scholarly journals Affordability of current, and healthy, more equitable, sustainable diets by area of socioeconomic disadvantage and remoteness in Queensland: insights into food choice

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Amanda Lee ◽  
Dori Patay ◽  
Lisa-Maree Herron ◽  
Ella Parnell Harrison ◽  
Meron Lewis
Keyword(s):  
Low Income ◽  
Food Choice ◽  
Food Prices ◽  
Socioeconomic Disadvantage ◽  
Policy Action ◽  
Remote Areas ◽  
Sustainable Diets ◽  
Preventable Risk Factor ◽  
The Government ◽  
The Cost

Abstract Background Poor diet is the leading preventable risk factor contributing to the burden of disease globally and in Australia, and is inequitably distributed. As the price of healthy foods is a perceived barrier to improved diets, evidence on the cost and affordability of current (unhealthy) and recommended (healthy, more equitable and sustainable) diets is required to support policy action. Methods This study applied the Healthy Diets ASAP (Australian Standardised Affordability and Pricing) methods protocol to measure the cost, cost differential and affordability of current and recommended diets for a reference household in Queensland, Australia. Food prices were collected in 18 randomly selected locations stratified by area of socioeconomic disadvantage and remoteness. Diet affordability was calculated for three income categories. Results Surprisingly, recommended diets would cost 20% less than the current diet in Queensland as a whole. Households spent around 60% of their food budget on discretionary choices (that is, those not required for health that are high in saturated fat, added sugar, salt and/or alcohol). Queensland families would need to spend around 23% of their income on recommended diets. However, recommended diets would not be affordable in low socioeconomic or very remote areas, costing 30 and 35% of median household income respectively. The government supplements due to the SARS-CoV-2 pandemic would improve affordability of recommended diets by 29%. Conclusions Study findings highlight that while price is one factor affecting consumer food choice, other drivers such as taste, convenience, advertising and availability are important. Nevertheless, the study found that recommended diets would be unaffordable in very remote areas, and that low-income families are likely experiencing food stress, irrespective of where they live in Queensland. Policy actions, such as increasing to 20% the current 10% tax differential between basic healthy, and unhealthy foods in Australia, and supplementing incomes of vulnerable households, especially in remote areas, are recommended to help improve diet equity and sustainability, and health and wellbeing for all.

scholarly journals Affordability of current diets and healthy, more equitable, sustainable diets, by area of socioeconomic disadvantage and remoteness in Queensland: Insights into the drivers of food choice

2021 ◽  
Author(s):  
Amanda J. Lee ◽  
Dori Patay ◽  
Lisa-Maree Herron ◽  
Ella Parnell Harrison ◽  
Meron Lewis
Keyword(s):  
Low Income ◽  
Food Choice ◽  
Food Prices ◽  
Socioeconomic Disadvantage ◽  
Policy Action ◽  
Remote Areas ◽  
Sustainable Diets ◽  
Preventable Risk Factor ◽  
The Government ◽  
The Cost

Abstract Background Poor diet is the leading preventable risk factor contributing to the burden of disease globally and in Australia, and is inequitably distributed. As the price of healthy foods is a perceived barrier to improved diets, evidence on the cost and affordability of current (unhealthy) and recommended (healthy, more equitable and sustainable) diets is required to support policy action. Methods This study applied the Healthy Diets ASAP (Australian Standardised Affordability and Pricing) methods protocol to measure the cost, cost differential and affordability of current and recommended diets for a reference household in Queensland, Australia. Food prices were collected in 18 randomly selected locations stratified by area of socioeconomic disadvantage and remoteness. Diet affordability was calculated for three income categories. Results Surprisingly, recommended diets would cost 20% less than the current diet in Queensland as a whole. Households spent around 60% of their food budget on discretionary choices (that is, those not required for health that are high in saturated fat, added sugar, salt and/or alcohol). Queensland families would need to spend around 23% of their income on recommended diets. However, recommended diets would not be affordable in low socioeconomic or very remote areas, costing 30% and 35% of median household income respectively. The government supplements due to the SARS-CoV-2 pandemic would improve affordability of recommended diets by 29%. Conclusions Study findings highlight that, although price is one factor affecting consumer food choice, other drivers such as taste, convenience, advertising and availability are important too. Nevertheless, the study found that recommended diets would be unaffordable in very remote areas, and that low income families are likely experiencing food stress, irrespective of where they live in Queensland. Policy actions, such as increasing to 20% the current 10% Goods and Services tax differential between basic healthy, and unhealthy foods in Australia, and supplementing incomes of vulnerable households, especially in remote areas, are recommended to help improve diet equity and sustainability, and health and wellbeing for all.

