurity monitoring in Canada.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2022Article
- Food Insecurity, Dietary Intakes, and Eating Behaviors in a Convenience Sample of Toronto Youth.Children (Basel, Switzerland) · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo determine the relationship between household food insecurity status over a 12-month period and adults' use of publicly funded health care services in Ontario for mental health reasons during this period.
methodsData for 80,942 Ontario residents, 18 to 64 years old, who participated in the Canadian Community Health Survey in 2005, 2007-2008, 2009-2010, or 2011-2012 were linked to administrative health care data to determine individuals' hospitalizations, emergency department visits, and visits to psychiatrists and primary care physicians for mental health reasons. Household food insecurity over the past 12 months was assessed using the Household Food Security Survey Module. Logistic regression models were used to estimate the odds of mental health service utilization in the past 12 months by household food insecurity status, adjusting for sociodemographic factors and prior use of mental health services.
resultsIn our fully adjusted models, in comparison to food-secure individuals, the odds of any mental health care service utilization over the past 12 months were 1.15 (95% confidence interval [CI], 1.04 to 1.29) for marginally food-insecure individuals, 1.39 (95% CI, 1.19 to 1.42) for moderately food-insecure individuals, and 1.50 (95% CI, 1.35 to 1.68) for severely food-insecure individuals. A similar pattern persisted across individual types of services, with odds of utilization highest with severe food insecurity.
conclusionsHousehold food insecurity status is a robust predictor of mental health service utilization among working-age adults in Ontario. Policy interventions are required to address the underlying causes of food insecurity and the particular vulnerability of individuals with mental illness.
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