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

Autor: Chrysostomou S; Department of Life Sciences, European University of Cyprus, 6 Diogenes Street, Engomi, Nicosia, Cyprus., Andreou SN; Economics Research Center, University of Cyprus, PO Box 20537, CY-1678 Nicosia, Cyprus., Andreou C; Department of Life Sciences, European University of Cyprus, 6 Diogenes Street, Engomi, Nicosia, Cyprus.
Jazyk: angličtina
Zdroj: Journal of public health (Oxford, England) [J Public Health (Oxf)] 2020 May 26; Vol. 42 (2), pp. 270-276.
DOI: 10.1093/pubmed/fdz034
Abstrakt: 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 Author(s) 2019. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze: MEDLINE