Breakfast with...Dr. Lynn McIntyre
-
Upload
calgary-inter-faith-food-bank -
Category
Education
-
view
1.078 -
download
0
description
Transcript of Breakfast with...Dr. Lynn McIntyre
![Page 1: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/1.jpg)
Lynn McIntyre MD, MHSc, FRCPC Professor & CIHR Chair in Gender and Health
University of Calgary [email protected]
1
![Page 2: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/2.jpg)
PLEASE NOTE:
Many of the slides are from unpublished studies and are subject to change and that the posting of
this presentation in no way constitutes prior publication.
2
![Page 3: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/3.jpg)
NOT the flipside of Food Security“Food security exists when all
people, at all times, have physical and economic access to sufficient, safe and nutritious food that meets their dietary needs and food preferences for an active and healthy life.” (World Food Summit, 1996)
3
![Page 4: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/4.jpg)
Food Insecurity: Household food insecurity refers to the inadequate or insecure access to food due to financial constraints
Hunger: Prolonged, involuntary lack of food that results in illness, weakness or pain that goes beyond the usual uneasy sensation
4
![Page 5: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/5.jpg)
5
A western model for hunger & food insecurity
COMPONENT Household Dimension Individual Dimension
Quantity Food depletion Insufficient intake
Quality Unsuitable food Inadequate diet
Psychological Food anxiety Feeling deprived, lack of
choice
Social Unacceptable means of
food acquisition
Disrupted eating pattern
Source: Modified from Radimer, Olson & Campbell, 1990 (5)
![Page 6: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/6.jpg)
NUMBERS
2007: 8% population
140,442 client visits to Calgary Emergency Food Hamper Program.
Client visits have increased by 57% since the start of the recession.
DYNAMICS
6
![Page 7: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/7.jpg)
Nutritional compromise (enough said)
Self-reported health and mental health
Chronic conditionsSpecial case of diabetes, HIV/AIDSChildhood toxicity
7
![Page 8: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/8.jpg)
The health burden of food insecurity occurs as a social gradient
The health effects are pervasive and beyond nutrition-related conditions
Food insecurity has bi-directional causality in mental health, perhaps other conditions
Child hunger is toxic to health
8
![Page 9: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/9.jpg)
Health condition
Food secureMarginal food
insecurityModerate food
insecuritySevere food insecurity
Self-rated health ('Poor' or 'Fair')**** 7.8 14.4**** 21.0**** 36.6****
Males**** 7.7 14.2*** 20.6**** 40.7****
Females**** 7.9 14.6**** 21.2**** 33.5****
* = p < .05, ** = p < .01, *** = p <.001 and ****= p<.0001, controlling for age sex, education, aboriginal status, province, household income. Ref=Food secure
9
![Page 10: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/10.jpg)
Health condition
Food secureMarginal food
insecurityModerate food
insecuritySevere food insecurity
Self-rated mental health ('Poor' of 'Fair') **** 3.9 7.1 13.6 25.7
Males**** 3.8 7.0* 13.3**** 23.2****
Females**** 4.0 7.3*** 13.8**** 27.5****
* = p < .05, ** = p < .01, *** = p <.001 and ****= p<.0001, controlling for age sex, education, aboriginal status, province, household income. Ref=Food secure
10
![Page 11: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/11.jpg)
Health condition
Food secureMarginal food
insecurityModerate food
insecuritySevere food insecurity
Mood or anxiety disorder**** 8.9 16.1**** 22.5**** 34.8****
Males**** 6.5 11.5** 15.9*** 23.0***
Females**** 11.4 19.9**** 27.1**** 43.9****
* = p < .05, ** = p < .01, *** = p <.001 and ****= p<.0001, controlling for age, sex, education, aboriginal status, province, household income. Ref=Food secure
11
![Page 12: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/12.jpg)
Health condition
Food secureMarginal food
insecurityModerate food
insecuritySevere food insecurity
Stress**** 23.7 28.3 34.6 48.4
Males**** 22.7 26.8** 32.9**** 48.3****
Females**** 24.8 29.5**** 35.9**** 48.4****
* = p < .05, ** = p < .01, *** = p <.001 and ****= p<.0001, controlling for age sex, education, aboriginal status, province, household income. Ref=Food secure
12
![Page 13: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/13.jpg)
Health condition
Food secureMarginal food
insecurityModerate food
insecuritySevere food insecurity
Migraines**** 10.9 16.5**** 19.2**** 25.0****
Males**** 6.4 9.8 11.5** 16.2***
Females**** 15.6 22.0**** 24.4**** 31.7****
* = p < .05, ** = p < .01, *** = p <.001 and ****= p<.0001, controlling for age sex, education, aboriginal status, province, household income. Ref=Food secure
13
![Page 14: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/14.jpg)
Health condition
Food secureMarginal food
insecurityModerate food
insecuritySevere food insecurity
Diabetes**** 4.1 4.5 6.0* 12.1***
Males**** 4.5 4.7 5.6 16.6**
Females**** 3.6 4.3 6.2* 8.6*
* = p < .05, ** = p < .01, *** = p <.001 and ****= p<.0001, controlling for age sex, education, aboriginal status, province, household income. Ref=Food secure
14
![Page 15: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/15.jpg)
Nutrition Services, Population and Public Health, Chronic Disease Management and Primary Care;
Standards and Practice, AHS;Department of Community Health Sciences, University of Calgary
Diabetes, Hypertension and Cholesterol Centre
15
![Page 16: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/16.jpg)
16
81.6%
10.0%
8.4%
Food Insecure - Moderate
Food Insecure - Severe
Food Secure
![Page 17: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/17.jpg)
17
• National prevalence rate – 6.9% (2.5 times higher)
• Provincial (Alberta) prevalence rate – 5.6% (3 times higher)
• Food Insecurity is indeed a serious problem affecting this patient population.
