Food Insecurity - Part 1

The DEI Shift's mission is to create a podcast series on diversity, equity, and inclusion (D.E.I.) in medicine that sparks discussion and provides practice-changing data and stories for a physician, student, allied health professional, and health care leader audience. Listeners will be able to gain useful information to improve their practices and environments, to gain empathy, cultural competency, and humility, and to learn more about emerging D.E.I. concepts. The DEI Shift will discuss issues related to gender, race, sexuality, religion, ability, socioeconomics, and so much more.

Learning Objectives

1. Define food insecurity and how it differs from hunger.
2. State the prevalence of food insecurity in the US.
3. Summarize some of the physical and psychological impacts of food insecurity.

• [00:00] Introduction To Food Insecurity Series
  • DJ introduces our two-part Food Insecurity series

• [00:50] Introduction Our Hosts

• [01:42] Introduction to Guest
  • Dr. Suja Mathew, an internal medicine physician at Cook County Health and Hospital Systems and the Chair of Medicine of their Internal Medicine residency program

• [02:46] Step In Your Shoes Segment
  • Dr. Mathew shares the importance of intergenerational relationships and cross-generational living is in her culture

• [05:50] Defining Food Insecurity
  • Dr. Mathew describes the difference between hunger and food insecurity
    • Hunger is a physiologic sensation
    • Food insecurity involves not having consistent, reliable access to food
    • The converse of  food insecurity is food security
  • Dr. Mathew discusses ranges of food insecurity
    • High Food Security
    • Marginal Food Security
    • Low Food Security
    • Very Low Food Security
  • Other important components: Anxiety, psychological components, quantity  and quality of food
  • Even in low food security, may maintain adequate quantity of food but quality of food may be diminished
  • Dr. Mathew introduces the term, nutrition insecurity
    • Article discussing whether the term food insecurity should be shifted to nutrition insecurity in the US

• [11:10] Prevalence of Food Insecurity
  • DJ talks about the prevalence of food insecurity based on the 2018 report from the United States Department of Agriculture.
  • Dr. Mathew expands on the prevalence of food insecurity, including the disproportionate effect on minority populations
  • Dr. Mathew discusses the effect COVID-19 had on food insecurity
    • Here is an article expanding on the impact COVID-19 had on food insecurity

• [16:16] Psychological and Physical Impact of Food Insecurity
  • Dr. Mathew addresses the effects of Food Insecurity in Children and Adults
  • Ricardo talks about the increase rates of childhood obesity in part due to nutrition insecurity
  • Dr. Mathew talks about food deserts and how it can further exacerbate nutritional disparities

• [21:20] Food Deserts
  • Dr. Mathew talks about food deserts and how it can further exacerbate nutritional disparities

• [23:32] Outro
  • Twitter and Instagram @TheDEIshift, email at thedeishift@gmail.com, and our website www.thedeishift.com

Additional Reading & Learning Resources:

• Mapping Food Deserts in the United States
• The DEI Shift Obesity Mini-Series, Episode 2: Weight and Cultural Considerations | Obesity Management Learning Hub | ACP   

Credits:

Co-Hosts/Producers: Dr. DJ Gaines, Dr. Ricardo Correa

Executive Producer: Dr. Tammy Lin

Co-Executive Producers: Dr. Pooja Jaeel, Dr. Tiffany Leung

Senior Producers: Dr. DJ Gaines, Dr. Maggie Kozman

Editor/Assistant Producers: Emily Han, Clara Baek

Production Assistants: Deepti Yechuri, Lynn Nguyen

Website/Art Design: Ann Truong

Music: Chris Dingman

Disclaimer: The DEI Shift podcast and its guests provide general information and entertainment, but not medical advice. Before making any changes to your medical treatment or execution of your treatment plan, please consult with your doctor or personal medical team. Reference to any specific product or entity does not constitute an endorsement or recommendation by The DEI Shift. The views expressed by guests are their own, and their appearance on the podcast does not imply an endorsement of them or any entity they represent. Views and opinions expressed by The DEI Shift team are those of each individual, and do not necessarily reflect the views or opinions of The DEI Shift team and its guests, employers, sponsors, or organizations we are affiliated with.

Season 3 of The DEI Shift podcast is proudly sponsored by the American College of Physicians Southern California Region III Chapter.

The DEI Shift theme music is by Chris Dingman. Learn more at www.chrisdingman.com.

Contact us: thedeishift@gmail.com, @thedeishift, thedeishift.com

Contributors

Clara Baek – Podcast Staff

Ricardo Correa, MD, EdD, FACP – Moderator

Dirk (DJ) Gaines, MD, ACP Member – Moderator

Emily Han – Podcast Staff

Dr. Pooja Jaeel – Podcast Staff

Suja Mathew, MD, FACP - Speaker

Lynn Nguyen – Podcast Staff

Deepti Yechuri – Podcast staff

Reviewers

Tiffany Leung, MD, MPH, FACP

Independent Contractor: PlushCare, Inc.

Tammy Lin, MD, MPH, FACP

Stock: Abbott Laboratories, AbbVie, Inc., Gilead Sciences, Inc., Sanofi US Services, Inc.

Relevant financial relationships appear in italics below each individual’s name. All financial relationships have been mitigated. All others have nothing to disclose or no relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Release Date: July 15, 2021

Expiration Date: July 15, 2024

CME Credit

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American College of Physicians and the DEI Shift.  The American College of Physicians is accredited by the ACCME to provide continuing medical education for physicians.

The American College of Physicians designates each enduring material (podcast) for 0.5 AMA PRA Category 1 Credit™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABIM Maintenance of Certification (MOC) Points

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.5 medical knowledge MOC Point in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program.  Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

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