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JENNIFER TAYLOR DEPARTMENT OF APPLIED HUMAN SCIENCES MAR 11, 2014 AN APPLE A DAY KEEPS THE DOCTOR AWAY? Food Insecurity and Health Inequities.

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Presentation on theme: "JENNIFER TAYLOR DEPARTMENT OF APPLIED HUMAN SCIENCES MAR 11, 2014 AN APPLE A DAY KEEPS THE DOCTOR AWAY? Food Insecurity and Health Inequities."— Presentation transcript:

1 JENNIFER TAYLOR DEPARTMENT OF APPLIED HUMAN SCIENCES MAR 11, 2014 AN APPLE A DAY KEEPS THE DOCTOR AWAY? Food Insecurity and Health Inequities

2 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?

3 1. A SAD STATE OF AFFAIRS

4 FOOD INSECURITY inadequate or insecure access to food due to financial constraints

5 Global

6 Local National Regional

7 http://nutritionalsciences.lamp.utoronto.ca/ Household

8

9 http://nutritionalsciences.lamp.utoronto.ca/

10 ATLANTIC PROVINCES WORST IN COUNTRY-EXCEPT FOR TERRITORIES, NUNAVUT

11 Tarasuk et al. http://nutritionalsciences.lamp.utoronto.ca/http://nutritionalsciences.lamp.utoronto.ca/

12 2. WHY ARE SO MANY ISLANDERS STRUGGLING TO PUT FOOD ON THE TABLE?

13 IN CANADA, THE MAJORITY OF FOOD INSECURE HOUSEHOLDS ARE WORKING Tarasuk et al. http://nutritionalsciences.lamp.utoronto.ca/http://nutritionalsciences.lamp.utoronto.ca/

14 Tarasuk et al. http://nutritionalsciences.lamp.utoronto.ca/http://nutritionalsciences.lamp.utoronto.ca/ !

15 Housing Heating costs Prescription drugs Childcare Transportation RISING COSTS STEAL GROCERY $

16 Healthier diets cost $1.48 /person/ day more Family of 3: $133/month MORE

17 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

18 Walton, C, Taylor, J, Oickle, J. Prince Edward Island Pilot Food Costing Report. University of Prince Edward Island, 2013 FOOD PRICES HAVE ESCALATED

19 Walton, C, Taylor, J, Oickle, J. Prince Edward Island Pilot Food Costing Report University of Prince Edward Island, 2013 MONTHLY DEFICITS

20 http://www.cbc.ca/news/canada/prince- edward-island/story/2012/11/14/pei-gettingby2-f- food-584.html

21 3. HEALTH INEQUITIES AND FOOD INSECURITY Nutrition Disease Mental Health Education & Literacy Health Inequities: unfair and unjust differences in health status

22 NUTRITION Qualitative compromises in food selection Quantitative compromises in food intake, hunger Dietary inadequacies Tarasuk, V

23 NUTRITION

24

25 DISEASE Higher rates of diabetes, heart disease Depression Children: more illness, medications More obesity Conflicting evidence http://www.cwhn.ca/en/networkmagazine/foodinsecurity

26 “HUNGER OVERWEIGHT PARADOX” http://www.bitchinnutrition.com/food-for-thought/the-hunger-and-overweight-paradox/

27 Health OutcomeFood Insecure Marginal food insecure Food Secure Child health fair/poor16.111.710.1 Hospitalized since birth24.724.223.3 Overweight1615.516.5 Developmental concern ≥120.017.214.4 Developmental concern ≥211.39.78.5 Caregiver depression38.728.217.8 Caregiver health fair/poor33.322.217.1

28 MENTAL HEALTH

29

30

31

32 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

33 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

34 FAILING TO ENSURE THE ‘RIGHT TO FOOD’: TOO HIGH A PRICE Health care Mental health Education Productivity Quality of life

35 4. WHAT CAN WE DO?

36 FOOD BANKS AND SOUP KITCHENS: EMERGENCY CHARITY RESPONSES

37

38 COMMUNITY KITCHENS http://www.foodbankscanada.ca/About-Us/Programs/Community-Kitchen- Fund.aspx http://www.freshchoicekitchens.ca/

39 COMMUNITY GARDENS http://www.youtube.com/watch?v=8RSn9d9pMN8

40

41 FOOD BOXES, CSA,CO-OPS

42 EVALUATION

43 http://sustainontario.com/resources/food-charters

44 http://peoplesfoodpolicy.ca/policy/resetting-table-peoples-food- policy-canada

45 ADDRESSING SOCIAL AND ECONOMIC DETERMINANTS MUST BE A KEY FOCUS http://www.healthinfonet.ecu.edu.au/health-risks/nutrition/reviews/other-reviews

46

47 ACTION NEEDED.

48 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

49 THE RIGHT THE RIGHT TO TO GOOD FOOD GOOD HEALTH

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