IDEAS home Printed from https://ideas.repec.org/a/eee/jfpoli/v134y2025ics0306919225001009.html

Poor health and food insecurity among food assistance recipients: Evidence from France

Author

Listed:
  • Vandroux, Romane
  • Wolff, François-Charles

Abstract

This paper examines the relationship between food insecurity and poor health among food assistance recipients in France using a dataset collected in 2021 from nearly 4,000 respondents. For these individuals from disadvantaged socio-economic backgrounds, food assistance may eliminate the association between food insecurity and health reported in surveys of the general population. Regression estimates show a strong positive association between food insecurity and poor health (self-reported health, chronic disease, activity limitation). This correlation is significantly higher for native respondents than for migrants. After accounting for the endogeneity of food insecurity through a free-instrument approach that estimates bounds, we confirm the positive association between food insecurity and poor health. The low frequency of visits to food banks may explain why food insecurity persists among participants and continues to affect health.

Suggested Citation

  • Vandroux, Romane & Wolff, François-Charles, 2025. "Poor health and food insecurity among food assistance recipients: Evidence from France," Food Policy, Elsevier, vol. 134(C).
  • Handle: RePEc:eee:jfpoli:v:134:y:2025:i:c:s0306919225001009
    DOI: 10.1016/j.foodpol.2025.102895
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0306919225001009
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.foodpol.2025.102895?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to

    for a different version of it.

