LISTSERV - SDOH Archives - LISTSERV.YORKU.CA

SDOH Archives

Social Determinants of Health

SDOH@YORKU.CA

	LISTSERV Archives
	SDOH Home

	Log In
	Register

	Subscribe or Unsubscribe

	Search Archives
Options:	Use Forum View Use Monospaced Font Show Text Part by Default Condense Mail Headers
Message:	[<< First] [< Prev] [Next >] [Last >>]
Topic:	[<< First] [< Prev] [Next >] [Last >>]
Author:	[<< First] [< Prev] [Next >] [Last >>]
Sender:	Social Determinants of Health <[log in to unmask]>
Date:	Fri, 4 Aug 2006 11:59:18 -0700
Reply-To:	Social Determinants of Health <[log in to unmask]>
Subject:	Re: risk factors etc
MIME-Version:	1.0
Content-Transfer-Encoding:	7bit
In-Reply-To:	<[log in to unmask]>
Content-Type:	text/plain; charset="us-ascii"
From:	Kristine Hoyak <[log in to unmask]>
Parts/Attachments:	text/plain (326 lines)
*** But, if financially 
disadvantaged, I think the food choices are probably more limited.  That 
does not mean that they have to be less healthy, I think.  Eg is someone who

can afford to eat a 12 oz (or smaller) steak  making a healthier choice than

someone who eats home made beans.  What do people learn about foods and what

they do in the human body?  Do people learn how to prepare nutritious but 
less costly menus (that are interesting as well)?
We have a lot of good possibilities for choices, with ingredients and daily 
amounts  printed on food items, but do we know what they mean and how to 
combine the right foods for balanced eating, so one does not feel hungry 
shortly after, and reach for something fast to fill the perceived (or real) 
need.  Do we have the time to plan and prepare meals as they should be, in 
order to eat properly? ***



As one who does food choice and food insecurity research, I feel compelled
to respond to this.

These 2 articles articulate my position on this topic quite well:
Travers, K. D. (1997). Social organization of nutritional inequities. Social
Science and Medicine, 43(4), 543-553.
Drewnowski, A., & Barratt-Fornell, A. (2003). Do healthier diets cost more?
Nutrition Today, 39(4), 161-168.

I have spoken to over a dozen women who are HIV-positive and living in food
insecure homes. I can tell you that these women know what is healthy. They
know what they need to eat and what they should be feeding their families in
terms of a "balanced diet". They are simply incapable of providing the most
nutritionally efficient meals with the resources available to them. It is
not possible. Period.

For food insecure homes, it is eating for survival. How long can one go
before one gets shaky and hypoglycaemic? In the words of one of my favourite
interviewees:
"I'll wait to eat a certain time, because I'll know, like today, like, I ate
about after I went to the doctor's I came home and I ate about 10. so then
that way I was thinking "well, I'm going to (my support group), and they
offer food from 1 to 4. so I can eat there" whereas though then by the time
dinnertime comes around I won't be hungry by the time dinnertime. so like
say 6 or 7 I'll start to feel hungry so I'll eat something then. So then
hopefully I'll be asleep so I won't have to worry about eating afterwards.
And then my whole day is planned out, making sure I don't starve. Or feeling
shaky til the next meal. So I really have to ration that way."


When a welfare cheque comes in once a month, and when social assistance
expects their clients to utilize food banks on a regular basis to supplement
their food supply (thus removing the intended purpose of food banks
providing resources only for acute food shortages), it is not possible to
"choose" healthier foods. One selects foods which give the biggest bang for
their buck. These women would eat fruits and vegetables to the best of their
abilities, but unfortunately, f&v just don't fill them up. And they spoil
more quickly than, say, macaroni and cheese or bread. 

There is also the influence of family members. A primary caregiver must buy
what he or she knows the family will eat. There is no point in buying fresh
spinach if one's child won't eat it. So it is tossed in the trash can, and
now the family is out the cash spent on that spinach. 

And I am not going to elaborate on what my respondents told me about their
health care professionals' attitudes, but I will say that it is important
for HCPs to recognize their role as advocates for marginalized populations. 

To spare you my entire thesis, I will stop now.

