Food Insecurity and Health Status in the CEMAC Sub-Region
International Journal of Economics and Management Studies |
© 2024 by SSRG - IJEMS Journal |
Volume 11 Issue 8 |
Year of Publication : 2024 |
Authors : Mark Tata Kelese, Johannes Tabi Atemnkeng, Godfrey Fogha Njimanted |
How to Cite?
Mark Tata Kelese, Johannes Tabi Atemnkeng, Godfrey Fogha Njimanted, "Food Insecurity and Health Status in the CEMAC Sub-Region," SSRG International Journal of Economics and Management Studies, vol. 11, no. 8, pp. 23-33, 2024. Crossref, https://doi.org/10.14445/23939125/IJEMS-V11I8P104
Abstract:
Many developing countries today suffer from both food insecurity and poor health. Addressing food insecurity is crucial for promoting overall health and longevity. This study sought to examine the long-run effect of food insecurity on health status in the CEMAC sub-region by using data from FAO and the World Bank for the period 1990-2021. To achieve this aim, annual food insecurity indices were constructed by applying the Principal Components (PCA) technique. By employing the panel Dynamic Ordinary Least Squares (DOLS), panel Fully Modified Ordinary Least Squares (FMOLS) and Pooled Mean Group (PMG) estimators with life expectancy at birth as a proxy for health status, the study found that food insecurity contributes to poor health in the sub-region. A unit increase in the food insecurity index leads to a fall in life expectancy by 0.1 to 0.2 years. A bi-directional causality was found between food insecurity and life expectancy. On this basis, it is recommended that CEMAC countries adopt policies that address food insecurity, such as increasing the minimum wage, improving infrastructure, combatting climate change, and improving access to healthcare.
Keywords:
Causality, Cointegration, DOLS, FMOLS, PMG.
References:
[1] Wusiman Aibibula et al., “Food Insecurity and Low CD4 Count Among HIV-Infected People: A Systematic Review and Meta Analysis,” AIDS Care, vol. 28, no. 12, pp. 1577-1585, 2016.
[CrossRef] [Google Scholar] [Publisher Link]
[2] Sudhir Anand, and Amartya Kumar Sen, Concepts of Human Development and Poverty: A Multidimensional Perspective, United Nations Development Programme, pp. 1-19, 1997.
[Google Scholar] [Publisher Link]
[3] Badi H. Baltagi, Qu Feng and Chihwa Kao, “A Lagrange Multiplier Test for Cross-Sectional Dependence in a Fixed Effects Panel Data Model,” Journal of Econometrics, vol. 170, no. 1, pp. 164-177, 2012.
[CrossRef] [Google Scholar] [Publisher Link]
[4] Sanjay Basu et al., “Association of Primary Care Physician Supply with Population Mortality in the United States, 2005-2015,” JAMA Internal Medicine, vol. 179, no. 4, pp. 506-514, 2019.
[CrossRef] [Google Scholar] [Publisher Link]
[5] Nathaniel Beck, and Jonathan N. Katz, “What to Do (and Not to Do) with Time-Series Cross-Section Data,” American Political Science Review, vol. 89, no. 3, pp. 634-647, 1995.
[CrossRef] [Google Scholar] [Publisher Link]
[6] Tsegaye Bekele et al., “Prevalence and Predictors of Food Insecurity Among People Living with HIV Affiliated with AIDS Service Organizations in Ontario, Canada,” AIDS Care, vol. 30, no. 5, pp. 663-671, 2017.
[CrossRef] [Google Scholar] [Publisher Link]
[7] Sisay Demissew Beyene, “The Impact of Food Insecurity on Health Outcomes: Empirical Evidence from Sub-Saharan African Countries,” BMC Public Health, vol. 23, pp. 1-22, 2023.
[CrossRef] [Google Scholar] [Publisher Link]
[8] Gary W. Bickel et al., Measuring Food Security in the United States, Guide to Measuring Household Food Security, USDA, Food and Nutrition Service, Office of Analysis, Nutrition, and Evaluation, pp. 1-76, 2000.
[Google Scholar] [Publisher Link]
[9] Trevor S. Breusch, and Adrian R. Pagan, “The Lagrange Multiplier Test and its Applications to Model Specification in Econometrics,” The Review of Economic Studies, vol. 47, no. 1, pp. 239-253, 1980.