    References listed on IDEAS

    as
    1. repec:plo:pone00:0202642 is not listed on IDEAS
    2. Nicole Darmon & France Caillavet, 2017. "Food insecurity: determinants and impacts," Post-Print hal-01569523, HAL.
    3. Arthur Lewbel & Susanne M. Schennach & Linqi Zhang, 2024. "Identification of a Triangular Two Equation System Without Instruments," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 42(1), pages 14-25, January.
    4. Arthur Lewbel, 2019. "The Identification Zoo: Meanings of Identification in Econometrics," Journal of Economic Literature, American Economic Association, vol. 57(4), pages 835-903, December.
    5. Emmanuel Selorm Tsyawo, 2023. "Feasible IV regression without excluded instruments," The Econometrics Journal, Royal Economic Society, vol. 26(2), pages 235-256.
    6. Huang, Cheng & Phillips, Michael R. & Zhang, Yali & Zhang, Jingxuan & Shi, Qichang & Song, Zhiqiang & Ding, Zhijie & Pang, Shutao & Martorell, Reynaldo, 2013. "Malnutrition in early life and adult mental health: Evidence from a natural experiment," Social Science & Medicine, Elsevier, vol. 97(C), pages 259-266.
    7. Elgar, Frank J. & Pickett, William & Pförtner, Timo-Kolja & Gariépy, Geneviève & Gordon, David & Georgiades, Kathy & Davison, Colleen & Hammami, Nour & MacNeil, Allison H. & Azevedo Da Silva, Marine &, 2021. "Relative food insecurity, mental health and wellbeing in 160 countries," Social Science & Medicine, Elsevier, vol. 268(C).
    8. Christina M Pollard & Sue Booth, 2019. "Food Insecurity and Hunger in Rich Countries—It Is Time for Action against Inequality," IJERPH, MDPI, vol. 16(10), pages 1-13, May.
    9. Byrne, Anne T. & Just, David R., 2022. "Review: Private food assistance in high income countries: A guide for practitioners, policymakers, and researchers," Food Policy, Elsevier, vol. 111(C).
    10. Emily Oster, 2019. "Unobservable Selection and Coefficient Stability: Theory and Evidence," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 37(2), pages 187-204, April.
    11. Smith, Lisa C. & El Obeid, Amani E. & Jensen, Helen H., 2000. "The geography and causes of food insecurity in developing countries," Agricultural Economics, Blackwell, vol. 22(2), pages 199-215, March.
    12. Gourieroux, Christian & Monfort, Alain & Renault, Eric & Trognon, Alain, 1987. "Simulated residuals," Journal of Econometrics, Elsevier, vol. 34(1-2), pages 201-252.
    13. Matthew A. Masten & Alexandre Poirier & Linqi Zhang, 2024. "Assessing Sensitivity to Unconfoundedness: Estimation and Inference," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 42(1), pages 1-13, January.
    14. Krauth Brian, 2016. "Bounding a Linear Causal Effect Using Relative Correlation Restrictions," Journal of Econometric Methods, De Gruyter, vol. 5(1), pages 117-141, January.
    15. Trudell, John Paul & Burnet, Maddison L. & Ziegler, Bianca R. & Luginaah, Isaac, 2021. "The impact of food insecurity on mental health in Africa: A systematic review," Social Science & Medicine, Elsevier, vol. 278(C).
    16. Sebastian Kripfganz & Jan F. Kiviet, 2021. "kinkyreg: Instrument-free inference for linear regression models with endogenous regressors," Stata Journal, StataCorp LLC, vol. 21(3), pages 772-813, September.
    17. Stock, James H & Wright, Jonathan H & Yogo, Motohiro, 2002. "A Survey of Weak Instruments and Weak Identification in Generalized Method of Moments," Journal of Business & Economic Statistics, American Statistical Association, vol. 20(4), pages 518-529, October.
    18. Bruce Newbold, K., 2005. "Self-rated health within the Canadian immigrant population: risk and the healthy immigrant effect," Social Science & Medicine, Elsevier, vol. 60(6), pages 1359-1370, March.
    19. Thompson, C. & Smith, D. & Cummins, S., 2018. "Understanding the health and wellbeing challenges of the food banking system: A qualitative study of food bank users, providers and referrers in London," Social Science & Medicine, Elsevier, vol. 211(C), pages 95-101.
    20. Huang, Jin & Barnidge, Ellen, 2016. "Low-income Children's participation in the National School Lunch Program and household food insufficiency," Social Science & Medicine, Elsevier, vol. 150(C), pages 8-14.
    21. Caroline Ratcliffe & Signe-Mary McKernan & Sisi Zhang, 2011. "How Much Does the Supplemental Nutrition Assistance Program Reduce Food Insecurity?," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 93(4), pages 1082-1098.
    22. Gary Chamberlain, 1980. "Analysis of Covariance with Qualitative Data," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 47(1), pages 225-238.
    23. Steven Kennedy & Michael P. Kidd & James Ted McDonald & Nicholas Biddle, 2015. "The Healthy Immigrant Effect: Patterns and Evidence from Four Countries," Journal of International Migration and Integration, Springer, vol. 16(2), pages 317-332, May.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Cheng, Zhiming & Guo, Liwen & Smyth, Russell & Tani, Massimiliano, 2022. "Childhood adversity and energy poverty," Energy Economics, Elsevier, vol. 111(C).
