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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

Author

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  • Amanda Lee

    (School of Public Health, Faculty of Medicine, The University of Queensland, Herston, Queensland 4006, Australia
    The Australian Prevention Partnership Centre, The Sax Institute, Ultimo 2007, New South Wales, Australia)

  • Meron Lewis

    (School of Public Health, Faculty of Medicine, The University of Queensland, Herston, Queensland 4006, Australia)

Abstract

Aboriginal and Torres Strait Islander peoples suffer higher rates of food insecurity and diet-related disease than other Australians. However, assessment of food insecurity in specific population groups is sub-optimal, as in many developed countries. This study tailors the Healthy Diets ASAP (Australian Standardised Affordability and Pricing) methods protocol to be more relevant to Indigenous groups in assessing one important component of food security. The resultant Aboriginal and Torres Strait Islander Healthy Diets ASAP methods were used to assess the price, price differential, and affordability of healthy (recommended) and current (unhealthy) diets in five remote Aboriginal communities. The results show that the tailored approach is more sensitive than the original protocol in revealing the high degree of food insecurity in these communities, where the current diet costs nearly 50% of disposable household income compared to the international benchmark of 30%. Sixty-two percent of the current food budget appears to be spent on discretionary foods and drinks. Aided by community store pricing policies, healthy (recommended) diets are around 20% more affordable than current diets in these communities, but at 38.7% of disposable household income still unaffordable for most households. Further studies in urban communities, and on other socioeconomic, political and commercial determinants of food security in Aboriginal and Torres Strait Islander communities appear warranted. The development of the tailored method provides an example of how national tools can be adapted to better inform policy actions to improve food security and help reduce rates of diet-related chronic disease more equitably in developed countries.

Suggested Citation

  • Amanda Lee & Meron Lewis, 2018. "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 Standa," IJERPH, MDPI, vol. 15(12), pages 1-15, December.
  • Handle: RePEc:gam:jijerp:v:15:y:2018:i:12:p:2912-:d:191757
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    References listed on IDEAS

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    1. Sally Mackay & Tina Buch & Stefanie Vandevijvere & Rawinia Goodwin & Erina Korohina & Mafi Funaki-Tahifote & Amanda Lee & Boyd Swinburn, 2018. "Cost and Affordability of Diets Modelled on Current Eating Patterns and on Dietary Guidelines, for New Zealand Total Population, Māori and Pacific Households," IJERPH, MDPI, vol. 15(6), pages 1-12, June.
    2. Penelope Love & Jillian Whelan & Colin Bell & Felicity Grainger & Cherie Russell & Meron Lewis & Amanda Lee, 2018. "Healthy Diets in Rural Victoria—Cheaper than Unhealthy Alternatives, Yet Unaffordable," IJERPH, MDPI, vol. 15(11), pages 1-16, November.
    3. Cliona Ni Mhurchu & Helen Eyles & Chris Schilling & Qing Yang & William Kaye-Blake & Murat Genç & Tony Blakely, 2013. "Food Prices and Consumer Demand: Differences across Income Levels and Ethnic Groups," PLOS ONE, Public Library of Science, vol. 8(10), pages 1-12, October.
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    Cited by:

    1. Megan Ferguson & Emma Tonkin & Julie Brimblecombe & Amanda Lee & Bronwyn Fredericks & Katherine Cullerton & Catherine L. Mah & Clare Brown & Emma McMahon & Mark D. Chatfield & Eddie Miles & Yvonne Cad, 2023. "Communities Setting the Direction for Their Right to Nutritious, Affordable Food: Co-Design of the Remote Food Security Project in Australian Indigenous Communities," IJERPH, MDPI, vol. 20(4), pages 1-14, February.
    2. Christina Mary Pollard & Sue Booth, 2019. "Addressing Food and Nutrition Security in Developed Countries," IJERPH, MDPI, vol. 16(13), pages 1-5, July.
    3. Meron Lewis & Sarah A. McNaughton & Lucie Rychetnik & Mark D. Chatfield & Amanda J. Lee, 2021. "Dietary Intake, Cost, and Affordability by Socioeconomic Group in Australia," IJERPH, MDPI, vol. 18(24), pages 1-14, December.
    4. Tiff-Annie Kenny & Matthew Little & Tad Lemieux & P. Joshua Griffin & Sonia D. Wesche & Yoshitaka Ota & Malek Batal & Hing Man Chan & Melanie Lemire, 2020. "The Retail Food Sector and Indigenous Peoples in High-Income Countries: A Systematic Scoping Review," IJERPH, MDPI, vol. 17(23), pages 1-49, November.
    5. Brianna F. Poirier & Joanne Hedges & Lisa G. Smithers & Megan Moskos & Lisa M. Jamieson, 2022. "Child-, Family-, and Community-Level Facilitators for Promoting Oral Health Practices among Indigenous Children," IJERPH, MDPI, vol. 19(3), pages 1-19, January.
    6. Meron Lewis & Lisa-Maree Herron & Mark D. Chatfield & Ru Chyi Tan & Alana Dale & Stephen Nash & Amanda J. Lee, 2023. "Healthy Food Prices Increased More Than the Prices of Unhealthy Options during the COVID-19 Pandemic and Concurrent Challenges to the Food System," IJERPH, MDPI, vol. 20(4), pages 1-17, February.
    7. Elena Carrillo-Álvarez & Blanca Salinas-Roca & Lluís Costa-Tutusaus & Raimon Milà-Villarroel & Nithya Shankar Krishnan, 2021. "The Measurement of Food Insecurity in High-Income Countries: A Scoping Review," IJERPH, MDPI, vol. 18(18), pages 1-57, September.
    8. Christina M Pollard & Sue Booth, 2019. "Food Insecurity and Hunger in Rich Countries—It Is Time for Action against Inequality," IJERPH, MDPI, vol. 16(10), pages 1-13, May.

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