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An ecological analysis of factors associated with food insecurity in South Australia, 2002–7

  • Wendy Foley (a1), Paul Ward (a1), Patricia Carter (a2), John Coveney (a1), George Tsourtos (a1) and Anne Taylor (a3)...

To estimate the extent of food insecurity in South Australia and its relationship with a variety of socio-economic variables.


Data collected routinely from 2002 to 2007 by SA Health were analysed to explore food security in the State’s population. An ecological analysis of data collected by the South Australian Monitoring and Surveillance System (SAMSS) that collects data on key health indicators. Questions on food security are asked periodically from July 2002 to December 2007.


South Australia.


Over 37 000 interviewees took part in SAMSS surveys. Questions about food security were asked of 19 037 subjects. The sample was weighted by area, age and gender so that the results were representative of the South Australian population.


Seven per cent (1342/19 037) of subjects reported running out of food during the previous year and not having enough money to buy food (food insecurity). Logistic regression analysis found food insecurity to be highest in households with low levels of education, limited capacity to save money, Aboriginal households, and households with three or more children.


The study confirms that food insecurity is strongly linked to economic disadvantage. Increasing cost of food is likely to exacerbate food insecurity. This is of concern given that food insecurity is associated with poor health, especially obesity and chronic disease. Comprehensive action at all levels is required to address root causes of food insecurity. Regular surveillance is required to continue to monitor levels of food security, but more in-depth understandings, via qualitative research, would be useful.

