Understanding the healthfulness of outlets providing lunch and dinner meals: a census of a rural food retail environment in Victoria, Australia

Abstract Objective: 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. Methods: A census of the rural local government area food venues was undertaken using two...

Full description

Bibliographic Details
Main Authors: Laura Alston, Vincent Versace, Emily Brown, Melanie Nichols, Jill Whelan, Kristy A. Bolton, Gary Sacks, Cindy Needham, Liliana Orellana, Steven Allender
Format: Article
Language:English
Published: Elsevier 2021-02-01
Series:Australian and New Zealand Journal of Public Health
Subjects:
Online Access:https://doi.org/10.1111/1753-6405.13057
_version_ 1797712891196997632
author Laura Alston
Vincent Versace
Emily Brown
Melanie Nichols
Jill Whelan
Kristy A. Bolton
Gary Sacks
Cindy Needham
Liliana Orellana
Steven Allender
author_facet Laura Alston
Vincent Versace
Emily Brown
Melanie Nichols
Jill Whelan
Kristy A. Bolton
Gary Sacks
Cindy Needham
Liliana Orellana
Steven Allender
author_sort Laura Alston
collection DOAJ
description Abstract Objective: 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. Methods: 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. Results: 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. Conclusions: 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.
first_indexed 2024-03-12T07:28:27Z
format Article
id doaj.art-a0dddc81666d494fbeb219806ded2dc5
institution Directory Open Access Journal
issn 1326-0200
1753-6405
language English
last_indexed 2024-03-12T07:28:27Z
publishDate 2021-02-01
publisher Elsevier
record_format Article
series Australian and New Zealand Journal of Public Health
spelling doaj.art-a0dddc81666d494fbeb219806ded2dc52023-09-02T21:58:58ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052021-02-01451657010.1111/1753-6405.13057Understanding the healthfulness of outlets providing lunch and dinner meals: a census of a rural food retail environment in Victoria, AustraliaLaura Alston0Vincent Versace1Emily Brown2Melanie Nichols3Jill Whelan4Kristy A. Bolton5Gary Sacks6Cindy Needham7Liliana Orellana8Steven Allender9Global Obesity Centre (GLOBE) Institute for Health Transformation, Faculty of Health, Deakin University VictoriaDeakin Rural Health, Faculty of Health Deakin University VictoriaColac Area Health VictoriaGlobal Obesity Centre (GLOBE) Institute for Health Transformation, Faculty of Health, Deakin University VictoriaGlobal Obesity Centre (GLOBE) Institute for Health Transformation, Faculty of Health, Deakin University VictoriaInstitute for Physical Activity and Nutrition Deakin University VictoriaGlobal Obesity Centre (GLOBE) Institute for Health Transformation, Faculty of Health, Deakin University VictoriaGlobal Obesity Centre (GLOBE) Institute for Health Transformation, Faculty of Health, Deakin University VictoriaBiostatistics Unit, Faculty of Health Deakin University VictoriaGlobal Obesity Centre (GLOBE) Institute for Health Transformation, Faculty of Health, Deakin University VictoriaAbstract Objective: 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. Methods: 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. Results: 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. Conclusions: 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.https://doi.org/10.1111/1753-6405.13057ruralfood environmentassessment toolsretailregional
spellingShingle Laura Alston
Vincent Versace
Emily Brown
Melanie Nichols
Jill Whelan
Kristy A. Bolton
Gary Sacks
Cindy Needham
Liliana Orellana
Steven Allender
Understanding the healthfulness of outlets providing lunch and dinner meals: a census of a rural food retail environment in Victoria, Australia
Australian and New Zealand Journal of Public Health
rural
food environment
assessment tools
retail
regional
title Understanding the healthfulness of outlets providing lunch and dinner meals: a census of a rural food retail environment in Victoria, Australia
title_full Understanding the healthfulness of outlets providing lunch and dinner meals: a census of a rural food retail environment in Victoria, Australia
title_fullStr Understanding the healthfulness of outlets providing lunch and dinner meals: a census of a rural food retail environment in Victoria, Australia
title_full_unstemmed Understanding the healthfulness of outlets providing lunch and dinner meals: a census of a rural food retail environment in Victoria, Australia
title_short Understanding the healthfulness of outlets providing lunch and dinner meals: a census of a rural food retail environment in Victoria, Australia
title_sort understanding the healthfulness of outlets providing lunch and dinner meals a census of a rural food retail environment in victoria australia
topic rural
food environment
assessment tools
retail
regional
url https://doi.org/10.1111/1753-6405.13057
work_keys_str_mv AT lauraalston understandingthehealthfulnessofoutletsprovidinglunchanddinnermealsacensusofaruralfoodretailenvironmentinvictoriaaustralia
AT vincentversace understandingthehealthfulnessofoutletsprovidinglunchanddinnermealsacensusofaruralfoodretailenvironmentinvictoriaaustralia
AT emilybrown understandingthehealthfulnessofoutletsprovidinglunchanddinnermealsacensusofaruralfoodretailenvironmentinvictoriaaustralia
AT melanienichols understandingthehealthfulnessofoutletsprovidinglunchanddinnermealsacensusofaruralfoodretailenvironmentinvictoriaaustralia
AT jillwhelan understandingthehealthfulnessofoutletsprovidinglunchanddinnermealsacensusofaruralfoodretailenvironmentinvictoriaaustralia
AT kristyabolton understandingthehealthfulnessofoutletsprovidinglunchanddinnermealsacensusofaruralfoodretailenvironmentinvictoriaaustralia
AT garysacks understandingthehealthfulnessofoutletsprovidinglunchanddinnermealsacensusofaruralfoodretailenvironmentinvictoriaaustralia
AT cindyneedham understandingthehealthfulnessofoutletsprovidinglunchanddinnermealsacensusofaruralfoodretailenvironmentinvictoriaaustralia
AT lilianaorellana understandingthehealthfulnessofoutletsprovidinglunchanddinnermealsacensusofaruralfoodretailenvironmentinvictoriaaustralia
AT stevenallender understandingthehealthfulnessofoutletsprovidinglunchanddinnermealsacensusofaruralfoodretailenvironmentinvictoriaaustralia