The development of the gluten free healthy food basket in Cyprus. Is it affordable among low-income adults diagnosed with celiac disease?

2019 ◽  
Vol 42 (2) ◽  
pp. 270-276
Author(s):  
S Chrysostomou ◽  
S N Andreou ◽  
Ch Andreou
Keyword(s):  
Celiac Disease ◽  
Low Income ◽  
Healthy Food ◽  
Adult Women ◽  
Gluten Free ◽  
Minimum Income ◽  
Food Stress ◽  
Total Food ◽  
Food Basket ◽  
Guaranteed Minimum Income

Abstract Background Gluten free (GF) diets are not only restrictive but also costly. The main aim of this study was to evaluate the acceptability, cost and affordability of a Gluten Free Healthy Food Basket (GFHFB) and further examine whether low-income Cypriots diagnosed with celiac disease (CD) experience food stress. Methods GFΗFBs were constructed for adult women and adult men (±40 years) diagnosed with CD. Feasibility and acceptability was tested through three focus groups. Affordability was defined as the cost of the GFΗFB as a percentage of the Guaranteed Minimum Income (GMI). Results The GFΗFB was 33.6 and 47 euros/month more expensive compared to the HB (Healthy Basket) for women and men, respectively. The total budget for GF-manufactured products were 27.81 and 28.5% of the total food budget, for women and men, respectively. For low-income people receiving the GMI, the proportion of income that would need to be spent on the GFHFB ranges from around 42 to 60%. Conclusions The GFΗFB is costly and not affordable among low-income Cypriots diagnosed with CD; thus, they are likely to suffer from food stress. As such, the risk of reducing their adherence to a GF diet is high and thus compromises their long-term health.

The purchase of the Diabetic Healthy Food Basket in Cyprus results in cost savings: is it affordable among the low-income population?

2020 ◽  
Vol 23 (18) ◽  
pp. 3409-3416
Author(s):  
Stavri Chrysostomou ◽  
Christos Koutsampelas ◽  
Sofia N. Andreou ◽  
Charalampos Pittas
Keyword(s):  
Low Income ◽  
Cost Savings ◽  
Healthy Food ◽  
Diabetic Woman ◽  
Diabetic Patients ◽  
Adult Women ◽  
Minimum Income ◽  
Food Basket ◽  
Cost Efficient ◽  
The Cost

AbstractObjective:The main objective was to assess the cost, acceptability and affordability of the Cypriot Diabetic Healthy Food Basket (DHFB).Design:The development of DHFB was based on the Cypriot HFB with adjustments based on the nutritional guidelines for diabetes as developed by the American Diabetes Association (ADA) and information retrieved through the questionnaires. Two DHFB were constructed for adult women and adult men (±40 years) diagnosed with diabetes. Affordability was defined as the cost of DHFB as a percentage of the Guaranteed Minimum Income (GMI).Setting:Cyprus.Participants:422 diabetic patients aged 18–87 years from different socioeconomic backgrounds.Results:DHFB consists of eight food categories, similar to Cypriot HFB, but different specific food items. The total monthly budget for a diabetic woman is about 15 % (25·68 Euros less) lower compared with HFB, and the relative percentage for a diabetic man is about 16 % (37·58 Euros less). The total monthly budget for a diabetic woman is about 30 % lower (60·32 Euros less) compared with that of a diabetic man. For low-income adults receiving GMI, the proportion of income that would need to be spent on DHFB ranges from around 30 to 42 % for women and men, respectively.Conclusions:The cost of DHFB is lower compared with HFB, meaning that nutritional treatment based on the practice guidelines for diabetes could be a cost-efficient therapy for these patients. DHFB is still not affordable among low-income persons.

scholarly journals Food Stress in Adelaide: The Relationship between Low Income and the Affordability of Healthy Food

2013 ◽  
Vol 2013 ◽  
pp. 1-10 ◽  
Author(s):  
Paul R. Ward ◽  
Fiona Verity ◽  
Patricia Carter ◽  
George Tsourtos ◽  
John Coveney ◽  
...  
Keyword(s):  
Low Income ◽  
Household Income ◽  
Healthy Food ◽  
Healthy Foods ◽  
Food Stress ◽  
Low Incomes ◽  
Food Basket ◽  
Low Income Families ◽  
The Cost ◽  
The Relationship

