You can't find healthy food in the bush: poor accessibility, availability and adequacy of food in rural Australia

Whelan, Jill, Millar, Lynne, Bell, Colin, Russell, Cherie, Grainger, Felicity, Allender, Steven and Love, Penelope 2018, You can't find healthy food in the bush: poor accessibility, availability and adequacy of food in rural Australia, International journal of environmental research and public health, vol. 15, no. 10, Special Issue Addressing Food and Nutrition Security in Developed Countries, pp. 1-15, doi: 10.3390/ijerph15102316.

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Title You can't find healthy food in the bush: poor accessibility, availability and adequacy of food in rural Australia
Author(s) Whelan, JillORCID iD for Whelan, Jill orcid.org/0000-0001-9434-109X
Millar, Lynne
Bell, ColinORCID iD for Bell, Colin orcid.org/0000-0003-2731-9858
Russell, Cherie
Grainger, Felicity
Allender, StevenORCID iD for Allender, Steven orcid.org/0000-0002-4842-3294
Love, PenelopeORCID iD for Love, Penelope orcid.org/0000-0002-1244-3947
Journal name International journal of environmental research and public health
Volume number 15
Issue number 10
Season Special Issue Addressing Food and Nutrition Security in Developed Countries
Article ID 2316
Start page 1
End page 15
Total pages 15
Publisher MDPI
Place of publication Basel, Switzerland
Publication date 2018
ISSN 1660-4601
Keyword(s) food security
food supply
obesity
rural
Science & Technology
Life Sciences & Biomedicine
Environmental Sciences
Public, Environmental & Occupational Health
Environmental Sciences & Ecology
NUTRITION ENVIRONMENT MEASURES
STORES
COST
INTERVENTION
SUPERMARKETS
ASSOCIATION
RESTAURANTS
BARRIERS
VICTORIA
Summary In high-income countries, obesity disproportionately affects those from disadvantaged and rural areas. Poor diet is a modifiable risk factor for obesity and the food environment a primary driver of poor diet. In rural and disadvantaged communities, it is harder to access affordable and nutritious food, affecting both food insecurity and the health of rural residents. This paper aims to describe the food environment in a rural Australian community (approx. 7000 km² in size) to inform the development of community-relevant food supply interventions. We conducted a census audit of the food environment (ground truthing) of a local government area (LGA). We used the Nutrition Environment Measurement tools (NEMS-S and NEMS-R) to identify availability of a range of food and non-alcoholic beverages, the relative price of a healthy compared to a less healthy option of a similar food type (e.g., bread), the quality of fresh produce and any in-store nutrition promotion. Thirty-eight food retail outlets operated at the time of our study and all were included, 11 food stores (NEMS-S) and 27 food service outlets (NEMS-R). The mean NEMS-S score for all food stores was 21/54 points (39%) and mean NEMS-R score for all food service outlets was 3/23 points (13%); indicative of limited healthier options at relatively higher prices. It is difficult to buy healthy food beyond the supermarkets and one (of seven) cafés across the LGA. Residents demonstrate strong loyalty to local food outlets, providing scope to work with this existing infrastructure to positively impact poor diet and improve food security.
Language eng
DOI 10.3390/ijerph15102316
Field of Research MD Multidisciplinary
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2018 by the authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30114828

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
Population Health
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