Developing theory and methods for evaluating the impact of community food initiatives on NCD risk, social and economic wellbeing and the environment.

开发理论和方法来评估社区食品倡议对非传染性疾病风险、社会和经济福祉以及环境的影响。

基本信息

  • 批准号:
    MR/P025250/1
  • 负责人:
  • 金额:
    $ 54.43万
  • 依托单位:
  • 依托单位国家:
    英国
  • 项目类别:
    Research Grant
  • 财政年份:
    2017
  • 资助国家:
    英国
  • 起止时间:
    2017 至 无数据
  • 项目状态:
    已结题

项目摘要

Chronic non-communicable diseases such as diabetes, cardiovascular disease and cancer are responsible for the vast majority of deaths in all but the poorest low and middle income countries (LMICs). They are particularly rising in LMICs and are higher in many LMICs than in high income countries. A key driver of this health burden is poor quality nutrition, including diets high in energy dense and highly processed foods and low in fruit, vegetables and fibre. There are several factors that may contribute to poor diets, including poor conditions for growing, storing and transporting fruit and vegetables, and a reliance on relatively expensive food imports. In small island developing states (SIDS) the relationship between a reliance on food imports, poor nutrition and a high burden of chronic diseases is particularly apparent.Community-based agricultural food production initiatives are one possible approach to improving food and nutritional security and to reducing the risk of chronic diseases. They can also help to improve 'food sovereignty' by increasing the ability of populations to influence their own food systems in ways that are sustainable and promote health. Such initiatives may take several forms, but are owned, organised and managed locally, and produce either fresh or minimally processed food for local consumption. While the potential contribution of such initiatives is recognised, there is very little evidence available on what their impacts actually are in terms of health, social well-being, economics or the environment. There is an urgent need for improved evidence on their impacts, and this proposal is concerned with developing and testing methods to contribute towards filling this evidence gap. The proposal is designed to help establish a transdisciplinary research programme with the conceptual and methodological skills necessary to undertake robust evaluations of community-based food production initiatives in LMICs. The evaluation of the initiatives will include their contribution to promoting health and social wellbeing, their economic and environmental impacts, and their sustainability. The development work proposed here will be undertaken in two contrasting middle income SIDS, St Vincent and the Grenadines and Fiji. Both are actively engaged in promoting local food production for local consumption, and their well-defined geographical boundaries and relatively small size provide ideal settings to undertake development work. However, the overall goal is to develop a framework and methods that are readily adaptable and applicable to other LMIC settings in which nutritional insecurity is a major contributor to the risk of chronic diseases, including many settings in sub-Saharan African, where levels obesity and diabetes are already high and increasing.In this project we will update and expand existing evidence reviews on community-based food initiatives in LMICs. In the two chosen settings, we will develop and test research methods to investigate the current nutritional adequacy of local diets and the contribution of community-based food production, and find out who is involved in and supports local food production. We also aim to develop methods to estimate the environmental impacts such as on local water use and carbon emissions. Finally, we aim to determine the major challenges and successes in establishing and sustaining selected initiatives, and how barriers to success might be overcome. The findings will enable us to develop an evaluation framework and refine methods to design a programme of work to robustly evaluate and compare community-based food production initiatives in Africa, the Caribbean and Pacific from the perspective of their impacts on chronic disease risk, social and economic well-being and the environment.
慢性非传染性疾病,如糖尿病、心血管疾病和癌症,是除最贫穷的中低收入国家以外所有国家绝大多数死亡的原因。低收入国家的失业率尤其上升,许多低收入国家的失业率高于高收入国家。造成这种健康负担的一个关键因素是营养质量差,包括高能量密集和高度加工食品以及水果、蔬菜和纤维含量低的饮食。有几个因素可能导致饮食不良,包括水果和蔬菜的种植、储存和运输条件差,以及依赖相对昂贵的粮食进口。在小岛屿发展中国家,依赖粮食进口、营养不良和慢性病高负担之间的关系特别明显,以社区为基础的农业粮食生产倡议是改善粮食和营养安全以及减少慢性病风险的一种可能办法。它们还可以通过提高人口以可持续和促进健康的方式影响自己的粮食系统的能力,帮助改善“粮食主权”。这些举措可以采取多种形式,但都是在当地拥有、组织和管理的,并生产新鲜或最低限度加工的食品供当地消费。虽然这些举措的潜在贡献得到了承认,但很少有证据表明它们在健康、社会福祉、经济或环境方面的实际影响。迫切需要改进关于其影响的证据,本提案涉及制定和测试有助于填补这一证据空白的方法。该提案旨在帮助建立一个跨学科研究方案,具备对中低收入国家基于社区的粮食生产举措进行有力评价所需的概念和方法技能。对这些举措的评估将包括其对促进健康和社会福祉的贡献、其经济和环境影响以及其可持续性。这里提议的发展工作将在两个截然不同的中等收入小岛屿发展中国家-圣文森特和格林纳丁斯以及斐济-进行。这两个国家都积极参与促进供当地消费的当地粮食生产,它们明确的地理界限和相对较小的面积为开展发展工作提供了理想的环境。然而,总的目标是开发一个框架和方法,易于适应和适用于其他低收入国家的环境中,营养不安全是一个主要因素的慢性病的风险,包括许多设置在撒哈拉以南非洲地区,那里的肥胖和糖尿病水平已经很高,并不断增加。在这两个选定的环境中,我们将开发和测试研究方法,以调查当地饮食的营养充足性和社区食品生产的贡献,并找出谁参与和支持当地食品生产。我们还致力于开发评估环境影响的方法,例如对当地用水和碳排放的影响。最后,我们的目标是确定在建立和维持选定的举措,以及如何克服成功的障碍的主要挑战和成功。研究结果将使我们能够制定一个评价框架,并改进设计工作方案的方法,以便从其对慢性病风险、社会和经济福祉以及环境的影响的角度,对非洲、加勒比和太平洋地区基于社区的粮食生产举措进行有力的评价和比较。

