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How do supermarkets shape the experience of vulnerable people in Australia's food system? A scoping review.

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Title: How do supermarkets shape the experience of vulnerable people in Australia's food system? A scoping review.
Authors: Webb CE; School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Australia., Farr J; CSIRO, The University of Queensland, Brisbane, Australia., Cook N; School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Australia., Wright ORL; School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Australia.
Source: Nutrition & dietetics : the journal of the Dietitians Association of Australia [Nutr Diet] 2026 Sep; Vol. 83 (4), pp. 490-514. Date of Electronic Publication: 2026 Jun 30.
Publication Type: Journal Article; Scoping Review
Language: English
Journal Info: Publisher: Dietitians Association of Australia Country of Publication: Australia NLM ID: 101143078 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1747-0080 (Electronic) Linking ISSN: 14466368 NLM ISO Abbreviation: Nutr Diet Subsets: MEDLINE
Imprint Name(s): Original Publication: Deakin, ACT : Dietitians Association of Australia, c2002-
MeSH Terms: Food Supply*/economics , Food Markets* , Vulnerable Populations*, Humans ; Australia ; Commerce ; Health Behavior ; Low Socioeconomic Status ; Nutritive Value ; Socioeconomic Disparities in Health ; Socioeconomic Factors
Abstract: Aims: The aim of this scoping review was to synthesise how supermarkets shape health behaviours and nutrition-related outcomes of vulnerable populations in Australia.
Methods: Five databases were searched and studies were included if they discussed Australia's major supermarket chains, their relationship with vulnerable populations, and outcomes linked to nutrition behaviour or health. Findings were synthesised narratively and reported using the food systems approach interdisciplinary conceptual framework.
Results: Twenty-eight studies met the inclusion criteria. Twenty-seven studies investigated food access, six studies examined health behaviours, and four studies focused on nutrition-related health outcomes. Socioeconomic disadvantage was the only vulnerability explored across all studies. Large supermarket chains provided greater access and availability to foods of higher nutritional quality at lower prices than other types of stores; however, areas of lower socio-economic status experienced poorer proximity to supermarkets. Supermarket food prices were less affordable for low-income households in all locations. Individuals living in lower socio-economic areas had a higher risk of greater body size.
Conclusion: Supermarkets play a structural role in the health of socioeconomically vulnerable populations in Australia. Supermarkets are important for the provision of higher nutritional quality foods but can also have negative effects through the stocking and marketing of discretionary foods. Future research is required to understand the relationship between supermarkets and other populations experiencing disadvantage and/or vulnerability, such as those with physical disabilities, older adults, youth, and other cultural backgrounds. The extent of alternative food systems and community-based initiatives that provide food for these groups requires further investigation.
(© 2026 The Author(s). Nutrition & Dietetics published by John Wiley & Sons Australia, Ltd on behalf of Dietitians Australia.)
