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TRADITIONAL AND ALTERNATIVE FOOD SECURITY INTERVENTIONS: EFFECTS ON HEALTH AND FOOD SECURITY. 29 may 2014 Dr Federico Roncarolo. Food insecurity in the world. FAO, IFAD and WFP: The State of Food Insecurity in the World 2013.The multiple dimensions of food security . Rome, 2013.
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TRADITIONAL AND ALTERNATIVE FOOD SECURITY INTERVENTIONS: EFFECTS ON HEALTH AND FOOD SECURITY 29 may 2014 Dr Federico Roncarolo
Food insecurity in the world FAO, IFAD and WFP: The State of Food Insecurity in the World 2013.The multiple dimensions of food security. Rome, 2013
Food insecurityin Canada PROOF Research to identify policy options to reduce food insecurity
Food insecurityby province PROOF Research to identify policy options to reduce food insecurity
ENQUÊTE SUR LES EFFETS DES INTERVENTIONS COMMUNAUTAIRES EN SÉCURITÉ ALIMENTAIRE CHAIRE CACIS - Chaire Approches Communautaires et Inégalités de Santé
Objective To assess the effects of interventions conducted by community organizations in the Montreal Metropolitan Region to address the food security and health of their users, and to generate evidence-based data on the effects of two different strategies to fight food insecurity
Description of the study • Longitudinal study of newly recruited participants in traditional and alternative food security interventions. • Participants selected in a two stage cluster sampling frame.
Population • Sample units: community organizations working on food security in the Montreal Metropolitan Region • Analysis units: participants in food security interventions individuals between 18 and 65 years of age registered for the first time, and for less than 6 months in selected MMR food security community organizations
Inclusion criteria • Organizations: • 50 new participants for traditional interventions • 30 new participants for alternative interventions • Participants: • between 18 and 65 years of age • registered for the first time, and for less than 6 months
Methods • 30-45 minutes questionnaires administered face to face in French or in English, according to the preference of participants. • Follow-up nine months after the first interview
Particpants at T1 and T2 • 16 organizations implementing traditional interventions • 6 organizations implementing alternative interventions
Descriptive characteristics of new participants in traditional and alternative interventions *p<0.05
Householdincome I n t e r v e n t i o n Alternative Traditional 69.9% 46.2%
Food security V. Van Gogh, 1885: The potatoeseaters
Food security scale Canadian Community Health Survey, Cycle 2.2, Nutrition (2004)— Income-Related Household Food Security in Canada
Food security: adults I n t e r v e n t i o n s p=0.902 OR: 0.47 (i.c.95%: 0.19-1.15) OR: 0.35 (i.c.95%: 0.23-0.53)
Food security: children I n t e r v e n t i o n s Traditional Alternative p=0.698 OR: 0.36 (i.c.95%: 0.18-0.69) OR: 0.42 (i.c.95%: 0.08-2.15)
Food security: households I n t e r v e n t i o n s Traditional p=0.738 OR: 0.46 (i.c.95%: 0.20-2.02) OR: 0.38 (i.c.95%: 0.27-0.55)
Health and wellness Matisse, 1909: The dance
Health and wellness Percentile scale Beta coeff : Trad: 2.33 (i.c.95%: -0.25;4.91) Altern: -2.20 (i.c.95% : -7.87;3.47) Interaction time-group: p=0.222 Beta coeff : Trad: 6.01 (i.c.95%: 3.90-8.11) Altern: 4.09 (i.c.95% : -0.85;9.03) Interaction time-group: p=0.573
Conclusions • Participants in traditional and alternative interventions present significant differences before starting the interventions • Does food insecurity interventions increase inequalities among the most vulnerable who attend traditional interventions and participants in alternatives? • If we just consider T1 and T2 results, it seems that the effects of traditional interventions are effective in reducing food insecurity and improving mental health • Alternative interventions seem to have some positive effects concerning food insecurity and mental health although they never reach a statistical significant level
Thankyou! Giuseppe Arcimboldo, 1573: Summer