scholarly journals An Examination of the Adequacy of Supplemental Nutrition Assistance Program (SNAP) Benefit Levels: Impacts on Food Insecurity

2019 ◽  
Vol 48 (3) ◽  
pp. 433-447 ◽  
Author(s):  
Craig Gundersen ◽  
Elaine Waxman ◽  
Amy S. Crumbaugh
Keyword(s):  
Food Insecurity ◽  
Low Income ◽  
The United States ◽  
Food Prices ◽  
Supplemental Nutrition Assistance Program ◽  
Supplemental Nutrition ◽  
Assistance Program ◽  
The Difference ◽  
Nutrition Assistance ◽  
The Cost

The Supplemental Nutrition Assistance Program (SNAP) serves as the primary tool to alleviate food insecurity in the United States. Its effectiveness has been demonstrated in numerous studies, but the majority of SNAP recipients are still food insecure. One factor behind this is the difference in food prices across the country—SNAP benefits are not adjusted to reflect these differences. Using information from Feeding America's Map the Meal Gap (MMG) project, we compare the cost of a meal by county based on the Thrifty Food Plan (TFP)—which is used to set the maximum SNAP benefit—with the cost of the average meal for low-income food-secure households. We find that the cost of the latter meal is higher than the TFP meal for over 99 percent of the counties. We next consider the reduction in food insecurity if, by county, the maximum SNAP benefit level was set to the cost of the average meal for low-income food-secure households. We find that if this approach were implemented, there would be a decline of 50.9 percent in food insecurity among SNAP recipients at a cost of $23 billion.

scholarly journals Affordability of Heathy, Equitable and More Sustainable Diets in Low-Income Households in Brisbane before and during the COVID-19 Pandemic

Nutrients ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 4386
Author(s):  
Amanda J. Lee ◽  
Dori Patay ◽  
Lisa-Maree Herron ◽  
Ru Chyi Tan ◽  
Evelyn Nicoll ◽  
...  
Keyword(s):  
Minimum Wage ◽  
Low Income ◽  
Household Income ◽  
Food Groups ◽  
Sustainable Diets ◽  
Cost Differential ◽  
Low Income Families ◽  
The Cost ◽  
The Impact ◽  
Low Income Households

The COVID-19 pandemic has increased food insecurity worldwide, yet there has been limited assessment of shifts in the cost and affordability of healthy, equitable and sustainable diets. This study explores the impact of the COVID-19 pandemic and income supplements provided by the Australian government on diet cost and affordability for low-income households in an Australian urban area. The Healthy Diets ASAP method protocol was applied to assess the cost and cost differential of current and recommended diets before (in 2019) and during the COVID-19 pandemic (late 2020) for households with a minimum-wage and welfare-only disposable household income, by area of socioeconomic disadvantage, in Greater Brisbane, Queensland, Australia. Data were collected between August and October, 2020, from 78 food outlets and compared with data collected in the same locations between May and October, 2019, in an earlier study. The price of most healthy food groups increased significantly during the pandemic—with the exception of vegetables and legumes, which decreased. Conversely, the price of discretionary foods and drinks did not increase during the pandemic. The cost of the current and recommended diets significantly increased throughout this period, but the latter continued to be less expensive than the former. Due to income supplements provided between May and September 2020, the affordability of the recommended diet improved greatly, by 27% and 42%, for households with minimum-wage and welfare-only disposable household income, respectively. This improvement in the affordability of the recommended diet highlights the need to permanently increase welfare support for low-income families to ensure food security.