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Aust J Rural Health. 2020 Jun;28(3):319-320. (PMID: 32592230)
BMC Public Health. 2022 Aug 12;22(1):1539. (PMID: 35962335)
BMC Med. 2024 Aug 26;22(1):341. (PMID: 39183272)
Public Health Nutr. 2022 Mar;25(3):528-537. (PMID: 34544513)
Rural Remote Health. 2012;12:1938. (PMID: 22533350)
Public Health Nutr. 2021 Feb;24(2):203-214. (PMID: 32792022)
Health Res Policy Syst. 2021 Mar 1;19(1):27. (PMID: 33648525)
Eur J Clin Nutr. 2010 Dec;64(12):1423-32. (PMID: 20808330)
Eur J Public Health. 2022 Aug 1;32(4):593-599. (PMID: 35560213)
Health Promot Int. 2017 Feb 1;32(1):113-121. (PMID: 28180259)
Lancet. 2025 Dec 6;406(10520):2685-2702. (PMID: 41270767)
Int J Equity Health. 2021 Oct 7;20(1):220. (PMID: 34620180)
Obes Rev. 2012 Sep;13(9):766-79. (PMID: 22551473)
Public Health Nutr. 2022 May;25(5):1140-1152. (PMID: 35022093)
Nutr Rev. 2018 Dec 01;76(12):861-874. (PMID: 30202944)
Eur J Clin Nutr. 2015 Aug;69(8):902-6. (PMID: 25604778)
BMJ Open. 2019 Aug 27;9(8):e030286. (PMID: 31462483)
Int J Environ Res Public Health. 2018 Oct 21;15(10):. (PMID: 30347893)
Health Place. 2009 Jun;15(2):578-585. (PMID: 19046654)
Nutrients. 2020 Oct 19;12(10):. (PMID: 33086560)
Appetite. 2010 Dec;55(3):441-6. (PMID: 20728488)
Int J Environ Res Public Health. 2018 Jul 02;15(7):. (PMID: 30004462)
BMC Public Health. 2012 Mar 15;12:194. (PMID: 22420759)
Int J Environ Res Public Health. 2020 Oct 20;17(20):. (PMID: 33092077)
Aust N Z J Public Health. 2016 Apr;40 Suppl 1:S21-6. (PMID: 25902766)
J Epidemiol Community Health. 2019 Dec;73(12):1061-1062. (PMID: 31594788)
BMC Public Health. 2021 Feb 25;21(1):407. (PMID: 33632182)
Health Promot Chronic Dis Prev Can. 2017 Sep;37(9):274-292. (PMID: 28902477)
Health Promot J Austr. 2009 Dec;20(3):241-6. (PMID: 19951246)
Public Health Nutr. 2013 Jul;16(7):1178-85. (PMID: 22613746)
Nutr Diet. 2026 Sep;83(4):490-514. (PMID: 42376950)
Aust N Z J Public Health. 2022 Jun;46(3):346-353. (PMID: 35357735)
Rural Remote Health. 2008 Oct-Dec;8(4):1074. (PMID: 19053178)
Health Promot J Austr. 2019 Jan;30(1):124-127. (PMID: 29569782)
Health Place. 2019 May;57:204-217. (PMID: 31103776)
Int J Behav Nutr Phys Act. 2022 Dec 12;19(1):148. (PMID: 36503612)
Health Place. 2007 Dec;13(4):877-85. (PMID: 17470408)
Aust N Z J Public Health. 2014 Feb;38(1):7-12. (PMID: 24494938)
Ann Intern Med. 2018 Oct 2;169(7):467-473. (PMID: 30178033)
Int J Behav Nutr Phys Act. 2019 Aug 19;16(1):67. (PMID: 31426809)
AIMS Public Health. 2015 Aug 26;2(3):554-582. (PMID: 29546125)
Public Health Nutr. 2013 Jan;16(1):171-8. (PMID: 22433912)
PLoS One. 2023 Jan 20;18(1):e0280223. (PMID: 36662685)
Health Place. 2006 Dec;12(4):741-8. (PMID: 16253542)
Int J Environ Res Public Health. 2017 Aug 15;14(8):. (PMID: 28809795)
Am J Public Health. 2002 Nov;92(11):1761-7. (PMID: 12406805)
Aust N Z J Public Health. 2007 Aug;31(4):360-3. (PMID: 17725017)
SSM Popul Health. 2016 Jan 07;2:1-9. (PMID: 29349122)
Am J Clin Nutr. 2024 Mar;119(3):850-861. (PMID: 38160801)
Health Promot J Austr. 2012 Aug;23(2):129-33. (PMID: 23088474)
PLoS One. 2017 Nov 30;12(11):e0188872. (PMID: 29190662)
Foods. 2021 Jul 20;10(7):. (PMID: 34359537)
Int J Environ Res Public Health. 2018 Nov 05;15(11):. (PMID: 30400654)
Nutr J. 2018 Sep 27;17(1):88. (PMID: 30261887)
Int J Environ Res Public Health. 2020 Jan 15;17(2):. (PMID: 31952327)
Aust N Z J Public Health. 2017 Dec;41(6):567-571. (PMID: 28712112)
Nutrients. 2017 Oct 04;9(10):. (PMID: 28976927)
Contributed Indexing: Keywords: food security; food system; health behaviours; supermarkets; vulnerable populations
Entry Date(s): Date Created: 20260630 Date Completed: 20260915 Latest Revision: 20260922
Update Code: 20260922
PubMed Central ID: PMC13575723
DOI: 10.1111/1747-0080.70085
PMID: 42376950
Database: MEDLINE
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  Data: How do supermarkets shape the experience of vulnerable people in Australia's food system? A scoping review.
