Health-Promoting Food Pricing Policies and Decision-Making in Very Remote Aboriginal and Torres Strait Islander Community Stores in Australia
| Autor: | Kerin O'Dea, Megan Ferguson, Julie Brimblecombe, Marjory Moodie, Jon Altman |
|---|---|
| Přispěvatelé: | Ferguson, Megan, O'Dea, Kerin, Altman, Jon, Moodie, Marjory, Brimblecombe, Julie |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male 0301 basic medicine diet-related chronic disease Native Hawaiian or Other Pacific Islander Health Toxicology and Mutagenesis Decision Making lcsh:Medicine Context (language use) Health Promotion Article Food Supply Nutrition Policy 03 medical and health sciences 0302 clinical medicine 11. Sustainability Humans 030212 general & internal medicine Marketing health care economics and organizations Aged Aged 80 and over 2. Zero hunger 030109 nutrition & dietetics Food security Unintended consequences lcsh:R Australia Public Health Environmental and Occupational Health Subsidy food security Middle Aged Snowball sampling Work (electrical) Sustainability Costs and Cost Analysis food pricing Female Diet Healthy Thematic analysis policy |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 15 Issue 12 International Journal of Environmental Research and Public Health, Vol 15, Iss 12, p 2908 (2018) |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph15122908 |
| Popis: | Aboriginal and Torres Strait Islander people living in remote communities in Australia experience a disproportionate burden of diet-related chronic disease. This occurs in an environment where the cost of store-purchased food is high and cash incomes are low, factors that affect both food insecurity and health outcomes. Aboriginal and Torres Strait Islander storeowners and the retailers who work with them implement local policies with the aim of improving food affordability and health outcomes. This paper describes health-promoting food pricing policies, their alignment with evidence, and the decision-making processes entailed in their development in community stores across very remote Australia. Semi-structured interviews were conducted with a purposive sample of retailers and health professionals identified through the snowball method, September 2015 to October 2016. Data were complemented through review of documents describing food pricing policies. A content analysis of the types and design of policies was undertaken, while the decision-making process was considered through a deductive, thematic analysis. Fifteen retailers and 32 health professionals providing services to stores participated. Subsidies and subsidy/price increase combinations dominated. Magnitude of price changes ranged from 5% to 25% on fruit, vegetables, bottled water, artificially sweetened and sugar sweetened carbonated beverages, and broadly used &lsquo healthy/essential&rsquo and &lsquo unhealthy&rsquo food classifications. Feasibility and sustainability were considered during policy development. Greater consideration of acceptability, importance, effectiveness and unintended consequences of policies guided by evidence were deemed important, as were increased involvement of Aboriginal and Torres Strait Islander storeowners and nutritionists in policy development. A range of locally developed health-promoting food pricing policies exist and partially align with research-evidence. The decision-making processes identified offer an opportunity to incorporate evidence, based on consideration of the local context. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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