Closing the Veg Gap Professor Sir Michael Marmot UCL Institute of - PowerPoint PPT Presentation

Closing the Veg Gap Professor Sir Michael Marmot UCL Institute of Health Equity Veg Summit - 24 Nov 2017 1

Measuring Food Insecurity: UK Source: Food Foundation (2016) http://foodfoundation.org.uk/wp-content/uploads/2016/07/MeasuringHouseholdFoodInsecurity.pdf 2

Food and health inequalities • “Five per cent of people on low incomes report skipping meals for a whole day. • Low income and area deprivations are also barriers to purchasing fresh or unfamiliar foods. • Lower income households are the hardest hit by food price fluctuations.” Source: Fair Society, Healthy Lives, (2010) p81

Lifestyles and eating: England • Only 18% of people have one or more meals a day at their table; • Nearly two thirds of people eat at their table less than once a week; • 30% of households use their table for meals barely a few times a year; • 3% have no table.

Income group and % deviation from recommended fruit and veg Intake (2). NDNS – Maguire and Monsivais, Br j Nutr 2015 5

Income group and % deviation from average veg Intake in adults Adult Veg Intake by Income Quintile (NDNS Waves 1-4) 20 15 % Deviation from Mean 10 5 0 -5 -10 (3) -15 Veg (g/d) - excl potatoes Quintile 1 Quintile 2 Quintile 3 Quintile 4 Quintile 5 (3) NDNS Survey Waves 1-4 (2008/9 to 2011/12) 6

Children achieving a good level of development at age five, local authorities 2011: England Good level of development at age 5 % 80 75 70 65 60 55 50 45 40 0 30 60 90 120 150 Local authority rank - based on Index of Multiple Deprivation Source: LHO (2012)

Income group and % deviation from average veg Intake in children Child Veg Intake by Income Quintile 20 15 % deviation from mean 10 5 0 -5 -10 -15 Quintile 2 Quintile 3 Quintile 4 Quintile 2 Quintile 3 Quintile 4 Quintile 2 Quintile 3 Quintile 4 Quintile 1 Quintile 5 Quintile 1 Quintile 5 Quintile 1 Quintile 5 1.5-3 years 4-10 years 11-18 years (4). NDS Waves; and Office for National Statistics (2014) Office for National Statistics Living Costs and Food Survey . Available at: www.ons.gov.uk/peoplepopulationandcommunity/personalandhouseholdfinances/incomeandwealth/compendium/familyspending/2014-12-02/chapter1overview (Accessed: 8 17 January 2017)

Income group and fruit intake: a country comparison - Scotland Vs Portugal Fruit Consumption (>2/day) 3 2.5 2 Axis Title 1.5 1 0.5 0 Lower SES Middle SES Upper SES Social Economic Status (SES) Axis Title Scotland Portugal 9

Drivers of Inequitable Health Outcomes A. Give every child the best start in life B. Enable all children, young people and adults to maximise their capabilities and have control over their lives. C. Create fair employment and good work for all D. Ensure a healthy standard of living for all E. Create and develop healthy and sustainable places and communities F. Strengthen the role and impact of ill-health prevention Source: Fair Society, Healthy Lives, (2010) 10

Thank you Follow us on Twitter @TheMarmotReview (The Institute of Health Equity) @MichaelMarmot www.instituteofhealthequity.org 11