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Similar to the recent emergence of food banks in other affluent nations, the genesis and ultimate entrenchment of food banks in Canada has been tightly intertwined with the dismantling of the welfare state. Through an examination of Canadian data, the authors elucidate the implications of entrenching voluntary, extra-governmental, charitable food assistance programs as an adjunct to publicly funded social assistance programs. The paper aims to discuss these issues.

Publicly available food bank reports, population health survey data, and the results of a study of low-income families in Toronto are reviewed to examine the food security status of social assistance recipients and their use of food banks.

In 2012, 70 percent of households in Canada who were reliant on social assistance were food insecure. Social assistance recipients comprise at least half of food bank clientele and have done so for as long as this information has been tracked, but the assistance provided by food banks appears insufficient to alter households’ food insecurity. Although food banks currently distribute over 200 million pounds of food annually, the scale of their operations pales in comparison to the food needs of those who seek their help.

In the 30 years since food banks began in Canada, there has been considerable research into this response, as well as extensive population monitoring of food insecurity. Canada provides an informative case study of an affluent country's long-term dependency on charitable food assistance and the impact this has on the food insecurity of those reliant on social assistance programs.

The purpose of this paper is to increase the understanding of adolescents’ perceptions of food insecurity and diet quality, and the impact that these factors have on mental health.

This study used a community-based research approach. It gathered qualitative data from 11 in-depth interviews conducted with adolescents aged 13-19. Participants were recruited through various programmes they attended at a community organization in Toronto.

Overall, results indicate that respondents clearly identified a linkage between food insecurity and mental health. They also identified several effects of poor diet quality on mental health. Respondents understood food insecurity and poor diet quality to exist on a continuum. However, they also identified other reasons for making poor dietary choices such as peer pressure. Mental health effects of food insecurity and poor diet quality included sadness, stress, worry, anger, shame, impaired concentration, and fatigue.

This research will help to inform future research design in the field of social determinants of mental health. As well, the findings will help guide the development of interventions targeted towards this vulnerable age group.

This is the first qualitative study to explore food insecurity and poor diet quality, as existing on a continuum, from the perspective of adolescents. The authors are also the first to explore the impact of these factors on the mental health of adolescents, based on their own understanding. What is more, the authors focused on a culturally diverse population living in an underprivileged neighbourhood in Toronto. The authors chose this population because they are at higher risk of both food insecurity and poor diet quality.

It can be said that the most important function of the health system is to provide health-care services. This directly affects society’s health and justice. To the best of the authors’ knowledge, this study is the first study that has meta-analyzed the percentage of health services utilization among Iranians to answer this question “How much is the percentage of health-care services utilization in Iran?”

This study is a systematic review and meta-analysis conducted in 2020. The literature review was done by searching the databases of Google Scholar, Scopus, PubMed, Web of Science, Science Direct, SID, Magiran and Irandoc from January 2010 to August 2020. Pooled utilization percentage (UP) was estimated by STATA 15 through random-effects meta-analysis with 95% confidence interval. The I² statistic was used to investigate the possibility of heterogeneity of articles (I² ≥ 50% indicate heterogeneity). A forest plot was applied to report the results. A funnel plot exploited due to publication bias assessment.

Approximately 22% of the reviewed articles have been done at the national level of Iran. Most studies have examined the utilization of outpatient and inpatient services. Based on the random effects method, the pooled value of UP was obtained at 47.82%, (95% CI: 39.33–56.31). Also, the pooled percentage of utilization was statistically significant (Test of UP = 0, Z = 456.44, p = 0.000).

Policymakers can improve the level of utilization from health services by expanding universal coverage, expanding insurance coverage and removing direct and indirect barriers.

To the best of the authors’ knowledge, this is the first systematic review and meta-analysis on health services utilization in Iran that completely considers the utilization rate in all health services and states the practical solutions to cope with utilization deficiencies and barriers.