Next Article in Journal
Spatiotemporal Characteristics of Ecological Conditions and Its Response to Natural Conditions and Human Activities during 1990–2010 in the Yangtze River Delta, China
Next Article in Special Issue
Testing the Price of Healthy and Current Diets in Remote Aboriginal Communities to Improve Food Security: Development of the Aboriginal and Torres Strait Islander Healthy Diets ASAP (Australian Standardised Affordability and Pricing) Methods
Previous Article in Journal
Healthy Nutrition and Physical Activity in Childcare: Views from Childcare Managers, Childcare Workers and Parents on Influential Factors
Previous Article in Special Issue
Undeserving, Disadvantaged, Disregarded: Three Viewpoints of Charity Food Aid Recipients in Finland
Open AccessArticle

Health-Promoting Food Pricing Policies and Decision-Making in Very Remote Aboriginal and Torres Strait Islander Community Stores in Australia

1
School of Public Health, The University of Queensland, Brisbane 4072, Australia
2
Wellbeing and Preventable Chronic Diseases, Menzies School of Health Research, Darwin 0811, Australia
3
Division of Health Sciences, University of South Australia, Adelaide 5001, Australia
4
Alfred Deakin Institute for Citizenship and Globalisation, Deakin University, Burwood 3125, Australia
5
Deakin Health Economics, Centre for Population Health Research, Deakin University, Geelong 3220, Australia
6
Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne 3168, Australia
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(12), 2908; https://doi.org/10.3390/ijerph15122908
Received: 8 November 2018 / Revised: 10 December 2018 / Accepted: 14 December 2018 / Published: 19 December 2018
(This article belongs to the Special Issue Addressing Food and Nutrition Security in Developed Countries)
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 ‘healthy/essential’ and ‘unhealthy’ 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. View Full-Text
Keywords: food security; diet-related chronic disease; policy; food pricing food security; diet-related chronic disease; policy; food pricing
MDPI and ACS Style

Ferguson, M.; O'Dea, K.; Altman, J.; Moodie, M.; Brimblecombe, J. Health-Promoting Food Pricing Policies and Decision-Making in Very Remote Aboriginal and Torres Strait Islander Community Stores in Australia. Int. J. Environ. Res. Public Health 2018, 15, 2908.

Show more citation formats Show less citations formats
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop