Professional Documents
Culture Documents
Xenna C. Smith
Helen Smith
AP English 4
22 November 2016
It would take twelve Rhode Island sized land masses to fit the number of obese
adolescents in the United States as of 2012: 12.7 million. It is no surprise that there is an obesity
epidemic prevalent in the United States with over thirty-five percent of people being obese.
Author of Food Rules: An Eater's Manual Michael Pollan notes that he believes the answer to
the ever-complicated question of how we need to remedy the obesity epidemic is, Eat Food. Not
too much. Mostly Plants. In theory, that simplistic statement seems like an easy fix but in
reality, how can people of all backgrounds, incomes, and ethnicities be expected to just simply
eat less, and healthier? In 2014 alone, forty-seven million Americans lived in food-insecure
households, of them fifteen million are children. Youth are directly disenfranchised when it
comes to food access because of their age--especially if they are because of lower income, a
minority, and live in a negatively-influenced environment. This nutrition inacces causes issues
within brain development, leads to obesity and malnutrition, and creates a cynical outlook for
To be considered food insecure the subject has to be in the state of being without
reliable access to a sufficient quantity of affordable, nutritious food. The common misconception
people gain envisioning those affected by food inaccess oftentimes brings about visions of
more often than not, the people lacking proper nutrition from food can be overweight and obese.
Eighty-four percent of families considered food insecure by Feeding America report that they
will choose to buy the cheapest (oftentimes the most unhealthy) foods possible, just so they have
food in their household. Unfortunately, food banks like Manna Food Bank can only house and
transport nonperishable and long lasting to help the malnourished families they support.
Youth are the most susceptible group of people to food insecurity because they are not
the heads of their own household; therefore, do not get to choose how money is spent, what food
is provided for them, and where they live. Because of their age, the adults around them, the
programs they attend, and where they go to school ultimately decides how and what they eat. In
North Carolina alone, 564,240 children are food insecure and nine counties have over 30 percent
of its adolescents under eighteen years of age not know when their next meal will come and
where it will come from. Food insecurity often times results in obesity and according to the
Youth Risk Behavior Surveillance System (YRBSS), fourteen percent of high school students
were obese, and an additional sixteen percent were overweight in 2015. Additionally, Feeding
America reports that malnourished youth can suffer from tooth decay, fatigue, low energy, and
poor immune function that results in hospitalization--adding to the healthcare taxes US citizens
must pay.
Food insecurity is something that deprives youth of more than just physical wellness.
According to The National Scientific Council on the Developing Child, several studies have
demonstrated that food insecurity hurts cognitive development in children and can be linked to
poorer school performance. Other data shows increased illness and higher healthcare costs are
associated with food insecure youth. Inadequate nutrition can alter a childs brain and stunt their
XCSmith 3
intellectual growth, affecting the youths learning, social interaction, and productivity. This
demonstrates how early childhood food insecurity can cause youth to lose potential for
intellectual growth and eventually be unable to fully contribute to society as an adult. If a student
suffers in school because of hunger it could easily result in them dropping-out or not going into
higher-education. According to Education, Social Status, and Health by Catherine Ross and John
Mirowsky, education determines other factors of livelihood like occupation and income, which
determines health outcomes, Education forms a unique dimension of social status, with qualities
that make it especially important to health. It influences health in ways that are varied, present at
all stages of adult life, cumulative, self-applying, and uniformly positive. (Ross and Mirowsky
1). These underlying health determinants can have societal catalysts oftentimes determined by
Personal choices of health are certainly a determinant of how healthy a person is, but
social determinants of health can have a more detrimental effect. A persons food insecurity a
majority of the time is due to three things: income, social & physical environment, and their race.
These three things are more often than not, something the person in question has no effect over;
thus, putting a flaw into the thinking that unhealthy people are just being lazy. Negative social
determinants of health tend to directly affect food access as well. Since youth that still live with
their families have no control over their income and where they live, a child that is food insecure
does not have the capacity or control to better their situation. A health initiative created by the
Office of Disease Prevention and Health Promotion called Healthy People 2020 considers social
communities. We know that taking care of ourselves by eating well and staying
active, not smoking, getting the recommended immunizations and screening tests,
and seeing a doctor when we are sick all influence our health. Our health is also
and supports available in our homes, neighborhoods, and communities; the quality
of our schooling; the safety of our workplaces; the cleanliness of our water, food,
and air; and the nature of our social interactions and relationships. The conditions
in which we live explain in part why some Americans are healthier than others
and why Americans more generally are not as healthy as they could be. ("Social
Determinants of Health.")
