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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
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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 • 4. What can we do?
Food Insecurity inadequate or insecure access to food due to financial constraints
National Regional Local
Household http://nutritionalsciences.lamp.utoronto.ca/
Atlantic Provinces worst in country-except for territories, Nunavut
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/
Rising costs steal grocery $ • Housing • Heating costs • Prescription drugs • Childcare • Transportation
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
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 Walton, C, Taylor, J, Oickle, J. Prince Edward Island Pilot Food Costing Report University of Prince Edward Island, 2013
http://www.cbc.ca/news/canada/prince-edward-island/story/2012/11/14/pei-gettingby2-f-food-584.htmlhttp://www.cbc.ca/news/canada/prince-edward-island/story/2012/11/14/pei-gettingby2-f-food-584.html
3. Health inequities and food insecurity Health Inequities: unfair and unjust differences in health status
Nutrition Qualitative compromises in food selection Quantitative compromises in food intake, hunger Dietary inadequacies Tarasuk, 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/
Self reported poor health • Depression • Anxiety • Suicide • Migraines • Iron Deficiencies • Hospitalizations • Upper gastrointestinal disorders • Colds Direct Costs Emergency Care Primary care physician expenses $130.5 Billion Specialist Care Other health professional care Medications Counseling Hospitalization Home care Rehabilitation Terminal care
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
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
http://peoplesfoodpolicy.ca/policy/resetting-table-peoples-food-policy-canadahttp://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
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