inequality – UAB Institute for Human Rights Blog

Barren- Food Deserts and Hunger in America

What Is a Food Desert?

Source: Mike Mozart via Flikr

Currently in America, the neighborhood you were born in can affect your future income, education level, and your ability to consistently access nutritional food. The Food Empowerment Project (FEP) defines food deserts as “geographic areas where residents’ access to affordable, healthy food options (especially fresh fruits and vegetables) is restricted or nonexistent due to the absence of grocery stores within convenient traveling distance”. The USDA has defined two types of food deserts: one that exists in both rural areas more than 10 miles from the nearest store and the second which exists in urban environments, where citizens face daily obstacles in obtaining healthy food due to lack of availability or resources. But, the average conversation about food deserts surrounds zones within American cities where citizens, hindered by lack of access to transportation and restricted budgets, are unable to obtain nutritional food. Food deserts play a critical role in food insecurity in the United States, and they are typically visible in urban areas where the residents are already living in extreme economic hardship.

The Institute of Human Rights at UAB has recently published an article about food deserts in our hometown of Birmingham, Alabama that you can read here– but for readers in other parts of America, I want you to do an exercise with me. Think about your nearest big city, or an urban area you are familiar with. This can be in New York City, Atlanta, Miami, Chicago, or whichever metropolis best applies to you. Visualize the roads you drive, the areas both wealthy and impoverished. Now, think of the few streets within that city where there are almost no Walmarts, Targets, Krogers or Publix chains. In this stretch, there are tons of fast food restaurants, cash bond and payday loan businesses, laundromats and gas stations. There is an abundance of drive throughs and minimarts, but you could drive for a few minutes before you find a grocery store. Can you see that part of your city in your head now? THAT, dear reader, is your local food desert.

Note: The USDA compiled census and other data into an interactive map called the Food Environment Atlas, which allows any user to view rates of food insecurity, diet quality, and food prices in your area or any neighborhood you are curious about. If you struggle to think of a food desert near you, or want to learn about what areas are impacted by food insecurity, I recommend you try out the Food Environment Atlas here.

The Cause:

Food Deserts have typically been attributed to socioeconomic status. One of the main characteristics that defines a food desert is lack of accessibility, which means people living in a certain region have limited resources, be it money, time or transportation to access nutritional, fresh food. Food deserts are most common in low socio-economic areas, where residents are unlikely to own a car or have one that is not always working. Americans living here typically live paycheck-to-paycheck, and require both accessibility and affordability to make ends meet throughout the month. It is currently estimated that one in six Americans still experience food insecurity, and that roughly 19 million people are affected by food deserts or limited access to supermarkets in America. Recent studies by the United States Department of Agriculture confirm the connection between race and food deserts, stating in 2019 that “rates of food insecurity were substantially higher than the national average for single-parent households, and for Black and Hispanic households”.

The conversation surrounding food deserts has shifted to include race in recent years. Originally, the term food desert was coined to represent the socioeconomic disparities that cause some Americans to face food insecurity. Now, organizations like the Natural Resources Defense Council (NRDC) are pushing to recoin the term as food apartheid to accurately represent the way food insecurity affects those of minority race in America. The NRDC explains the term shift, saying that,

“Many groups are now using the term “food apartheid” to correctly highlight the how racist policies shaped these areas and led to limited access to healthy food. Apartheid is a system of institutional racial segregation and discrimination, and these areas are food apartheids because they too are created by racially discriminatory policies. Using the term “apartheid” focuses our examination on the intersectional root causes that created low-income and low food access areas”.

Essentially, it is vital that we recognize how a historical and current racial inequalities act as a cause of both the food deserts and the zones of poverty they’re found in. The historically black areas of segregated cities were underfunded and underdeveloped, plagued by lack of opportunity and equal access, and in some areas across the United States an economic shadow of that segregation still remains.