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1.Australian Bureau of Statistics (2008) Consumer price index Australia: June quarter 2008.$File/64010_jun%202008.pdf (accessed July 2008).
2.Commonwealth of Australia (2008) Report of the ACCC Inquiry into the Competitiveness of Retail Prices for Standard Groceries. Canberra: Australian Competition and Consumer Commission.
3.Commonwealth of Australia (2008) GROCERYchoice. (accessed August 2008).
4.Get Farming Australia (2008) Government in a spin while Australian retailing comes up trumps – Retail response to ACCC Grocery Prices Inquiry 2008. (accessed September 2008).
5.Irvine J (2008) Rudd price check: he’s powerless. Sydney Morning Herald, 6 August.
6.Stoeckel A (2008) High Food Prices: Causes, Implications and Solutions. Canberra: Rural Industries Research and Development Corporation.
7.Turrell G & Kavanagh AM (2006) Socio-economic pathways to diet: modelling the association between socio-economic position and food purchasing behaviour. Public Health Nutr 9, 375383.
8.Harrison MS, Coyne T, Lee AJ & Leonard D (2007) The increasing cost of the basic foods required to promote health in Queensland. Med J Aust 186, 914.
9.Booth S & Smith A (2001) Food security and poverty in Australia – challenges for dietitians. Aust J Nutr Diet 58, 150156.
10.Wrigley N, Warm D, Margetts B & Lowe M (2004) The Leeds ‘food deserts’ intervention study: what the focus groups reveal. Int J Retail Distrib Manag 32, 123136.
11.Kirkpatrick S & Tarasuk V (2007) Adequacy of food spending is related to housing expenditures among lower-income Canadian households. Public Health Nutr 10, 14641473.
12.Douglas J (2006) Food insecurity in northern Adelaide. SACOSS News, Chapter 8. Adelaide: SACOSS.
13.Burns C (2004) A Review of the Literature Describing the Link between Poverty, Food Insecurity and Obesity with Specific Reference to Australia. Victoria: VicHealth.
14.NSW Centre for Public Health Nutrition (2003) Food Security Options Paper: A Planning Framework and Menu of Options for Policy and Practice Interventions. Sydney: NSW Department of Health & The University of Sydney.
15.Champagne CM, Casey PH, Connell CL et al. .; Lower Mississippi Delta Nutrition Intervention Research Initiative (2007) Poverty and food intake in rural America: diet quality is lower in food insecure adults in the Mississippi Delta. J Am Diet Assoc 107, 18861894.
16.Tarasuk V, McIntyre L & Li J (2007) Low-income women’s dietary intakes are sensitive to the depletion of household resources in one month. J Nutr 137, 19801987.
17.Hamelin AM, Beaudry M & Habicht JP (2002) Characterization of household food insecurity in Quebec: food and feelings. Soc Sci Med 54, 119132.
18.Carter P & Taylor A (2007) Food insecurity in South Australia. Public Health Bull South Aust 4, 2325.
19.Nolan M, Rikard-Bell G, Mohsin M & Williams M (2006) Food insecurity in three socially disadvantaged localities in Sydney, Australia. Health Promot J Aust 17, 247254.
20.Wilson J (1997) Australia: lucky country/hungry silence. In First World Hunger: Food Security and Welfare Politics, pp. 1445 [G Riches, editor]. Basingstoke: St. Martin’s Press.
21.Saunders P & Davidson P (2007) Rising poverty is bad for our health. Med J Aust 187, 530531.
22.Engels B (2006) The funding and provision of emergency relief in Australia. In Thinking About Poverty, pp. 169198 [K Serr, editor]. Sydney: Federation Press.
23.Gallegos D, Ellies P & Wright J (2008) Still there’s no food! Food insecurity in a refugee population in Perth, Western Australia. Nutr Diet 65, 7883.
24.Bryce A, Donoghue C, Allen B & Stokes S (2005) Food security and permanent residents of caravan parks. Environ Health 25, 7383.
25.VicHealth (2005) Healthy Eating – Food Security Investment Plan 2005–2010. Melbourne: VicHealth.
26.VicHealth (2003) Food for All? Food Insecurity Community Demonstration Projects: Maribyrnong City Council and North Yarra Community Health Case Studies. Melbourne: VicHealth.
27.South Sydney City Council Food Policy Committee (1995) What’s Eating South Sydney: A Policy for a Safe, Affordable and Nutritious Food Supply in South Sydney. Sydney: South Sydney City Council Food Policy Committee.
28.Marks GC, Rutishauser IH, Webb DK & Picton P (2001) Key Food and Nutrition Data for Australia 1990–1999. Canberra: Australian Food and Nutrition Monitoring Unit.
29.Maddern R (1994) National Aboriginal and Torres Strait Islander Survey 1994: Detailed Findings. Canberra: Australian Bureau of Statistics.
30.United Nations General Assembly (1948) Universal Declaration of Human Rights, Resolution 217 A (III) of 10 December 1948. New York: UN.
31.Vozoris NT & Tarasuk VS (2003) Household food insufficiency is associated with poorer health. J Nutr 133, 120126.
32.Commission on Social Determinants of Health (2008) Closing the Gap in a Generation: Health Equity Through Action on the Social Determinants of Health. Final Report of the Commission on Social Determinants of Health. Geneva: WHO.
33.Olson CM (1999) Nutrition and health outcomes associated with food insecurity and hunger. J Nutr 129, 2S Suppl., 521S524S.
34.Townsend MS, Peerson J, Love B, Achterberg C & Murphy SP (2001) Food insecurity is positively related to overweight in women. J Nutr 131, 17381745.
35.Seligman HK, Bindman AB, Vittinghoff E & Kushel MB (2007) Food insecurity is associated with diabetes mellitus: results from the National Health Examination and Nutrition Examination Survey (NHANES) 1999–2002. J Gen Intern Med 22, 10181023.
36.Kim K & Frongillo EA (2007) Participation in food assistance programs modifies the relation of food insecurity with weight and depression in elders. J Nutr 137, 10051010.
37.Bronte-Tinkew J, Zaslow M, Capps R, Horowitz A & McNamara M (2007) Food insecurity works through depression, parenting, and infant feeding to influence overweight and health in toddlers. J Nutr 137, 21602165.
38.Stuff J, Casey P, Szeto K, Gossett J, Robbins J, Simpson P, Connell C & Bogle ML (2004) Household food insecurity is associated with adult health status. J Nutr 134, 23302335.
39.Hosmer D & Lemeshow S (editors) (2000) Model building strategies and methods for logistic regression. In Applied Logistic Regression, 2nd ed., pp. 95116. New York: John Wiley and Sons.
40.King T, Kavanagh AM, Jolley D, Turrell G & Crawford D (2006) Weight and place: a multilevel cross-sectional survey of area-level social disadvantage and overweight/obesity in Australia. Int J Obes (Lond) 30, 281287.
41.Turrell G, Patterson C, Oldenburg B, Gould T & Roy M-A (2003) The socio-economic patterning of survey participation and non-response error in a multilevel study of food purchasing behaviour: area- and individual-level characteristics. Public Health Nutr 6, 181189.
42.Nord M & Hopwood H (2007) Does interview mode matter for food security measurement? Telephone versus in-person interviews in the current population survey food security supplement. Public Health Nutr 10, 14741480.
43.Parnell WR, Reid J, Wilson NC, McKenzie J & Russell DG (2004) Food security: is New Zealand a land of plenty? N Z Med J 114, 141145.
44.Nord M, Andrews M & Carlson S (2007) Household Food Security in the United States, 2006. Washington, DC: US Department of Agriculture; available at
45.Australian Bureau of Statistics (2008) Population, Australian States and Territories, December 2007. Canberra: Commonwealth of Australia.
46.Radimer K, Allsopp R, Harvey P, Firman D & Watson E (1997) Food insufficiency in Queensland. Aust N Z J Public Health 21, 303310.
47.Dowler E (2003) Food and poverty: insights from the ‘north’. Dev Policy Rev 21, 569580.
48.Hadley C, Zodhiates A & Sellena DW (2007) Acculturation, economics and food insecurity among refugees resettled in the USA: a case study of West African refugees. Public Health Nutr 10, 405412.
49.Quine S & Morrell S (2006) Food insecurity in community-dwelling older Australians. Public Health Nutr 9, 219224.
50.Wood B, Swinburn B & Burns C (2003) Eating Well in Victoria, Food Security for All: Executive Summary. Multi-site Evaluation Final Report. Melbourne: Deakin University, Victorian Health Promotion Foundation & Victorian Department of Human Services Public Health Division.
51.Rose D (1999) Economic determinants and dietary consequences of food insecurity in the United States. J Nutr 129, 517520.
52.Robertson A, Tirado C, Lobstein T, Jermini M, Knai C, Jensen JH, Ferro-Luzzi A & James WPT (editors) (2004) Food and Health in Europe: A New Basis for Action. Geneva: WHO.
53.Priority Public Health Conditions Knowledge Network (2007) Inequities in the Health and Nutrition of Children. Report of the Priority Public Health Conditions Knowledge Network of the Commission on Social Determinants of Health. Geneva: WHO.
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