Development of a Scoring Tool for Australian Rural Food Retail Environments

Author:

Schumacher Tracy L.12ORCID,Alderton Carissa A.1,Brown Leanne J.12ORCID,Heaney Susan23ORCID,Alston Laura45ORCID,Kent Katherine67ORCID,Godrich Stephanie Louise8ORCID

Affiliation:

1. Department of Rural Health, College of Health, Medicine and Wellbeing, University of Newcastle, Tamworth, NSW 2340, Australia

2. Food and Nutrition Research Program, Hunter Medical Research Institute, New Lambton, NSW 2305, Australia

3. Department of Rural Health, College of Health, Medicine and Wellbeing, University of Newcastle, Port Macquarie, NSW 2444, Australia

4. Deakin Rural Health, School of Medicine, Deakin University, Geelong, VIC 3220, Australia

5. Research Unit, Colac Area Health, Colac, VIC 3250, Australia

6. School of Medical, Indigenous and Health Sciences, University of Wollongong, Wollongong, NSW 2522, Australia

7. School of Health Sciences, University of Tasmania, Launceston, TAS 7250, Australia

8. Centre for People, Place, and Planet, Nutrition and Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA 6027, Australia

Abstract

Current tools scoring the healthiness of food retail outlets do not reflect outlets found in rural locations. This study aimed to adapt pre-existing Australian scoring tools to represent non-metropolitan areas. Rural nutrition experts were identified, and a modified Delphi technique was used to adapt two pre-existing, food-scoring tools in five iterative stages. Stages included identifying all relevant outlets, providing a description and score for each, ensuring consistency between outlet scores and pre-existing, metro-centric tools, and providing instructions for correct use. Six rural nutrition experts were identified and engaged in the modified Delphi technique. The final tool consisted of 12 categories of food outlets and listed 35 individual outlets. Consistent with pre-existing Australian tools, scores ranged from +10 to −10 and included descriptions reflective of rural retail outlets. Scores were based on whether the majority of foods offered within the outlet were consistent with foods recommended in national health guidelines. The developed tool was designed to accommodate the diverse nature of food retail outlets found in non-metropolitan areas. This study assists in explaining the link between the food environment and health in populations living rurally.

Funder

Hunter New England Central Coast Primary Health Network

Rural Health Multidisciplinary Training program

Publisher

MDPI AG

Subject

Food Science,Nutrition and Dietetics

Reference48 articles.

1. National Health and Medical Research Council (2023, September 26). Australian Dietary Guidelines Canberra: Commonwealth of Australia, Available online: https://www.eatforhealth.gov.au/guidelines/australian-dietary-guidelines-1-5.

2. Leme, A.C.B., Hou, S., Fisberg, R.M., Fisberg, M., and Haines, J. (2021). Adherence to Food-Based Dietary Guidelines: A Systemic Review of High-Income and Low-and Middle-Income Countries. Nutrients, 13.

3. Baird, D., and Hendrie, G. (2023). CSIRO Healthy Diet Score 2015–2023, CSIRO.

4. Australian Bureau of Statistics (2023, September 26). Dietary Behaviour Canberra, Australia: Commonwealth of Australia, Available online: https://www.abs.gov.au/statistics/health/health-conditions-and-risks/dietary-behaviour/latest-release.

5. Global Burden of Disease Risk Factors Collaborators (2020). Global burden of 87 risk factors in 204 countries and territories, 1990–2019: A systematic analysis for the Global Burden of Disease Study 2019. Lancet, 396, 1223–1249.

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