Their Effect and Why It Matters:

America has incredibly high rates of obesity and nutrition-based health issues in comparison to other developed countries. While there are decades of research connecting poverty and race to higher rates of nutrition-based disease and other health issues in America, science is now beginning to track the specific effects of food deserts on obesity and chronic illness. A corner store or a pocket-sized version of big supermarket chains like a Walmart Neighborhood Market, but if you take the time to walk inside you’ll see the fresh produce section is either neglected or nonexistent. These smaller stores have less room for inventory, their foods are less likely to be fresh produce due to the requirements to keep them fresh, and these foods are often packaged and processed. That means those who depend on these stores are limited to fast food, packaged goods, or other processed and low quality options that can contribute to malnutrition, heart disease, obesity, diabetes and more.

In addition to the effects of food deserts on health, the prices per unit are almost always more expensive than their suburban, chain-grocery counterparts. A person who can afford a Costco membership will almost always spend less on the same food products as a family living paycheck to paycheck or utilizing EBT for groceries. A 1997 USDA study found that “geographic location was the single most important contribution to higher nationwide average prices faced by low-income households”, and that smaller stores charged more per item than supermarkets nationwide. Food scarcity and cost disparities disproportionately affect minorities and those already living in financial insecurity, and each city has a part to play in ending this national crisis of inequality.

Join the movement to end food insecurity in the US:

Ultimately, the end to food desertification requires an effort between elected officials and businesses to make nutritious food affordable and accessible for all people. If you recognized a food desert near you in the imaginative exercise we did earlier, that could be the perfect topic to address with your local lawmakers through emails, calls or petitioning. If you prefer other types of action, there are countless ways to work as individuals to help your community in the meantime. Getting involved in the fight against food insecurity can be as hands-on and involved as you want, from donating non-perishable foods and needed items to local organizations, shelters or food kitchens to establishing a community garden, or everything in between. There are plenty of ways to make a difference at whatever level of involvement works best for you, and I’ve linked some of my favorites below!

A Few Ways to Get Involved:

Click HERE to find your elected officials on the state and local level and how to contact them about the food deserts affecting their voters. You can use your voice to push for changes that directly impact your community in a positive way.
Feeding America is a charity that uses your donations to help the 1 in 8 Americans experiencing hunger now. This link takes you straight to their front page, which features a zip code locator for the closest food bank to you!
Organize or contribute to a local food drive. Many public schools and local businesses run food drives for charities throughout the year, and Rotary International has an awesome guide available for starting your own community food drive HERE. Sharing surplus food is an excellent way to help others while reducing waste as well!
Use this link to find food pantries near you to donate, volunteer, and get involved in your state’s fight against food insecurity.
Find what works for you. Try searching for more ways to get involved that are tailored to your area and preferences…every contribution helps!

Human Rights in Appalachia: Socioeconomic and health disparities in Appalachia

The previous blog posts in this series are located here:
Human Rights in the Appalachian Region of the United States of America: an introduction
Human Rights in Appalachia: The Battle of Blair Mountain and Workers’ Rights as Human Rights

In the Appalachian region of the United States, there have long been overarching socioeconomic problems that have prevented the region from seeing the same levels of growth as other parts of the country, and even been part of its decline in other domains. Much of Appalachia’s population of twenty-five million people remains remote, isolated from urban growth centers and beneficial resources that exist in cities. The rural towns and counties in which many Appalachian people live have not had the ability to maintain the public infrastructure, furnish the business opportunities, or provide the medical services that are necessary to sustain populations.

There are three regions of Appalachia: the southern region, which covers parts of Georgia, Alabama, Mississippi, the Carolinas, and Tennessee; the central region, which covers parts of Kentucky, southern West Virginia, southern and southeastern Ohio, Virginia, and Tennessee; and the northern region, which includes parts of New York, Pennsylvania, northern West Virginia, Maryland, and northern and northeastern Ohio. While the entire Appalachian region struggles with higher levels of poverty, unemployment, and lack of services and infrastructure, some sub-regions suffer worse than others, and in different ways (Tickamyer & Duncan).

graph of people in poverty by age group — Percent of persons in poverty in rural Appalachia by age group: 2014-2018

Even when compared to other rural areas, Appalachia struggles on measures of educational attainment, household income, population growth, and labor force participation. Rates of disability and poverty are significantly higher in rural Appalachia than they are in other rural areas of America. In 2018, the number of Appalachian residents living below the poverty line was higher than the national average in every age group except those 65 and older. The largest disparity was among young adults (18-24), where the Appalachian population was more than 3% higher than elsewhere. From 2009 to 2018, median household income in Appalachia went up by 5%, not far behind the national average of 5.3%. However, the median household income in Appalachia remains more than $10,000 lower than the national median.