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  Data: <searchLink fieldCode="AU" term="%22Webb+CE%22">Webb CE</searchLink>; School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Australia.<br /><searchLink fieldCode="AU" term="%22Farr+J%22">Farr J</searchLink>; CSIRO, The University of Queensland, Brisbane, Australia.<br /><searchLink fieldCode="AU" term="%22Cook+N%22">Cook N</searchLink>; School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Australia.<br /><searchLink fieldCode="AU" term="%22Wright+ORL%22">Wright ORL</searchLink>; School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Australia.
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  Data: <i>Original Publication</i>: Deakin, ACT : Dietitians Association of Australia, c2002-
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  Data: <searchLink fieldCode="MM" term="%22Food+Supply%22">Food Supply*</searchLink>/<searchLink fieldCode="MM" term="%22Food+Supply+economics%22">economics</searchLink> <br /><searchLink fieldCode="MM" term="%22Food+Markets%22">Food Markets*</searchLink> <br /><searchLink fieldCode="MM" term="%22Vulnerable+Populations%22">Vulnerable Populations*</searchLink><br /><searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Australia%22">Australia</searchLink> ; <searchLink fieldCode="MH" term="%22Commerce%22">Commerce</searchLink> ; <searchLink fieldCode="MH" term="%22Health+Behavior%22">Health Behavior</searchLink> ; <searchLink fieldCode="MH" term="%22Low+Socioeconomic+Status%22">Low Socioeconomic Status</searchLink> ; <searchLink fieldCode="MH" term="%22Nutritive+Value%22">Nutritive Value</searchLink> ; <searchLink fieldCode="MH" term="%22Socioeconomic+Disparities+in+Health%22">Socioeconomic Disparities in Health</searchLink> ; <searchLink fieldCode="MH" term="%22Socioeconomic+Factors%22">Socioeconomic Factors</searchLink>
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  Label: Abstract
  Group: Ab
  Data: Aims: The aim of this scoping review was to synthesise how supermarkets shape health behaviours and nutrition-related outcomes of vulnerable populations in Australia.<br />Methods: Five databases were searched and studies were included if they discussed Australia's major supermarket chains, their relationship with vulnerable populations, and outcomes linked to nutrition behaviour or health. Findings were synthesised narratively and reported using the food systems approach interdisciplinary conceptual framework.<br />Results: Twenty-eight studies met the inclusion criteria. Twenty-seven studies investigated food access, six studies examined health behaviours, and four studies focused on nutrition-related health outcomes. Socioeconomic disadvantage was the only vulnerability explored across all studies. Large supermarket chains provided greater access and availability to foods of higher nutritional quality at lower prices than other types of stores; however, areas of lower socio-economic status experienced poorer proximity to supermarkets. Supermarket food prices were less affordable for low-income households in all locations. Individuals living in lower socio-economic areas had a higher risk of greater body size.<br />Conclusion: Supermarkets play a structural role in the health of socioeconomically vulnerable populations in Australia. Supermarkets are important for the provision of higher nutritional quality foods but can also have negative effects through the stocking and marketing of discretionary foods. Future research is required to understand the relationship between supermarkets and other populations experiencing disadvantage and/or vulnerability, such as those with physical disabilities, older adults, youth, and other cultural backgrounds. The extent of alternative food systems and community-based initiatives that provide food for these groups requires further investigation.<br /> (© 2026 The Author(s). Nutrition & Dietetics published by John Wiley & Sons Australia, Ltd on behalf of Dietitians Australia.)