[CrossRef] [Google Scholar] [Publisher Link]
[10] Peter J. Brown, and Svea Closser, Understanding and Applying Medical Anthropology: Biosocial and Cultural Approaches, 3 rd ed., Left Coast Press, vol. 203, pp. 1-460, 2016.
[Google Scholar] [Publisher Link]
[11] David Cesarini et al., “Wealth, Health and Child Development: Evidence from Administrative Data on Swedish Lottery Players,” The Quarterly Journal of Economics, vol. 131, no. 2, pp. 687-738, 2016.
[CrossRef] [Google Scholar] [Publisher Link]
[12] Raj Chetty et al., “The Association between Income and Life Expectancy in the United States, 2001-2014,” Journal of the American Medical Association, vol. 315, no. 16, pp. 1750-1766, 2016.
[CrossRef] [Google Scholar] [Publisher Link]
[13] Joseph Cox et al., “Food Insecurity in HIV-Hepatitis C Virus Co-infected Individuals in Canada: The Importance of Co-morbidities,” AIDS and Behavior, vol. 21, pp. 792-802, 2017.
[CrossRef] [Google Scholar] [Publisher Link]
[14] Canadian Institute for Health Information, and Canadian Population Health Initiative, Select Highlights on Public Views of the Determinants of Health, Canadian Institute for Health Information , pp. 1-28, 2005.
[Publisher Link]
[15] Elena-Ivona Dumitrescu, and Christophe Hurlin, “Testing for Granger Non-Causality in Heterogeneous Panels,” Economic Modelling, vol. 29, no. 4, pp. 1450-1460, 2012.
[CrossRef] [Google Scholar] [Publisher Link]
[16] John C. Driscoll, and Aart C. Kraay, “Consistent Covariance Matrix Estimation with Spatially Dependent Panel Data,” The Review of Economics and Statistics, vol. 80, no. 4, pp. 549-560, 1998.
[CrossRef] [Google Scholar] [Publisher Link]
[17] Robert G. Evans, and Gregory L. Stoddart, “Producing Health, Consuming Health Care,” Social Science & Medicine, vol. 31, no. 12, pp. 1347-1363, 1990.
[CrossRef] [Google Scholar] [Publisher Link]
[18] FAO Statistics Division, “New Approaches to the Measurement of the State of Food Insecurity,” FAO-OEA/CIE-IICA Working Group on Agricultural and Livestock Statistics for Latin America and the Caribbean, The African Commission on Agricultural Statistics, pp. 1- 26, 2013.
[Publisher Link]
[19] FAOSTAT, FAOSTAT Statistical Database, FAO, 2022. [Online]. Available: http://www.fao.org/faostat/en/#data/HS
[20] FAO, Hunger and Food Insecurity, Food and Agriculture Organization of the United Nations, 2024. [Online]. Available: https://www.fao.org/hunger/en/
[21] Zhao-Ya Fan, Yuan Yang and Fan Zhang, “Association Between Health Literacy and Mortality: A Systematic Review and Meta Analysis,” Archives of Public Health, vol. 79, 2021.
[CrossRef] [Google Scholar] [Publisher Link]
[22] James D. Fearon, “Ethnic and Cultural Diversity by Country,” Journal of Economic Growth, vol. 8, pp. 195-222, 2003.
[CrossRef] [Google Scholar] [Publisher Link]
[23] Food Forward SA, “10 Years of Creating a South Africa Where No One Goes Hungry,” FFSA Annual Report 2019-1, 2019.
[Publisher Link]
[24] George M. Foster, “Disease Etiologies in Non-Western Medical Systems,” American Anthropologist, vol. 78, no. 4, pp. 773-782,1976.
[Google Scholar] [Publisher Link]
[25] Lisa Gilbert et al., “Literacy and Life Expectancy: An Evidence Review Exploring the Link Between Literacy and Life Expectancy in England Through Health and Socioeconomic Factors,” A National Literacy Trust Research Report, 2018.
[Google Scholar] [Publisher Link]
[26] Klaus von Grebmer et al., “2022 Global Hunger Index: Food Systems Transformation and Local Governance,” Welt Hunger Hilfe and Concern Worldwide, 2022.
[Google Scholar] [Publisher Link]
[27] GRFC, “Food Security Information Network - 2022,” Global Network against Food Crises, 2022. [Online]. Available: https://www.unicef.org/press-releases/global-report-food-crises-number-people-facing-acute-food-insecurity-rose-258#:~:text=Rome%2FBrussels%2FNew%20York%2F,countries%20on%20the%20brink%20of
[28] Michael Grossman, On the Concept of Health Capital and the Demand for Health, Determinants of Health: An Economic Perspective, Columbia University Press, pp. 1-32, 2017.
