4.6 Article

Using a global food environment framework to understand relationships with food choice in diverse low- and middle-income countries

Publisher

ELSEVIER
DOI: 10.1016/j.gfs.2021.100511

Keywords

Food environments; Food choice; Low-and middle-income countries; Food system; Conceptual framework

Funding

  1. Drivers of Food Choice Competitive Grants Programs - UK Government's Foreign, Commonwealth & Development Office
  2. Bill & Melinda Gates Foundation

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This study examined the Turner et al. (2018) framework in identifying and studying the relationship between food environments and individual food choices in various contexts. By mapping evidence from 15 projects, common drivers and emergent characteristics within the food environment were identified, providing insights for enhancing nutrition and health outcomes through targeted policies and interventions in LMICs.
This study aimed to determine if the Turner et al. (2018) framework allows researchers to identify and study relationships between food environments and individual food choice in diverse contexts and if updates to the framework are warranted. We mapped evidence from 15 drivers of food choice projects to the framework, using thematic analysis to identify common drivers within the food environment across countries and emergent characteristics not listed in the framework. The framework contained breadth and depth of content necessary to identify common drivers - prices and affordability, availability, and vendor and product properties. Insights regarding common drivers and emergent characteristics may inform iterative development of conceptual and empirical research and reinforce current strategies seeking to improve nutrition and health outcomes in LMICs through targeted policies and interventions.

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