Healthy food is becoming increasingly expensive, and families on low incomes face a difficult financial struggle to afford healthy food. When food costs are considered, families on low incomes often face circumstances of poverty. Housing, utilities, health care, and transport are somewhat fixed in cost; however food is more flexible in cost and therefore is often compromised with less healthy, cheaper food, presenting an opportunity for families on low incomes to cut costs. Using a “Healthy Food Basket” methodology, this study costed a week’s supply of healthy food for a range of family types. It found that low-income families would have to spend approximately 30% of household income on eating healthily, whereas high-income households needed to spend about 10%. The differential is explained by the cost of the food basket relative to household income (i.e., affordability). It is argued that families that spend more than 30% of household income on food could be experiencing “food stress.” Moreover the high cost of healthy foods leaves low-income households vulnerable to diet-related health problems because they often have to rely on cheaper foods which are high in fat, sugar, and salt.

scholarly journals Improvement of the targeted social support of low-income families with children: Vologda Pilot Project

POPULATION ◽  
2019 ◽  
Vol 22 (1) ◽  
pp. 106-121
Author(s):  
Vyacheslav Bobkov
Keyword(s):  
Social Support ◽  
Low Income ◽  
Social Assistance ◽  
Minimum Income ◽  
Lump Sum ◽  
Subsistence Minimum ◽  
Regional Budget ◽  
Low Income Families ◽  
Families With Children ◽  
Guaranteed Minimum Income

The article deals with the theoretical, methodical and practical principles of forming a new model of targeted social support of low-income families with children on the basis of guaranteed minimum income. Approbation of the new approaches to targeted social support of low-income families with children was implemented in Vologda oblast. The target representative sample was 70 families. It has been found out that after the targeted social support under the current legislation (lump-sum payments excluded), basic income in these families averaged 35.3 per cent of the differentiated equivalent subsistence minimum, thus being evidence of the inefficient state social assistance. The author has substantiated introducing additional monthly targeted social payments to parents besides the set regular payments (additional family poverty benefit) that will enable families to improve their economic sustainability. He substantiated a number of threshold values of the guaranteed minimum income that would ensure current consumption ranging from the cost food basket up to the size of the differentiated equivalent living standards of families, depending on the financial capacity of the regional budget. The guaranteed minimum income of low-income families with children averaged 54.6 per cent of the regional differentiated equivalent subsistence minimum. There have been developed methodical recommendations for identifying untapped socio-economic potential of families as a source of raising income from employment, as well as criteria for removal of families from the recipients of targeted social assistance in the form of cash benefits. Proposals on correcting the current legislation on the state social support have been formulated.

scholarly journals Vēsturisks spriedums Latvijā: personas garantētā minimālā ienākumu līmeņa atbilstība Latvijas Republikas Satversmei

2020 ◽  
Vol 3 (18) ◽  
pp. 14-20
Author(s):  
Juris Jansons
Keyword(s):  
Social Security ◽  
Social Services ◽  
Low Income ◽  
Income Level ◽  
Fundamental Rights ◽  
Constitutional Court ◽  
Specific Element ◽  
Minimum Income ◽  
The Republic ◽  
Guaranteed Minimum Income

