title: Global influences on milk purchasing in New Zealand--implications for health and inequalities.
abstract: BACKGROUND
  Economic changes and policy reforms, consistent with economic globalization, in New Zealand in the mid-1980s, combined with the recent global demand for dairy products, particularly from countries undergoing a 'nutrition transition', have created an environment where a proportion of the New Zealand population is now experiencing financial difficulty purchasing milk. This situation has the potential to adversely affect health.
  
  
  CONCLUSIONS
  Similar to other developed nations, widening income disparities and health inequalities have resulted from economic globalization in New Zealand; with regard to nutrition, a proportion of the population now faces food poverty. Further, rates of overweight/obesity and chronic diseases have increased in recent decades, primarily affecting indigenous people and lower socio-economic groups. Economic globalization in New Zealand has changed the domestic milk supply with regard to the consumer and may shed light on the link between globalization, nutrition and health outcomes. This paper describes the economic changes in New Zealand, specifically in the dairy market and discusses how these changes have the potential to create inequalities and adverse health outcomes. The implications for the success of current policy addressing chronic health outcomes is discussed, alternative policy options such as subsidies, price controls or alteration of taxation of recommended foods relative to 'unhealthy' foods are presented and the need for further research is considered.
  
  
  CONCLUSIONS
  Changes in economic ideology in New Zealand have altered the focus of policy development, from social to commercial. To achieve equity in health and improve access to social determinants of health, such as healthy nutrition, policy-makers must give consideration to health outcomes when developing and implementing economic policy, both national and global.
authors.affiliation: HePPRU: Health Promotion and Policy Research Unit & HIA Research Unit, Department of Public Health, University of Otago, Wellington, Mein St, Newtown, PO Box 7343, Wellington South, New Zealand. moirab@ihug.co.nz
authors.forename: Moira B
authors.initials: MB
authors.lastname: Smith
authors.forename: Louise
authors.initials: L
authors.lastname: Signal