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

Abstract 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 insecu...

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Main Authors: Louise Hunt, Clare Pettinger, Carol Wagstaff
Format: Article
Language:English
Published: BMC 2023-10-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-023-16804-3
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author Louise Hunt
Clare Pettinger
Carol Wagstaff
author_facet Louise Hunt
Clare Pettinger
Carol Wagstaff
author_sort Louise Hunt
collection DOAJ
description Abstract 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.
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spelling doaj.art-c1e349c44c8a45b38855c43419c9fd5d2024-03-24T12:36:00ZengBMCBMC Public Health1471-24582023-10-0123111910.1186/s12889-023-16804-3A 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 lensLouise Hunt0Clare Pettinger1Carol Wagstaff2School of Health Professions, Faculty of Health, University of PlymouthSchool of Health Professions, Faculty of Health, University of PlymouthDepartment of Food and Nutritional Sciences, University of ReadingAbstract 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.https://doi.org/10.1186/s12889-023-16804-3Disadvantaged communitiesQualitative evidenceScoping reviewFood system researchSocial practice theory
spellingShingle Louise Hunt
Clare Pettinger
Carol Wagstaff
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
BMC Public Health
Disadvantaged communities
Qualitative evidence
Scoping review
Food system research
Social practice theory
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Disadvantaged communities
Qualitative evidence
Scoping review
Food system research
Social practice theory
url https://doi.org/10.1186/s12889-023-16804-3
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