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ANZOS 2013 abstracts e49 However, although respondents supported greater personal responsibility, they saw it as much less effective in reducing obesity than several environmental interventions: ‘Removing GST on fresh fruit and vegetables to reduce their price’, ‘Making public facilities for physical activity free for locals to use’, ‘Removing food high in fat or sugar from school tuck shops, workplace cafeterias and vending machines, and hospitals’ and ‘Increas- ing the amount of sport and physical activity within school time’. Public education campaigns were also considered more effective than simply encouraging people to take responsibility for their own health, but less so than environmental interventions. Clearly there is a difference between what mem- bers of the public say they support and what they think will be effective. We argue it is the latter that should influence policy makers. Although our respondents saw individuals as responsible for their own body-weight, they recognised the difficulty of losing weight in an environment that fosters weight- gain. Our findings suggest that the New Zealand public support and see as effective an integrated approach that enables people to buy healthier food, decreases the availability of nutrient-poor foods and provides opportunities for exercise, in addition to measures that teach them how to eat healthily. In this respect, public opinion is leading public pol- icy and the political will to address overweight and obesity. http://dx.doi.org/10.1016/j.orcp.2013.12.592 94 Community perceptions regarding the promotion of energy dense snack foods and soft drinks in Australian supermarkets, and attitudes toward regulatory change Adrian J. Cameron , Jennifer McCann, Lukar E. Thornton Deakin University, Burwood, Vic, Australia Background and aim: The majority of Australians fail to meet national guidelines for the consump- tion of energy dense snack foods. These foods are heavily promoted in Australian supermarkets, which are the major source of food for the majority of households. We examined shoppers’ perceptions of the promotion of energy dense snack foods and soft drinks in Australian supermarkets and explored their attitudes toward various potential regulatory options. Methods: Responses were obtained from the main food shopper in 190 households from 4 clusters (2 in most disadvantaged areas, 2 in least disad- vantaged areas). Women represented 67% of the sample and 69% were born in Australia. Analyses were conducted for the whole sample and by area- level disadvantage. Results: The majority of participants frequently shopped at large supermarkets (92%) and reported doing the majority of their food shopping in these stores (69%). Most people (77%) believed supermarkets dedicate too much space to soft drinks and snack foods, and 86% would like supermarket regulation of these products (35% preferring Government regulation; 51% prefer- ring self-regulation). Respondents supported each of: (1) snack/soft-drink-free checkouts (mean (SE) of 4.9 (0.16) on a scale of 1—7 where 1 = do not support and 7 = strongly support), (2) replacing snacks/soft-drinks at checkouts with fruit/vegetables (mean = 4.8 (0.16)), (3) limits on the proportion of checkouts, end-of-aisle displays and island bins that can display snacks/soft-drinks (mean 4.8—5.1), (4) regulation of shelf space dedi- cated to these products (mean = 4.7 (0.15)) and (5) regulation to keep children’s toys out of snack food aisles (mean = 5.5 (0.14)). Variation in purchasing of snack foods by area-level socioeconomic position was observed. Conclusion: A strong community desire for change to supermarket practices relating to the availability of soft drinks and energy-dense snacks was evident. http://dx.doi.org/10.1016/j.orcp.2013.12.593 95 Rapid weight gain and overweight and obesity in urban Aboriginal children: The Gudaga cohort Elizabeth Denney-Wilson , Vana Webster, Jenny Knight, Elizabeth Comino, Georgie Russell UTS and COMPaRE-PHC, Sydney, NSW, Australia Background: Preventing obesity in children, especially those from Aboriginal and Torres Strait Islander backgrounds is a national priority. Recent national data suggests higher rates of over- weight/obesity among Indigenous pre-schoolers (28.1%) than non-Indigenous pre-schoolers (20.5%) (1). Previous studies also suggest Indigenous chil- dren residing in urban areas tend to be heavier and taller than those residing in rural/remote areas.