项目成果

期刊论文数量(9)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Social determinants of depression and suicidal behaviour in the Caribbean: a systematic review.
加勒比地区抑郁症和自杀行为的社会决定因素:系统评价。
  • DOI:
    10.17863/cam.41880
  • 发表时间:
    2017
  • 期刊:
  • 影响因子:
    0
  • 作者:
    Brown C
  • 通讯作者:
    Brown C
P22 Prevalence of food insecurity and its associations with socio-demographic factors, food sources and dietary diversity, in small island developing states
P22 小岛屿发展中国家粮食不安全的发生率及其与社会人口因素、食物来源和饮食多样性的关系
  • DOI:
    10.1136/jech-2021-ssmabstracts.111
  • 发表时间:
    2021
  • 期刊:
  • 影响因子:
    0
  • 作者:
    Bhagtani D
  • 通讯作者:
    Bhagtani D
Social determinants of breast cancer in the Caribbean: a systematic review.
加勒比地区乳腺癌的社会决定因素:系统评价。
  • DOI:
    10.17863/cam.41882
  • 发表时间:
    2017
  • 期刊:
  • 影响因子:
    0
  • 作者:
    Brown C
  • 通讯作者:
    Brown C
Dietary Patterns, Food Insecurity, and Their Relationships with Food Sources and Social Determinants in Two Small Island Developing States.
两个小岛屿发展中国家的饮食模式、粮食不安全及其与食物来源和社会​​决定因素的关系。
  • DOI:
    10.17863/cam.88064
  • 发表时间:
    2022
  • 期刊:
  • 影响因子:
    0
  • 作者:
    Bhagtani D
  • 通讯作者:
    Bhagtani D
P23 Using latent class analysis to explore dietary patterns and their associations between sociodemographic characteristics, food sources, dietary diversity, and food insecurity in small island developing states
P23 利用潜在类别分析探索小岛屿发展中国家的饮食模式及其社会人口特征、食物来源、饮食多样性和粮食不安全之间的关联
  • DOI:
    10.1136/jech-2021-ssmabstracts.112
  • 发表时间:
    2021
  • 期刊:
  • 影响因子:
    0
  • 作者:
    Augustus E
  • 通讯作者:
    Augustus E
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Nigel Unwin其他文献

Tackling Africa's chronic disease burden: from the local to the global
  • DOI:
    10.1186/1744-8603-6-5
  • 发表时间:
    2010-01-01
  • 期刊:
  • 影响因子:
    4.500
  • 作者:
    Ama de-Graft Aikins;Nigel Unwin;Charles Agyemang;Pascale Allotey;Catherine Campbell;Daniel Arhinful
  • 通讯作者:
    Daniel Arhinful
Macromolecular structure determination by electron microscopy: new advances and recent results.
电子显微镜大分子结构测定:新进展和最新结果。
Correlates of short- and long-term case fatality within an incident stroke population in Tanzania.
坦桑尼亚中风人群中短期和长期病死率的相关性。
Social determinants of prostate cancer in the Caribbean: a systematic review and meta-analysis
  • DOI:
    10.1186/s12889-018-5696-y
  • 发表时间:
    2018-07-20
  • 期刊:
  • 影响因子:
    3.600
  • 作者:
    Catherine R. Brown;Ian Hambleton;Shawn M. Hercules;Nigel Unwin;Madhuvanti M. Murphy;E. Nigel Harris;Rainford Wilks;Marlene MacLeish;Louis Sullivan;Natasha Sobers-Grannum
  • 通讯作者:
    Natasha Sobers-Grannum
Promoting the public health benefits of cycling.
宣传骑自行车对公共健康的益处。
  • DOI:
  • 发表时间:
    1995
  • 期刊:
  • 影响因子:
    5.2
  • 作者:
    Nigel Unwin
  • 通讯作者:
    Nigel Unwin

Nigel Unwin的其他文献

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{{ truncateString('Nigel Unwin', 18)}}的其他基金

Intervention Co-creation to Improve Community-based Food Production and Household Nutrition in Small Island Developing States (ICoFaN)
改善小岛屿发展中国家社区粮食生产和家庭营养的干预共同创造 (ICoFaN)
  • 批准号:
    BB/T008857/1
  • 财政年份:
    2020
  • 资助金额:
    $ 54.43万
  • 项目类别:
    Research Grant
Development and evaluation of system dynamics methods to engage with policy makers on the prevention and control of diabetes in a middle income region
开发和评估系统动力学方法,以与决策者就中等收入地区糖尿病的预防和控制进行互动
  • 批准号:
    MR/N005384/1
  • 财政年份:
    2016
  • 资助金额:
    $ 54.43万
  • 项目类别:
    Research Grant
Acquisition of a Computer for Studies in Structural Biology
购买一台用于结构生物学研究的计算机
  • 批准号:
    8400396
  • 财政年份:
    1984
  • 资助金额:
    $ 54.43万
  • 项目类别:
    Standard Grant

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