Understanding the healthfulness of outlets providing lunch and dinner meals: a census of a rural food retail environment in Victoria, Australia.
assessment tools
food environment
regional
retail
rural
Journal
Australian and New Zealand journal of public health
ISSN: 1753-6405
Titre abrégé: Aust N Z J Public Health
Pays: United States
ID NLM: 9611095
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
pubmed:
22
12
2020
medline:
25
2
2021
entrez:
21
12
2020
Statut:
ppublish
Résumé
To undertake a census of the healthfulness of food venues providing lunch or dinner meals in a rural Australian setting and compare healthfulness by remoteness, using two measurement tools. A census of the rural local government area food venues was undertaken using two validated tools: the Healthfulness Rating Classification System (HRCS) and the Nutrition Environment Measures Survey (NEMS-R). Data were collected covering an area of 3,438 square kilometres in Victoria, Australia, with a population of >21,000. Healthfulness by remoteness was described and variability between tools was explored. Data were collected from all 95 eligible food venues. Both tools classified the food venues as relatively unhealthy. The mean HRCS score was -2.9 (unhealthy) and the mean NEMS-R score was 10.8 (SD 7.0; possible range -27 to 64). There were no significant differences in healthiness of venues by remoteness (as measured by the Modified Monash Model), although the outer-rural region had lower scores. This census of a rural food retail environment showed low access to healthy menu options along with minimal provision of nutrition information and promotion of healthy food in food venues. This environment has the potential to affect the dietary intake of more than 21,000 rural-dwelling Australians and action to improve rural food environments is desperately needed. Implications for public health: If unhealthful rural food environments are not addressed, inequalities in the diet-related disease burden for rural Australians will continue to persist. This study shows that interventions are needed for independent venues that could be targeted by researchers, local health promotion officers, community nutritionists or community education programs.
Identifiants
pubmed: 33347675
doi: 10.1111/1753-6405.13057
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
65-70Subventions
Organisme : Centre of Research Excellence in Food Retail Environments for Health
ID : APP1152968
Organisme : NHMRC Centre for Research Excellence entitled Reducing Salt Intake Using Food Policy Interventions
ID : APP1117300
Organisme : Heart Foundation Future Leader Fellowship
ID : 102035
Organisme : Heart Foundation Post-Doctoral Fellowship
ID : 102530
Informations de copyright
© 2020 The Authors.
Références
Swinburn BA, Sacks G, Hall KD, et al. The global obesity pandemic: Shaped by global drivers and local environments. Lancet. 2011;378(9793):804-14.
Ronto R, Wu JH, Singh GM. The global nutrition transition: trends, disease burdens and policy interventions. Public Health Nutr. 2018;21(12):2267-70.
Australian Institute of Health and Welfare. Rural & Remote Health [Internet]. Canberra (AUST): AIHW; 2019 [cited 2020 Jan 1]. Available from: https://www.aihw.gov.au/reports/rural-remote-australians/rural-remote-health/contents/summary
Alston L, Jacobs J, Allender S, Nichols M. A comparison of the modelled impacts on CVD mortality if attainment of public health recommendations was achieved in metropolitan and rural Australia. Public Health Nutr. 2020;23(2):339-47.
Centers for Disease Control and Prevention. General Food Environment Resources [Internet]. Atlanta (GA): CDC; 2014 [cited 2019 Apr 24]. Available from: https://www.cdc.gov/healthyplaces/healthtopics/healthyfood/general.htm
Story M, Kaphingst KM, Robinson-O’Brien R, Glanz K. Creating healthy food and eating environments: Policy and environmental approaches. Annu Rev Public Health. 2008;29:253-72.
Moayyed H, Kelly B, Feng X, Flood V. Is living near healthier food stores associated with better food intake in regional Australia? Int J Environ Res Public Health. 2017;14(8):88.
Whelan J, Millar L, Bell C, et al. You can’t find healthy food in the bush: Poor accessibility, availability and adequacy of food in rural Australia. Int J Environ Res Public Health. 2018;15(10):2316.
Australian Bureau of Statistics. Household Expenditure Survey, Australia: Summary of Results, 2015-16 [Internet]. Canberra (AUST): ABS; 2016 [cited 2020 Jan 6]. Available from: https://www.abs.gov.au/household-expenditure
Ayala GX, Rogers M, Arredondo EM, et al. Away-from-home food intake and risk for obesity: Examining the influence of context. Obesity (Silver Spring). 2008;16(5):1002-8.
Bezerra IN, Curioni C, Sichieri R. Association between eating out of home and body weight. Nutr Rev. 2012;70(2):65-79.
