after 40 years of litigation to stop the denial
The same level of denial exists today about obesity when ignoring the disappearance of grocery stores that offers fresh produce while the fast food industry and store fronts offering unhealthy products becomes the primary source for food.
'We' know the root causes of the 'obesity problem' because 'we' study it and report it constantly.
How the feds make bad-for-you food cheaper than healthful fareAccording to the U.S. Department of Agriculture, the amount Americans spend on food as a percentage of disposable income has fallen from 15.4 percent in 1980 to 10.8 percent in 2004. But while we've spent less money on food, our waistlines have expanded. The obesity rate, after hovering around 15 percent from 1960 to 1980, surged to 31 percent in the last 25 years, USDA figures show. The percentage of overweight children tripled in the same time period. Meanwhile, incidence of type II diabetes, a diet-related condition with a host of health-related complications, leapt 41 percent from 1997 to 2004.
This trend has hit low-income groups particularly hard. The obesity rates for "poor" and "near-poor" people stand at 36 percent and 35.4 percent, respectively, against an overall average of 29.2 percent for "non-poor," the Centers for Disease Control and Prevention reports. While the CDC doesn't break down diabetes rates by income, a look at the disease through the lens of ethnicity shows that those rates tend to align with economics: African Americans and Mexican Americans, for instance, have higher diabetes rates than whites, and lower median incomes.
Why do low-income people tend to exhibit more diet-related health problems? Adam Drewnowski, professor of epidemiology at the University of Washington, posits a simple answer: people are gaining weight and getting sick because unhealthy food is cheaper than healthy food -- thanks in large part to federal policies.
Progressive Grocer: Michigan University, Food Trust Probe Supermarket Void in Poor NeighborhoodsMichigan University, Food Trust Probe Supermarket Void in Poor Neighborhoods
Progressive Grocer
FEBRUARY 16, 2006 -- ANN ARBOR, Mich. -- Predominantly white and wealthy neighborhoods have far more healthy food options than poor minority areas, according to a University of Michigan study.
Large supermarkets, with a payroll of more than 50 employees, are more prevalent in wealthier areas, which is significant because they tend to have a wide selection of nutritious foods at lower prices.
Researchers analyzed 2000 U.S. Census data from 75 census tracts in Forsyth County, N.C.; 276 census tracts in the city of Baltimore and Baltimore County, Md.; and 334 census tracts in Manhattan and the Bronx, N.Y., comparing them against information on food establishments purchased from InfoUSA, which maintains commercial databases on businesses.
"Health researchers have focused on individual behavior as a risk for disease," said Ana Diez Roux, associate professor of epidemiology at the U-M School of Public Health and co-author of the study, in the February issue of American Journal of Public Health. "We want to understand what features of the environment shape behavior."
Other findings of the study:
-- Natural food stores, fruit and vegetable markets, bakeries and specialty food stores were more common in predominantly white neighborhoods.
-- 19 percent of stores in predominantly black areas were 2,500 square feet or more, while 42 percent of stores in predominantly white areas were 2,500 square feet or more.
-- Liquor stores were more common in the poorest than in the wealthiest neighborhoods.
Diez Roux said one implication of the supermarket study is that health outreach programs encouraging people to eat more fresh fruits and vegetables and to cut down on high-fat foods need to take into account what's available nearby.
On a related note, a report released by The Food Trust, called "Philadelphia's New Markets: Ripe Opportunities for Retailers," demonstrates that each of Philadelphia's inner city communities contain at least $50 million in retail buying power per square mile; but dollars that could be spent on food are leaving these neighborhoods.
The Neglected Link Between Food Marketing and Childhood Obesity in Poor Neighborhoods(July 2006) Although recent research has established links between the kinds of foods available in a neighborhood and the health of that neighborhood's residents, this research has rarely addressed the effects of food marketing on children—especially children in low-income neighborhoods.
A number of studies summarized in a 2005 report from the Institute of Medicine (IOM)—Food Marketing to Children and Youth: Threat or Opportunity—do document how food is marketed differently to rich and poor neighborhoods in the United States. But while the IOM report finds that "the food environment in poorer neighborhoods makes it difficult for residents to eat healthful foods away from home," it does not highlight this conclusion in its summary findings, mainly because these studies did not focus on children.