[CrossRef] [Google Scholar] [Publisher Link]
[29] Michael Grossman, The Demand for Health: A Theoretical and Empirical Investigation, Columbia University Press, pp. 1-160, 2017.
[CrossRef] [Google Scholar] [Publisher Link]
[30] Craig Gundersen and James P. Ziliak, “Food Insecurity and Health Outcomes,” Health Affairs, vol. 34, no. 11, pp. 1830-1839, 2015.
[CrossRef] [Google Scholar] [Publisher Link]
[31] Craig Gundersen et al., “Food Insecurity Status and Mortality Among Adults in Ontario, Canada,” Plos One, vol. 13, no. 8, pp. 1-10, 2018.
[CrossRef] [Google Scholar] [Publisher Link]
[32] Joy Hutchinson, and Valerie Tarasuk, “The Relationship Between Diet Quality and the Severity of Household Food Insecurity in Canada,” Public Health Nutrition, vol. 25, no. 4, pp. 1013 - 1026, 2022.
[CrossRef] [Google Scholar] [Publisher Link]
[33] Kyung So Im, M.Hashem Pesaran and Yongcheol Shin, “Testing for Unit Roots in Heterogeneous Panels,” Journal of Econometrics, vol. 115, no. 1, pp. 53-74, 2003.
[CrossRef] [Google Scholar] [Publisher Link]
[34] Geneviève Jessiman-Perreault, and Lynn McIntyre, “The Household Food Insecurity Gradient and Potential Reductions in Adverse Population Mental Health Outcomes in Canadian Adults,” SSM-Population Health, vol. 3, pp. 464-472. 2017.
[CrossRef] [Google Scholar] [Publisher Link]
[35] Andrew D. Jones, “Food Insecurity and Mental Health Status: A Global Analysis of 149 Countries,” American Journal of Preventive Medicine, vol. 53, no. 2, pp. 264-273, 2017.
[CrossRef] [Google Scholar] [Publisher Link]
[36] Jan Kmenta, Elements of Econometrics, 2nd ed., Macmillan, pp. 1-786, 1986.
[Google Scholar] [Publisher Link]
[37] Fei Men et al., “Food Insecurity, Chronic Pain, and Use of Prescription Opioid,” SSM-Population Health, vol. 14, 2021.
[CrossRef] [Google Scholar] [Publisher Link]
[38] Vanessa Muirhead et al., “Oral Health Disparities and Food Insecurity in Working Poor Canadians,” Community Dentistry and Oral Epidemiology, vol. 37, no. 4, pp. 294-304, 2009.
[CrossRef] [Google Scholar] [Publisher Link]
[39] Marion Napoli, “Towards Food Insecurity Multidimensional Index (FIMI),” Master in Human Development and Food Security, ROMA TRE University, pp. 1-72, 2011.
[Google Scholar] [Publisher Link]
[40] Esteban Ortiz-Ospina, and Max Roser, Global Health: An Overview of Our Research on Global Health, Our World in Data, 2024. [Online]. Available: https://ourworldindata.org/health-meta
[41] Richard W. Parks, “Efficient Estimation of a System of Regression Equations When Disturbances are Both Serially and Contemporaneously Correlated,” Journal of the American Statistical Association, vol. 62, no. 318, pp. 500-509, 1967.
[CrossRef] [Google Scholar] [Publisher Link]
[42] Peter Pedroni, “Purchasing Power Parity Tests in Cointegrated Panels,” The Review of Economics and Statistics, vol. 83, no. 4, pp. 727- 731, 2001.
[CrossRef] [Google Scholar] [Publisher Link]
[43] M. Hashem Pesaran, “A Simple Panel Unit Root Test in the Presence of Cross Section Dependence,” Journal of Applied Econometrics, vol. 22, no. 2, pp. 265-312, 2007.
[CrossRef] [Google Scholar] [Publisher Link]
[44] M. Hashem Pesaran, “General Diagnostic Tests for Cross Section Dependence in Panels,” Empirical Economics, vol. 60, pp. 13-50, 2021.
[CrossRef] [Google Scholar] [Publisher Link]
[45] M. Hashem Pesaran, “Testing Weak Cross-Sectional Dependence in Large Panels,” Econometric Reviews, vol. 34, no. 6-10, pp. 1089- 1117, 2015.
