Assuring Access to Health Promoting Foods for Everybody What are the consequences if we don't?

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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?
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Nutrition Security

• The provision of an environment that encourages
  and motivates society to make food choices
  consistent with short and long term good health.

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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.

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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).

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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.

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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
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Washington State Data
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Washington State, 1999-2001

• Food Insecure without hunger 12.5

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Food Insecurity with Hunger
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Gradient exists at all levels of the SEP hierarchy
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Washington Mortality and EducationWA Death
Certificate 1997 1999, SPS