The availability of snack food displays that may trigger impulse purchases in Melbourne supermarkets

Background

Supermarkets play a major role in influencing the food purchasing behaviours of most households. Snack food exposures within these stores may contribute to higher levels of consumption and ultimately to increasing levels of obesity, particularly within socioeconomically disadvantaged neighbourhoods. We aimed to examine the availability of snack food displays at checkouts, end-of-aisle displays and island displays in major supermarket chains in the least and most socioeconomically disadvantaged neighbourhoods of Melbourne.
Methods

Within-store audits of 35 Melbourne supermarkets. Supermarkets were sampled from the least and most socioeconomically disadvantaged suburbs within 30 km of the Melbourne CBD. We measured the availability of crisps, chocolate, confectionery, and soft drinks (diet and regular) at the checkouts, in end-of-aisle displays, and in island bin displays.
Results

Snack food displays were most prominent at checkouts with only five stores not having snack foods at 100% of their checkouts. Snack foods were also present at a number of end-of-aisle displays (at both the front (median 38%) and back (median 33%) of store), and in island bin displays (median number of island displays: 7; median total circumference of island displays: 19.4 metres). Chocolate items were the most common snack food item on display. There was no difference in the availability of these snack food displays by neighbourhood disadvantage.
Conclusions

As a result of the high availability of snack food displays, exposure to snack foods is almost unavoidable in Melbourne supermarkets, regardless of levels of neighbourhood socioeconomic disadvantage. Results of this study could promote awareness of the prominence of unhealthy food items in chain-brand supermarkets outlets.

Religion as a source of resilience for elderly Greeks in Melbourne, Australia

This paper discusses the role of religion in creating resilience among elderly individuals of Greek background in melbourne, Australia, who are suffering from chronic disease. The role of religion in forming their conceptualization of health is analyzed in the context of their linguistic and cultural background as well as in relation to how they view their heritage and cultural identity.

Warlpiri warriors : Australian Rules Football in Central Australia

Yuendumu, located in the Tanami desert of the Northern Territory, is home to the largest Warlpiri community in Australia. We examine the role of Australian Rules football in this remote Indigenous community. Football is seen to operate on many layers of Warlpiri culture, from the traditional game of ‘purlja’, the introduction of modern football in the 1950s, the growth of sports weekends, community football and the Alice Springs competition to the journey of Liam Jurrah, the first Warlpiri man to make the journey from being a desert footballer to emerging as an Australian Football League star. The importance of football in Yuendumu is revealed as a vehicle for social cohesion, group identity, pride and joy, and as an expression of manhood, enabling its young men to see themselves as modern-day Warlpiri warriors.

The musical and social benefits of community choir membership in Melbourne (Australia)

Caroline Springs: Does this estate in Melbourne's west master open space?

A study of the use of two open spaces - a small park and an oval - at Caroline Springs, a Master Planned Estate in Melbourne's west.

Six million in Melbourne or a network of sustainable midi-cities? A thought experiment

By 2050, it is projected that Melbourne will have a population of between 5.6 and 6.4 million (DPCD, 2012), an increase of nearly 50% above its current level. Despite Melbourne's status as the world's most liveable city, a recent survey found that Australians in general found smaller cities are better places to live and bring up families (Perkins, 2013). The Grattan Institute's report entitled "The Cities We Need" was "an invitation to a conversation" about our future cities (Kelly, 2010:5). One idea not canvassed in the report was that of decentralization to accommodate Melbourne's projected growth. In its discussion paper, "Let's Talk about the Future", the Victorian State Government proposes that Melbourne become a 'polycentric city' linked to its regional cities (DPCD, 2012). While growth in the present regional cities is acknowledged, the possibility that these and other new regional cities could absorb the future population projected for Melbourne is not considered, nor that these regional cities could be transformed into 'sustainable cities'. This paper explores the idea that a network of smaller 'midi-cities, based on the sustainable city concept of Sweden, might provide a better alternative to concentrated growth in one city. Fifteen new cities of 150,000 would be required to absorb the projected extra 2.3 million Victorian residents. The paper analyses the energy, food, water and land requirements of a typical sustainable city. The new cities would require approximately 12% of the State's land area for food and energy supply, as well as the built environment.

Does Candida and/or Staphylococcus play a role in nipple and breast pain in lactation? A cohort study in Melbourne, Australia

Objective: To investigate Candida species and Staphylococcus aureus and the development of 'nipple and breast thrush' among breastfeeding women. Design: Prospective longitudinal cohort study. Setting: Two hospitals in Melbourne, Australia (one public, one private) with follow-up in the community. Participants: 360 nulliparous women recruited at 36 weeks' gestation from November 2009 to June 2011. Participants were followed up six times: in hospital, at home weekly until 4 weeks postpartum and by telephone at 8 weeks. Main outcome measures: Case definition 'nipple and breast thrush': burning nipple pain and breast pain (not related to mastitis); detection of Candida spp (using culture and PCR) in the mother's vagina, nipple or breast milk or in the baby's mouth; detection of S aureus in the mother' nipple or breast milk. Results: Women with the case definition of nipple/ breast thrush were more likely to have Candida spp in nipple/breast milk/baby oral samples (54%) compared to other women (36%, p=0.014). S aureus was common in nipple/breast milk/baby samples of women with these symptoms as well as women without these symptoms (82% vs 79%) (p=0.597). Time-to-event analysis examined predictors of nipple/breast thrush up to and including the time of data collection. Candida in nipple/breast milk/baby predicted incidence of the case definition (rate ratio (RR) 1.87 (95% CI 1.10 to 3.16, p=0.018). We do not have evidence that S aureus colonisation was a predictor of these symptoms (RR 1.53, 95% CI 0.88 to 2.64, p=0.13). Nipple damage was also a predictor of these symptoms, RR 2.30 (95% CI 1.19 to 4.43, p=0.012). In the multivariate model, with all three predictors, the RRs were very similar to the univariate RRs. This indicates that Candida and nipple damage are independent predictors of our case definition.

Recommendations for and compliance with social restrictions during implementation of school closures in the early phase of the influenza A (H1N1) 2009 outbreak in Melbourne, Australia

Background Localized reactive school and classroom closures were implemented as part of a suite of pandemic containment measures during the initial response to influenza A (H1N1) 2009 in Melbourne, Australia. Infected individuals, and those who had been in close contact with a case, were asked to stay in voluntary home quarantine and refrain from contact with visitors for seven days from the date of symptom onset or exposure to an infected person. Oseltamivir (Tamiflu®) was available for treatment or prophylaxis. Methods We surveyed affected families through schools involved in the closures. Analyses of responses were descriptive. We characterized recommendations made to case and contact households and quantified adherence to guidelines and antiviral therapy. Results Of the 314 respondent households, 51 contained a confirmed case. The prescribed quarantine period ranged from 1-14 days, reflecting logistic difficulties in reactive implementation relative to the stated guidelines. Household-level compliance with the requirement to stay at home was high (84.5%, 95% CI 79.3,88.5) and contact with children outside the immediate family infrequent. Conclusions Levels of compliance with recommendations in our sample were high compared with other studies, likely due to heightened public awareness of a newly introduced virus of uncertain severity. The variability of reported recommendations highlighted the difficulties inherent in implementing a targeted reactive strategy, such as that employed in Melbourne, on a large scale during a public health emergency. This study emphasizes the need to understand how public health measures are implemented when seeking to evaluate their effectiveness.