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      A survey of food bank operations in five Canadian cities

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          Abstract

          Background

          Food banks have emerged in response to growing food insecurity among low-income groups in many affluent nations, but their ability to manage this problem is questionable. In Canada, in the absence of public programs and policy interventions, food banks are the only source of immediate assistance for households struggling to meet food needs, but there are many indications that this response is insufficient. The purpose of this study was to examine the factors that facilitate and limit food bank operations in five Canadian cities and appraise the potential of these initiatives to meet food needs.

          Methods

          An inventory of charitable food provisioning in Halifax, Quebec City, Toronto, Edmonton, and Victoria, Canada was conducted in 2010. Of the 517 agencies that participated in a telephone survey of their operations, 340 were running grocery programs. Multivariate regression analyses were conducted to determine the association between program characteristics, volume of service, and indicators of strain in food banks’ abilities to consistently achieve the standards of assistance they had established.

          Results

          Extensive, well-established food bank activities were charted in each city, with the numbers of people assisted ranging from 7,111 in Halifax to 90,141 in Toronto per month. Seventy-two percent of agencies indicated that clients needed more food than they provided. The number of people served by any one agency in the course of a month was positively associated with the proportion of food distributed that came from donations (beta 0.0143, SE 0.0024, p 0.0041) and the number of volunteers working in the agency (beta 0.0630, SE 0.0159, p 0.0167). Food banks only achieved equilibrium between supply and demand when they contained demand through restrictions on client access. When access to assistance was less restricted, the odds of food banks running out of food and invoking measures to ration remaining supplies and restrict access rose significantly.

          Conclusions

          Despite their extensive history, food banks in Canada remain dependent on donations and volunteers, with available resources quickly exhausted in the face of agencies’ efforts to more fully meet clients’ needs. Food banks have limited capacity to respond to the needs of those who seek assistance.

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          Most cited references73

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          Economic determinants and dietary consequences of food insecurity in the United States.

          D Rose (1999)
          This paper reviews recent research on the economic determinants and dietary consequences of food insecurity and hunger in the United States. The new Current Population Study (CPS) food insecurity and hunger measure shows that hunger rates decline sharply with rising incomes. Despite this strong relationship, confirmed in other national datasets, a one-to-one correspondence between poverty-level incomes and hunger does not exist. In 1995, 13.1% of those in poverty experienced hunger and half of those experiencing hunger had incomes above the poverty level. Panel data indicate that those who are often food insufficient are much more likely than food-sufficient households to have experienced recent events that stress household budgets, such as losing a job, gaining a household member or losing food stamps. Cross-sectional work also demonstrates the importance of food stamps because benefit levels are inversely related to food insufficiency. Concern for the dietary consequences of domestic food insufficiency is well placed; recent research shows that the odds of consuming intakes <50% of the recommended dietary allowance (RDA) are higher for adult women and elderly individuals from food-insufficient households. Preschoolers from food-insufficient households do not consume significantly lower amounts than those from food-sufficient households, but mean intakes for the rest of members in those very same households are significantly lower for the food insufficient. This research highlights the importance of food insecurity and hunger indicators, further validates the use of self-reported measures and points to areas of need for future research and interventions.
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            Food insecurity and HIV/AIDS: current knowledge, gaps, and research priorities.

            Food insecurity and HIV/AIDS are intertwined in a vicious cycle that heightens vulnerability to, and worsens the severity of, each condition. We review current knowledge and research priorities regarding the impact of food insecurity on HIV transmission risk and clinical outcomes. Observational studies suggest that food insecurity is associated with increased HIV transmission risk behaviors and decreased access to HIV treatment and care. Among individuals receiving antiretroviral therapy (ART), food insecurity is associated with decreased ART adherence, reduced baseline CD4 cell count, incomplete virologic suppression, and decreased survival. Integration of food security interventions into HIV/AIDS treatment programs is essential to curtail the HIV/AIDS epidemic and improve health and quality of life among those infected. Longitudinal research applying validated measurement tools is needed to better understand the mechanisms through which food insecurity adversely impacts HIV transmission, treatment, and care. Research should compare the effectiveness of various food assistance and livelihood strategies.
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              Characterization of household food insecurity in Québec: food and feelings

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                Author and article information

                Contributors
                Valerie.tarasuk@utoronto.ca
                naomi.dachner@utoronto.ca
                anne-marie.hamelin@mcgill.ca
                ostry@uvic.ca
                patty.williams@msvu.ca
                ebocskei@uvic.ca
                blake.poland@utoronto.ca
                kim.raine@ualberta.ca
                Journal
                BMC Public Health
                BMC Public Health
                BMC Public Health
                BioMed Central (London )
                1471-2458
                28 November 2014
                2014
                : 14
                : 1
                : 1234
                Affiliations
                [ ]Department of Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto, ON M5S 3E2 Canada
                [ ]Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Québec City, Canada
                [ ]Department of Geography, University of Victoria, Victoria, Canada
                [ ]Department of Applied Human Nutrition, Mount Saint Vincent University, Halifax, Canada
                [ ]Dalla Lana School of Public Health, University of Toronto, Toronto, Canada
                [ ]School of Public Health, University of Alberta, Edmonton, Canada
                Article
                7402
                10.1186/1471-2458-14-1234
                4289166
                25432209
                01a15068-d39d-4135-b6e7-c01a483b1c3d
                © Tarasuk et al.; licensee BioMed Central Ltd. 2014

                This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 13 August 2014
                : 17 November 2014
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2014

                Public health
                food banks,food insecurity,canada
                Public health
                food banks, food insecurity, canada

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