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Roles of Cities in Creating Healthful Food Systems

Journal

ANNUAL REVIEW OF PUBLIC HEALTH
Volume 43, Issue -, Pages 419-437

Publisher

ANNUAL REVIEWS
DOI: 10.1146/annurev-publhealth-052220-021059

Keywords

food policy; urban food systems; food environments; food planning; food security; social determinants

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This article reviews the efforts made by cities worldwide to reconfigure their food systems in order to improve public health, promote social justice, and enhance environmental resilience. Despite various policy initiatives, disparities in food insecurity and malnourishment persist. The article concludes by proposing several promising pathways for urban food policy.
Over the past several decades, cities worldwide have attempted to reconfigure their food systems to improve public health, advance social justice, and promote environmental resilience using diverse municipal policies, often with the support of stakeholder-led governance merhan isms such as food policy councils. This article reviews the roles that cities have played in creating healthful urban food systems and the effects of those policies on public health. It explains that despite wide-ranging policy initiatives, disparities in food insecurity and malnourishment persist. It concludes by describing several promising pathways for urban food policy: engaging in food-focused urban planning to create equitable food environments; treating policies to address inequality and social justice as upstream food policies; considering the effects of new business models such as online food retail in urban food policy making; and using food procurement as a lever to influence regional, national, and global food systems.

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