Food insecurity hunger and child health
1 / 35

Food Insecurity, Hunger and Child Health - PowerPoint PPT Presentation

  • Updated On :

Food Insecurity, Hunger and Child Health. John T. Cook, Ph.D., MA Ed. BUSM Department of Pediatrics. Hunger 101: A Blueprint for Building a Prosperous Future NERAHN’s Anti-Hunger Program and Policy Conference October 27, 2008. Children’s Sentinel Nutrition Assessment Program (C-SNAP).

I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
Download Presentation

PowerPoint Slideshow about 'Food Insecurity, Hunger and Child Health' - bainbridge

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Food insecurity hunger and child health l.jpg

Food Insecurity, Hunger and Child Health

John T. Cook, Ph.D., MA Ed.

BUSM Department of Pediatrics

Hunger 101: A Blueprint for Building a Prosperous Future

NERAHN’s Anti-Hunger Program and Policy Conference

October 27, 2008

Children s sentinel nutrition assessment program c snap l.jpg
Children’s Sentinel Nutrition Assessment Program (C-SNAP)

A research center made up of a national network of clinicians and public health specialists for research in multiple pediatric settings on the effect of U.S. social policy on young, low-income children’s health and nutrition. Research sites in:

  • Little Rock, AR, Boston, MA, Baltimore, MD, Minneapolis, MN, Philadelphia, PA (Active)

  • Los Angeles, CA, Washington, D.C. (Inactive)

Overview food insecurity hunger and child health l.jpg
OverviewFood Insecurity, Hunger and Child Health

  • What are food insecurity and hunger?

    • How are they measured?

    • How prevalent are they?

    • What are their causes?

Overview cont d food insecurity hunger and child health l.jpg
Overview (cont’d)Food Insecurity, Hunger and Child Health

  • What are their consequences?

    • For health

    • For the U.S. economy

  • What are the policies that can address these problems?

  • Alternative Futures:

    • Envisioning the future we want

    • Creating a prosperous future by eliminating child food insecurity and hunger

  • Slide5 l.jpg

    Hunger as a Social Problem is a Radical Idea

    Anytime a radical idea is co-opted by the government it will inevitably be diluted, changed and moderated.

    Idea articulated by, but not a quote from:

    Fred Buttel (deceased), Rural Sociologist, Cornel University

    Slide6 l.jpg

    A Drama in 3, 4 or 5 Acts:

    “The Food Security Measurement Project”


    • Cast of Characters:

      • Hungry Americans

      • Anti-Hunger Advocates

      • The U.S. Congress

      • The US Department of Agriculture

      • The National Center for Health Statistics

      • The Life Sciences Research Office (LSRO) of the Federation of American Societies for Experimental Biology (FASEB)

      • Interested academicians/scientists/researchers

      • The Committee on National Statistics of the National Academies, National Research Council (CNSTAT)

      • Office of Management & Budget (OMB)

      • Others

    Slide7 l.jpg

    A Drama in 3, 4 or 5 Acts (Cont’d):

    “The Food Security Measurement Project”


    • Periods

      • Prior to 1990: Commodity cheese, ketchup is a vegetable, and hunger is a serious social problem.

      • 1990 to 1997: A new consensus (?), the Food Security Measurement Project is born.

      • 1998 to 2004: Adapting to “food insecurity” language – and holding onto hunger.

      • 2005 to 2008: Adapting to “low food security” language – but what happened to hunger?

      • Back into the Future! What did really happen to hunger?

    Slide8 l.jpg

    LSRO Conceptual Definitions of Food Security

    Food Security: Access to enough food for a healthy life; includes (1) ready availability of nutritionally adequate safe foods, (2) assured ability to acquire acceptable foods in socially acceptable ways (e.g., not from emergency food supplies, scavenging, stealing, or other coping strategies).

    Slide9 l.jpg

    LSRO Conceptual Definitions of Food Insecurity

    Food Insecurity: Limited or uncertain availability of nutritionally adequate and safe foods or limited ability to acquire acceptable foods in socially acceptable ways.

    Slide10 l.jpg

    LSRO Conceptual Definition of Hunger

    Hunger: The uneasy or painful sensation caused by a lack of food. The recurrent and involuntary lack of access to food. Hunger may produce malnutrition over time . . . Hunger . . . is a potential, although not necessary, consequence of food insecurity.

    Operational definitions of food security and hunger l.jpg
    Operational Definitions of Food Security and Hunger

    • Food Secure: Household shows no or minimal signs of food insecurity.

