Improving economic access to healthy diets in first nations communities in high-income, colonised countries: a systematic scoping review
Abstract Background Affordability of healthy food is a key determinant of the diet-related health of First Nations Peoples. This systematic scoping review was commissioned by the Ngaanyatjarra Pitjantjatjara Yankunytjatjara Women’s Council (NPYWC) in Central Australia to identify interventions to im...
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ftdoajarticles:oai:doaj.org/article:2386eae165284ad1973c3133682b38b8 2024-02-27T08:40:31+00:00 Improving economic access to healthy diets in first nations communities in high-income, colonised countries: a systematic scoping review Amanda J. Lee Lisa-Maree Herron Stephan Rainow Lisa Wells Ingrid Kenny Leon Kenny Imogen Wells Margaret Kavanagh Suzanne Bryce Liza Balmer 2024-01-01T00:00:00Z https://doi.org/10.1186/s12937-023-00895-0 https://doaj.org/article/2386eae165284ad1973c3133682b38b8 EN eng BMC https://doi.org/10.1186/s12937-023-00895-0 https://doaj.org/toc/1475-2891 doi:10.1186/s12937-023-00895-0 1475-2891 https://doaj.org/article/2386eae165284ad1973c3133682b38b8 Nutrition Journal, Vol 23, Iss 1, Pp 1-32 (2024) First nations communities Food security Economic access Affordability Policy Intervention Nutrition. Foods and food supply TX341-641 Nutritional diseases. Deficiency diseases RC620-627 article 2024 ftdoajarticles https://doi.org/10.1186/s12937-023-00895-0 2024-01-28T02:25:28Z Abstract Background Affordability of healthy food is a key determinant of the diet-related health of First Nations Peoples. This systematic scoping review was commissioned by the Ngaanyatjarra Pitjantjatjara Yankunytjatjara Women’s Council (NPYWC) in Central Australia to identify interventions to improve economic access to healthy food in First Nations communities in selected high-income, colonised countries. Methods Eight databases and 22 websites were searched to identify studies of interventions and policies to improve economic access to healthy food in First Nations communities in Australia, Canada, the United States or New Zealand from 1996 to May 2022. Data from full text of articles meeting inclusion criteria were extracted to a spreadsheet. Results were collated by descriptive synthesis. Findings were examined with members of the NPYWC Anangu research team at a co-design workshop. Results Thirty-five publications met criteria for inclusion, mostly set in Australia (37%) or the US (31%). Interventions (n = 21) were broadly categorised as price discounts on healthy food sold in communities (n = 7); direct subsidies to retail stores, suppliers and producers (n = 2); free healthy food and/or food vouchers provided to community members (n = 7); increased financial support to community members (n = 1); and other government strategies (n = 4). Promising initiatives were: providing a box of food and vouchers for fresh produce; prescriptions for fresh produce; provision/promotion of subsidised healthy meals and snacks in community stores; direct funds transfer for food for children; offering discounted healthy foods from a mobile van; and programs increasing access to traditional foods. Providing subsidies directly to retail stores, suppliers and producers was least effective. Identified enablers of effective programs included community co-design and empowerment; optimal promotion of the program; and targeting a wide range of healthy foods, particularly traditional foods where possible. Common barriers in the ... Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles Canada New Zealand Nutrition Journal 23 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
First nations communities Food security Economic access Affordability Policy Intervention Nutrition. Foods and food supply TX341-641 Nutritional diseases. Deficiency diseases RC620-627 |
spellingShingle |
First nations communities Food security Economic access Affordability Policy Intervention Nutrition. Foods and food supply TX341-641 Nutritional diseases. Deficiency diseases RC620-627 Amanda J. Lee Lisa-Maree Herron Stephan Rainow Lisa Wells Ingrid Kenny Leon Kenny Imogen Wells Margaret Kavanagh Suzanne Bryce Liza Balmer Improving economic access to healthy diets in first nations communities in high-income, colonised countries: a systematic scoping review |
