Evidence map›Paper›PMID 40859907›Full record

ArticlePublic health nutrition2025

Determinants of food insecurity in homeless people: evidence from the territory-wide homeless census in Hong Kong.

Gary Ka-Ki Chung, Crystal Ying Chan, Siu Ming Chan, Hung Wong

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Article in Public health nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Gary Ka-Ki ChungJC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.ORCID 0000-0002-8652-212X
Crystal Ying ChanJC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
Siu Ming ChanDepartment of Social and Behavioural Sciences, The City University of Hong Kong, Hong Kong, China.
Hung WongCUHK Institute of Health Equity, The Chinese University of Hong Kong, Hong Kong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWith the re-emerging homelessness issue in Hong Kong, given its least affordable housing, securing food to meet the basic physiological needs is of priority concern for the homeless. This study aims to examine the situation and determinants of food insecurity among the homeless in Hong Kong.

designCross-sectional survey on food insecurity level, socio-demographic characteristics, homeless experiences and health status and behaviours.

setting360 community hot spots of homeless people identified by NGO and experienced social workers in different districts of Hong Kong in 2021.

participants711 individuals experiencing homelessness.

resultsThe observed prevalence of low, medium and high food insecurity levels was 37·4 %, 20·4 % and 42·2 %, respectively. Results from multivariable ordinal logistic regression showed that older, female, non-Chinese and non-married respondents were inversely associated with food insecurity, whereas having sufficient savings for more proper housing was the primary determinant among socio-economic indicators. In addition to reasons for homelessness, risk factors of food insecurity included living in guesthouses/hotels and difficulties due to government measures on homeless control. Except for disability, both self-rated physical and mental health statuses showed dose-response relationships with food insecurity level.

conclusionsThe substantial individual variations in socio-demographic statuses, homeless experiences and health deficits shaped the differential risks of food insecurity within the homeless community in Hong Kong. Targeted homeless programmes should go beyond the conventionally vulnerable groups but consider the multifaceted nature of homeless experiences in relation to food access and integrate health assessments to holistically support the homeless.

Indexed as

Food InsecurityFood SupplyIll-Housed PersonsAdultCensusesCross-Sectional StudiesFemaleHealth StatusHong KongHumansMaleMiddle AgedPrevalenceRisk FactorsSocioeconomic FactorsYoung AdultDeterminantsFood insecurityHomelessnessHong Kong

Identifiers

PMID40859907
PMCPMC12516602

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