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

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Summary:

These researchers recorded the cost of both a typical basket of food and a hypothetical healthy and sustainable (H&S) basket in five neighbourhoods that differed by food sub-systems, socioeconomic levels and household income levels in Greater Western Sydney, Australia. The affordability of the baskets was determined across household income quintiles. In all five neighbourhoods, the cost of the H&S basket was more than the typical basket. The most socioeconomically disadvantaged neighbourhood spent proportionately more (30%) to buy the H&S basket. Within household income levels, the greatest inequity was found in the middle income neighbourhood, with households in the lowest income quintile having 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%).

Comment:
A really interesting paper confirming what many of us suspected. Perhaps such robust evidence will inform appropriate policies?
Reference: Aust N Z J Public Health 2014;38(1):7-12
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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