scholarly journals A Unified Welfare Analysis of Government Policies*

2020 ◽  
Vol 135 (3) ◽  
pp. 1209-1318 ◽  
Author(s):  
Nathaniel Hendren ◽  
Ben Sprung-Keyser
Keyword(s):  
Willingness To Pay ◽  
Low Income ◽  
Social Insurance ◽  
Welfare Analysis ◽  
The United States ◽  
Future Research ◽  
Long Term Effects ◽  
Marginal Value ◽  
The Government ◽  
The Cost

Abstract We conduct a comparative welfare analysis of 133 historical policy changes over the past half-century in the United States, focusing on policies in social insurance, education and job training, taxes and cash transfers, and in-kind transfers. For each policy, we use existing causal estimates to calculate the benefit that each policy provides its recipients (measured as their willingness to pay) and the policy’s net cost, inclusive of long-term effects on the government’s budget. We divide the willingness to pay by the net cost to the government to form each policy’s Marginal Value of Public Funds, or its ``MVPF''. Comparing MVPFs across policies provides a unified method of assessing their effect on social welfare. Our results suggest that direct investments in low-income children’s health and education have historically had the highest MVPFs, on average exceeding 5. Many such policies have paid for themselves as the government recouped the cost of their initial expenditures through additional taxes collected and reduced transfers. We find large MVPFs for education and health policies among children of all ages, rather than observing diminishing marginal returns throughout childhood. We find smaller MVPFs for policies targeting adults, generally between 0.5 and 2. Expenditures on adults have exceeded this MVPF range in particular if they induced large spillovers on children. We relate our estimates to existing theories of optimal government policy, and we discuss how the MVPF provides lessons for the design of future research.

Housing Benefit and Welfare Retrenchment in Britain

2000 ◽  
Vol 29 (2) ◽  
pp. 263-279 ◽  
Author(s):  
PETER A. KEMP
Keyword(s):  
Social Security ◽  
Low Income ◽  
Recent Literature ◽  
Housing Allowance ◽  
The Social ◽  
Previous Decade ◽  
Housing Benefit ◽  
The Government ◽  
The Cost

Following the 1997 general election in Britain, the New Labour government made clear its intention to cut back and radically reform the social security system, including Housing Benefit, an income-related housing allowance for low-income tenants. The cost of Housing Benefit had doubled in real terms over the previous decade and was taking up a growing share of social security expenditure. The scheme also suffered from major deficiencies. Drawing on recent literature on welfare state retrenchment, this article examines why the government eventually retreated from cuts and a wholesale reform of Housing Benefit and opted instead for a more modest and long-term approach.

scholarly journals Counting the Cost: The Effect of COVID-19 Lockdown on Households in South East Nigeria

2021 ◽  
Vol 13 (22) ◽  
pp. 12417
Author(s):  
Johnny Ogunji ◽  
Stanley Iheanacho ◽  
Chinwe Victoria Ogunji ◽  
Michael Olaolu ◽  
Vivian Oleforuh-Okoleh ◽  
...  
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Food Prices ◽  
Cash Transfer ◽  
Food Aid ◽  
Short Term ◽  
Effective Implementation ◽  
The Government ◽  
Aid Programs ◽  
The Cost

