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Understanding the socioeconomic influences on Health
Socioeconomic influences on health, wellbeing and illness
Why is nutrition very vital to human
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Nutrition is important for achieving optimal heath (Irwin, Ng, Rush, Nguyen, & He, 2007). Poor nutrition can lead to obesity, heart disease, diabetes, anemia, depression, and cancer, among others chronic diseases (Milway, Chan, Stapleton, & Cook, 2010; Irwin et al, 2007). A clinical review by Dunne (2010) states that nutrition also helps maintain and prevent complications with mental health. The cost of nutritious foods makes it challenging for some individuals, and families to eat healthy foods (Palermo, 2011). Those with low or decreased income may find this especially difficult. Foods with less nutritious value are cheaper and do not undergo frequent price increases (Palermo, 2011). Having a nutritious diet is important in managing, and maintaining health (Government of Canada, 2013). Individuals with lower incomes have decreased self-rated health, high prevalence of disease, decreased life expectancy, and decreased quality of food and shelter (Statistics Canada, 2013). Low income is determined through a comparison of household income to household consumption patterns (Statistics Canada, 2013). Statistics Canada (2013) reported 523,370 low-income single parent families in Canada in 2011. Single women with children made up 23% of the population with low-income (Statistics Canada, 2013).
According to Health Canada (2008) other factors contributing to poor health for people with low incomes include social exclusion, stress and decreased trust. Individuals with low-income may not be able to involve themselves in leisure activities, education, and health services outside of Canada’s publicly insured health care system, further exacerbating poor health outcomes (Health Canada, 2008).
In Canada 3.7 ...
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...g and mental health. Nursing & Residential Care, 12(4), 165-168.
Government of Canada. (2013). Healthier grocery shopping. Retrieved from healthycanadians.gc.ca/eating-nutrition/healthy-eating
Health Canada. (2008). Overcome barriers. Food and Nutrition. Retrieved from www.hc.sc.gc.ca/fn.
Irwin, J., Ng, V., Rush, T., Nguyen, C., & He, M. (2007). Can food banks sustain nutrient requirements? Canadian Journal of Public Health, 98(1), 17-19.
Milway, J., Chan, K., Stapleton, J., & Cook, B. (2010). The poor still pay more: Challenges low income families face in consuming a nutritious diet. Institute for Competitiveness & Prosperity, pp. 5-18.
Palermo, C. (2011). The cost of nutritious food: A determinant of health. Nutrition & Dietetics, 68(4), 246-247. doi:10.1111/j.1747- 0080.2011.01560.x
Statistics Canada. (2013). Low income. Retrieved from www.statcan.gc.ca/search
Walsh, Bryan. “America’s Food Crisis.” NEXUS. Eds. Kim and Michael Flachmann. Boston: Pearson, 2012. 166 – 173. Print.
Although the two authors do not refer to each other directly in their works, both their perspectives share a common ground that no enough income make people eating less healthy. Pinsker argues that the actual barrier that stops people from eating healthy is the lack of income (129-130). He uses studies to show that poor families choose processed food because children like those tasty processed food (Pinsker 129-134). Whereas poor families cannot afford the waste if children refused to eat healthier but less tasty food parents provided (Pinsker 129-134). Cortright also suggests that income matters the most to why people do not eat healthy. He even further discusses income as the most influential limiting factor by addressing that other factors such as physical proximity to local food sources do not cause people to eat less healthy (Cortright 135-138). The two authors, in general, reach a consensus and mutually prove that income plays as the biggest limiting factor for people to have healthy
Research proves that low-income families will shop wherever the food prices are lower, and generally cannot afford to pay for healthful foods. In comparison to the residents of higher income communities, low-income households normally have diets that are higher in meat and processed foods and often have low intakes of fruits and vegetables. Research suggests that people with low socioeconomic status spend up to 37% more on food. This is because of smaller weekly food budgets in addition to poorly stocked stores. Those with lower income are more likely to spend money on inexpensive fats and sugars versus fresh fruits and vegetables that are more costly on a per calorie basis. Healthy foods like whole grain products are more expensive than high calorie junk foods.
British Columbia (BC) is a wealthy province that provides a variety of publicly funded services to its residents, however, from 2011 to 2012 almost 1.1 million British Columbians and 4.9 percent of Canadian children were affected by food insecurity (Rideout & Kotasky, 2014, Statistics Canada, 2015). Food insecurity goes beyond not having enough to eat but also has an impact on health equity and social justice. “Children experiencing food insecurity have poorer school performance, and having not learned healthy eating habits in childhood; they face additional challenges of healthy living as adults” (Rideout & Kotasky, 2014).
Raphael, D. D. (2002). Poverty, Income Inequality and Health in Canada. CSJ Foundation for Research and Education, 1-32.
