Shelf Awareness
Understanding the need is part of changing it.
Shelf Awareness shares facts and information about celiac disease, medically necessary gluten-free diets, food insecurity, gluten-free food access, and ways communities can make food assistance more inclusive.
Shelf Awareness
What celiac disease is
Celiac disease is an autoimmune condition, not an allergy or a preference. When someone with celiac eats gluten, their immune system attacks the lining of their own small intestine. About 1% of people worldwide have it, including roughly 2 million people in the United States, and the only treatment is a strict, lifelong gluten-free diet. There is no medication.
Source: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), National Institutes of Health
Shelf Awareness
Why gluten-free costs more
Researchers at Columbia University's Celiac Disease Center compared a standard grocery basket across five US regions and found gluten-free products cost 183% more than their wheat-based equivalents. Staples were worse: gluten-free bread cost 229% more and pasta 227% more. Even mass-market brands making gluten-free versions of their own products charged 139% more.
Source: Lee AR, Wolf RL, Lebwohl B, Ciaccio EJ, Green PHR. "Persistent Economic Burden of the Gluten Free Diet." Nutrients, 2019;11(2):399.
Shelf Awareness
Making pantries inclusive
Cost is only half the barrier. The same study found the average traditional grocery store stocked just 58% of a standard gluten-free basket, and overall availability fell over the previous decade, from 69% in 2006 to 59% in 2016. Safe food is not only more expensive, it is harder to find, and hardest in the everyday stores families actually shop.
Source: Lee AR et al., Nutrients, 2019;11(2):399.