scholarly journals Grappling With Complex Food Systems to Reduce Obesity: A US Public Health Challenge

2018 ◽  
Vol 133 (1_suppl) ◽  
pp. 44S-53S ◽  
Author(s):  
Anne Barnhill ◽  
Anne Palmer ◽  
Christine M. Weston ