For this assignment, I must admit I had a hard time putting myself in the shoes of the 1.4 million people who live in Los Angeles County and face a high degree of food insecurity (Hunger LA). I grew up in Orange County, California and always had access to high quality grocery stores. Within just 3 miles of my house, there was a Vons, Sprouts, and a Ralph’s. Additionally, unlike many low socioeconomic individuals, I always had access to a car to allow me to reach other supermarkets when I pleased. It was a huge shock to me when I moved to USC as Figueroa is a known food desert. I remembered feeling so trapped (before Trader Joes arrived) and I, myself even succumbed to making unhealthy food choices. In the following scenario, I tried my best to imagine my life as a typical South L.A resident who experiences food insecurity as a daily reality:
My name is Rena and my husband and I immigrated to Southern Los Angeles from Jalisco, Mexico. We have 2 kids and together we all live in a two bedroom apartment. My husband is a cook in a restaurant, and I am a maid/nanny for a white, upperclass family in Santa Monica. My husband and I both make minimum wage and struggle to pay the bills. Recently, my neighborhood has been becoming gentrified and a hipster coffee shop has opened up down the street. This is frightening to my husband and I as the buildings in the area have begun to increase rent prices. Since our small apartment was built after 1978, it is not subjected to rent control and our landlord may end up increasing our monthly rent.
My husband works from 11:00am to 8:00pm and does not get home till late because he takes the bus. Additionally, on weekdays I am gone from 8:00 to 5:00 taking care of another family’s home. At my job, I often wish that I could be spending time with my own kids and managing my own household. Since my husband starts work late, he is able to take the kids to school. After school gets out, they go to an after school program until I am able to come and pick them up. I am adamant about putting them in an after school program, because the area we live in is unsafe and I want them to be busy with school or playing sports so they don’t get mixed up with the wrong crowd.
As I mentioned above, my husband and I our not with our kids very often during the week and therefore have a hard time monitoring what they eat. A few years ago, my husband was diagnosed with Type 2 diabetes and from that day on our family decided to make a change in our lifestyle. The clinic where my husband was treated had programs that taught us what types of foods we should be eating and even had healthy cooking lessons. Before I was told all this information, my family ate a large amount of fats, carbs, and sugars. I felt empowered knowing that I now knew how to help decrease my childrens’ risk of diabetes, yet soon realized that healthy eating was not easily sustainable. First off, many of the immediate markets by my house were corner stores or bodegas and had chips, cookies, and other processed foods rather than fresh cooking ingredients. If I was lucky enough to find produce, it was rotting or of bad quality. At one time, one of the corner stores was actually turned into a fresh market, but it only lasted a few months as the people wanted unhealthy snack food like Takis or Hot cheetos instead. My best option to shop at is Ralphs which is a few miles away from our house. We don’t have cars, so I often will have to time my shopping with the public transportation or walk with my groceries. I often am forced to shop mostly during the weekend as I am too busy with work for a two hour food run during the week. Recently, the USC village opened up a Trader Joes which I sometimes do shop at for groceries at. Unfortunatley, I sometimes feel out of place as the majority of people shopping there are students. I usually end up getting most of my produce at the farmers market on Vermont and Adams. They have many options such as sweet potatoes, leafy green veggies, and lots of berries. While my family does not qualify for food stamps, the farmers market’s “market match” program takes many food vouchers which is great. Additionally, depending on the season, my kids’ school has a community garden which allows students and their families to come pick some of the growing items. While we don’t get a lot of food from the garden, i may get some extra fruits or veggies here and there which helps. More importantly, the garden brings a lot of happiness to my kids and is a positive influence on their life.This issue of access to markets is not a reality in Santa Monica where I work. In this affluent neighborhood, the residents have many options like, Whole Foods, Erewhon, Mothers, Ralphs, and much much more.
But the lack of accessible grocery stores is not my only dilemma, As I was educated about whole and organic foods vs processed, i realized there was a huge difference in price. Before, my family ate many tortillas, rice, and beans. These items could fill up my family for a doable amount of money. However, the doctor told me to incorporate more fruits, green vegetables, and lean meats and seafoods into our diet. Even when I find a store that sells these items, it is difficult to be able to afford enough to feed my family. I decided to choose quality over quantity and although i was feeding my kids organic chicken and veggies, they were not getting enough of it. They were always complaining of being hungry even after meals.
Conclusion:
This fictitious scenario is the daily reality of too many of people living in South LA. There is the battle of food desserts which makes it hard for people to locate healthy options. Also, there is the quality over quantity dilemma which speaks to the fact that healthy food is way more expensive than processed food. In todays world, Im pretty sure most people understand what is healthy, however, due to their socioeconomic standing they are basically forced to make unhealthy choices. As I detailed above, how do you explain to your kid that its better to go to sleep hungry having eaten veggies rather than feeling full eating tortillas and beans? Furthermore, as a health major and future Physician’s Assistant, the issues facing these individuals makes me extremely worried. In my personal life, I have used food as a way to heal or lessen many of my own health ailments. I am a big believer in integrative health and that food is medicine. It is disappointing that these individuals don’t even have the chance to be healthy as there are so many obstacles in their way. These problems contribute to the poverty cycle and they cause poor health in these individuals who cannot afford proper healthcare. Its extremely ironic that the people who seriously cannot afford to be unhealthy actually end up being the unhealthiest people as they do not have the resources or even time to lead a healthy life. For example, Type 2 diabetes and obesity greatly affects people who are lower SES and 30% of latino children are obese. These statistics are very concerning to me because in my classes I have learned the outcomes of these conditions. Without proper treatment and lifestyle modifications, these individuals will go on to develop major health complications such as neuropathy, retinopathy, and cardiovascular diseases. This leads to expensive health bills and missed time off at work which perpetuates the poverty cycle. Sadly, obesity and Type 2 diabetes are both conditions that are almost completely preventable via proper diet and exercise.
The above diagram details the racial health disparities within LA. These are linked to being from lower SES and therefore unable to make healthy lifestyle choices such as diet and exercise. African American and Latino people have a greater likelihood of having these health conditions when compared to Whites and Asians.
This picture details the detrimental outcomes of untreated or severe diabetes. In poorer areas, the incidence of Type 2 diabetes is increasing (especially in children) due to poor food choices. Neuropathy and eventual amputations can be a consequence of diabetes. As shown, areas like Compton and swaths of South and East L.A. have some of the highest amputation rates. Unsurprisingly, the lowest rates are seen in wealthier ZIP codes where people can afford lifestyle modifications such as eating organic food.
Reflection:
This blog exercise made me extremely grateful that this has never been my reality. It makes me feel guilty as just last week I was at Whole Foods and spent 5 dollars on a upscale kombucha and didn’t even think about how thousands of people struggle to put vegetables on their table. I have never felt insecure or limited when it comes to food and can’t imagine the feeling of not having access to healthy options. Eating healthy has definitely been something I have been taking for granted most of my life. In my opinion, the farmers markets are the best options in creating access to fruits and vegetables. The one we visited on our field trip had many options and looked like high quality produce. Their Market Match program is a huge step in the right direction so that now people with food stamps can be incentivized to buy fresh food. I cannot stress enough how important food is to ones health and feel as though all people, no matter what SES, should have the power over their own health choices.