Evidence map›Paper›PMID 32867736›Full record

ArticleBMC public health2020

Poverty and food insecurity of older adults living in social housing in Ontario: a cross-sectional study.

Melissa Pirrie, Leila Harrison, Ricardo Angeles, Francine Marzanek, Andrea Ziesmann, Gina Agarwal

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
7.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

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  5. Shelter to Survival: Unpacking the Health Impacts of Housing Insecurity Across the Life Course.International journal of environmental research and public health · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Melissa PirrieDepartment of Family Medicine, McMaster University, David Braley Health Sciences Centre, 100 Main Street West, Hamilton, Canada.ORCID https://orcid.org/0000-0003-1407-4775
Leila HarrisonDepartment of Health Research Methods, Evidence and Impact, McMaster University, 1280 Main Street West, Hamilton, Canada.
Ricardo AngelesDepartment of Family Medicine, McMaster University, David Braley Health Sciences Centre, 100 Main Street West, Hamilton, Canada.ORCID https://orcid.org/0000-0001-6300-7232
Francine MarzanekDepartment of Family Medicine, McMaster University, David Braley Health Sciences Centre, 100 Main Street West, Hamilton, Canada.
Andrea ZiesmannDepartment of Family Medicine, McMaster University, David Braley Health Sciences Centre, 100 Main Street West, Hamilton, Canada.
Gina AgarwalDepartment of Family Medicine, McMaster University, David Braley Health Sciences Centre, 100 Main Street West, Hamilton, Canada. gina.agarwal@gmail.com.ORCID http://orcid.org/0000-0002-5691-4675
Health Sciences Centre · CAImpact · CAMcMaster University Medical Centre · CA

Funding

CIHR MOP-133563
6 · The paper itself

Abstract

backgroundPoverty and food insecurity have been linked to poor health and morbidity, especially in older adults. Housing is recognized as a social determinant of health, and very little is known about subjective poverty and food insecurity in the marginalized population of older adults living in subsidized social housing. We sought to understand poverty and food insecurity, as well as the risk factors associated with both outcomes, in older adults living in social housing in Ontario.

methodsThis was a cross-sectional study using data collected from the Community Paramedicine at Clinic (CP@clinic) program. A total of 806 adult participants residing in designated seniors' or mixed family-seniors' social housing buildings attended CP@clinic within 14 communities across Ontario, Canada.

resultsThe proportion of older adults reporting poverty and food insecurity were 14.9 and 5.1%, respectively. Statistically significant risk factors associated with poverty were being a smoker (AOR = 2.38, 95% CI: 1.23-4.62), self-reporting feeling extremely anxious and/or depressed (AOR = 3.39, 95% CI: 1.34-8.62), and being food insecure (AOR = 23.52, 95% CI: 8.75-63.22). Statistically significant risk factors associated with food insecurity were being underweight (AOR = 19.79, 95% CI: 1.91-204.80) and self-reporting experiencing poverty (AOR = 23.87, 95% CI: 8.78-64.90). In those who self-reported being food secure, the dietary habits reported were consistent with a poor diet.

conclusionThe poverty rate was lower than expected which could be related to the surrounding environment and perceptions around wealth. Food insecurity was approximately twice that of the general population of older adults in Canada, which could be related to inaccessibility and increased barriers to healthy foods. For those who reported being food secure, dietary habits were considered poor. While social housing may function as a financial benefit and reduce perceived poverty, future interventions are needed to improve the quality of diet consumed by this vulnerable population.

Indexed as

Food InsecurityAgedAged, 80 and overCross-Sectional StudiesFemaleFood SupplyFrail ElderlyHousing for the ElderlyHumansMaleMiddle AgedOntarioPovertyRisk FactorsFood insecurityOlder adultsPovertySocial determinants of healthSocial housing

Identifiers

PMID32867736
PMCPMC7460754
OpenAlexW3082709344

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.