Healthy Adults l Goal = »“adults” = YO »~40-45 YO, people start taking health care seriously l __________ = signs associated with likelihood of acquiring a disease l ____ and ________ can influence most current ____________ in the U.S.

Ten Leading Causes of Death in the U.S. (1900) RankCause of death Pneumonia/influenza Tuberculosis Diarrhea and enteritis Heart disease Stroke Liver disease Accidents Cancer Diphtheria Meningitis Causes in which diet plays a part Causes in which alcohol plays a part

Ten Leading Causes of Death in the U.S. (2000) RankCause of death Heart disease Cancer Stroke Lung diseases Accidents Diabetes Pneumonia/influenza Alzheimer’s disease Kidney disease Septicemia Causes in which diet plays a part Causes in which alcohol plays a part

Community Programs Targeting Adults l Food StampsSNAP l Food programs: »Commodity Supplemental Food Program »Child and Adult Care Food Program (CACFP) »USDA Food Recovery and Gleaning Program l Community health centers l Cooperative Extension Service »EFNEP »Family Nutrition Program (FNP) l TEFAP l Medicaid l Title V MCH funds l WIC

____________ l “Access by all people at all times to sufficient food for an active and healthy life.” »________ food »adequate and _____ food »________ »for _________ life »acquired in ____________ ways

Poverty l Poverty guidelines »set by USDA »since 1965 »based on ____________ X 3.3 »adjusted annually according to ________________ l Thrifty Food Plan: »Emergency, short-term diet »one of 4 nutrition plans: Thrifty, Low-cost, Moderate, Liberal

Poverty l Poverty stats »$22,050 annually for a family of four (2009) »~37,000,000 hungry in the U.S. (Census Bureau, 2007) –11% of households –1 in ___ children l The ________ the income, the _______ the nutritional status of a family

Poverty l Poverty stats »$22,050 annually for a family of four (2009) »~46,200,000 poor in the U.S. (Census Bureau, 2010) = 15.1% (up from 14.3% in 2009) l The lower the income, the worse the nutritional status of a family

Food Stamp Program is now SNAP l Supplemental Nutrition Assistance Program l __________ program l Eligibility: »_________ gross income »_________ net income »certain exemptions to definition of net income »more income allowed if ________ in household

Food Stamp to SNAP changes l Eligibility: »asset limit “relaxed” in 2008 l $20 million authorized for pilot projects to increase fruit and vegetable intake, improve health status, reduce obesity l Food “stamps” eliminated; all benefits by EBT

SNAP Program l Goal = l Benefits: »provided via _______ »amount varies with income, size of household, housing costs, etc. »~ amount needed for the household unit to ________________

SNAP Program l Excludes RTE foods, medications, pet foods, tobacco, alcohol, cleaning supplies… l Education is via state plans l rWaves/November08/Features/ AffordHealthyDiet.htm rWaves/November08/Features/ AffordHealthyDiet.htm

Household expenditures l ________ income: »50% income on food, clothing, shelter (f/c/s) »16% on food l ________ income: »66% on f/c/s »23% on food l _________: »75% on f/c/s »30% on food

Food Stamp Program l In 1970, Food Stamps served 4.3 million people a month and cost $577 million; l In 2008, SNAP served 28.4 million people a month and cost $34.6 billion l Average benefit in 2009 = $101 a month per person »$3.37 a day

SNAP Program l Average benefit in Indiana in 2010 = $ a month per person »$4.40 a day

Homework l Work out a menu for a day »$13.20 »one person l Price the menu l Analyze the menu for nutritional adequacy »use MyPlate l Due Thursday, November 17 l (alternative is to cost and analyze one day of your typical intake. Then indicate how your food costs compare to SNAP.)

Focus on SNAP Entitlement program? Who is eligible? What are the benefits? Are there restrictions? What is the goal/purpose? Is education mandated? Proven outcomes?

Maximum SNAP allotment s.htm#9 (October 2009 through September 2010) People in Household Maximum Monthly Allotment 1 $ $ $ $ $ $ $ 1,052 8 $ 1,202 Each additional person... $ 150

Persons in Family or Household 48 Contiguous States and D.C. 1 $10, , , , , , , ,010 For each additional person, add 3, DHHS Poverty Guidelines

Maximum SNAP allotment s.htm#9 (October 1, 2011 through September 30, 2012) People in Household Maximum Monthly Allotment 1 $ $ $ $ $ $ $ 1,052 8 $ 1,202 Each additional person... $ 150

Persons in Family or Househo ld 48 Contiguo us States and D.C.AlaskaHawaii 1$10,830$13,530$12, ,57018,21016, ,31022,83021, ,05027,57025, ,79032,25029, ,53036,93033, ,27041,61038, ,01046,29042,560 For each additional person, add 3,7404,6804, DHHS Poverty Guidelines