Observational studyInternational journal of environmental research and public health2018
You Can't Find Healthy Food in the Bush: Poor Accessibility, Availability and Adequacy of Food in Rural Australia.
Observational study in International journal of environmental research and public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
45 citing papers in PubMed, 4 syntheses or guidelines pooled it, 75 citations in OpenAlex.
- Assessing the Cost of Healthy and Unhealthy Diets: A Systematic Review of Methods.Current nutrition reports · 2022Pooled it
- The Impact of the COVID-19 Pandemic on Rural Food Security in High Income Countries: A Systematic Literature Review.International journal of environmental research and public health · 2022Pooled it
- Characterizing Dietary Intakes in Rural Australian Adults: A Systematic Literature Review.Nutrients · 2020Pooled it
- Measuring Rural Food Environments for Local Action in Australia: A Systematic Critical Synthesis Review.International journal of environmental research and public health · 2019Pooled it
- Sustaining Health Promotion in Australian Supermarkets: Qualitative Perspectives From the Reach for the Stars Programme.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026Article
- Food Environment Assessment in Two Socioeconomic Contexts in Queensland, Australia.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026Article
- Rural mental health strengths and social connectedness: Findings from the Australian National Study of Mental Health and Wellbeing.The Australian and New Zealand journal of psychiatry · 2026Article
- How do supermarkets shape the experience of vulnerable people in Australia's food system? A scoping review.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2026Article
- Building healthy public policy: addressing the socioeconomic drivers of food insecurity in Australia.Health promotion international · 2026Article
- Mapping the Aggregated Behavioural Risk Factors for Colorectal Cancer by Small Areas Across Australia.The Australian journal of rural health · 2026Article
- Diet Cost and Affordability in Queensland: A Two-Year Cross-Sectional Study.International journal of environmental research and public health · 2026Article
- Drivers of food cost in outer regional, remote, and very remote Australia: a systematic scoping review.BMC public health · 2026Article
- Association between healthiness of community food environments and diet-related health outcomes in regional Australia: an ecological study.BMC public health · 2026Article
- Rural General Practitioners' Perceptions of the Barriers and Facilitators of Chronic Disease and Cardiometabolic Risk Factor Care Through Lifestyle Management-A Western Australian Qualitative Study.Healthcare (Basel, Switzerland) · 2026Article
- Rural Food Forward: An Appetite for Change.The Australian journal of rural health · 2025Article
- The association between socio-economic position and diet quality in rural and regional Australian adults.The British journal of nutrition · 2025Article
- A Human-Centred Co-Design Framework for Developing a Web-Based Platform to Engage With Rural Australian Communities: Addressing the Complex Issue of Healthy Food Access.The Australian journal of rural health · 2025Article
- Lived Experience of Regional and Remote Food Systems: Barriers to and Enablers of Food Access in Western Australia.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025Article
- Retrospective analysis of regional and metropolitan school food environments using Google Street View: A case study in New South Wales, Australia with youth consultation.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025Article
- Planning healthy food environments: An analysis of local government municipal public health and wellbeing policy in regional Victoria.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In high-income countries, obesity disproportionately affects those from disadvantaged and rural areas. Poor diet is a modifiable risk factor for obesity and the food environment a primary driver of poor diet. In rural and disadvantaged communities, it is harder to access affordable and nutritious food, affecting both food insecurity and the health of rural residents. This paper aims to describe the food environment in a rural Australian community (approx. 7000 km² in size) to inform the development of community-relevant food supply interventions. We conducted a census audit of the food environment (ground truthing) of a local government area (LGA). We used the Nutrition Environment Measurement tools (NEMS-S and NEMS-R) to identify availability of a range of food and non-alcoholic beverages, the relative price of a healthy compared to a less healthy option of a similar food type (e.g., bread), the quality of fresh produce and any in-store nutrition promotion. Thirty-eight food retail outlets operated at the time of our study and all were included, 11 food stores (NEMS-S) and 27 food service outlets (NEMS-R). The mean NEMS-S score for all food stores was 21/54 points (39%) and mean NEMS-R score for all food service outlets was 3/23 points (13%); indicative of limited healthier options at relatively higher prices. It is difficult to buy healthy food beyond the supermarkets and one (of seven) cafés across the LGA. Residents demonstrate strong loyalty to local food outlets, providing scope to work with this existing infrastructure to positively impact poor diet and improve food security.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.