Community perceptions regarding the promotion of energy dense snack foods and soft drinks in Australian supermarkets, and attitudes toward regulatory change

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ANZOS 2013 abstracts e49

However, although respondents supportedgreater personal responsibility, they saw it as muchless effective in reducing obesity than severalenvironmental interventions: ‘Removing GST onfresh fruit and vegetables to reduce their price’,‘Making public facilities for physical activity freefor locals to use’, ‘Removing food high in fat orsugar from school tuck shops, workplace cafeteriasand vending machines, and hospitals’ and ‘Increas-ing the amount of sport and physical activity withinschool time’. Public education campaigns were alsoconsidered more effective than simply encouragingpeople to take responsibility for their own health,but less so than environmental interventions.

Clearly there is a difference between what mem-bers of the public say they support and what theythink will be effective. We argue it is the latterthat should influence policy makers. Although ourrespondents saw individuals as responsible for theirown body-weight, they recognised the difficulty oflosing weight in an environment that fosters weight-gain. Our findings suggest that the New Zealandpublic support and see as effective an integratedapproach that enables people to buy healthier food,decreases the availability of nutrient-poor foodsand provides opportunities for exercise, in additionto measures that teach them how to eat healthily.In this respect, public opinion is leading public pol-icy and the political will to address overweight andobesity.

http://dx.doi.org/10.1016/j.orcp.2013.12.592

94

Community perceptions regardingthe promotion of energy densesnack foods and soft drinks inAustralian supermarkets, andattitudes toward regulatory change

Adrian J. Cameron ∗, JenniferMcCann, Lukar E. Thornton

Deakin University, Burwood, Vic,Australia

Background and aim: The majority of Australiansfail to meet national guidelines for the consump-tion of energy dense snack foods. These foodsare heavily promoted in Australian supermarkets,which are the major source of food for the majorityof households. We examined shoppers’ perceptionsof the promotion of energy dense snack foods andsoft drinks in Australian supermarkets and exploredtheir attitudes toward various potential regulatoryoptions.

Methods: Responses were obtained from themain food shopper in 190 households from 4 clusters(2 in most disadvantaged areas, 2 in least disad-vantaged areas). Women represented 67% of thesample and 69% were born in Australia. Analyseswere conducted for the whole sample and by area-level disadvantage.

Results: The majority of participants frequentlyshopped at large supermarkets (92%) and reporteddoing the majority of their food shopping inthese stores (69%). Most people (77%) believedsupermarkets dedicate too much space to softdrinks and snack foods, and 86% would likesupermarket regulation of these products (35%preferring Government regulation; 51% prefer-ring self-regulation). Respondents supported eachof: (1) snack/soft-drink-free checkouts (mean(SE) of 4.9 (0.16) on a scale of 1—7 where1 = do not support and 7 = strongly support), (2)replacing snacks/soft-drinks at checkouts withfruit/vegetables (mean = 4.8 (0.16)), (3) limits onthe proportion of checkouts, end-of-aisle displaysand island bins that can display snacks/soft-drinks(mean 4.8—5.1), (4) regulation of shelf space dedi-cated to these products (mean = 4.7 (0.15)) and (5)regulation to keep children’s toys out of snack foodaisles (mean = 5.5 (0.14)). Variation in purchasingof snack foods by area-level socioeconomic positionwas observed.

Conclusion: A strong community desire forchange to supermarket practices relating to theavailability of soft drinks and energy-dense snackswas evident.

http://dx.doi.org/10.1016/j.orcp.2013.12.593

95

Rapid weight gain and overweightand obesity in urban Aboriginalchildren: The Gudaga cohort

Elizabeth Denney-Wilson ∗, VanaWebster, Jenny Knight, ElizabethComino, Georgie Russell

UTS and COMPaRE-PHC, Sydney,NSW, Australia

Background: Preventing obesity in children,especially those from Aboriginal and Torres StraitIslander backgrounds is a national priority. Recentnational data suggests higher rates of over-weight/obesity among Indigenous pre-schoolers(28.1%) than non-Indigenous pre-schoolers (20.5%)(1). Previous studies also suggest Indigenous chil-dren residing in urban areas tend to be heavier andtaller than those residing in rural/remote areas.