Nutrition in remote Aboriginal communities: lessons from Mai Wiru and the Anangu Pitjantjatjara Yankunytjatjara Lands
| Autor: | John Tregenza, Amanda Lee, Liza Balmer, Liz Tregenza, Jamie M. Sheard, Stephan Rainow, Milyika Paddy, Suzanne Bryce, David Schomburgk |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Rural Population
0301 basic medicine Program evaluation Native Hawaiian or Other Pacific Islander Time Factors Saturated fat Market basket Nutritional Status Aboriginal health Added sugar Multiple methods Indigenous Nutrition Policy 03 medical and health sciences 0302 clinical medicine Food supply Environmental health Humans Medicine 030212 general & internal medicine 030109 nutrition & dietetics business.industry lcsh:Public aspects of medicine Dietary intake digestive oral and skin physiology Australia Commerce Public Health Environmental and Occupational Health lcsh:RA1-1270 food supply nutrition Socioeconomic Factors Food preventive health Female business Program Evaluation |
| Zdroj: | Australian and New Zealand Journal of Public Health, Vol 40, Iss S1, Pp S81-S88 (2016) |
| ISSN: | 1326-0200 |
| DOI: | 10.1111/1753-6405.12419 |
| Popis: | Objective: To examine the impact of efforts to improve nutrition on the Anangu Pitjantjatjara Yankunytjatjara (APY) Lands from 1986, especially in Mai Wiru (good food) stores. Methods: Multiple methods were employed. Literature was searched systematically. In 2012, the store‐turnover method quantified dietary intake of the five APY communities that have a Mai Wiru store. The price of a standard market basket of basic foods, implementation of store nutrition policy requirements and healthy food checklists were also assessed in all seven APY community stores at intervals from 2012. Results were compared with available data from 1986. Results: Despite concerted efforts and marked achievements, including decreased intake of sugar, increased availability and affordability of healthy foods (particularly fruit and vegetables) and consequent improvement in some nutrient intakes, the overall effect has been a decrease in total diet quality since 1986. This is characterised by increased supply and intake of discretionary foods high in saturated fat, added sugar and salt, particularly sugar sweetened beverages, convenience meals and take‐away foods. Conclusions: The documented improvements confirm that residing in these communities can help Aboriginal residents exert control over key aspects of their food supply. However, the overall findings reflect broader changes to the general Australian food supply, and reinforce the notion that, in the absence of supportive regulation and market intervention, adequate and sustained resources are required to improve nutrition and prevent diet‐related chronic disease on the APY Lands. Implications: This study also provides insights into food supply/security issues affecting other remote communities and wider Australia. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text