[CrossRef] [Google Scholar] [Publisher Link]
[46] Mojtaba Shafiee et al., “Household Food Insecurity is Associated with Depressive Symptoms in the Canadian Adult Population,” Journal of Affective Disorders, vol. 279, pp. 563-571, 2021.
[CrossRef] [Google Scholar] [Publisher Link]
[47] Hilary K. Seligman, Barbara A. Laraia, and Margot B. Kushel, “Food Insecurity is Associated with Chronic Disease Among Low-Income Nhanes Participants,” The Journal of Nutrition, vol. 140, no. 2, pp. 304-310, 2010.
[CrossRef] [Google Scholar] [Publisher Link]
[48] James H. Stock and Mark W. Watson, “A Simple Estimator of Cointegration Vectors in Higher Order Integrated Systems,” Econometrica, vol. 61, no. 4, pp. 783-820, 1993.
[CrossRef] [Google Scholar] [Publisher Link]
[49] Holger Strulik, “A Closed-Form Solution for the Health Capital Model,” Journal of Demographic Economics, vol. 81, no. 3, pp. 301- 316, 2015.
[CrossRef] [Google Scholar] [Publisher Link]
[50] Christopher A. Tait et al., “The Association Between Food Insecurity and Incident Type Two Diabetes in Canada: A Population-Based Cohort Study,” Plos One, vol. 13, no. 5, 2018.
[CrossRef] [Google Scholar] [Publisher Link]
[51] Valerie Tarasuk et al., “Chronic Physical and Mental Health Conditions Among Adults May Increase Vulnerability to Household Food Insecurity,” The Journal of Nutrition, vol. 143, no. 11, pp. 1785-1793, 2013.
[CrossRef] [Google Scholar] [Publisher Link]
[52] Sarah M. Tooth, and John A. Dobelman, “A New Look at Generalized Means,” Applied Mathematics, vol. 7, no. 6, pp. 468-472, 2016.
[CrossRef] [Google Scholar] [Publisher Link]
[53] Moki Edwin Kindzeka, Central Africa Says Economic Bloc Poorest, Integration Stagnant at 4%, Voice of Africa, 2024. [Online]. Available: google.com/amp/s/www.voanews.com/amp/7527878.html
[54] T. Vozoris Nicholas, and S.Tarasuk Valerie, “Household Food Insufficiency is Associated with Poorer Health,” The Journal of Nutrition, vol. 133, no. 1, pp. 120-126, 2003.
[CrossRef] [Google Scholar] [Publisher Link]
[55] M Whitehead, and G Dahlgren, “What Can We Do About Inequalities in Health?,” The Lancet, vol. 338, no. 8774, pp. 1059-1063, 1991.
[CrossRef] [Publisher Link]
[56] World Health Organization, WHO Remains Firmly Committed to the Principles Set Out in the Preamble to the Constitution, 1948. [Online]. Available: https://www.who.int/about/governance/constitution
[57] The Global Health Observatory, Indicators Index, World Health Organization. [Online]. Available: https://www.who.int/data/gho/data/indicators/indicators-index
[58] World Health Organization, “World Health Statistics 2023: Monitoring Health for the SDGS, Sustainable Development Goals,” Global Report, pp. 1-119, 2023.
[Publisher Link]
[59] Norbert Fiess et al., “CEMAC: Deepening Regional Integration to Advance Growth and Prosperity,” The World Bank, pp. 1-113, 2020.
[Publisher Link]
[60] The Central African Republic: The World Bank is Stepping up the Fight Against Food and Nutrition Insecurity, World Bank Group, 2021. [Online]. Available: https://www.worldbank.org/en/news/press-release/2021/06/29/republique-centrafricaine-la-banque-mondiale-renforce-la-lutte-contre-insecurite-alimentaire-et-nutritionnelle
[61] Data Bank, World Development Indicators, World Bank Group. [Online] Available: https://databank.worldbank.org/source/world-development-indicators
[62] World Bank, World Bank Country and Lending Groups, World Bank Group. [Online]. Available: https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groups
[63] World Food Programme, Hunger Map 2020, 2020. [Online]. Available: https://reliefweb.int/map/world/hunger-map-2020?gad_source=1&gclid=CjwKCAjwxNW2BhAkEiwA24Cm9GukB1P0g2NwJTz48po6lQ1kHN_rj6qXoIglUX3pccCgvd8OBX8xo CugQQAvD_BwE