Socio-economic disadvantage is associated with higher chronic disease risk( 1 ) emphasising the importance of affordability of healthy eating. This study evaluates the affordability of healthy eating for those dependent on social welfare in Ireland, in 2009 and 2014.
In 2009, the four most typical households in Ireland( 2 ) and their social welfare allowance (SWA, including child benefit) entitlements( 3 ), were determined. SWA was calculated for the same households in 2014( 4 ). The weekly food requirements for healthy eating( Reference Flynn, O'Brien and Ross 5 ) for each household were priced in three different grocery store outlets in 2014 and compared with similar data collected in 2009. Affordability of healthy eating was assessed as the proportion (%) of SWA spent on food by each of the households in each of the outlets. This was also examined for the five food groups used in healthy eating guidelines for Ireland( Reference Flynn, O'Brien and Ross 5 ).
* % SWA in this study is defined as the total cost of food required for healthy eating as a proportion of the households social welfare allowance (social welfare income, including child benefit, where relevant)
As shown in the summary table, healthy eating tended to be more affordable in 2014 compared with 2009, and was consistently least affordable in the Household with a teenager (Household 1). In 2014 compared with 2009, SWA decreased for Households 1, 2 and 4, and food prices (for all Households) decreased significantly, in all outlets (p < 0.01). Overall, for all households, affordability for total food requirements improved significantly in the Multiple Supermarket (p < 0.05) and Local Shop (p < 0.001), and remained the same in the Low Cost Outlet. Affordability improved significantly for Household 1 in the Local Shop (p < 0.01). Affordability of foods in some food groups improved significantly, however this varied according to Household type and grocery store outlet.
In conclusion, although SWA decreased for three of the four households in 2014 compared with 2009, food prices also fell and therefore affordability has not been negatively affected. Food costs and affordability of healthy eating varies according to household and grocery store outlet and healthy eating remains least affordable for families with teenagers.