map of population age in appalachia — Map of population age in Appalachia

One area where disparities between Appalachia and elsewhere in the country are particularly noticeable is in healthcare. The Appalachian Regional Commission released in 2017 “Health Disparities in Appalachia”, which reviews forty-one population and public health indicators in a comprehensive overview of the health of the twenty-five million people living in Appalachia. The study found that Appalachia has higher mortality rates than the rest of the nation in seven of the nation’s leading causes of death: heart disease, cancer, COPD, injury, stroke, diabetes, and suicide. In addition, diseases of despair are much more prevalent in Appalachia than the rest of the country. Rates of drug overdose deaths are dramatically higher in the Appalachian region than the rest of the country, especially in the region’s more rural and economically distressed areas. Research indicates that diseases of despair will increase under COVID-19, as well. This will be especially true for women, who experience death from diseases of despair at a rate 45% higher than the national average in Appalachia. The ARC found that, while deaths as a result of diseases of despair were more numerous in metropolitan counties of Appalachia, rates of suicide and liver disease were higher in rural counties.

These issues are exacerbated by the fact that there is a much lower supply of health care professionals per capita, including primary care physicians, mental health providers, specialists, and dentists in Appalachia. The supply of speciality physicians is sixty-five percent lower in the central sub-region of Appalachia than the rest of the nation as a whole. Other factors negatively impact health in Appalachia, as well. Nearly twenty-five percent of adults in Appalachia are smokers, compared to just over sixteen percent of all American adults, and obesity and physical inactivity are extremely prevalent. However, it is worth noting that in some areas of public health interest, such as the occurrence of STIs/STDs and HIV, Appalachia does better than the rest of the country.   Healthcare disparities are an increasingly dramatic phenomenon. From 1989-1995, the cancer mortality rate in Appalachia was only 1% higher than the rest of the US, but by 2008-2014, it had risen to be 10% higher. In the same time frames, the infant mortality rate was 4% higher versus 16% higher, respectively. And, in 1995, the household poverty rate in Appalachia was 0.6% higher than the national average, but by 2014 was 1.6% higher. We like to think of these problems as things of the past, but the gaps are still very much relevant. Fortunately, people living in Appalachian communities are more likely to have health insurance coverage than other Americans. 8.8% of the population in Appalachia do not have health insurance versus the national average of 9.4%.

This year, in the midst of the coronavirus pandemic, some factors of the Appalachian population have put people living there at greater risk of COVID-19. 18.4% of people living in Appalachia are over age sixty-five, which is more than two percent higher than the national average. In more than half of Appalachian counties, over 20% of people are older than 65. This, combined with high rates of obesity and smoking, put many people in the “high-risk” category. COVID-19 has affected Appalachian communities in ways that don’t result in death but make surviving even more difficult. Food insecurity, for instance, is an increasingly severe problem. At one soup kitchen, “…we were serving about 200 people a day, and our numbers have nearly tripled since COVID started,” social worker Brooke Parker, from Charleston, West Virginia, said.
However, perhaps due to the isolated nature of many Appalachian communities, mortality rates from COVID-19 have not been markedly higher than the national averages.

With schools moving to online learning, problems with access to internet in Appalachia become more relevant and pressing. Around 84% of Appalachian households have a computer, which is five percentage points below the national average. 75% have access to reliable internet, which is also five percent lower than average. There is no easy solution to this lack of access to education. Even in non-Appalachian counties, students are being severely impacted by the disruption to their normal education activities.

Human rights organizations ought to keep a close eye on Appalachia as we see the results of COVID-19 on an already vulnerable and at-risk population. The ultimate consequences of the pandemic will likely be more severe here than elsewhere in the country. People living in Appalachia deserve the same assistance being offered to and resources being put towards urban centers in other parts of America. Too often have they seemingly been forgotten.

