an apple a day keeps the doctor away?
DESCRIPTION
Food Insecurity and Health Inequities. An Apple a Day Keeps the Doctor Away?. Jennifer TayloR Department of Applied Human Sciences Mar 11, 2014. Outline. 1. A Sad State of Affairs 2. Why are Islanders struggling to put food on the table? 3. Health inequities and food insecurity - PowerPoint PPT PresentationTRANSCRIPT
J E N N I F E R TAY LO RD E PA RT M E N T O F A P P L I E D
H U M A N S C I E N C E SM A R 1 1 , 2 0 1 4
AN APPLE A DAY KEEPS THE DOCTOR AWAY?
Food Insecurity and Health Inequities
OUTLINE
• 1. A Sad State of Affairs• 2. Why are Islanders struggling to put food on the table? • 3. Health inequities and food insecurity• 4. What can we do?
1. A SAD STATE OF AFFAIRS
FOOD INSECURITY
inadequate or insecure access to food due to financial constraints
Global
Local
National
Regional
http://nutritionalsciences.lamp.utoronto.ca/
Household
http://nutritionalsciences.lamp.utoronto.ca/
ATLANTIC PROVINCES WORST IN COUNTRY-EXCEPT FOR TERRITORIES, NUNAVUT
Tarasuk et al. http://nutritionalsciences.lamp.utoronto.ca/
2. WHY ARE SO MANY ISLANDERS STRUGGLING TO PUT FOOD ON THE
TABLE?
IN CANADA, THE MAJORITY OF FOOD INSECURE HOUSEHOLDS ARE WORKING
Tarasuk et al. http://nutritionalsciences.lamp.utoronto.ca/
Tarasuk et al. http://nutritionalsciences.lamp.utoronto.ca/
!
• Housing
• Heating costs
• Prescription drugs
• Childcare
• Transportation
RISING COSTS STEAL GROCERY $
•Healthier diets cost $1.48/person/ day more•Family of 3: $133/month MORE
PEI FOOD BANK AND FOOD COSTING STUDY
• Food costing in Charlottetown grocery stores• Same method as 2005 (last time!)
• Charlottetown Food Bank clients• 51 mothers• Food insecurity rates?• Dietary intakes?• Which factors buffer impact of food insecurity?
• Data collection complete by September• Report release in 2014• Taylor, Walton, Oickle,Yeudall
Walton, C, Taylor, J, Oickle, J. Prince Edward Island Pilot Food Costing Report . University of Prince Edward Island, 2013
FOOD PRICES HAVE ESCALATED
Walton, C, Taylor, J, Oickle, J. Prince Edward Island Pilot Food Costing Report University of Prince Edward Island, 2013
MONTHLY DEFICITS
http://www.cbc.ca/news/canada/prince-edward-island/story/2012/11/14/pei-gettingby2-f-food-584.html
3. HEALTH INEQUITIES AND FOOD INSECURITY
Nutrition Disease Mental Health
Education & Literacy
Health Inequities: unfair and unjust differences in health status
NUTRITION
Qualitative compromises infood selection
Quantitative compromises infood intake, hunger Dietary
inadequaciesTarasuk, V
NUTRITION
MORE
NUTRITION
LESS
DISEASE
• Higher rates of diabetes, heart disease
• Depression
• Children: more illness, medications
• More obesity• Conflicting evidence
http://www.cwhn.ca/en/networkmagazine/foodinsecurity
“HUNGER OVERWEIGHT PARADOX”
http://www.bitchinnutrition.com/food-for-thought/the-hunger-and-overweight-paradox/
Health Outcome Food Insecure
Marginal food insecure
Food Secure
Child health fair/poor 16.1 11.7 10.1Hospitalized since birth 24.7 24.2 23.3Overweight 16 15.5 16.5Developmental concern ≥1 20.0 17.2 14.4Developmental concern ≥2 11.3 9.7 8.5
Caregiver depression 38.7 28.2 17.8Caregiver health fair/poor 33.3 22.2 17.1
MENTAL HEALTH
MENTAL HEALTH
Other health professional care
Primary care physician expenses
Rehabilitation
Terminal care
Hospitalization
Medications
Emergency Care
Specialist Care
Home care
Counseling
Direct Costs • Self reported poor health
• Depression• Anxiety • Suicide• Migraines• Iron Deficiencies• Hospitalizations• Upper
gastrointestinal disorders
• Colds
$130.5 Billion
EDUCATION AND LITERACY
• Children K to Gr 3 with food stamp participation
reading and math scores by 3 points
• Hungry children twice as likely to have repeated a grade
FAILING TO ENSURE THE ‘RIGHT TO FOOD’: TOO HIGH A PRICE
•Health care•Mental health•Education•Productivity•Quality of life
4. WHAT CAN WE DO?
FOOD BANKS AND SOUP KITCHENS: EMERGENCY CHARITY RESPONSES
COMMUNITY KITCHENS
http://www.foodbankscanada.ca/About-Us/Programs/Community-Kitchen-Fund.aspx http://www.freshchoicekitchens.ca/
COMMUNITY GARDENS
http://www.youtube.com/watch?v=8RSn9d9pMN8
FOOD BOXES, CSA,CO-OPS
EVALUATION
http://sustainontario.com/resources/food-charters
http://peoplesfoodpolicy.ca/policy/resetting-table-peoples-food-policy-canada
ADDRESSING SOCIAL AND ECONOMIC DETERMINANTS MUST BE A KEY FOCUS
http://www.healthinfonet.ecu.edu.au/health-risks/nutrition/reviews/other-reviews
ACTION NEEDED.
IF WE WANT TO SEE IMPROVEMENTS IN
• Eating habits• Heart disease• Cancer• Obesity• Children’s school performance•Mental health
We need to address the root cause: food insecurity
THE RIGHT THE RIGHT TO TO GOOD FOOD GOOD HEALTH