Abstract

Closing the health gap between Indigenous and non-Indigenous Australians relies, in part, on addressing the poor levels of nutrition in remote Indigenous communities (RIC). This article identifies and maps key influencers of food choice at the point-of-purchase (POP) in Australian RIC and identifies gaps in our knowledge. It is based on a narrative review of the literature pertaining to food in RIC from a range of disciplinary perspectives including nutrition, ethnography, public health, anthropology, and remote health to map POP drivers of food choice. In particular, the role of habit is identified as a key factor that has previously not been discussed in the literature. The conceptual framework can be used as a basis for future POP research in RIC and provides guidance for social marketers, public health, nutrition, and policy workers operating in this field.

Highlights

  • A significant health gap exists between Indigenous and nonIndigenous people in Australia

  • Around a third of Aboriginal and Torres Strait Islander people live in major Australian cities and around a fifth (100,000) live in remote or very remote areas defined by their distance to service centers (Australian Institute of Health and Welfare [AIHW], 2004) some literally thousands of kilometers from service centers—defined as urban centers with population clusters over 1,000 people (ABS, 2012)

  • With the exception of “intention,” we have explored in this article the impact of habit and situational factors on the impact of food buying in remote Indigenous communities (RIC)

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Summary

Introduction

A significant health gap exists between Indigenous and nonIndigenous people in Australia. Any social marketing program that seeks to address the influence of POP on people’s food choices in RIC will need to take into account the environmental, social/cultural, store level, and individual factors to develop a strategy which encompasses upstream, midstream, and downstream approaches.

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