The 1986 Ottawa Charter on health promotion famously identified eight key determination (prerequisities) of health: peace, shelter, education, food, income, a stable eco-system, sustainable resources, social justice, and equality.
Social determinants are the social and environmental conditions in which people live and work. Food and nutrition
Food security is an important issue in parts of Australia and internationally. Food poverty can exist side by side with food plenty, while access to good quality food makes a greater difference to what people eat than nutritional education. Generally, people on low incomes - such as young families, elderly people and those who are unemployed - are least able to eat well4. In Australia, there is a particular issue with food security for isolated Aboriginal and Torres Strait Islander communities. Fresh fruit and vegetables must be carried many hundreds of kilometres, often in un-refrigerated, trucks and much of the nutrient value of the food perishes in the journey. Once it arrives at the local store, it may or may not be able to be stored in conditions to maximise the nutrient value and it is definitely many times higher in cost than what would be paid in urban areas. Often there is also not the appropriate kitchen and cooking facilities to be able to prepare the fresh food into proper meals. Under nutrition can lead to susceptibility to disease in addition to specific disorders. An increase in food and fluid energy intake (particularly with a energy dense of high sugar content) is a factor in development of obesity which is increasing rapidly in prevalence. Some studies have shown that more affluent areas more likely to not have take away food stores. This implies that there is the market in less affluent areas for cheap take away type food.3.11 Food and nutrition
Food security is an important issue in parts of Australia and internationally. Food poverty can exist side by side with food plenty, while access to good...
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