 
________________________________

Kristy Hoyak, B.A., B.Sc. (Master's candidate)
Graduate Student
Human Nutritional Sciences
University of Manitoba
Winnipeg, Manitoba 
Cell: (604) 763-7612
[log in to unmask]  
 
"Treat people as if they were what they ought to be, and you help them to
become what they are capable of being" ~ Johann Wolfgang von Goethe
 
 
 
-----Original Message-----
From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf Of
SANDRA YILMAZ
Sent: August 4, 2006 9:27 AM
To: [log in to unmask]
Subject: Re: [SDOH] risk factors etc

IMO it is not just about "overeating" - it is about what foods people eat. 
That probably is partially, at least. about the psychology and social 
function of eating, and about stress and time to prepare foods that are well

balanced etc. If one is to look in grocery stores, the ready made foods have

really increased.  Are they the best choices?   But, if financially 
disadvantaged, I think the food choices are probably more limited.  That 
does not mean that they have to be less healthy, I think.  Eg is someone who

can afford to eat a 12 oz (or smaller) steak  making a healthier choice than

someone who eats home made beans.  What do people learn about foods and what

they do in the human body?  Do people learn how to prepare nutritious but 
less costly menus (that are interesting as well)?
We have a lot of good possibilities for choices, with ingredients and daily 
amounts  printed on food items, but do we know what they mean and how to 
combine the right foods for balanced eating, so one does not feel hungry 
shortly after, and reach for something fast to fill the perceived (or real) 
need.  Do we have the time to plan and prepare meals as they should be, in 
order to eat properly?
And what is the function of the fast food industry and advertising, in all 
of this?




>From: Mel Bartley <[log in to unmask]>
>Reply-To: Social Determinants of Health <[log in to unmask]>
>To: [log in to unmask]
>Subject: [SDOH] risk factors etc
>Date: Fri, 4 Aug 2006 14:36:42 GMT0
>MIME-Version: 1.0
>Received: from tomts17-srv.bellnexxia.net ([209.226.175.71]) by 
>bay0-pamc1-f3.bay0.hotmail.com with Microsoft SMTPSVC(6.0.3790.2444); Fri, 
>4 Aug 2006 06:38:32 -0700
>Received: from toip2.bellnexxia.net ([209.226.175.85])          by 
>tomts17-srv.bellnexxia.net          (InterMail vM.5.01.06.13 
>201-253-122-130-113-20050324) with ESMTP          id 
><[log in to unmask]>;

>         Fri, 4 Aug 2006 09:38:31 -0400
>Received: from linna.ccs.yorku.ca ([130.63.236.33])  by 
>toip2.bellnexxia.net with ESMTP; 04 Aug 2006 09:38:21 -0400
>Received: from linna.ccs.yorku.ca (linna.ccs.yorku.ca [130.63.236.33])by 
>linna.ccs.yorku.ca (8.13.6/8.13.6/Debian-1) with ESMTP id 
>k74DXo3x002743;Fri, 4 Aug 2006 09:37:46 -0400
>Received: by YORKU.CA (LISTSERV-TCP/IP release 14.5) with spool id 3726836 
>for          [log in to unmask]; Fri, 4 Aug 2006 09:37:46 -0400
>Received: from dionysia.ccs.yorku.ca (dionysia.ccs.yorku.ca 
>[130.63.236.78]) by          linna.ccs.yorku.ca (8.13.6/8.13.6/Debian-1) 
>with ESMTP id          k74Dbkdr004441 for <[log in to unmask]>; Fri, 4

>Aug 2006          09:37:46 -0400
>Received: from vscano-a2.ucl.ac.uk (vscano-a2.ucl.ac.uk [144.82.100.153]) 
>by          dionysia.ccs.yorku.ca (8.13.6/8.13.6/Debian-1) with ESMTP id

>       k74DbfXt013874 for <[log in to unmask]>; Fri, 4 Aug 2006 09:37:42 -0400
>Received: from mercury.pubhealth.ucl.ac.uk ([128.40.62.3]) by          
>vscano-a.ucl.ac.uk with esmtp (Exim 4.60) (envelope-from          
><[log in to unmask]>) id 1G8zrN-0002GN-RU for [log in to unmask]; Fri, 04

>    Aug 2006 14:37:06 +0100
>Received: from UCL2/SpoolDir by mercury.pubhealth.ucl.ac.uk (Mercury 1.48);

>4          Aug 06 14:37:05 GMT+0
>Received: from SpoolDir by UCL2 (Mercury 1.48); 4 Aug 06 14:36:51 GMT+0
>X-Message-Info: LsUYwwHHNt3ymvvX75C0ORvyVDkkITig9rbRUKPaBi8=
>Priority: normal
>X-mailer: Pegasus Mail for Windows (4.21c)
>X-UCL-MailScanner-Information: Please contact the UCL Helpdesk,