Additional References:
1. “Health Disparities in Appalachia”. Marshall, J.,Thomas, L., Lane, N., Holmes, G., Arcury, T., Randolph, R., Silberman, P., Holding, W., Villamil, L., Thomas, S., Lane, M., Latus, J., Rodgers, J., and Ivey, K. August 23, 2017. https://www.arc.gov/wp-content/uploads/2020/06/Health_Disparities_in_Appalachia_August_2017.pdf. Retrieved December 3, 2020.
2. Population Reference Bureau. https://www.prb.org/appalachias-current-strengths-and-vulnerabilities/. Retrieved December 9, 2020.
3. Tickamyer, A., Duncan, C. (1990). Poverty and Opportunity Structure in Rural America. Annual Review of Sociology. 16:67-86.

Unequally Disconnected

by Grace Ndanu

As the novel corona virus spreads across the world, states and localities are faced with mounting pressure to close the school doors. The closing of schools has left children, teens and young adults with nothing to do because there was never a notice. Before the introduction of online learning, which was first provided through the radio and the television and then through Zoom and Skype, Kenyan children ended up walking through all the neighborhood while many teens and the young adults ended up engaging in dangerous activities like drug abuse, stealing and sexual activities that resulted to so many girls being pregnant. This became a very big concern to the nation apart from Covid-19. When the number of new cases were being aired, the teenage pregnancy cases were aired alongside it.

The purpose of closing the schools was to curb the spread of the virus. And hence transitioning to online learning became the only option, which was and is still not easy. Among many challenges from providing meals, proper clothing, proper health, to proper housing for the low income families it will never be easy. In Kenya, a person is considered poor when they lack the most basic needs. Also as long as a family has somewhere to lay their heads at night or has a shelter to keep them off the storms, cold and the hot sun, that family is regarded as okay they do not have to worry because they are surviving. This suggests that technology is not a necessity or a basic need. In Kenya, we are in need of technological empowerment.

There are so many private schools compared to government schools. In these schools the majority of the students are from rich families, that is 70%, while 30% are there because of sponsorship and scholarships. The government schools holds more of Kenyan children because majority of Kenyans are technically poor. There is no option of private school to these parents because even most of them send their children while they are still under age just for them to go and eat their lunch because when they stay at home they will have nothing to eat, instead as little they are they will have to wait till dinner. That is a bonus for the government.

In Kenya advanced technology was just introduced a few years back, meaning technology is still young. There are still households with no electricity, a radio or a simple mobile phone for just communicating. Technology courses were also introduced and they are improving since the stereotype of saying that technology courses for example computer science is made for boys is fading away and now even girls are doing better than the boys in the course. That is the good news about technology, the bad news is that, around 60% of the poor children in Kenya have little or no access to technology for learning that is the smartphone or the computer and the internet to make the learning easy.

A photo of two children's computers sitting on a desk — African children need better access to technology in order to continue their education during the pandemic. Source: Creative Commons

This makes only children from the private schools able to continue learning. But not all who continue learn online 20% are left out. Also the troubling gap in the opportunity to continue learning emerges between privileged and vulnerable children when looking at responses by other markers of economic advantages such as employment and food security status. 10 in 60 children of employed parents have access to both a device and the internet for learning always, or most of the time. This on demand availability drops where other children living in households where the parents are unemployed.

There is an extent where families who afford two or one meal a day, give it up and instead of eating or have little small that day, what was to be used to buy food will be used to pay for the virtual education by purchasing some internet bundles and if there is no a gadget to be used, the child will have to walk miles away from home in order to access cyber. The long walk will make the child tired even when it is time to concentrate, he or she is tired even to listen. The long walk is also exposing the child to sexual abuse by strangers and before they get to speak out it is too late, which will even make the concentration more difficult hence dropping of the performance.

Many people in Kenya acquire phones only when they are already at their 18^th year and some even at their 20s. Considering this, the children who were and are still learning online are really struggling because they are not familiar with the gadgets or the process itself. If the class was to start at 8am and end at 10am through zoom, the child will join the class at 9:30am or even she will never join basically because she does not understand which button is which.

The government or the stakeholder responsible for children and everyone’s right, make technology as a basic need, with that learning will become easy and efficient to everybody, be it grandparents, parents and the children.