Cargando…

Associations between Community Environmental-Level Factors and Diet Quality in Geographically Isolated Australian Communities

Remote Indigenous Australians experience disproportionately poor cardio-metabolic health, which is largely underpinned by adverse dietary intake related to social determinants. Little evidence exists about the community environmental-level factors that shape diet quality in this geographically isola...

Descripción completa

Detalles Bibliográficos
Autores principales: Wycherley, Thomas P., van der Pols, Jolieke C., Daniel, Mark, Howard, Natasha J., O’Dea, Kerin, Brimblecombe, Julie K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6603945/
https://www.ncbi.nlm.nih.gov/pubmed/31159330
http://dx.doi.org/10.3390/ijerph16111943
_version_ 1783431618034139136
author Wycherley, Thomas P.
van der Pols, Jolieke C.
Daniel, Mark
Howard, Natasha J.
O’Dea, Kerin
Brimblecombe, Julie K.
author_facet Wycherley, Thomas P.
van der Pols, Jolieke C.
Daniel, Mark
Howard, Natasha J.
O’Dea, Kerin
Brimblecombe, Julie K.
author_sort Wycherley, Thomas P.
collection PubMed
description Remote Indigenous Australians experience disproportionately poor cardio-metabolic health, which is largely underpinned by adverse dietary intake related to social determinants. Little evidence exists about the community environmental-level factors that shape diet quality in this geographically isolated population group. This study aimed to explore the modifiable environmental-level factors associated with the features of dietary intake that underpin cardio-metabolic disease risk in this population group. Community-level dietary intake data were estimated from weekly store sales data collected throughout 2012 and linked with concurrent social, built, and physical environmental dimension data for 13 remote Indigenous Australian communities in the Northern Territory. Statistical analyses were performed to investigate associations. At the community level, store sales of discretionary foods were lower in communities with greater distance to a neighbouring store (r = −0.45 (p < 0.05)). Sales of sugar-sweetened beverages were lower in communities with higher levels of household crowding (r = −0.55 (p < 0.05)), higher levels of Indigenous unemployment (r = −0.62 (p = 0.02)), and greater distance to neighbouring stores (r = −0.61 (p = 0.004)). Modifiable environmental-level factors may be associated with adverse diet quality in remote Indigenous Australian communities and further investigations of these factors should be considered when developing policies to improve dietary intake quality in geographically isolated populations.
format Online
Article
Text
id pubmed-6603945
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-66039452019-07-19 Associations between Community Environmental-Level Factors and Diet Quality in Geographically Isolated Australian Communities Wycherley, Thomas P. van der Pols, Jolieke C. Daniel, Mark Howard, Natasha J. O’Dea, Kerin Brimblecombe, Julie K. Int J Environ Res Public Health Brief Report Remote Indigenous Australians experience disproportionately poor cardio-metabolic health, which is largely underpinned by adverse dietary intake related to social determinants. Little evidence exists about the community environmental-level factors that shape diet quality in this geographically isolated population group. This study aimed to explore the modifiable environmental-level factors associated with the features of dietary intake that underpin cardio-metabolic disease risk in this population group. Community-level dietary intake data were estimated from weekly store sales data collected throughout 2012 and linked with concurrent social, built, and physical environmental dimension data for 13 remote Indigenous Australian communities in the Northern Territory. Statistical analyses were performed to investigate associations. At the community level, store sales of discretionary foods were lower in communities with greater distance to a neighbouring store (r = −0.45 (p < 0.05)). Sales of sugar-sweetened beverages were lower in communities with higher levels of household crowding (r = −0.55 (p < 0.05)), higher levels of Indigenous unemployment (r = −0.62 (p = 0.02)), and greater distance to neighbouring stores (r = −0.61 (p = 0.004)). Modifiable environmental-level factors may be associated with adverse diet quality in remote Indigenous Australian communities and further investigations of these factors should be considered when developing policies to improve dietary intake quality in geographically isolated populations. MDPI 2019-05-31 2019-06 /pmc/articles/PMC6603945/ /pubmed/31159330 http://dx.doi.org/10.3390/ijerph16111943 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Brief Report
Wycherley, Thomas P.
van der Pols, Jolieke C.
Daniel, Mark
Howard, Natasha J.
O’Dea, Kerin
Brimblecombe, Julie K.
Associations between Community Environmental-Level Factors and Diet Quality in Geographically Isolated Australian Communities
title Associations between Community Environmental-Level Factors and Diet Quality in Geographically Isolated Australian Communities
title_full Associations between Community Environmental-Level Factors and Diet Quality in Geographically Isolated Australian Communities
title_fullStr Associations between Community Environmental-Level Factors and Diet Quality in Geographically Isolated Australian Communities
title_full_unstemmed Associations between Community Environmental-Level Factors and Diet Quality in Geographically Isolated Australian Communities
title_short Associations between Community Environmental-Level Factors and Diet Quality in Geographically Isolated Australian Communities
title_sort associations between community environmental-level factors and diet quality in geographically isolated australian communities
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6603945/
https://www.ncbi.nlm.nih.gov/pubmed/31159330
http://dx.doi.org/10.3390/ijerph16111943
work_keys_str_mv AT wycherleythomasp associationsbetweencommunityenvironmentallevelfactorsanddietqualityingeographicallyisolatedaustraliancommunities
AT vanderpolsjoliekec associationsbetweencommunityenvironmentallevelfactorsanddietqualityingeographicallyisolatedaustraliancommunities
AT danielmark associationsbetweencommunityenvironmentallevelfactorsanddietqualityingeographicallyisolatedaustraliancommunities
AT howardnatashaj associationsbetweencommunityenvironmentallevelfactorsanddietqualityingeographicallyisolatedaustraliancommunities
AT odeakerin associationsbetweencommunityenvironmentallevelfactorsanddietqualityingeographicallyisolatedaustraliancommunities
AT brimblecombejuliek associationsbetweencommunityenvironmentallevelfactorsanddietqualityingeographicallyisolatedaustraliancommunities