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A multilevel study of area socio-economic status and food purchasing behaviour

Published online by Cambridge University Press:  26 February 2009

Gavin Turrell*
Affiliation:
School of Public Health, Institute for Health and Biomedical Innovation, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Brisbane, Queensland 4059, Australia
Rebecca Bentley
Affiliation:
Key Centre for Women’s Health in Society, University of Melbourne, Melbourne, Victoria, Australia
Lyndal R Thomas
Affiliation:
Key Centre for Women’s Health in Society, University of Melbourne, Melbourne, Victoria, Australia
Damien Jolley
Affiliation:
Monash Institute of Health Services Research, Monash University, Melbourne, Victoria, Australia
SV Subramanian
Affiliation:
Department of Society, Human Development and Health, Harvard School of Public Health, Boston, MA, USA
Anne M Kavanagh
Affiliation:
Key Centre for Women’s Health in Society, University of Melbourne, Melbourne, Victoria, Australia
*
*Corresponding author: Email g.turrell@qut.edu.au
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Abstract

Objective

The present study examined the association between area socio-economic status (SES) and food purchasing behaviour.

Design

Data were collected by mail survey (64·2 % response rate). Area SES was indicated by the proportion of households in each area earning less than $AUS 400 per week, and individual-level socio-economic position was measured using education, occupation and household income. Food purchasing was measured on the basis of compliance with dietary guideline recommendations (for grocery foods) and variety of fruit and vegetable purchase. Multilevel regression analysis examined the association between area SES and food purchase after adjustment for individual-level demographic (age, sex, household composition) and socio-economic factors.

Setting

Melbourne city, Australia, 2003.

Subjects

Residents of 2564 households located in fifty small areas.

Results

Residents of low-SES areas were significantly less likely than their counterparts in advantaged areas to purchase grocery foods that were high in fibre and low in fat, salt and sugar; and they purchased a smaller variety of fruits. There was no evidence of an association between area SES and vegetable variety.

Conclusions

In Melbourne, area SES was associated with some food purchasing behaviours independent of individual-level factors, suggesting that areas in this city may be differentiated on the basis of food availability, accessibility and affordability, making the purchase of some types of foods more difficult in disadvantaged areas.

Information

Type
Research Paper
Copyright
Copyright © The Authors 2009
Figure 0

Table 1 Studies examining the association between areal-level socio-economic disadvantage and diet

Figure 1

Table 2 Classification of grocery food types into ‘recommended’ and ‘regular’ categories

Figure 2

Table 3 Descriptive statistics for the socio-economic and demographic variables and the measures of food purchasing behaviour (Melbourne city, Australia, 2003; n 2564)

Figure 3

Table 4 Area- and individual-level socio-economic effects on the purchase of grocery foods consistent with dietary guideline recommendations (Melbourne city, Australia, 2003)

Figure 4

Table 5 Area- and individual-level socio-economic effects on variety of fruit and vegetable purchasing (Melbourne city, Australia, 2003)†