The present study measured household hunger in South-East Nigeria amidst the COVID-19 lockdown. A total of 1209 households (urban and rural locations) were sampled. Household hunger was determined using the Radimer–Cornel hunger scale. Results show that before the COVID-19 lockdown, hunger prevalence in the urban areas was 85.5%, whereas prevalence in the rural areas was significantly lower, at a prevalence of 79.9% (7.3% level of association—X2 = 6.499, p = 0.012). During the COVID-19 lockdown, the prevalence of hunger in the urban areas rose to 98.0% and 99.2% in the rural areas (4.9% level of association was X2 = 2.888, p = 0.089). It was also observed that the COVID-19 lockdown significantly affected food prices. The major coping strategy employed by households was relying on less expensive foods (81.14%). High household hunger was identified as a short-term cost of the COVID-19 lockdown in South-East Nigeria. Only a few households (16.3%) benefited from the food aid programs and 16.9% from the government palliative cash transfer. It is recommended that the government setup a formidable unit that will develop physical and digital plans for effective implementation during a COVID-19 lockdown situation or other emergencies.

scholarly journals The Relationship between Public Transport and the Location of Shanty Settlements in Kampala City

2021 ◽  
Vol 3 (1) ◽  
pp. 130-146
Author(s):  
Ellen Byagaba ◽  
Stephen Mukiibi
Keyword(s):  
Low Income ◽  
Public Transport ◽  
Public Transportation ◽  
Policy Formulation ◽  
Transport Infrastructure ◽  
City Centre ◽  
City Development ◽  
The Government ◽  
The Cost ◽  
The Relationship

This research was conducted to investigate the relationship between public transport and the occupation of shanty settlements in Kampala. It is hoped that results from the study will inform future policy formulation by the government and planning of transport infrastructure and low-income housing developments. The study thus sought to examine whether a relationship exists between the cost of available public transportation and the choice to reside in these shanty settlements in Kampala. The study established that increased availability of low-cost public transport allows city residents to seek out better quality and cheaper housing further from the city centre (their affordability index being maintained or reduced). Influential government policy decisions such as maximum caps on fares and subsidisation of public transport vehicles can ensure increased supply and therefore lower the cost of public transport.  Increased mobility can result in lower demand for cheap inner-city housing that may in turn stem the growth of illegal settlements, resulting in healthier city development for all.

scholarly journals Impact of Covid−19 on Agricultural System and Food Prices: The Case of India

2021 ◽  
Author(s):  
Pradyot Ranjan Jena ◽  
Rajesh Kalli ◽  
Purna Chandra Tanti
Keyword(s):  
Low Income ◽  
Urban Areas ◽  
Food Prices ◽  
Agricultural System ◽  
Investment Planning ◽  
Four Dimensions ◽  
First Response ◽  
Short Run ◽  
The Government ◽  
The Impact

The present study focused on evaluating the impact of Covid-19 lockdown on the agriculture system in India. A telephonic interview was conducted with farmers among various states between April to May 2020. A total of 494 farmers participated in the survey identifying the challenges they faced during the lockdown. First, the study has outlined the knowledge and perception of respondents on the Covid-19 virus and second the impact of Covid 19 induced restrictions on the agricultural system and food prices in India has been analyzed. The study classified the impact of lockdown on the agriculture system into four broad classifications - Farm Inputs, Farm Produce and Supply Chain, Agriculture and Allied Activities, Pandemic and Food prices. The detailed analysis across these four dimensions is discussed. Due to the shutdown of many supply routes, the availability of agricultural inputs such as fertilizer and seeds was disrupted, which jeopardized farmers’ investment planning. Furthermore, the seasonal migrants who would work in urban areas enter off-season and return to their native villages for farming could not carry it on. Such a rapid chain of events created massive short-run income shortages for small and marginalized farmers across the country. The special economic package for agriculture empowerment announced by the Government of India in the tune of two lakh crore rupees, equivalent to ten per cent of India’s GDP, has been the government’s first response to deal with this agricultural crisis. Finally, the chapter puts forward policy suggestions to strengthen resource-poor farmers’ capabilities plagued with a low-income-low-yield vicious cycle.