Rakstā ir analizēts Latvijas Republikas Satversmes tiesas spriedums lietā Nr. 2019-24-03, kuras izskatīšanā šī raksta autors piedalījās kā pieteicējs. Ar apstrīdēto normu noteiktais garantētais minimālais ienākumu līmenis ir zemākais tiesību aktos noteiktais ienākumu vai resursu līmenis, kas ļauj personai, kura atzīta par trūcīgu, pretendēt uz noteikta veida sociālo palīdzību. No 2020. gada 1. janvāra garantētais minimālais ienākumu līmenis personai bija noteikts 64 eiro mēnesī. 2020. gada 25. jūnijā Latvijas Republikas Satversmes tiesa pasludināja spriedumu, ar kuru atzina Ministru kabineta 2012. gada 18. decembra noteikumu Nr. 913 “Noteikumi par garantēto minimālo ienākumu līmeni” 2. punktu par neatbilstošu Latvijas Republikas Satversmes 1. un 109. pantam un spēkā neesošu no 2021. gada 1. janvāra. Ar minēto spriedumu sociālo un ekonomisko tiesību jomā Latvijā ir noticis būtisks pavērsiens. Šis ir vēsturisks spriedums, kas kalpo kā vadlīnija sociālās drošības sistēmas sakārtošanai Latvijā ne vien attiecībā uz garantēto minimālo ienākumu līmeni, bet arī uz visu sociālo palīdzību un pakalpojumiem kopumā. Īpaši jāuzsver, ka pamattiesību tvērumā Satversmes tiesa konkrēto sociālās drošības elementu aplūkoja caur cilvēka cieņas prizmu, un jādomā, ka tas būtiski ietekmēs vismazāk aizsargāto Latvijas iedzīvotāju labklājību. Rakstā tika izmantotas vispārzinātniskās pētījumu metodes un tiesību normu interpretācijas metodes. Vienlaikus tika analizēti starptautiskie un Latvijas Republikas normatīvie akti, Latvijas Republikas tiesu prakses piemēri, kā arī veikta zinātniskās literatūras izpēte. The article analyses the award rendered by the Constitutional Court of the Republic of Latvia in case No. 2019-24-03 tried with participation of the Author of this article in the capacity of an applicant. The guaranteed minimum income level (GMI level) prescribed by the contested norm means the lowest level of income or resources prescribed by legal acts as providing eligibility of a person who is treated as a low income person to qualify for certain form of social aid. The GMI level guaranteed per person from 1 January 2020 has been 64 EUR/month. On 25 July 2020, the Constitutional Court of the Republic of Latvia announced the award whereby non-conformity of Paragraph 2 of the Cabinet Regulations No. 913 of 18 December 2012 “Regulations concerning the guaranteed minimum income level” with Sections 1 and 109 of Constitution of the Republic of Latvia was established and the said Paragraph was rendered invalid as from 1 January 2021. The above-described award has marked a significant milestone in the field of social and economic rights in Latvia. This historical award serves as a guideline to putting in order the social security system in Latvia not only in terms of the GMI but also in terms of social aid and social services in general. It should be noted in particular that the Constitutional Court has been discussing the specific element of social security in the context of fundamental rights in the light of human dignity, and it can be expected to have significant effect on wellbeing of the most vulnerable population of Latvia. The Article was based on methods of general scientific research and interpretation of legal norms. Along with that, analysis of international and national regulatory acts and case law of the Republic of Latvia is presented as well as studies of scientific literature.

A Clinical and Histochemical Study of Celiac Disease Before and During a Gluten-Free Diet

1965 ◽  
Vol 48 (2) ◽  
pp. 155-172 ◽  
Author(s):  
I. Michael Samloff ◽  
John S. Davis ◽  
Eric A. Schenk
Keyword(s):  
Celiac Disease ◽  
Histochemical Study ◽  
Gluten Free Diet ◽  
Gluten Free

Severe Alveolar Hemorrhage – What’s in it for the Gastroenterologist?

2016 ◽  
Vol 25 (4) ◽  
pp. 555-558
Author(s):  
Alina Popp
Keyword(s):  
Celiac Disease ◽  
International Normalized Ratio ◽  
Gluten Free Diet ◽  
Alveolar Hemorrhage ◽  
Severe Anemia ◽  
Gluten Free ◽  
Pulmonary Infiltrates ◽  
Pulmonary Hemosiderosis ◽  
Threatening Condition ◽  
Life Threatening

Background: Alveolar hemorrhage is a potentially life-threatening condition which is usually managed by the pulmonologist. When considering its etiology, there is a rare association that sets the disease into the hands of the gastroenterologist. Case presentation: We report the case of a 48 year-old female who was admitted to the intensive care unit for severe anemia and hemoptysis. On imaging, diffuse pulmonary infiltrates suggestive of alveolar hemorrhage were detected and a diagnosis of pulmonary hemosiderosis was made. She received cortisone therapy and hematologic correction of anemia, with slow recovery. In search of an etiology for the pulmonary hemosiderosis, an extensive workup was done, and celiac disease specific serology was found positive. After confirmation of celiac disease by biopsy, a diagnosis of Lane-Hamilton syndrome was established. The patient was recommended a gluten-free diet and at 6 months follow-up, resolution of anemia and pulmonary infiltrates were observed. Conclusion: Although the association is rare, celiac disease should be considered in a patient with idiopathic pulmonary hemosiderosis. In our case, severe anemia and alveolar infiltrates markedly improved with glucocorticoids and gluten-free diet. Abbreviations: APTT: activated partial thromboplastin time; BAL: bronchoalveolar lavage; CD: celiac disease; Cd: crypt depth; GFD: gluten-free diet; GI: gastrointestinal; IEL: intraepithelial lymphocyte; INR: international normalized ratio; IPH: idiopathic pu

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