Week 6 Lecture - Food, Housing, and Health PDF

Document Details

TransparentLemur

Uploaded by TransparentLemur

McMaster University School of Nursing

2023

Tags

food insecurity housing insecurity public health social determinants of health

Summary

This week's lecture explores the connections between food insecurity, housing, and health, particularly within the Canadian context. It examines how food insecurity impacts physical and mental well-being and highlights the relationship between these two areas. The lecture also explores policy implications and potential solutions to these interconnected issues.

Full Transcript

Week 6 Lecture October 23, 2023 1:19 PM - Federal govt taxes money is given to province and COHB, and then it's up to municipalities to distribute funding and offset costs if not enough funded. Funded federally, but municipality that distributes that funding towards housing - Municipalities will w...

Week 6 Lecture October 23, 2023 1:19 PM - Federal govt taxes money is given to province and COHB, and then it's up to municipalities to distribute funding and offset costs if not enough funded. Funded federally, but municipality that distributes that funding towards housing - Municipalities will work with private companies that create more housing and generate more revenue - Housing first was funded by feds until 2019, but then given to municipalities in 2019. Week 6 Page 1 - Governments and families have most responsibility to ensure healthy diets - No right or wrong answer - Collaboratively - everyone has a responsibility Week 6 Page 2 HFSM - ask individuals these questions, and generate data about how many people are living in food insecurity Those that are working are the most food-insecure groups Not having access to income and food wages, effects food insecurity among the working class Week 6 Page 3 - Changes in home can impact if family goes in and out of hunger **know these three HFI - HFI=household food insecurity? - Marginal HFI ex. Family is limiting amount of buns each family member has with meal, so enough for week. Individual eating every meal, but more processed foods so not good quality - Moderate HFI ex. Need to eat stale buns b/c can only access 50% bread and still making it. Worried about not having enough for weeks - Severe HFI ex. Mother of household not eating a bud so that the household can eat. Not having enough food in week HFI affects mood, causes dep/anx, and suicidal thoughts Week 6 Page 4 the more food insecurity one experiences, the greater the risk of mental health concerns Week 6 Page 5 - Food insecure household will skip on prescription meds to eat food, but then their chronic health conditions worsen, thus more likely to be admitted to acute care - Have poor physical health - 1/8 of population is considered food insecure, but those who are admitted to mental health facilities are 1/3 food insecure (**look at proportions) Week 6 Page 6 - Average costs of those who have food insecurity are having on the health care system - If approach this from an upstream perspective, can save money overall - Those who are food insecure are buying food instead of medications - Thus need to advocate for health public policy and universal drug programs Week 6 Page 7 - Good temporary solution from a downstream approach, but not sustainable Week 6 Page 8 - Food banks are downstream - They don't lift people with food insecurity, but just helps problem temporarily - If govt increased minimum wages and social assistance rates to a level where diets are affordable, this would be a viable solution to food insecurity - Ex. Tax benefit to families in Nunavut - Govt's responsibility that nutritious foods are affordable - Federal govt to address food insecurity - Need to provide childcare for mothers to be able to work Week 6 Page 9 - traditional approach to restore food insecurity from an Indigenous perspective -planting seeds for future generations Week 6 Page 10 **D Week 6 Page 11 - We need public policy that addresses wages to be able to afford food **core housing need 3 things that put you into a core housing need Week 6 Page 12 3 things that put you into a core housing need - BC has 25.5% of their population pays 30% or more of their income on housing Canada 20-30% spend on housing, of their income Affordability: less than 30% of wage is spent on housing 30% or more is core housing need Core housing need:___? - Suitable: 4.4 - Adequate: 4 - adequate NOS - helps to lay out what is suitable for the make up for the household and how many bedrooms they Week 6 Page 13 NOS - helps to lay out what is suitable for the make up for the household and how many bedrooms they should have 2023 - homeless as international emergency UN says, need to address this as at international level Ex. Refugees b/c displaced from home Need to address housing as an international priority, so that other countries are prepared to house the refugees - Should be treated as a human's right concern - Week 6 Page 14 - COBB, federal funding given to municipal govt and then distribute funding, priority requirements…long COBB waitlists, b/c limited funding - Subsidized housing, ran by municipal, and decide how subsidized housing is run and funded? - Over 7000 individuals added to waitlist for subsidized housing in Toronto in the past 2 years - Inc need for subsidized housing - Inflation has inc need for housing b/c pricing of housing is high, making it less affordable Week 6 Page 15 - Ppl receiving Ontario works, are maximum shelter insurance It will inc if having number of dependents Inc if on ODSP ODSP - Ontario disability program OW - low income families, unemployment (different from EI) - Individuals on OW and ODSP unable to afford house, let alone food Week 6 Page 16 - ** impt terms** 1. - Core housing need: Spending 30% of more of income on housing Adequate - everything works in house, no major repairs Suitable - enough rooms in the household for family - You can have 2 or more to be in a core housing need Week 6 Page 17 - You can have 2 or more to be in a core housing need 2. Low income cut-off: Def: spending more than 20% of income on basic needs when compared to population that you're living around. LICO for communities is different. 3. Homelessness: - not having a home address 4. Precarious housing: Def: at risk of being unhoused if no intervention in the near future. Ex. Living in vehicle, sleeping on couch, living in a basement temporarily, short term airBnBs 5. Housing-food dichotomy: Def: household prioritizes paying for housing over paying for food, thus paying too much money for housing - International approach to address homelessness - Textbook suggests increasing funding for social housing programs ex. Inc COBB, support non-profit and housing centers--subsidized housing, need policy to have incentives to invest in subsidized housing - RNAO - need to reduce discrimination in rental housing, gap between housing costs and tenant incomes, increase access to supportive community-based housing - Ex. In North America - big financial, private subdivision investors, that are dictating and invading the housing space, and creating homelessness b/c community can't fight against the rising housing costs - In South America, driving towards mortgage based housing systems, and population can't keep up with this change - Ex. Poland - statement to end homelessness, country is uniquely located and have a high influx of populations that are seeking refugee status in countries that have open doors, like Poland, thus it's one of the first countries to choose to address homelessness ○ Creating public policy to address homelessness and populations need to be housed - Ex. EU - aiming to end homelessness by 2030 Week 6 Page 18 - Provides individuals to have dignity - Non profit is run by municipal govt, have a board of directors that oversees that money is well distributed according to facility values - For Profit LTC or social housing ex. Chartwell, will cut costs where they can to make money - Group homes closed during covid, b/c noticed that they are not well run, unethical - Easier for govt to allow for-profit housing to open b/c don't need to oversee it and be involved to fund etc. - Highlighting the priority population for COHB - Seeing inc in homelessness in nation and internationally, leading to higher rates of morbidity and mortality Week 6 Page 19 mortality - *** if in a core housing need, that is the number one factor that determines risk of homelessness - Don't need to know stat - Nunavut's housing crisis is worse than______ - Someone on OW Week 6 Page 20

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