Impacts of local area public sector spending and food purchasing in England: a panel study

Abstract

Abstract Background The UK adopted austerity policies in 2010, leading to reduced public sector spending. Reductions in local authority (LA) highways and transport expenditure may affect food access, and decreases in LA housing service expenditure may reduce financial resources for many. Impacts of these changes on food purchasing have not yet been investigated. Methods We used publicly available data for 324 English LAs between 2008-15. Highways and transport service expenditure and housing service expenditure were the exposures, log transformed to account for diminishing returns. Food purchasing outcomes were fresh fruit and vegetables; foods high in fat, salt, and sugars (HFSS); and takeaways, as a proportion of total food and drink purchases. We used fixed effects linear regression models adjusting for local socio-demographics with robust standard errors. We stratified by Index of Multiple Deprivation and rural/urban area status. Results A 10% reduction in highways and transport expenditure was associated with a 0.005 (p = 0.002) percentage point decrease in fruit and vegetable purchases and a 0.006 (p = 0.010) percentage point increase in takeaway purchases, both as a proportion of total food and drink purchasing. Both results were only statistically significant in urban areas when stratified by rural/urban area status. A 10% decrease in housing expenditure was associated with a 0.006 percentage point decrease in HFSS purchasing as a proportion of total food and drink expenditure (p = 0.001). Conclusions This is the first time that impacts of reductions in public sector spending on food purchasing have been investigated. Our research highlights that these changes may affect diets of the whole population in addition to existing evidence around impacts on foodbank use. Reductions in public spending may impact food purchasing, suggesting that austerity policies may have impacts on diets and health. Further research at the individual level is needed. Key messages To our knowledge, our research is the first time impacts of reductions in public sector spending on food purchases have been investigated. Reductions in local authority highways and transport and housing service expenditure may lead to decreased fruit and vegetables and unhealthy food purchases and increased takeaway purchases.