aut.relation.issue	7	en_NZ
aut.relation.journal	Public Health Nutrition	en_NZ
aut.relation.volume	13	en_NZ
dc.contributor.author	Wang, J
dc.contributor.author	Williams, M
dc.contributor.author	Rush, E
dc.contributor.author	Crook, N
dc.contributor.author	Forouhi, N
dc.contributor.author	Simmons, D
dc.date.accessioned	2021-06-04T02:54:05Z
dc.date.available	2021-06-04T02:54:05Z
dc.date.copyright	2010	en_NZ
dc.date.issued	2010	en_NZ
dc.description.abstract	Objective Uptake of advice for lifestyle change for obesity and diabetes prevention requires access to affordable ‘healthy’ foods (high in fibre/low in sugar and fat). The present study aimed to examine the availability and accessibility of ‘healthy’ foods in rural and urban New Zealand. Design We identified and visited (‘mapped’) 1230 food outlets (473 urban, 757 rural) across the Waikato/Lakes areas (162 census areas within twelve regions) in New Zealand, where the Te Wai O Rona: Diabetes Prevention Strategy was underway. At each site, we assessed the availability of ‘healthy’ foods (e.g. wholemeal bread) and compared their cost with those of comparable ‘regular’ foods (e.g. white bread). Results Healthy foods were generally more available in urban than rural areas. In both urban and rural areas, ‘healthy’ foods were more expensive than ‘regular’ foods after adjusting for the population and income level of each area. For instance, there was an increasing price difference across bread, meat, poultry, with the highest difference for sugar substitutes. The weekly family cost of a ‘healthy’ food basket (without sugar) was 29·1 % more expensive than the ‘regular’ basket ($NZ 176·72 v. $NZ 136·84). The difference between the ‘healthy’ and ‘regular’ basket was greater in urban ($NZ 49·18) than rural areas ($NZ 36·27) in adjusted analysis. Conclusions ‘Healthy’ foods were more expensive than ‘regular’ choices in both urban and rural areas. Although urban areas had higher availability of ‘healthy’ foods, the cost of changing to a healthy diet in urban areas was also greater. Improvement in the food environment is needed to support people in adopting healthy food choices.
dc.identifier.citation	Public Health Nutrition, Volume 13, Issue 7, July 2010, pp. 1049 - 1055, DOI: https://doi.org/10.1017/S1368980009991595
dc.identifier.doi	10.1017/S1368980009991595
dc.identifier.roid	12723	en_NZ
dc.identifier.uri	https://hdl.handle.net/10292/14245
dc.publisher	Cambridge University Press
dc.relation.uri	https://www.cambridge.org/core/journals/public-health-nutrition/article/mapping-the-availability-and-accessibility-of-healthy-food-in-rural-and-urban-new-zealand-te-wai-o-rona-diabetes-prevention-strategy/55B8C8AD88FFCAE4D9E27735A08C8E6D
dc.rights	Copyright © The Authors 2009
dc.rights.accessrights	OpenAccess	en_NZ
dc.subject	Food environment; Availability; Accessibility
dc.title	Mapping the Availability and Accessibility of Healthy Food in Rural and Urban New Zealand: Te Wai o Rona: Diabetes Prevention Strategy	en_NZ
dc.type	Journal Article
pubs.elements-id	15264
pubs.organisational-data	/AUT
pubs.organisational-data	/AUT/Faculty of Health & Environmental Science
pubs.organisational-data	/AUT/Faculty of Health & Environmental Science/School of Sport & Recreation
pubs.organisational-data	/AUT/Faculty of Health & Environmental Science/School of Sport & Recreation/Physical Activity, Nutrition & the Outdoors Department
pubs.organisational-data	/AUT/PBRF
pubs.organisational-data	/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data	/AUT/PBRF/PBRF Health and Environmental Sciences/HS Sports & Recreation 2018 PBRF

Mapping the Availability and Accessibility of Healthy Food in Rural and Urban New Zealand: Te Wai o Rona: Diabetes Prevention Strategy

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