topic_facet |
First nations communities Food security Economic access Affordability Policy Intervention Nutrition. Foods and food supply TX341-641 Nutritional diseases. Deficiency diseases RC620-627 |
description |
Abstract Background Affordability of healthy food is a key determinant of the diet-related health of First Nations Peoples. This systematic scoping review was commissioned by the Ngaanyatjarra Pitjantjatjara Yankunytjatjara Women’s Council (NPYWC) in Central Australia to identify interventions to improve economic access to healthy food in First Nations communities in selected high-income, colonised countries. Methods Eight databases and 22 websites were searched to identify studies of interventions and policies to improve economic access to healthy food in First Nations communities in Australia, Canada, the United States or New Zealand from 1996 to May 2022. Data from full text of articles meeting inclusion criteria were extracted to a spreadsheet. Results were collated by descriptive synthesis. Findings were examined with members of the NPYWC Anangu research team at a co-design workshop. Results Thirty-five publications met criteria for inclusion, mostly set in Australia (37%) or the US (31%). Interventions (n = 21) were broadly categorised as price discounts on healthy food sold in communities (n = 7); direct subsidies to retail stores, suppliers and producers (n = 2); free healthy food and/or food vouchers provided to community members (n = 7); increased financial support to community members (n = 1); and other government strategies (n = 4). Promising initiatives were: providing a box of food and vouchers for fresh produce; prescriptions for fresh produce; provision/promotion of subsidised healthy meals and snacks in community stores; direct funds transfer for food for children; offering discounted healthy foods from a mobile van; and programs increasing access to traditional foods. Providing subsidies directly to retail stores, suppliers and producers was least effective. Identified enablers of effective programs included community co-design and empowerment; optimal promotion of the program; and targeting a wide range of healthy foods, particularly traditional foods where possible. Common barriers in the ... |
format |
Article in Journal/Newspaper |
author |
Amanda J. Lee Lisa-Maree Herron Stephan Rainow Lisa Wells Ingrid Kenny Leon Kenny Imogen Wells Margaret Kavanagh Suzanne Bryce Liza Balmer |
author_facet |
Amanda J. Lee Lisa-Maree Herron Stephan Rainow Lisa Wells Ingrid Kenny Leon Kenny Imogen Wells Margaret Kavanagh Suzanne Bryce Liza Balmer |
author_sort |
Amanda J. Lee |
title |
Improving economic access to healthy diets in first nations communities in high-income, colonised countries: a systematic scoping review |
title_short |
Improving economic access to healthy diets in first nations communities in high-income, colonised countries: a systematic scoping review |
title_full |
Improving economic access to healthy diets in first nations communities in high-income, colonised countries: a systematic scoping review |
title_fullStr |
Improving economic access to healthy diets in first nations communities in high-income, colonised countries: a systematic scoping review |
title_full_unstemmed |
Improving economic access to healthy diets in first nations communities in high-income, colonised countries: a systematic scoping review |
title_sort |
improving economic access to healthy diets in first nations communities in high-income, colonised countries: a systematic scoping review |
publisher |
BMC |
publishDate |
2024 |
url |
https://doi.org/10.1186/s12937-023-00895-0 https://doaj.org/article/2386eae165284ad1973c3133682b38b8 |
geographic |
Canada New Zealand |
geographic_facet |
Canada New Zealand |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
Nutrition Journal, Vol 23, Iss 1, Pp 1-32 (2024) |
op_relation |
https://doi.org/10.1186/s12937-023-00895-0 https://doaj.org/toc/1475-2891 doi:10.1186/s12937-023-00895-0 1475-2891 https://doaj.org/article/2386eae165284ad1973c3133682b38b8 |
op_doi |
https://doi.org/10.1186/s12937-023-00895-0 |
container_title |
Nutrition Journal |
container_volume |
23 |
container_issue |
1 |
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1792047629764395008 |