School of Medical and Health Sciences, Edith Cowan University, Western Australia.
School of Population Health, The University of Western Australia.
Aust N Z J Public Health. 2017 Apr;41(2):172-177. doi: 10.1111/1753-6405.12636. Epub 2017 Jan 22.
To explore how determinants of food security affect children in regional and remote Western Australia (WA), across food availability, access and utilisation dimensions.
The Determinants of Food Security framework guided the thematic analysis (using NVivo 10) of semi-structured interviews with 20 key informants.
Food availability factors included availability, price, promotion, quality, location of outlets and variety. Food access factors included social support, financial resources, transport to food outlets, distance to food outlets and mobility. Food utilisation factors included nutrition knowledge and skills, children's food preferences, storage facilities, preparation and cooking facilities and time to purchase food.
Key food availability recommendations include increasing local food supply options. Food access recommendations include ensuring equitable formal social support and empowering informal support options. Food utilisation recommendations include prioritising food literacy programs focusing on quick, healthy food preparation and budgeting skills. Implications for public health: Policymakers should invest in local food supply options, equitable social support services and experiential food literacy programs. Practitioners should focus child/parent programs on improving attitude, knowledge and skills.
探讨粮食安全决定因素如何通过食品供应、获取和利用三个维度影响西澳大利亚州(WA)地区和偏远地区的儿童。
采用 NVivo 10 软件对 20 名关键知情者的半结构化访谈进行主题分析,以粮食安全决定因素框架为指导。
食品供应因素包括供应情况、价格、促销、质量、销售点位置和种类。食品获取因素包括社会支持、经济资源、前往食品销售点的交通、销售点距离和行动能力。食品利用因素包括营养知识和技能、儿童的食物偏好、储存设施、准备和烹饪设施以及购买食物的时间。
主要的食品供应建议包括增加当地食品供应选择。食品获取建议包括确保公平的正式社会支持和赋权非正式支持选择。食品利用建议包括优先考虑注重快速、健康的食物准备和预算技能的粮食知识方案。
政策制定者应投资于当地的食品供应选择、公平的社会支持服务和体验式粮食知识方案。从业者应将重点放在改善儿童/家长的态度、知识和技能上。