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Adherence to GF diet among low income - Dietician Survey

 
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cruelshoes



Joined: 23 Sep 2005
Posts: 3380
Location: Washington State

PostPosted: Thu Oct 15, 2009 11:37 am    Post subject: Adherence to GF diet among low income - Dietician Survey Reply with quote

Dietitians' Perceptions of Adherence to a Gluten-Free Diet Among Low-Income Individuals With Celiac Disease.

Quote:
Abstract: Dietitians were invited to complete a survey to evaluate adherence to a gluten-free diet (GFD) in low-income individuals with celiac disease. Statistical analyses were completed on 119 surveys. Dietitians reported that patients have difficulty eating a GFD because of a lack of knowledge of the appropriate foods to eat (P = .032). Forty-eight percent of participants reported that patients do not follow a strict GFD because of a lack of access to gluten-free foods (P = .036). This study supports the hypothesis that low-income individuals with celiac disease have difficulty adhering to a GFD because of a lack of resources.

Source: Topics in clinical nutrition, 2009 Jan-Mar, v. 24, no. 1, p. 82-89.

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Last edited by cruelshoes on Thu Oct 15, 2009 1:38 pm; edited 1 time in total
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Kathie



Joined: 27 Jan 2006
Posts: 1018
Location: Florida

PostPosted: Thu Oct 15, 2009 12:23 pm    Post subject: Reply with quote

Quote:
This study supports the hypothesis that low-income individuals with celiac disease have difficulty adhering to a GFD because of a lack of resources.


I think this statement is true for any type of healthy diet. Cheep food for people living on a tight budget is very unhealthy. Even if you don't get into the actual GF food items fresh fruit/vegetables etc are so much more expensive than buying junk in cans. You also have to deal with the spoilage issue. We shop at least every few days to keep fresh produce in the house without getting so much it spoils before we use (which happens anyway) and everyone knows the more often you go into the store, the more you spend.

It seems like our society is just so set up to be unhealthy.
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Gus's Mama



Joined: 29 May 2009
Posts: 143
Location: Boston MA

PostPosted: Thu Oct 15, 2009 12:43 pm    Post subject: Reply with quote

We're having a devil of a time with our grocery budget. I tend to do the perimeter shuffle (just shop around the outside edges of the store for the healthiest stuff), but I keep coming home with fewer perimeter items, just because it is so flippin' expensive. I'm actually managing to keep a GF household and feed a family of four on $70 a week. Once in a while I splurge and go to Whole Foods, but I wind up spending $80 to $100 there, and I come home with precious few items.

That blows my whole budget for the week. After that kind of shopping trip, there is no eating out night that week, no special little treats, nothing extra until the next payday.

I can really understand that low income folks are having a hard time staying on a GF diet. We're uncomfortably close to being in that boat ourselves.
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teacherpat



Joined: 02 Aug 2009
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PostPosted: Thu Oct 15, 2009 12:50 pm    Post subject: Reply with quote

It does not help that so much of the gluten free diet advice I see is geared towards white, upper class, northern, health food store shoppers. Reread the suggested snacks list posted recently-heck, most of the people around here don't even know what most of those foods ARE. Gruyère? Hummus? Question
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ostrich



Joined: 30 Mar 2006
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PostPosted: Thu Oct 15, 2009 1:52 pm    Post subject: Reply with quote

Second all of this. I remember watching a documentary about how people in rural towns want to eat better. They simply don't have the option to. A friend of mine grew up in a really tiny town. They had something like a 7/11 for their grocery store. That's it. If it wasn't for a big town nearby (where nearby = 30-40 minutes away) I don't know what they would've done for food.

Deb - Colleen is our current frugal queen. Check it out. If you need some shopping advice she's the one to turn to. Smile

Pat - You bring up a good point. While I know what those foods are, I'm not going to blow my budget on fancy cheese and beans. Some of those items could easily be substituted for more "normal" things.
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cultureslayer



Joined: 07 Apr 2006
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PostPosted: Sun Oct 18, 2009 10:23 am    Post subject: Reply with quote

If you live in a decent sized area the local asian market is your best option for cheap gluten free food. The produce is normally cheaper as well. I eat a lot of rice and it's much cheaper than gluten free bread products. They also have many GF flours, and if I want a GF treat frozen mochi is $1.70 a pack, much cheaper than GF cookies. I rarely visit the health food store any more, it's so much cheaper and easier to go to the asian market and regular grocery store for all my food
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jeant



Joined: 06 Apr 2008
Posts: 274

PostPosted: Sun Oct 18, 2009 11:57 am    Post subject: Reply with quote

ostrich wrote:
I remember watching a documentary about how people in rural towns want to eat better. They simply don't have the option to. A friend of mine grew up in a really tiny town. They had something like a 7/11 for their grocery store. That's it. If it wasn't for a big town nearby (where nearby = 30-40 minutes away) I don't know what they would've done for food.


Even some more urban areas have this problem for low-income people. You can be low income even though you're working two to three low-wage jobs, and if you are working that many jobs, you aren't going to have two hours to sit on a bus or subway to get to a decent grocery store.

And even though even small convenience stores typically carry things like canned vegetables that are likely GF, they might cost $2+ a can instead of the 50 cents or so they'd cost at a grocery store.
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ostrich



Joined: 30 Mar 2006
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PostPosted: Mon Oct 19, 2009 9:42 am    Post subject: Reply with quote

cultureslayer wrote:
If you live in a decent sized area the local asian market is your best option for cheap gluten free food. The produce is normally cheaper as well. I eat a lot of rice and it's much cheaper than gluten free bread products. They also have many GF flours, and if I want a GF treat frozen mochi is $1.70 a pack, much cheaper than GF cookies. I rarely visit the health food store any more, it's so much cheaper and easier to go to the asian market and regular grocery store for all my food


For me, the problem is the packaging. The last time I was at an Asian food store everything was printed in Japanese.

<-- would kill for some mochi
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cultureslayer



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PostPosted: Tue Oct 20, 2009 12:32 pm    Post subject: Reply with quote

ostrich wrote:

For me, the problem is the packaging. The last time I was at an Asian food store everything was printed in Japanese.

<-- would kill for some mochi

Sad the food at the place here has stickers on it with the ingredients in Engrish. Ask them if they can tell you what the ingredients on the mochi are. I've never seen mochi with gluten it in unless there was somehow soy sauce or malt in the filling. I stick with red bean paste to be safe and because I love it.
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