An important issue for Today is how can we make people pick the best nutritional option because giving the poor easy access to healthy food doesn’t mean they’ll buy It. For example, “In 2010, the Morrisania section of the Bronx
...e are all affected by low income. As MacRae et al. (2012, p. 42) mentioned, Indigenous people who reported no usual daily intake of fruit or vegetables were more likely to be the lowest quintile of income. And another example from Bourke et al. (2012, p.501) indicates that lower income of the Aboriginal residents of Ruralsville, as well as low social status and socially marginalised, all leads to poorer health status. People with low income are more likely having trouble to get the treatment they need. Some of them cannot afford the medication for a specific disease. A study by Kemp et al. (2013, p.21) shows that, prescription medicines for chronic disease pose a substantial financial burden to people who had low incomes. If a patient cannot get the medication or the surgery, his/her health status will affect by this situation, and eventually leads to bad outcome.
Nutrition and food security are among the top 4 social indicators of health in Canada, with limited access to nutritious, affordable food linked to poor health. (*According to the Canadian Medical Association 's What Makes Us Sick? 2013 report.) Food insecurity in Canada*:
Wardlaw, G.M. and Smith. Contemporary Nutrition: Issues and Insights. 5th Edition. Boston: McGraw-Hill, pp 85, 2004.
Eating nutritious food may seem simple enough, but to those that hardly get by financially, affording healthy foods can be a major hindrance. This is proven by Dr. Jim Levine, a researcher with a concentration of the link between poverty and obesity. He is quoted stating, “In many poverty-dense regions, people are… unable to access affordable healthy food, even when funds avail.” (Sifferlin 1) For example, further studies show that the average cost of salad is $1.50 more than the average cost of a hamburger. Getting vitamins and minerals from the food we eat is substantial to survive in everyday life. Annually, it costs five hundred and fifty dollars more to eat healthier. Five hundred and fifty dollars may not seem like much, but to those that have low income, it is a crucial amount. While achieving a healthy diet proves to be necessary to maintain a healthy weight, it is almost inaccessible for those with low income. Low-income individuals confront the barrier of the cost of healthier choices in their everyday
In 2013 17.5 million households were food insecure, or had trouble providing the food needed because of a lack economic of resources. Of these 17.5 million households that were food insecure, 6.8 million household have very low food security, previously called food insecurity with hunger (Coleman-Jensen, Gregory, & Singh, 2013). Food insecurity has been shown to have a negative effect on a variety of health outcomes. Food insecurity is associated with deficiencies of nutrient rich food, poorer self-reported health, mental health issues, increased rate of chronic disease, cognitive issues for children, and higher rates of obesity (Cook, et al., 2004; Lee & Frongillo, 2001; Martin & Lippert, 2012; Seligman Laraia, & Kushel, 2010; Siefert, Heflin,
The price needs not only to be affordable, but to be worth the time and effort that goes into preparing a meal. This is why fast food prices remain so low, and accessible to all social classes. Different groups have been impacted by the formation and rapid growth of the fast food industry- altering our ever-changing relationship to the things we eat. The industry places a disproportionate burden on poor and immigrant families, who are more likely to be working for minimum wage at fast food restaurants and cannot afford healthier prepared meals. This results is a disproportionate effect on the health of low-income people. Specific social groups that are affected include immigrants, women, and low-skilled workers (Talwar, 2002, 88). Poor families are also less likely to have the time to cook meals, as they will need to work longer hours, or even multiple jobs. For these reasons, fast food becomes a main dietary component rather than a treat or supplement when in a hurry. The convenience and low cost may appear to benefit the working class, but the health effects make it clear this isn’t so. “Becoming modern, it turns out, is not simply adding on new items of behavior, and when societies change, they rarely instruct those that are changing about the things they may be losing” (Wilk, 2006,
Growing up in today’s culture offers more convenience than ever before. This fast-paced lifestyle unfortunately leaves little time for most to shop, prepare and enjoy healthy food. Many people find it easier to buy packaged, pre-made or fast food in place of more sustaining foods. In Paleolithic times humans were required to hunt meat, gather and forage vegetables, roots, seeds and nuts to live. These skills served up fare that was full of nutrition and sustenance. Today’s processed and sugar-laden foods offer convenience but at the cost of some health problems. A February 2009 study done by the Department of Medicine in the University of California, San Francisco, shows a remarkable improvement in
Alaimo, K., Olson, C. M., Frongillo, E. A., & Briefel, R. R. (2001). Food insufficiency, family income, and
Obesity is a risk for all groups of Americans, but what is often forgotten is the exposure most of the needy groups have. Obesity is especially widespread among Americans with the lowest levels of education and the highest poverty rates. Given the growing economic insecurity many people in America are dealing with, it is important to understand poverty and how it improves the increase of obesity among youth. Less fortunate families mostly have fattening foods that supply more energy like sugary cereal, potatoes and processed meats. This is because these foods are more affordable and last longer than fresh vegetables and fruits and healthy meats and fish. Only if we understand the causes at work can we effectively design strategies to reduce this major health risk to already vulnerable people.