    2. Baldwin, Katherine & Mensah, Kristina & Tiehen, Laura & Rudloff, Bettina, 2025. "Mitigating food security impacts from crisis in high-income countries: lessons from different contexts," Food Policy, Elsevier, vol. 137(C).
    3. Paul Diegert & Matthew A. Masten & Alexandre Poirier, 2022. "Assessing Omitted Variable Bias when the Controls are Endogenous," Papers 2206.02303, arXiv.org, revised Feb 2026.
    4. Awaworyi Churchill, Sefa & Asante, Augustine, 2023. "Neighbourhood crime and obesity: Longitudinal evidence from Australia," Social Science & Medicine, Elsevier, vol. 337(C).
    5. Sarrias, Mauricio & Blanco, Alejandra, 2022. "Bodyweight and human capital development: Assessing the impact of obesity on socioemotional skills during childhood in Chile," Economics & Human Biology, Elsevier, vol. 47(C).
    6. Tessier, Philippe & Wolff, François-Charles, 2025. "Did the COVID-19 pandemic change the importance of health for life satisfaction? Evidence from France," Economics & Human Biology, Elsevier, vol. 56(C).
    7. Borice Augustin Ngounou & Honoré Tekam Oumbe & Bruno Emmanuel Ongo Nkoa & Edmond Noubissi Domguia, 2024. "Inclusive growth in the face of increasing urbanization: What experience for African countries?," Review of Development Economics, Wiley Blackwell, vol. 28(1), pages 34-70, February.
    8. Zoë Bell & Steph Scott & Shelina Visram & Judith Rankin & Clare Bambra & Nicola Heslehurst, 2023. "Children’s nutritional health and wellbeing in food insecure households in Europe: A qualitative meta-ethnography," PLOS ONE, Public Library of Science, vol. 18(9), pages 1-26, September.
    9. Alex O. Acheampong & Eric Evans Osei Opoku & Niharika Rustagi, 2024. "Gender quota, women in politics, and gender parity in education," Economics and Politics, Wiley Blackwell, vol. 36(3), pages 1223-1260, November.
    10. Nicolas Frémeaux, 2023. "The More, the Better? Individual and Joint Interviewing in Surveys," Annals of Economics and Statistics, GENES, issue 149, pages 63-96.
    11. Ngounou, Borice Augustin & Wang, Mingsen & Zhu, Delong, 2025. "Does energy poverty undermine health spending in Africa? A comparative analysis of public and private healthcare spending," Renewable Energy, Elsevier, vol. 239(C).
    12. Hills, Robert & Kubic, Matthew & Mayew, William J., 2021. "State sponsors of terrorism disclosure and SEC financial reporting oversight," Journal of Accounting and Economics, Elsevier, vol. 72(1).
    13. Martey, Edward & Etwire, Prince M. & Adusah-Poku, Frank & Krah, Kwabena & Suraj, Mustapha M., 2026. "Community water resource and energy poverty in Ghana," Energy Policy, Elsevier, vol. 209(PA).
    14. Hervé, Justine, 2023. "Specialists or generalists? Cross-industry mobility and wages," Labour Economics, Elsevier, vol. 84(C).
    15. Ngounou, Borice Augustin & Djiogag, Constant Fouopi & Domguia, Edmond Noubissi & Zanfack, Linda Tiague & Pondie, Thierry Messie, 2025. "Does fiscal decentralisation hamper happiness? Evidence from African countries," World Development Perspectives, Elsevier, vol. 37(C).
    16. Giné, Xavier & Martinez-Bravo, Monica & Vidal-Fernández, Marian, 2017. "Are labor supply decisions consistent with neoclassical preferences? Evidence from Indian boat owners," Journal of Economic Behavior & Organization, Elsevier, vol. 142(C), pages 331-347.
    17. Lee, Tzong-Haw & Liou, Yu-You & Chang, Hung-Hao, 2025. "Forest diversity and the distribution of farm revenue - Empirical evidence from forest farms in Taiwan," Forest Policy and Economics, Elsevier, vol. 171(C).
    18. Bensch, Gunther & Kluve, Jochen & Stöterau, Jonathan, 2021. "The market-based dissemination of energy-access technologies as a business model for rural entrepreneurs: Evidence from Kenya," Resource and Energy Economics, Elsevier, vol. 66(C).
    19. Rösch, Dominik, 2021. "The impact of arbitrage on market liquidity," Journal of Financial Economics, Elsevier, vol. 142(1), pages 195-213.
    20. Domguia, Edmond Noubissi & Ngounou, Borice Augustin & Pondie, Thierry Messie & Bitoto, Fabrice Ewolo, 2024. "Environmental tax and energy poverty: An economic approach for an environmental and social solution," Energy, Elsevier, vol. 308(C).

    More about this item

    Keywords

    ;
    ;
    ;
    ;

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I38 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Government Programs; Provision and Effects of Welfare Programs

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:jfpoli:v:134:y:2025:i:c:s0306919225001009. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/foodpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.