Literature DB >> 24494938

The cost of a healthy and sustainable diet--who can afford it?

Laurel Barosh1, Sharon Friel, Katrin Engelhardt, Lilian Chan.   

Abstract

OBJECTIVE: Climate change is affecting the ability of food systems to provide sufficient nutritious and affordable foods at all times. Healthy and sustainable (H&S) food choices are important contributions to health and climate change policy efforts. This paper presents empirical data on the affordability of a food basket that incorporates principles of health and sustainability across different food sub-systems, socioeconomic neighbourhoods and household income levels in Greater Western Sydney, Australia.
METHODS: A basket survey was used to investigate the cost of both a typical basket of food and a hypothetical H&S basket. The price of foods in the two baskets was recorded in five neighbourhoods, and the affordability of the baskets was determined across household income quintiles.
RESULTS: The cost of the H&S basket was more than the typical basket in all five socioeconomic neighbourhoods, with most disadvantaged neighbourhood spending proportionately more (30%) to buy the H&S basket. Within household income levels, the greatest inequity was found in the middle income neighbourhood, showing that households in the lowest income quintile would have to spend up to 48% of their weekly income to buy the H&S basket, while households in the highest income quintile would have to spend significantly less of their weekly income (9%).
CONCLUSION: The most disadvantaged groups in the region, both at the neighbourhood and household level, experience the greatest inequality in affordability of the H&S diet. IMPLICATIONS: The results highlight the current inequity in food choice in the region and the underlying social issues of cost and affordability of H&S foods.
© 2014 The Authors. ANZJPH © 2014 Public Health Association of Australia.

Keywords:  climate change; dietary choice; food affordability; food security; health inequalities; sustainability; urban health

Mesh:

Year:  2014        PMID: 24494938     DOI: 10.1111/1753-6405.12158

Source DB:  PubMed          Journal:  Aust N Z J Public Health        ISSN: 1326-0200            Impact factor:   2.939


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