the new chiefs of industryweightmanagement.hiirc.org.nz/assets/legacy/files/... · 2009-02-27 ·...
TRANSCRIPT
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The New Chiefs of Industry
Ensuring healthy food and
beverage choices are available,
accessible and affordable
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Overview
•Provide background on who is talking to you today
•‘From Kereru to KFC’ brief look from the past to the
present diet
•‘Food Security’ focus on current issues for Maori
Nutrition
•‘Whose choice is it anyway?’ why a reciprocal
relationship is so important
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From Kereru to KFC
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‘Once Were Gardeners’
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Manaakitanga
He mahi kai te taonga
Obtaining food is the prized
accomplishment
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Post Contact
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Alliances and Distribution
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Present
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Food Security Among Maori
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Priority area of focus
Food Security
“Food security exists when
all people, at all times,
have physical and
economic access to
sufficient, safe and
nutritious food to meet
dietary needs and food
preferences for an active
healthy life” (FAO, 1996)
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Alternatively…
„Food insecurity relates to not having
enough food, experiencing hunger,
consuming a decreased quality diet,
anxiety related to acquiring food or relying
on food relief‟ (Kendall & Kennedy, 1998)
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Determinants of Food Security
• New South Wales Centre for Public Health
Nutrition classifies food security into two main
categories:
• Food Supply
• Food Access
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FOOD &
NUTRITION
SYSTEM
Production
Processing
Transport
Food retail
outlets
Prepared food
outlets
Location of
Food outlets
Availability
in outlets
Price
Quality
Variety
Promotion
FOOD SUPPLY
SOCIAL AND
ECONOMIC
DETERMINANTS
Employment
Income
Education
Housing
Area of residence
Social inclusion
ACCESS TO FOOD
Financial
resources
Transport to
shops
Knowledge skills
preferences
Storage
facilities
Prep & cooking
facilities
Time &
mobility
Social support
FO
OD
SE
CU
RIT
Y
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Household Food Security
Measured in NZ
NNS97 first to collect national data on
household food security using 8 indicator
statements
NCNS02 followed similar design
investigated prevalence of food insecurity
in children aged 5-14 years and their
household
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The
househol
d:
Because of a lack of money, the household: The house:
Can
afford to
eat
properly
Food runs
out
Eat less Variety of
food
limited
Rely on
others
Use food
grants/ban
ks
Stressed
about
lack of
money
for food
Stressed
when no
food for
social
occasion
s
Sometime
s
Sometime
s or often
Sometime
s or often
Sometime
s or often
Sometim
es or
often
Sometime
s or often
Sometim
es
Sometim
es
1997 NZ Maori
Total 28.5 31 27.5 47.5 20.5 13 25 24.5
1997 NZEO
Total 9.5 9 10 23 4 2 10 9.5
2002 NZ Maori
Total 33.6 37.5 30.7 45.2 23.4 20 40 28
2002 NZEO
Total 12.1 13 10.2 27.8 5.8 4.5 16.5 14.8Table 1: Household Food Security over the Last Year (%) Sources: Russell et al., 1999; Parnell et al,. 2003.
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Food insecurity and obesity
paradox
In New Zealand, Parnell et al. found:
• Those living in households which were
least food secure had the highest BMI
• The most food secure households had the
lowest BMI
• High amounts of energy in many low cost
foods
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Food security, food access and
Maori
• Many of the issues related to food access are directly influenced by socioeconomic determinants
• For example the NNS97 found food insecurity most frequently reported by individuals living in the most socioeconomically deprived areas compared to those living in the least deprived areas
• Maori are over represented in many of these areas which contribute to food insecurity
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Enhancing food security and physical activity:
the views of Māori, Pacific and low-income
peoples
“There are some foods we have never seen
before let alone eaten”
Participants agreed that they would like
access to healthier food options
“We eat the way we eat, not because it‟s
cultural but because it is all around us”.
“It is put in our face”
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Enhancing food security and physical activity:
the views of Māori, Pacific and low-income
peoples
“we need to do one big shop each week and
then freeze the milk and bread. We need
to as it is too expensive to go to the dairy.”
“Living in isolated areas and having no
vehicles or public transport to come in
means we can‟t regularly access food”
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Food security, food supply and
Maori• Limited information regarding food and nutrition
system so aspects of food supply such as
location of food outlets, price and promotion
are discussed
• Otago University Food Cost Survey
• Price closely related to other aspects such as
quality and variety
• Low income families do not have adequate
money to purchase a basic healthy diet
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Enhancing food security and physical activity:
the views of Māori, Pacific and low-income
peoples
„One participant said she knew an elderly gentleman
that lived by her who regularly purchased $3-$5
specials from a nearby fast food outlet. She said
that he could get a variety of food items and that this
was very affordable for his budget.
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Enhancing food security and physical activity:
the views of Māori, Pacific and low-income
peoples
availability of fresh vegetables and fruit was
questioned specifically as there is only one
supermarket within the town. “Sometimes
buy a lettuce. It could have been there for
two weeks. Doesn‟t look fresh to me”. “The
fruit is all imported and the quality isn‟t the
best”.
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Enhancing food security and physical activity:
the views of Māori, Pacific and low-income
peoples
One person noted that “fizzy drinks are the
first things that you see when you enter
into our supermarket”.
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So its about CHOICE?
It is more difficult for Maori to eat healthy
food. Maori have less access to
healthy food and are more likely to be
surrounded by food options that are
unhealthy…what sort of choice do we
have?
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Principle of Reciprocity
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Improve Food Supply
• Food system education
• Production, supporting
local agriculture, ‘Once
Were Gardeners’
• Retail outlets, location,
price, availability,
promotion
• Charity
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Strategic inflection points
Food Production
Food Processing
Food Transport
Retail outlets
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Nga mihi
• Te Hotu Manawa Maori Nutrition and Physical Activity Team
• Obesity Action Coalition (Leigh Sturgiss Sue Milburn and Gwendol Welburn)
• Maori Nutrition and Physical Activity Maori Community Health Workers
• Craig Heta
• Laurie Wharemate-Keung
• Christina McKerchar
• David Roberts – National Dietitian NHF
• Authors and contributors to NZ Food Security evidence base
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References
• Parnell, W., Scragg, R., & Wilson, N., et al. (2003). NZ Food NZ People: Key Results of the 2002 National Children’s Nutrition Survey, 2003, Wellington: Ministry of Health.
• Russell, D.G., Parnell, W.R., & Wilson, N.C., et al. (1999). NZ Food NZ People: Key Results of the 1997 National Nutrition Survey, 1999, Wellington: Ministry of Health.
• New South Wales Centre for Public Health Nutrition. (2003). Food Security Options Paper: A planning framework and menu of options for policy and practice interventions, 2003, New South Wales: New South Wales Centre for Public Health Nutrition.
• University of Auckland Art history Image Database