>             [log in to unmask] for more information
>X-UCL-MailScanner: Found to be clean
>X-UCL-MailScanner-From: [log in to unmask]
>X-Spam-Status: No
>X-SystemBogosity: No, tests=bogofilter, spamicity=0.729895, version=1.0.2
>X-TestB: No, tests=bogofilter, spamicity=0.367516, version=1.0.2
>X-Scanned-By: MIMEDefang 2.44
>Organization: Epidemiology & Public Health, UCL
>Precedence: list
>List-Help: <http://listserv.yorku.ca/cgi-bin/wa?LIST=SDOH>,           
><mailto:[log in to unmask] SDOH>
>List-Unsubscribe: <mailto:[log in to unmask]>
>List-Subscribe: <mailto:[log in to unmask]>
>List-Owner: <mailto:[log in to unmask]>
>List-Archive: <http://listserv.yorku.ca/cgi-bin/wa?LIST=SDOH>
>Return-Path: [log in to unmask]
>X-OriginalArrivalTime: 04 Aug 2006 13:38:32.0605 (UTC) 
>FILETIME=[471E4CD0:01C6B7CB]
>
>
>
>
>
>
>Dear colleagues
>
>
>
>I am finding this really interesting. See what you think
>of my attempts to understand the different points.
>
>
>
>  If nobody smoked or ate too much any more:
>1. There would still be a bit of heart disease in the population but
>about 80% less
>2. There would still be a social gradient, but a less steep one
>3. So by taking action to wipe out smoking and over-eating
>we would have saved a large number of lives, and more lives
>among the less privileged social groups.
>
>
>
>This may not be correct! But if so, then I think the next
>question should be about the most effective ways to
>combat smoking and over-consumption of food relative
>to exercise. We know from 20-30 years' experience that
>health education as currently practised is not too good at
>this They may even increase health inequality by being
>less effective in less privileged social groups (this was
>true in the 1970s but not sure if we can still say this any
>more). Maybe the next step would be to understand better
>what it is about certain lifestyles that make smoking and
>over-consumption less attractive?
>
>
>
>Mel Bartley
>
>
>
>
>
>
>
>
>
>
>
>
>
>
>Mel Bartley
>ext 41707
>mobile: 07746 823099
>
>
>-------------------
>Problems/Questions? Send it to Listserv owner: [log in to unmask]
>
>
>
>
>To unsubscribe, send the following message in the text section -- NOT the 
>subject header --  to [log in to unmask]
>SIGNOFF SDOH
>
>
>DO NOT SEND IT BY HITTING THE REPLY BUTTON. THIS SENDS THE MESSAGE TO THE 
>ENTIRE LISTSERV AND STILL DOES NOT REMOVE YOU.
>
>
>To subscribe to the SDOH list, send the following message to 
>[log in to unmask] in the text section, NOT in the subject header.
>SUBSCRIBE SDOH yourfirstname yourlastname
>
>
>To post a message to all 1000+ subscribers, send it to [log in to unmask]
>Include in the Subject, its content, and location and date, if relevant.
>
>
>For a list of SDOH members, send a request to [log in to unmask]
>
>
>To receive messages only once a day, send the following message to 
>[log in to unmask]
>SET SDOH DIGEST
>
>
>To view the SDOH archives, go to: 
>https://listserv.yorku.ca/archives/sdoh.html

-------------------
Problems/Questions? Send it to Listserv owner: [log in to unmask]


To unsubscribe, send the following message in the text section -- NOT the
subject header --  to [log in to unmask]
SIGNOFF SDOH

DO NOT SEND IT BY HITTING THE REPLY BUTTON. THIS SENDS THE MESSAGE TO THE
ENTIRE LISTSERV AND STILL DOES NOT REMOVE YOU.

To subscribe to the SDOH list, send the following message to
[log in to unmask] in the text section, NOT in the subject header.
SUBSCRIBE SDOH yourfirstname yourlastname

To post a message to all 1000+ subscribers, send it to [log in to unmask]
Include in the Subject, its content, and location and date, if relevant.

For a list of SDOH members, send a request to [log in to unmask]

To receive messages only once a day, send the following message to
[log in to unmask]
SET SDOH DIGEST

To view the SDOH archives, go to:
https://listserv.yorku.ca/archives/sdoh.html

-------------------
Problems/Questions? Send it to Listserv owner: [log in to unmask]


To unsubscribe, send the following message in the text section -- NOT the subject header --  to [log in to unmask]
SIGNOFF SDOH

DO NOT SEND IT BY HITTING THE REPLY BUTTON. THIS SENDS THE MESSAGE TO THE ENTIRE LISTSERV AND STILL DOES NOT REMOVE YOU.

To subscribe to the SDOH list, send the following message to [log in to unmask] in the text section, NOT in the subject header.
SUBSCRIBE SDOH yourfirstname yourlastname

To post a message to all 1000+ subscribers, send it to [log in to unmask]
Include in the Subject, its content, and location and date, if relevant.

For a list of SDOH members, send a request to [log in to unmask]

To receive messages only once a day, send the following message to [log in to unmask]
SET SDOH DIGEST

To view the SDOH archives, go to: https://listserv.yorku.ca/archives/sdoh.html
ATOM RSS1 RSS2
LISTSERV.YORKU.CA