![Page 18: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/18.jpg)
18
• Indicates reduced food intake and disrupted eating patterns
• National rate – 1.7% (2007); 2.9% (2004)• Provincial rate – 1.2% (2007)• Total clinic prevalence – 10.0%
Therefore 54.4% of all food insecure respondents experienced food insecurity at the severe level.
![Page 19: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/19.jpg)
Health condition
Food secureMarginal food
insecurityModerate food
insecuritySevere food insecurity
Heart disease**** 2.4 2.8 3.1 8.1***
Males**** 2.8 3.0 3.4 10.4*
Females**** 2.0 2.6 2.9 6.3***
* = p < .05, ** = p < .01, *** = p <.001 and ****= p<.0001, controlling for age, sex, education, aboriginal status, province, household income. Ref=Food secure
19
![Page 20: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/20.jpg)
Health condition
Food secureMarginal food
insecurityModerate food
insecuritySevere food insecurity
Obesity
Males 18.3 15.6 16.6 20.4
Females**** 14.7 19.7*** 24.2**** 26.2***
* = p < .05, ** = p < .01, *** = p <.001 and ****= p<.0001, controlling for age sex, education, aboriginal status, province, household income. Ref=Food secure
20
![Page 21: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/21.jpg)
Health condition
Food secureMarginal food
insecurityModerate food
insecuritySevere food insecurity
Bowel disorders**** 4.1 4.9* 6.4*** 9.4****
Males** 2.7 2.7 4.7 4.7
Females**** 5.5 6.7** 7.6*** 13.0****
* = p < .05, ** = p < .01, *** = p <.001 and ****= p<.0001, controlling for age, sex, education, aboriginal status, province, household income. Ref=Food secure
21
![Page 22: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/22.jpg)
Health condition
Food secureMarginal food
insecurityModerate food
insecuritySevere food insecurity
Oral health**** 11.9 22.3**** 28.2**** 40.9****
Males**** 14.1 25.9*** 33.4**** 45.3****
Females**** 9.7 19.3**** 24.6**** 37.6****
* = p < .05, ** = p < .01, *** = p <.001 and ****= p<.0001, controlling for age sex, education, aboriginal status, province, household income. Ref=Food secure
22
![Page 23: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/23.jpg)
Credit: Cherie Nicholson
23
![Page 24: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/24.jpg)
24
![Page 25: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/25.jpg)
25
![Page 26: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/26.jpg)
26
![Page 27: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/27.jpg)
27
![Page 28: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/28.jpg)
28
![Page 29: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/29.jpg)
6 cycles of follow up (1994-2004)Child hunger = yes to: “Has your child
(‘you’ if a youth respondent) ever experienced being hungry because the family had run out of food or money to buy food?”
Multiple yes= persistent hungerAdjustments for baseline health, chronic
conditions, asthma, permanent income, and other sociodemographics
29
![Page 30: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/30.jpg)
30
Health Variable Hunger ever Persistent hunger
Child health poor/fair @10-15 yrs
↑↑ OR 1.7 ↑↑ OR 4.7
Youth health poor/fair @ 16-21 yrs
Chronic healthCondition
Youth ↑↑ OR 3.4
Asthma All girls↑↑ OR 2.2
Youth ↑↑ OR 6.1
![Page 31: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/31.jpg)
New theories of biological sensitivity to context
31
![Page 32: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/32.jpg)
PLEASE NOTE:
Many of the slides are from unpublished studies and are subject to change and that the posting of
this presentation in no way constitutes prior publication.
32
![Page 33: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/33.jpg)
33
![Page 34: Breakfast with...Dr. Lynn McIntyre](https://reader036.fdocuments.us/reader036/viewer/2022081413/5494dc1eb479598b1c8b4577/html5/thumbnails/34.jpg)
34