title: Economic transition and household food consumption: a study of Bulgaria from 1985 to 2002.
abstract: Major economic transitions typically entail changes in the availability of and purchasing power for different types of foods leading to long-term changes in the composition of the diet. Bulgaria, a former Eastern Bloc country, underwent a difficult and protracted transition from a centralized to market economy with acute economic crises and a much slower recovery of income levels than in Poland, the Czech Republic, and Hungary. Using annual data from the Bulgarian National Household Survey, we study changes in the reported consumption of major foods (excluding alcoholic drinks) and their constituent macronutrients from 1985 to 2002, examining also the differences in dietary patterns between the period prior to and following the transition. The consumption of most major food items decreased, resulting in a fall in per capita energy consumption of 429 kcal/day (1.80 MJ/d), following the economic transition of 1991. As expected, the consumption of foods that were more expensive per unit of energy decreased greater than cheaper foods, -34% for animal products and -19% for visible fats, but only -10% for carbohydrates. These changes are related to the changes in income and market prices as well as the general negative trend in economic growth and hyperinflation in the mid-1990s. Thus, Bulgaria experienced a decrease in food consumption without significant changes in the dietary pattern following the economic transition of 1991. The fact that part of this decline may be attributed to continued economic challenges suggests that future transitions in the diet may be expected as economic development proceeds.
authors.affiliation: National Center of Public Health Protection, Sofia, Bulgaria.
authors.forename: Ludmila
authors.initials: L
authors.lastname: Ivanova
authors.forename: Plamen
authors.initials: P
authors.lastname: Dimitrov
authors.forename: Dora
authors.initials: D
authors.lastname: Ovcharova
authors.forename: Jocilyn
authors.initials: J
authors.lastname: Dellava
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Hoffman
mesh_terms: D000383:Agriculture; D002031:Bulgaria / Q000453:epidemiology; D030861:Capitalism; D002908:Chronic Disease / Q000401:mortality; D004032:Diet; D004467:Economics; D002149:Energy Intake; D005247:Feeding Behavior; D006801:Humans; D016014:Linear Models; D008137:Longitudinal Studies; D015999:Multivariate Analysis; D009752:Nutritional Status; D011640:Public Policy; D012922:Social Change