A critical exploration of the diets of UK disadvantaged communities to inform food systems transformation: a scoping review of qualitative literature using a social practice theory lens.
A critical exploration of the diets of UK disadvantaged communities to inform food systems transformation: a scoping review of qualitative literature using a social practice theory lens.
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DOI：
10.1186/s12889-023-16804-3
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发表时间：
2023-10-11
影响因子：
4.5
通讯作者：
中科院分区：
文献类型：
--
作者：
英国的粮食系统影响着社会、经济和自然环境，粮食不安全的风险不断上升。然而，它应该为所有公民提供安全、有营养、负担得起的食物。分散的联合王国社区[面临粮食和住房不安全风险的个人和家庭，往往具有文化多样性]往往是根据个人行为来概念化的，这可能导致基于个人改变需要的调查结果和结论。这些社区面临着公共卫生挑战，往往被视为饮食和健康倡议的无力接受者，或被视为食品供应链中的“无选择”消费者。由于改造英国食品系统已成为国家的优先事项，重要的是使用各种证据来支持对弱势群体饮食的理解，以告知食品系统改造研究。对2010年1月至2021年5月期间在MEDLINE、CINAHL Plus全文、EMBASE、PsycINFO和Web of Science上以英文发表的英国同行评审定性文献进行范围审查。采用合格标准，数据提取表总结了纳入研究的数据，并使用社会实践理论进行了综合。审查了45项定性研究，其中包括2，434名年龄在5至83岁之间的社区成员的意见。研究采用了不同的衡量标准来界定不利条件。使用社会实践理论的综合确定了食物和饮食习惯的主题，这些主题是由“物质因素”（例如交通、住房和金钱）、“意义”（例如自主和独立）和“能力”（例如最大限度地增加食物摄入量的策略）之间的相互作用形成的。这些概念进行了分析和批评的背景下，更广泛的文献，为粮食系统转型研究。这项审查表明，迄今为止，定性研究英国弱势群体的饮食提供了不同的研究结果，主要是概念化的不利在个人层面。虽然一些研究提供了个人经验的优秀特征，但与供应链等“宏观”过程的联系在很大程度上缺失。建议未来的研究采用跨学科的观点并利用新工具（例如，创造性的方法和良好的实践指南），和理论（例如，为贫困社区更好地促进粮食系统转型。在线版本包含补充材料，可通过10.1186/s12889-023-16804-3获得。
The UK food system affects social, economic and natural environments and features escalating risk of food insecurity. Yet it should provide access to safe, nutritious, affordable food for all citizens. Disadvantaged UK communities [individuals and families at risk of food and housing insecurity, often culturally diverse] have often been conceptualised in terms of individual behaviour which may lead to findings and conclusions based on the need for individual change. Such communities face public health challenges and are often treated as powerless recipients of dietary and health initiatives or as ‘choiceless’ consumers within food supply chains. As transforming the UK food system has become a national priority, it is important a diverse range of evidence is used to support understanding of the diets of disadvantaged communities to inform food systems transformation research. A scoping review of UK peer reviewed qualitative literature published in MEDLINE, CINAHL Plus with Full Text, EMBASE, PsycINFO and Web of Science between January 2010 and May 2021 in English. Eligibility criteria were applied, a data extraction table summarised data from included studies, and synthesis using social practice theory was undertaken. Forty-five qualitative studies were reviewed, which included the views of 2,434 community members aged between 5 and 83. Studies used different measures to define disadvantage. Synthesis using social practice theory identified themes of food and dietary practices shaped by interactions between ‘material factors’ (e.g. transport, housing and money), ‘meanings’ (e.g. autonomy and independence), and ‘competencies’ (e.g. strategies to maximise food intake). These concepts are analysed and critiqued in the context of the wider literature to inform food systems transformation research. This review suggests to date, qualitative research into diets of UK disadvantaged communities provides diverse findings that mainly conceptualise disadvantage at an individual level. Whilst several studies provide excellent characterisations of individual experience, links to ‘macro’ processes such as supply chains are largely missing. Recommendations are made for future research to embrace transdisciplinary perspectives and utilise new tools (e.g., creative methods and good practice guides), and theories (e.g., assemblage) to better facilitate food systems transformation for disadvantaged communities. The online version contains supplementary material available at 10.1186/s12889-023-16804-3.
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