Duffey KJ, Gordon-Larsen P, Jacobs DR Jr, Williams OD, Popkin BM. Differential associations of fast food and restaurant food consumption with 3-y change in body mass index: The Coronary Artery Risk Development in Young Adults Study. Am J Clin Nutr. 2007;85(1):201-8.
Rose D, Hutchinson PL, Bodor JN, et al. Neighborhood food environments and Body Mass Index: The importance of in-store contents. Am J Prev Med. 2009;37(3):214-19.
Love P, Whelan J, Bell C, McCracken J. Measuring rural food environments for local action in Australia: A systematic critical synthesis review. Int J Environ Res Public Health. 2019;16(13):2416.
Needham C, Sacks G, Orellana L, Robinson E, Allender S, Strugnell C. A systematic review of the Australian food retail environment: Characteristics, variation by geographic area, socioeconomic position and associations with diet and obesity. Obes Rev. 2020;21(2):e12941.
Australian Bureau of Statistics. The Australian Statistical Geography Standard: Remoteness Structure [Internet] Canberra (AUST): ABS; 2019 [cited 2019 Oct 30]. Available from: https://www.abs.gov.au/websitedbs/d3310114.nsf/home/remoteness+structure
Australian Department of Health. Modified Monash Model [Internet]. Canberra (AUST): Government of Australia; 2019 [cited 2020 jan 3]. Available from: https://www.rdaa.com.au/documents/item/740
Saelens BE, Glanz K, Sallis JF, Frank LD. Nutrition Environment Measures Study in restaurants (NEMS-R): development and evaluation. Am J Prev Med. 2007;32(4):273-81.
Moayyed H, Kelly B, Feng X, Flood V. Evaluation of a ‘healthiness’ rating system for food outlet types in Australian residential communities. Nutr Diet. 2017;74(1):29-35.
Thornton LE, Kavanagh AM. Association between fast food purchasing and the local food environment. Nutr Diabetes. 2012;2:e53.
Honeycutt S, Davis E, Clawson M, Glanz K. Training for and dissemination of the Nutrition Environment Measures Surveys (NEMS). Prev Chronic Dis. 2010;7(6):A126.
STATA: statistical software. College Station (TX): Stata Corporation; 2019.
Cuttler R, Evans R, McClusky E, Purser L, Klassen KM, Palermo C. An investigation of the cost of food in the Geelong region of rural Victoria: Essential data to support planning to improve access to nutritious food. Health Promot J Austr. 2019;30(1):124-7.
Love P, Whelan J, Bell C, et al. Healthy diets in rural Victoria - Cheaper than unhealthy alternatives, yet unaffordable. Int J Environ Res Public Health. 2018;15(11):2469
Palermo C, McCartan J, Kleve S, Sinha K, Shiell A. A longitudinal study of the cost of food in Victoria influenced by geography and nutritional quality. Aust N Z J Public Health. 2016;40(3):270-3.
Innes-Hughes C, Boylan S, King LA, Lobb E. Measuring the food environment in three rural towns in New South Wales, Australia. Health Promot J Austr. 2012;23(2):129-33.
Melaku YA, Renzaho A, Gill TK, et al. Burden and trend of diet-related non-communicable diseases in Australia and comparison with 34 OECD countries, 1990-2015: Findings from the Global Burden of Disease Study 2015. Eur J Nutr. 2019;58(3):1299-1313.
The Healthy Eating Advisory Service. The Healthy Eating Advisory Service Can Help Your Organisation Provide And Promote Healthier Foods And Drinks. Melbourne (AUST): Nutrition Australia Victoria Division; 2020.
The Nourish Network. Healthy Retail Promotion [Internet]. Melbourne (AUST): Deakin University; 2020 [cited 2020 Sep 28]. Available from: http://nourishnetwork.org/healthy-food-retail-promotion
Martinez-Donate AP, Riggall AJ, Meinen AM, et al. Evaluation of a pilot healthy eating intervention in restaurants and food stores of a rural community: A randomized community trial. BMC Public Health. 2015;15:136.
Blake MR, Backholer K, Lancsar E, et al. Investigating business outcomes of healthy food retail strategies: A systematic scoping review. Obes Rev. 2019;20(10):1384-99.
Sacks G, Robinson E, Cameron AJ. Issues in measuring the healthiness of food environments and interpreting relationships with diet, obesity and related health outcomes. Curr Obes Rep. 2019;8(2):98-111.
World Health Organisation. Global Strategy on Diet, Physical Activity and Health [Internet]. Geneva (CHE): WHO; 2004 [cited 2020 Feb 20]. Available from: https://www.who.int/dietphysicalactivity/strategy/eb11344/strategy_english_web.pdf
ACT Legislation Register. Food (Nutritional Information) Amendment Act 2011. Canberra (AUST): Australian Capital Territory Parliamentary Council; 2011.