Demonstrating Nutrient Cost Gradients: A Brooklyn Case Study

2014 ◽  
Vol 84 (5-6) ◽  
pp. 244-251 ◽  
Author(s):  
Robert J. Karp ◽  
Gary Wong ◽  
Marguerite Orsi
Keyword(s):  
Low Income ◽  
Energy Content ◽  
Food Selection ◽  
The United States ◽  
United States Department ◽  
Micronutrient Deficiencies ◽  
Caloric Density ◽  
Low Income Families ◽  
The Cost ◽  
The Impact

Abstract. Introduction: Foods dense in micronutrients are generally more expensive than those with higher energy content. These cost-differentials may put low-income families at risk of diminished micronutrient intake. Objectives: We sought to determine differences in the cost for iron, folate, and choline in foods available for purchase in a low-income community when assessed for energy content and serving size. Methods: Sixty-nine foods listed in the menu plans provided by the United States Department of Agriculture (USDA) for low-income families were considered, in 10 domains. The cost and micronutrient content for-energy and per-serving of these foods were determined for the three micronutrients. Exact Kruskal-Wallis tests were used for comparisons of energy costs; Spearman rho tests for comparisons of micronutrient content. Ninety families were interviewed in a pediatric clinic to assess the impact of food cost on food selection. Results: Significant differences between domains were shown for energy density with both cost-for-energy (p < 0.001) and cost-per-serving (p < 0.05) comparisons. All three micronutrient contents were significantly correlated with cost-for-energy (p < 0.01). Both iron and choline contents were significantly correlated with cost-per-serving (p < 0.05). Of the 90 families, 38 (42 %) worried about food costs; 40 (44 %) had chosen foods of high caloric density in response to that fear, and 29 of 40 families experiencing both worry and making such food selection. Conclusion: Adjustments to USDA meal plans using cost-for-energy analysis showed differentials for both energy and micronutrients. These differentials were reduced using cost-per-serving analysis, but were not eliminated. A substantial proportion of low-income families are vulnerable to micronutrient deficiencies.

Relationship of Scabies With Pioderma: As a Risk Factor

2018 ◽  
Vol 1 (1) ◽  
pp. 33-42
Author(s):  
Yulia Farida Yahya ◽  
Fifa Argentina ◽  
Rusmawardiana Rusmawardiana
Keyword(s):  
Staphylococcus Aureus ◽  
Elementary School ◽  
Risk Factor ◽  
Low Income ◽  
Primary Schools ◽  
Pediatric Patients ◽  
Group A Streptococcus ◽  
Cross Sectional ◽  
The Government ◽  
Scabies Infestation

Scabies is a parasitic infestation of the skin, that is affecting on the low income and crowded community in many tropical countries, especially developing countries such as Indonesia. Scabies infestation increases the incidence of secondary pyoderma include impetigo, folliculitis, cellulitis, ecthyma, abscess. Secondary pyoderma is a skin infection disease mainly caused by     group A Streptococcus (GAS) and Staphylococcus aureus (SA). Pyoderma is a risk factor for the glomerulonephritis infection, rheumatic diseases, which significantly increases morbidity and mortality, causing the government burden. The aim of this study is  determining the etiology and correlation of pyoderma infection in scabies patient. To determine sosio-demographic included sex, age in pediatric patients in primary schools (SD) in the district of Kertapati Palembang. The study design was cross sectional, and study samples were new scabies patients in the elementary school (age 6-14-year-old) with or without pyoderma. Clinical findings included history, physical examination and diagnostic procedure, which was investigation of skin scraping specimen material (SSB = skin surface biopsy) in confirmation with dermoscopic polar examination (DS) to show Sarcoptes scabiei mites. Microbiological examination with Gram stain identified the etiology of pyoderma.  Results of this study shows that there was a significance relationship between scabies infestation and pyoderma in children in elementary school. Staphylococcus aureus dan GAS are the most common caused of pyoderma in pediatric patients with scabies. Conclusion is there is a significant correlation between scabies and pyoderma. There is  a need to provide scabies and pyoderma medication at primary care health center as well as counseling for prevention in Palembang area with crowded population periodically.  

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