    • Food Insecure Without Hunger: Food insecurity is evident in household adults’ concerns and in adjustments to household food management, including reduced quality of diets. Little or no evidence of reduction in quantity of household members’ food intake is reported.

    Operational definitions con l.jpg
    Operational Definitions (Con.)

    • Food Insecure with Moderate Hunger: Food intake for adults in the household has been reduced to an extent that adults have repeatedly experienced the physical sensation of hunger. Such reductions are not observed at this stage for children in the household.

    Operational definitions con13 l.jpg
    Operational Definitions (Con.)

    • Food Insecure with Severe (Child) Hunger: Households with children have reduced the children’s food intake to an extent that it implies that the children have experienced the physical sensation of hunger. Adults in households with and without children have repeatedly experienced more extensive reductions in food intake at this stage.

    What is hunger l.jpg
    What Is Hunger? Questions – 8 of 18)

    • Relationship Between “Normal” Hunger and “Undesirable” Hunger

      • What is “normal hunger?”

      • When does hunger become problematic?

    • Can Individuals Self-Report Hunger Accurately?

      • Do we know when we are hungry?

      • Do we know how severe our hunger is?

    How is hunger evidenced l.jpg
    How is Hunger Evidenced? Questions – 8 of 18)

    • Subjective Reporting of Hunger

      • Existence, or presence of hunger, and severity

      • Location and severity of the sensations

      • Hunger – satiety continuum

    • Objective Measures of Hunger

      • Gastric emptying, presence/absence of food and nutrients in the upper GI tract

      • Time since last food intake

      • Reduction of intake below “normal” levels

      • Cutting size of meals, skipping meals

    Usda s current terminology l.jpg
    USDA’s Current Terminology Questions – 8 of 18)

    • Food Secure = High food security

    • Food insecurity without hunger = Low food security

    • Food insecurity with hunger = Very low food security

    Proportion of u s households that are food insecure by race ethnicity 1999 2006 l.jpg
    Proportion of U.S. Households that are Food Insecure, By Race/Ethnicity: 1999-2006*

    *Includes households with and without children.

    Source: USDA\ERS Food Security in the U.S., various years.

    Prevalence of adult food insecurity in the u s 1995 2006 l.jpg
    Prevalence of Adult Food Insecurity in the U.S., 1995-2006* Race/Ethnicity: 1999-2006*

    *By food security status of household

    Prevalence of child food insecurity in the u s 1995 2006 l.jpg
    Prevalence of Child Food Insecurity in the U.S., 1995-2006* Race/Ethnicity: 1999-2006*

    *By food security status of household

    Slide22 l.jpg

    What are the Proximal Causes of Food Insecurity and Hunger? Race/Ethnicity: 1999-2006*

    • Poverty

      • Lack of sufficient jobs that pay a living wage

      • Lack of supports when jobs are not available

    • Market Failures

      • Failure to acknowledge and accept external costs

      • Failure to support public infrastructure and systems

    • Clinging to False Myths

      • Myth of the “Free Market”

      • Myth of “Individual Responsibility”

    Slide23 l.jpg

    What Influences Poverty? Race/Ethnicity: 1999-2006*

    • Household Income

      • Human Capital (E.g., education, health)

      • Social Capital (E.g., civic engagement, community support)

      • Social Infrastructures/Policies (E.g., cash, energy, housing, food assistance, tax policy, labor and wage policies, farm bill)

    • Household Costs & Expenditures

      • Type of Household (E.g., marital status, children)

      • Living Arrangements (E.g., Rent, own, house, apartment)

      • Geography & Climate (E.g., Region, rural-urban, HDD/CDD)

    • Other factors

      • Environmental change (Global climate disruption)

      • Resources (Global resource supplies & demand; peak oil)

      • Interdependence of global markets

    The economic self sufficiency measure project how much income is actually needed l.jpg
    The Economic Self-sufficiency Measure Project Under Age 18 Years, 2007How much income is actually needed?

    • Diana Pearce and Wider Opportunities for Women

    • Estimates of economic self-sufficiency income levels for most states and counties within states

    • Economic self-sufficiency income levels fall between 200% and 300% of the poverty thresholds ($21,027 for family of 4 with 2 kids in 2007)

      • 2003 ESS Standard for Boston: $54,612 = 2.9 X poverty

      • 2003 poverty threshold: $18,660

    Slide26 l.jpg

    Proportion of U.S. Families with Incomes Below Poverty By Race/Ethnicity, 1999-2006*

    *Includes households with and without children.