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(PMID: <searchLink fieldCode="PM" term="%2236503612%22">36503612)</searchLink><br />Health Place. 2007 Dec;13(4):877-85. (PMID: <searchLink fieldCode="PM" term="%2217470408%22">17470408)</searchLink><br />Aust N Z J Public Health. 2014 Feb;38(1):7-12. (PMID: <searchLink fieldCode="PM" term="%2224494938%22">24494938)</searchLink><br />Ann Intern Med. 2018 Oct 2;169(7):467-473. (PMID: <searchLink fieldCode="PM" term="%2230178033%22">30178033)</searchLink><br />Int J Behav Nutr Phys Act. 2019 Aug 19;16(1):67. (PMID: <searchLink fieldCode="PM" term="%2231426809%22">31426809)</searchLink><br />AIMS Public Health. 2015 Aug 26;2(3):554-582. (PMID: <searchLink fieldCode="PM" term="%2229546125%22">29546125)</searchLink><br />Public Health Nutr. 2013 Jan;16(1):171-8. (PMID: <searchLink fieldCode="PM" term="%2222433912%22">22433912)</searchLink><br />PLoS One. 2023 Jan 20;18(1):e0280223. 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(PMID: <searchLink fieldCode="PM" term="%2223088474%22">23088474)</searchLink><br />PLoS One. 2017 Nov 30;12(11):e0188872. (PMID: <searchLink fieldCode="PM" term="%2229190662%22">29190662)</searchLink><br />Foods. 2021 Jul 20;10(7):. (PMID: <searchLink fieldCode="PM" term="%2234359537%22">34359537)</searchLink><br />Int J Environ Res Public Health. 2018 Nov 05;15(11):. (PMID: <searchLink fieldCode="PM" term="%2230400654%22">30400654)</searchLink><br />Nutr J. 2018 Sep 27;17(1):88. (PMID: <searchLink fieldCode="PM" term="%2230261887%22">30261887)</searchLink><br />Int J Environ Res Public Health. 2020 Jan 15;17(2):. (PMID: <searchLink fieldCode="PM" term="%2231952327%22">31952327)</searchLink><br />Aust N Z J Public Health. 2017 Dec;41(6):567-571. (PMID: <searchLink fieldCode="PM" term="%2228712112%22">28712112)</searchLink><br />Nutrients. 2017 Oct 04;9(10):. (PMID: <searchLink fieldCode="PM" term="%2228976927%22">28976927)</searchLink>
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  Data: <i>Keywords: </i>food security; food system; health behaviours; supermarkets; vulnerable populations
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  Data: <i>Date Created: </i>20260630 <i>Date Completed: </i>20260915 <i>Latest Revision: </i>20260922
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        Value: 10.1111/1747-0080.70085
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        Text: English
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        StartPage: 490
    Subjects:
      – SubjectFull: Humans
        Type: general
      – SubjectFull: Australia
        Type: general
      – SubjectFull: Commerce
        Type: general
      – SubjectFull: Health Behavior
        Type: general
      – SubjectFull: Low Socioeconomic Status
        Type: general
      – SubjectFull: Nutritive Value
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      – SubjectFull: Socioeconomic Disparities in Health
        Type: general
      – SubjectFull: Socioeconomic Factors
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      – SubjectFull: Food Supply economics
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      – SubjectFull: Food Markets
        Type: general
      – SubjectFull: Vulnerable Populations
        Type: general
    Titles:
      – TitleFull: How do supermarkets shape the experience of vulnerable people in Australia's food system? A scoping review.
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              Text: 2026 Sep
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              Y: 2026
          Identifiers:
            – Type: issn-electronic
              Value: 1747-0080
          Numbering:
            – Type: volume
              Value: 83
            – Type: issue
              Value: 4
          Titles:
            – TitleFull: Nutrition & dietetics : the journal of the Dietitians Association of Australia
              Type: main
ResultId 1