Abstract：
INTRODUCTION:The burden of chronic diseases is rapidly increasing worldwide. In Australia rural populations have a greater burden of disease. Chronic diseases are largely preventable with diet as a key risk factor. With respect to diet-related chronic disease, dietary risk may be due to poor food access, namely, poor availability and/or the high cost of healthy food. It is likely that poor food access is an issue in rural areas. OBJECTIVE:To assess food access in rural south-west (SW) Victoria, Australia. METHODS:A total of 53 supermarkets and grocery stores in 42 towns participated in a survey of food cost and availability in the rural area of SW Victoria. The survey assessed availability and cost of a Healthy Food Access Basket (HFAB) which was designed to meet the nutritional needs of a family of 6 for 2 weeks. RESULTS:Seventy-two percent of the eligible shops in SW Victoria were surveyed. The study found that the complete HFAB was significantly more likely to be available in a town with a chain-owned store (p <0.00). The complete HFAB was less likely to be available from an independently owned store in a town with only one grocery shop (p <0.004). The average cost of the HFAB across SW Victoria was AU380.30 dollars +/- 25.10 dollars (mean +/- SD). There was a mean range in difference of cost of the HFAB of 36.92 dollars. In particular, high variability was found in the cost of fruits and vegetables. CONCLUSIONS:Cost and availability of healthy food may be compromised in rural areas. IMPLICATIONS:Improvements in food access in rural areas could reduce the high burden of disease suffered by rural communities.
journal_name
Rural Remote Healthjournal_title
Rural and remote healthauthors
Burns CM,Gibbon P,Boak R,Baudinette S,Dunbar JAkeywords:
subject
Has Abstractpub_date
2004-10-01 00:00:00pages
311issue
4issn
1445-6354pii
311journal_volume
4pub_type
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