    Source: U.S. Census Bureau, Current Population Survey, various years.

    Potential health related correlates of food insecurity l.jpg
    Potential Health-Related Correlates of Food Insecurity Race/Ethnicity, 1999-2006*

    • Micro-nutrient deficiencies

    • Overweight and obesity

    • Growth retardation (FTT)

    • Immune system impairment

    • Increased morbidity

    • Cognitive impairment

    • Psycho-social/behavioral dysfunction

    • Developmental problems

    • Learning disabilities

    • Impaired education attainment

    • Oral health problems

    What we have learned about ways food insecurity and hunger are bad for children l.jpg
    What We Have Learned About Ways Food Insecurity and Hunger are Bad for Children

    • Brain architecture/cognitive development, perinatal period, (0-3 yrs)

    • School-readiness (0-5 yrs),

    • Learning, academic performance and educational attainment (6-17 yrs)

    • Physical, mental, and social development, growth and health (0-17 yrs)

    • Psychosocial and behavior problems, and mental health (6-17 yrs)

    • Child health related quality of life; perceived functionality, efficacy and “happiness/satisfaction,” (6-17 yrs)

    • Some, not yet clear associations with obesity (0-17 yrs)

    Possible interventions l.jpg
    Possible Interventions are Bad for Children

    • Healthy eating

    • Public infrastructure investments

      • Living wage laws

      • Federal food assistance programs (WIC, SNAP, NSLP, SBP, SFSP etc.)

      • Federal and state cash assistance (TANF, LIHEAP, SSI, etc.)

      • Nutrition education

      • Affordable healthcare (Medicaid, SCHIP, etc.)

      • Family empowerment

      • Job/work training and assistance

      • Unemployment insurance

    • Private infrastructure investments

      • Private food assistance programs

      • Food as medicine & supplementation (FTT)

      • Community food security & food system reform

      • Community building (building a global community movement?)

    The greatest threats to children s food security health l.jpg
    The Greatest Threats to Children’s Food Security & Health are Bad for Children

    • Rising costs of energy

      • Energy market dynamics; demand is far exceeding supply

      • Energy prices and food prices

      • Energy costs and household stress

      • Energy costs and capacity of the Emergency Food Assistance Systems (Public and Private)

    • Housing/financial market crisis & the dollar

    • Global climate change

    • Lack of vision

    Global climate disruption is in process and we are not responding l.jpg
    Global Climate Disruption is in Process, and we are not Responding

    • The scientific evidence is unequivocal

    • Best estimates indicate a need for 80% reduction in greenhouse gas emissions

    • Congress failed to pass a bill that would mandate a 15% reduction

    • Hanson, Watson, Stern, et al. are advising nations to prepare for a 4 degree Celsius overall average increase in global temperatures.

    • This will lead to sea-level rise measured in meters.

    • Implications for food supply, infectious disease, environmental refugees, and overall health are unprecedented.

    Public infrastructures for addressing food insecurity and hunger l.jpg
    Public Infrastructures for Addressing Food Insecurity and Hunger

    • Public Food Assistance Programs

      • Farm Bill implementation (and prep for 2013)

      • Child Nutrition Act reauthorization, 2009

      • Annual Budget Battles

    • Private Food Assistance System needs greater support (TEFAP, CACFP, etc.)

    • LIHEAP & other energy assistance

    • Housing assistance

      • Section 8, public housing, vouchers, etc.

      • Efficient development policies (in-filling, affordable housing policies, etc.

    • Income supports (TANF) and living wage policies

    • Energy policy is desperately needed

    Summary conclusion l.jpg
    Summary & Conclusion Hunger

    • Food insecurity is a health issue, and an economic prosperity issue

    • US Food Security Module provides measures and prevalence estimates annually

    • 35.5 million people food insecure in 2006

      • 22.9 million adults; 12.6 million children

      • Adult and child prevalence increased from 2000-2004 but declined slightly from 2004-2006

    • Healthy eating is the treatment

      • Eliminating poverty

      • Jobs paying livable wages

      • Support for existing public infrastructures

      • Food system reform and sustainable food production

    Alternative futures l.jpg
    Alternative Futures Hunger

    • A downward spiral into chaos; it all falls apart?

    • Propping up the system, limping along?

    • Fortress America, tightening the grip?

    • Global citizens’ movement, community?

      • WAITT - We’re all in this together

      • Recognize global interdependence

      • Enough is enough, “Solution C”