Addressing inequities in healthy eating: Table 1:

Friel, Sharon; Hattersley, Libby; Ford, Laura; O’Rourke, Kerryn

doi:10.1093/heapro/dav073

Cited by 78 publications

(88 citation statements)

References 81 publications

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“…This is particularly important for people of lower socioeconomic status (SES), who are less likely to comply with dietary guideline recommendations and have higher levels of dietary‐related disease than people of higher SES 1–3 . While health promotion programs have traditionally focused on modifying individual behaviours within specific settings, there is growing recognition of the need to improve underlying inequities in the social determinants of health – the conditions in which people are born, live, work and age 4,5 . Additionally, the impact of the neighbourhood environment must be addressed, including the price, affordability, range and quality of fresh and healthy foods 4,6 …”

mentioning

confidence: 99%

Socioeconomic differences in the cost, availability and quality of healthy food in Sydney

Crawford

Byun

Mitchell

et al. 2017

Australian and New Zealand Journal of Public Health

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Objective: To compare the cost of a basket of staple foods, together with the availability and quality of fresh fruit and vegetables, by supermarket store type in high and low socioeconomic suburbs of Sydney.Methods: A food basket survey was undertaken in 100 supermarkets in the 20 highest and 20 lowest socioeconomic suburbs of Sydney. We assessed the cost of 46 foods, the range of 30 fresh fruit and vegetables and the quality of ten fresh fruit and vegetables. Two major supermarket retailers, a discount supermarket chain and independent grocery stores were surveyed. Results:The food basket was significantly cheaper in low compared to high socioeconomic suburbs ($177 vs $189, p<0.01). Discount supermarkets were at least 30% cheaper than other supermarket stores. There were fewer varieties and poorer quality fruit and vegetables in stores in low socioeconomic suburbs. Conclusions:Food basket prices and the availability and quality of fruit and vegetables varied significantly by store type and socioeconomic status of suburb. Implications for public health:A nationwide food and nutrition surveillance system is required to inform public health policy and practice initiatives. In addition to the food retail environment, these initiatives must address the underlying contributors to inequity and food insecurity for disadvantaged groups.

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mentioning

confidence: 99%

Socioeconomic differences in the cost, availability and quality of healthy food in Sydney

Crawford

Byun

Mitchell

et al. 2017

Australian and New Zealand Journal of Public Health

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“…For example, Friel et al (2015), in their review of the evidence of actions which are aimed at addressing the social determinants of inequities in healthy eating, find that the majority of such evidence focused on individual level factors as well as population averages. This type of evidence may help to achieve short term successes, but yet misses the problem's core: Bthe underlying unequal distribution of factors that support the opportunity to eat a healthy diet ( Friel et al 2015:84).…”

Section: Food Poverty and Health Inequalities In Scotlandmentioning

confidence: 99%

A Capabilities Approach to Food Choices

et al. 2017

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I question the notion of food choice and consider how much food choice someone living on low income actually has. In my fieldwork, it became clear that food choices, and hence one's nutritional and health state, cannot be viewed in separation from the participants' individual stories and the complexities of their lives. Daily routines, financial situation, and food accessibility have an impact on people's food choices. In realising this, I found Amartya Sen's (1979Sen's ( , 1985 capabilities approach useful, which moves beyond food entitlements. More specifically, a health capabilities approach as introduced by Venkatapuram (2007Venkatapuram ( , 2011 and the association made between health and capabilities by others (e.g. Ruger Yale Joural Law Humanities 18 (2): 3, 2003) views health as the combination of the influence of socioeconomic structures, as well as personal agency resulting in choices. I present the main learnings from viewing Foodways and Futures through the 'capabilities lens' and thus view food choices as the combination of the complex interrelations between socio-economic structures and agency.

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“…Consuming a healthy diet is a well‐established determinant for promoting good health and preventing chronic disease . While health promotion initiatives have traditionally focused on modifying health behaviours at the individual level, there is growing acknowledgment of the need to address the complex and underlying social, geographical, economic and environmental barriers that prevent healthy eating behaviours . Poor availability of healthy food in the food environment has been associated with lower nutritional quality diets .…”

Section: Introductionmentioning

confidence: 99%

“…1 While health promotion initiatives have traditionally focused on modifying health behaviours at the individual level, there is growing acknowledgment of the need to address the complex and underlying social, geographical, economic and environmental barriers that prevent healthy eating behaviours. 2,3 Poor availability of healthy food in the food environment has been associated with lower nutritional quality diets. 4,5 The food environment can be defined as 'all the foods [that] are available and accessible to people in the settings in which they go about their daily lives'.…”

Section: Introductionmentioning

confidence: 99%

Is the type and location of grocery stores a predictor of healthy and unhealthy food availability? A cross‐sectional study

Kemp

Collins

Palermo

2019

Nutrition & Dietetics

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Aim To investigate whether geographical location or type of store is associated with differences in healthy and unhealthy food availability in grocery stores. Methods A cross‐sectional study using the Victorian Healthy Food Basket to measure food availability (44 ‘healthy’ and 10 ‘unhealthy’ items) in a convenience sample of 112 stores in urban and regional Victoria, Australia. Logistic regression analyses assessed whether location (regional, urban), distance from capital city central business district (km) and type of store (chain supermarket, independent supermarket and general store) predicted the number of missing healthy and unhealthy food items. Results There were 54 chain supermarkets, 43 independent supermarkets and 15 general stores, with 56% of stores located in urban areas and 44% located regionally. The strongest significant predictor of missing items was being a general store, which had greater odds (odds ratio (OR) = 136, 95% confidence interval (CI) = 13–1399) of having missing ‘healthy’ items and missing ‘unhealthy’ items (OR = 63, 95% CI = 7–575), compared with chain supermarkets. Independent supermarkets had increased odds of having missing ‘healthy’ items (OR = 7, 95% CI = 2–22) compared with chain supermarkets. Regional store location was a significant predictor of missing ‘healthy’ and ‘unhealthy’ items, compared with urban location (OR = 6, 95% CI = 2–25) and (OR = 7, 95% CI = 2–29), respectively. Conclusions Store type was a stronger predictor of stores having missing ‘healthy’ and ‘unhealthy’ food items than the store distance from a large urban centre. General stores and independent supermarkets may be important settings for interventions to improve availability of healthy food.

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Addressing inequities in healthy eating: Table 1:

Cited by 78 publications

References 81 publications

Socioeconomic differences in the cost, availability and quality of healthy food in Sydney

Socioeconomic differences in the cost, availability and quality of healthy food in Sydney

A Capabilities Approach to Food Choices

Is the type and location of grocery stores a predictor of healthy and unhealthy food availability? A cross‐sectional study

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