Global Obesity Centre (GLOBE), Institute for Health Transformation, Faculty of Health, Deakin University, Victoria.
Deakin Rural Health, Faculty of Health, Deakin University, Victoria.
Aust N Z J Public Health. 2021 Feb;45(1):65-70. doi: 10.1111/1753-6405.13057. Epub 2020 Dec 21.
To undertake a census of the healthfulness of food venues providing lunch or dinner meals in a rural Australian setting and compare healthfulness by remoteness, using two measurement tools.
A census of the rural local government area food venues was undertaken using two validated tools: the Healthfulness Rating Classification System (HRCS) and the Nutrition Environment Measures Survey (NEMS-R). Data were collected covering an area of 3,438 square kilometres in Victoria, Australia, with a population of >21,000. Healthfulness by remoteness was described and variability between tools was explored.
Data were collected from all 95 eligible food venues. Both tools classified the food venues as relatively unhealthy. The mean HRCS score was -2.9 (unhealthy) and the mean NEMS-R score was 10.8 (SD 7.0; possible range -27 to 64). There were no significant differences in healthiness of venues by remoteness (as measured by the Modified Monash Model), although the outer-rural region had lower scores.
This census of a rural food retail environment showed low access to healthy menu options along with minimal provision of nutrition information and promotion of healthy food in food venues. This environment has the potential to affect the dietary intake of more than 21,000 rural-dwelling Australians and action to improve rural food environments is desperately needed. Implications for public health: If unhealthful rural food environments are not addressed, inequalities in the diet-related disease burden for rural Australians will continue to persist. This study shows that interventions are needed for independent venues that could be targeted by researchers, local health promotion officers, community nutritionists or community education programs.
对澳大利亚农村地区提供午餐或晚餐的餐饮场所的健康状况进行普查，并使用两种测量工具按偏远程度对其健康状况进行比较。
对澳大利亚维多利亚州一个面积为 3438 平方公里、人口超过 21000 人的农村地方政府区域的餐饮场所进行了普查，使用了两种经过验证的工具：健康评分分类系统（HRCS）和营养环境测量调查（NEMS-R）。收集了涵盖偏远程度的健康数据，并探讨了两种工具之间的差异。
共收集了 95 个符合条件的餐饮场所的数据。两种工具均将餐饮场所归类为相对不健康。HRCS 的平均得分为-2.9（不健康），NEMS-R 的平均得分为 10.8（SD7.0；可能范围为-27 至 64）。按偏远程度（用改良莫纳什模式衡量），各场所的健康程度无显著差异，但远郊地区的得分较低。
这项对农村食品零售环境的普查显示，健康食品的菜单选择机会有限，营养信息提供和健康食品促销也很少。这种环境有可能影响到 21000 多名农村居民的饮食摄入，急需采取行动改善农村食品环境。对公共卫生的影响：如果不解决农村不健康的食品环境问题，澳大利亚农村地区与饮食相关的疾病负担不平等问题将继续存在。本研究表明，需要对独立的场所进行干预，研究人员、当地健康促进官员、社区营养师或社区教育计划可以针对这些场所。
