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The economic feasibility of price discounts to improve diet in Australian Aboriginal remote communities

Magnus, Anne, Moodie, Marj L., Ferguson, Megan, Cobiac, Linda J., Liberato, Selma C. and Brimblecombe, Julie 2016, The economic feasibility of price discounts to improve diet in Australian Aboriginal remote communities, Australian and New Zealand journal of public health, vol. 40, no. S1, Special issue: Indigenous health, pp. S36-S41, doi: 10.1111/1753-6405.12391.

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Title The economic feasibility of price discounts to improve diet in Australian Aboriginal remote communities
Author(s) Magnus, AnneORCID iD for Magnus, Anne orcid.org/0000-0002-1165-8161
Moodie, Marj L.ORCID iD for Moodie, Marj L. orcid.org/0000-0001-6890-5250
Ferguson, Megan
Cobiac, Linda J.
Liberato, Selma C.
Brimblecombe, Julie
Journal name Australian and New Zealand journal of public health
Volume number 40
Issue number S1
Season Special issue: Indigenous health
Start page S36
End page S41
Total pages 6
Publisher Wiley
Place of publication London, Eng.
Publication date 2016-04
ISSN 1753-6405
Keyword(s) Aboriginal and Torres Strait Islanders
cost-effectiveness
fiscal strategies
nutrition
price elasticity
Summary OBJECTIVE: To estimate the cost-effectiveness of fiscal measures applied in remote community food stores for Aboriginal Australians.

METHODS: Six price discount strategies on fruit, vegetables, diet drinks and water were modelled. Baseline diet was measured as 12 months' actual food sales data in three remote Aboriginal communities. Discount-induced changes in food purchases were based on published price elasticity data while the weight of the daily diet was assumed constant. Dietary change was converted to change in sodium and energy intake, and body mass index (BMI) over a 12-month period. Improved lifetime health outcomes, modelled for the remote population of Aboriginal and Torres Strait Islanders, were converted to disability adjusted life years (DALYs) saved using a proportional multistate lifetable model populated with diet-related disease risks and Aboriginal and Torres Strait Islander rates of disease.

RESULTS: While dietary change was small, five of the six price discount strategies were estimated as cost-effective, below a $50,000/DALY threshold.

CONCLUSION: Stakeholders are committed to finding ways to reduce important inequalities in health status between Aboriginal and Torres Strait Islanders and non-Indigenous Australians. Price discounts offer potential to improve Aboriginal and Torres Strait Islander health. Verification of these results by trial-based research coupled with consideration of factors important to all stakeholders is needed.
Language eng
DOI 10.1111/1753-6405.12391
Field of Research 1117 Public Health And Health Services
1402 Applied Economics
1605 Policy And Administration
111701 Aboriginal and Torres Strait Islander Health
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution Non-Commercial No-Derivatives licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30080253

Document type: Journal Article
Collections: Population Health
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.