Health disparities can happen because of biological differences which may exist between
racial/ethnic groups and also social disparities associated with race. A way of looking at this
problem is that seventy percent of White children are never poor, but only twenty-three percent
of African American children are never poor (Price, McKinney, and Braun 2). This vast number
of African American children facing poverty issues is proximately caused by the systemic racism
that leads them to being stuck within the Cycle of Poverty, balancing the weight of societal
oppression with trying to keep themselves and their families fed. The common association that
occurs through all of the social determinants affecting health disparities is stress. Minorities
experience a higher amount of uncontrollable negative life events and more frequent exposure to
stressed due to things determined by their race, they are more likely to have poorer health, The
XCSmith 5
lower social status of racial/ethnic minorities creates and maintains an absence of power over and
power to do much about the psychosocial adversities they confront on a daily basis. (Price,
McKinney, and Braun 8). Racial and ethnic discrimination is the foundation for the causes of the
the stressors they face. Because of the neighborhood environments and economic
stares of many young racial/ethnic minorities they may deal with their stresses in
less healthy ways. Health risk behaviors, including smoking, minimal exercise,
poor diet and obesity, early sexual activity and teenage pregnancies have all been
Defeating The ZIP Code Health Paradigm, one of the clearest determinants of health
disparities is geography: where people live, and the resulting social consequences. The most
communities and on a larger scale, food deserts. The United States Department of Agriculture
(USDA) defines food deserts as parts of the country vapid of fresh fruit, vegetables, and other
healthful whole foods, usually found in impoverished areas largely due to a lack of grocery
stores, farmers markets, and healthy food providers. According to the U.S. Department of
Agriculture, twenty-five to thirty million Americans live in food deserts, 1.5 million of those
Americans live in North Carolina alone. If someone does not have access to a car, reliable public
XCSmith 6
transportation, and/or has physical disabilities and lives in a food desert where healthy foods are
in an unreasonable walking distance, they will often resort to shopping at cheap local corner
stores just to have food. These corner stores typically carry non-perishable junk food, but
unfortunately can become the only accessible food for families in food deserts. Food deserts can
encompass many types of broader environments such as spread out rural places and urban
concentrates poverty: it diminishes social networks, helps to create high unemployment, and
diminishes access to new economic developments (Price, McKinney, and Braun 6). One of the
crime and poor role models for youth. According to an analysis from the Center on Budget and
Policy Priorities, twenty-six states will spend less per student in 2013 than the year before; these
neighborhoods tend to have poorly funded schools which offer less healthy food for the youth
who may rely on their two meals a day from their cafeteria.
For many people, the most simple way to understand food insecurity is the fact that some
people simply cannot afford healthy foods, relying on the schools to provide meals for their
children. According to James H. Price, Molly A. McKinney, and Robert E. Braun writers of
in severe poverty are especially vulnerable to poor nutrition that results in inadequate growth and
development, lessened educational success, and undeveloped cognitive skills. The reality of the
situation is that severe poverty affects minority children more than caucasian children, with
forty-five percent of all African Americans in severe poverty being children as is forty-four
percent of all Hispanics (Price, McKinney, and Braun 6). According to the Council on
XCSmith 7
Community Pediatrics and Committee on Native American Child Health, if all youth had the
same level of health and wellness as the economically advantaged, it would reduce poor health
Supplemental Nutrition Assistance Program (SNAP) helps many food insecure families, Feeding
America reports that twenty percent of food insecure children live in households that earn too
much to qualify for most federal nutrition assistance--these families often times rely on charities
According to the Center of Disease Control, adolescents who are obese are likely to be
obese as adults; therefore, more at risk for adult health problems such as heart disease, type two
diabetes, stroke, cancer, and osteoarthritis. John Cook, PhD and Karen Jeng, AB, authors of
Child Food Insecurity: The Economic Impact on our Nation, note how the the United States has
made legitimate strides economically and socially, but has never completed the infrastructure
investments needed to make sure that all American adolescents consistently have access to
healthy food through government initiatives, urban planning, and improved school cafeterias. As
a result, the US has handicapped the minds and bodies of much of its upcoming workforce and
placed constraints on its available pool of human capital by lacking to provide the solid
foundation on which sharp minds and powerful bodies are built through access to affordable,
healthy food. These social determinants of health marginalize youth to the utmost extent because
of how their age inhibits their freedom. The environments they are raised in, along with the race
they were born as, and how much money their family has can lead to food access issues. These
disparities are the roots of youth food insecurity that lead to lifelong consequences which are
XCSmith 8
difficult to rise up from, developing a generation of adults with poor ability to contribute to
society productively.
XCSmith 9
Works Cited
"Adult Obesity in the United States." The State of Obesity. Trust for America's Health and the
Robert Wood Johnson Foundation, n.d, www.stateofobesity.org/adult-obesity. Accessed
08 Nov. 2016.
Cook, John, PhD, and Karen Jeng, AB. Child Food Insecurity: The Economic Impact on Our
Nation (2009): 1-36. Childrens HealthWatch, Feeding America, n.d.
www.nokidhungry.org/sites/default/files/child-economy-study.pdf . Accessed 21 Nov.
2016.
"Defeating The ZIP Code Health Paradigm: Data, Technology, And Collaboration Are Key."
Health Affairs. Garth Graham, MaryLynn Ostrowski, and Alyse Sabina, n.d,
www.healthaffairs.org/defeating-the-zip-code-health-paradigm. Accessed 08 Nov. 2016.
Mirowsky, John, and Catherine E. Ross. Education, Social Status, and Health. New York: A. De
Gruyter, 2003. Print.
"Nutrition and the Health of Young People." Centers for Disease Control and Prevention.
Centers for Disease Control and Prevention, 28 Aug. 2015,
www.cdc.gov/healthyschools/nutrition/facts. Accessed 14 Sept. 2016.
"Overweight and Obesity Statistics." U.S National Library of Medicine. U.S. National Library of
Medicine, n.d,
www.niddk.nih.gov/health-information/health-statistics/Pages/overweight-obesity-statisti
cs. Accessed 08 Nov. 2016.
Pollan, Michael. Food Rules: An Eater's Manual. New York: Penguin, 2009. Print.
XCSmith 10
Price, James H., Molly A. McKinney, and Robert E. Braun. "Social Determinants of
Racial/Ethnic Health Disparities in Children and Adolescents." J. Racial and Ethnic
Health Disparities Journal of Racial and Ethnic Health Disparities (2010): 1-11. Society
for Public Health Education, 15 Oct. 2010,
www.sophe.org/Sophe/PDF/Webinars/20120416151902. Accessed 8 Nov. 2016.
"Social Determinants of Health." Healthy People 2020. Office of Disease Prevention and Health
Promotion, n.d,
www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health.
Accessed 08 Nov. 2016.