Objective: To assess associations between household food security status and indicators of food skills, health literacy, and home meal preparation, among young Canadian adults. Design: Cross-sectional data were analyzed using logistic regression and general linear models to assess associations between food security status and food skills, health literacy, and the proportion of meals prepared at home, by gender. Setting: Participants recruited from five Canadian cities (Vancouver (BC), Edmonton (AB), Toronto (ON), Montreal (QB), and Halifax (NS)) completed an online survey. Participants: 1,389 men and 1,340 women aged 16-30 years. Results: Self-reported food skills were not associated with food security status (P>0.05) among men or women. Compared to those with high health literacy (based on interpretation of a nutrition label), higher odds of food insecurity were observed among men (AOR: 2.58, 95% CI: 1.74-3.82 and 1.56, 95% CI: 1.07-2.28), and women (AOR: 2.34, 95% CI: 1.48-3.70 and 1.92, 95% CI: 1.34-2.74) with lower health literacy. Women in food-insecure households reported preparing a lower proportion of breakfasts (β= -0.051, 95% CI: -0.085 – -0.017), lunches (β= -0.062, 95% CI: -0.098 – -0.026) and total meals at home (β= -0.041, 95% CI: -0.065 – -0.016). Men and women identifying as Black or Indigenous, reporting financial difficulty, and with lower levels of education had heightened odds of experiencing food insecurity. Conclusions: Findings are consistent with other studies underscoring the financial precarity, rather than lack of food skills, associated with food insecurity. This precarity may reduce opportunities to apply health literacy and undertake meal preparation.

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Purpose: Co-operative (co-op) education facilitates development of workplace competencies but may have unintended consequences for financial stability and food security. This study examined the association between co-op program enrolment and food security status among a sample of undergraduate students. Financial insufficiency and strategies to cope with it were also characterized. Methods: Cross-sectional data were collected from 167 co-op and 89 non-co-op students at the University of Waterloo from January to March 2019. Logistic regression assessed associations between co-op program enrolment and food insecurity. Results: Twenty-four percent of co-op and 39.3% of non-co-op students lived in moderately or severely food insecure households. Adjusting for confounders, the odds of living in moderately or severely food insecure households were lower among co-op students (adjusted odds ratio: 0.51, 95% CI: 0.27–0.97), though no association was observed when marginal food insecurity was included within the food insecure category. One-quarter (26.3%) of co-op students and 38.2% of non-co-op students reported financial insufficiency, which they tried to cope with by asking parents or friends for assistance or initiating paid work. Conclusions: Co-op program enrolment was weakly associated with lower odds of living in moderately or severely food insecure households, and food insecurity prevalence was high overall. Efforts are needed to alleviate food insecurity among postsecondary students.

Objectives The impact of the pandemic on the prevalence of food insecurity is unclear given the potentially contradictory effects of shocks such as lockdowns versus stabilizers such as income supplements. We examined changes in the prevalence of household food insecurity in five countries from before (2019) to during the pandemic (2020). Methods Data were drawn from cross-sectional surveys conducted in Australia, Canada, Mexico, the United Kingdom (UK), and the United States (US) in November/December of 2018,2019, and 2020. Adults aged 18–99 years were surveyed annually (2018: n = 22,731,2019: n = 19,274,2020: n = 21,323). Household food insecurity in the past 12 months was assessed using the Household Food Security Survey Module. Weighted logit models examined changes in the prevalence of living in households affected by food insecurity from 2019 to 2020, adjusting for the prevalence in 2018 and demographic characteristics. Weighted generalized logit models examined changes in the severity of food insecurity. Results Adults in Mexico had a higher probability of living in food-insecure households in 2020 compared to 2019 (β = 0.14, p = 0.02). In contrast, decreases in the probability of living in food-insecure households in 2020 compared to 2019 were observed in Australia (β = −0.21, p < .001) and Canada (β = −0.14, p = 0.03). In the UK and the US, no important changes in the prevalence of food insecurity were observed (UK: β = −0.11, p = 0.11, US: β = 0.05, p = 0.42). Changes in the severity of food insecurity within countries are also evident. Conclusions Changes in the prevalence of household food insecurity during the pandemic appear to differ across countries. Further analyses will contextualize these differences in relation to varied policy responses to the pandemic, as well as changes in prevalence among subgroups such as those with low incomes. Funding Sources A. Pepetone received a stipend from a Canadian Institutes of Health Research (CIHR)/Natural Sciences and Engineering Research Council/Social Sciences and Humanities Research Council Healthy Cities Research Training Platform. Funding for the International Food Policy Study was provided by a CIHR Project Grant, with additional support from Health Canada, the Public Health Agency of Canada (PHAC), and a CIHR-PHAC Applied Public Health Chair held by D. Hammond.