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Assuring Access to Health Promoting Foods for Everybody What are the consequences if we don't? How can we reduce disparities?. Nutrition Security. The provision of an environment that encourages and motivates society to make food choices consistent with short and long term good health. - PowerPoint PPT Presentation
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Assuring Access to Health Promoting Foods for Everybody
What are the consequences if we don't?
How can we reduce disparities?
Nutrition Security
• The provision of an environment that encourages and motivates society to make food choices consistent with short and long term good health.
Food Security
• Assess by all people at all times to sufficient food for an active and healthy life. Food security includes at a minimum: the ready availability of nutritionally adequate and safe foods, and an assured ability to acquire acceptable foods in socially acceptable ways.
Food Insecurity
• a household had limited or uncertain availability of food, or limited or uncertain ability to acquire acceptable foods in socially acceptable ways (i.e., without resorting to emergency food supplies, scavenging, stealing, or other unusual coping strategies).
Hunger
• The uneasy or painful sensation caused by a lack of food.
• Involuntary hunger that results from not being able to afford enough food
• The recurrent and involuntary lack of access to food
• May produce malnutrition over time.
History of the Food Security Measurement Project
1990 NMRR Act recommends a standardized mechanism for defining and obtaining data on the prevalence of food insecurity
1992 USDA staff review existing research
1994 USDA and DHHS sponsor conference on Food Security Measurement and Research
1995 Current Population Survey of US Census Bureau includes Food Security Measurement scale
1996-present
Annual Surveys, ERS assumes leadership, others encouraged to use FSMS
Washington State Data
Washington State, 1999-2001
• Food Insecure without hunger – 12.5%
Food Insecurity with Hunger
Fruit and Vegetable IntakeIncome and Education
WA State BRFSS, 1996, 1998, 2000
29.1
24.4
20.6
25.7
23.4
22.8
0 10 20 30 40
College Grad
Some College
<= High School
> $50,000
$20,000-50,000
< $20,000
Percent
ObesityIncome and Education
WA State BRFSS, 1998 - 2000
13.4
20.9
20.9
17.5
20.2
21.0
0 10 20 30
College Grad
Some College
<= High School
> $50,000
$20,000-50,000
< $20,000
Percent
ObesityRace and Ethnicity
WA State BRFSS, 1998 - 2000
20.2
18.5
29.7
9.6
29.5
18.6
0 10 20 30 40 50
Non-Hispanic
Hispanic
White
Black
Asian/PacficIslander
Am Indian/Alaska Native
Percent
Gradient exists at all levels of the SEP hierarchy
02468
101214161820
Lifetim e Non-Smokers
Current Smokers
Administrative Professional/ExecutiveClerical Manual
Adapted from Smith and Shipley. Soc Sci Med, 32; 1991
Mortality Rate
Washington Mortality and EducationWA Death Certificate 1997 – 1999, SPS
0 500 1000 1500 2000
25-34
35-44
45-54
55-64
age
grou
p
mortality rate per 100,000
college +<=high school
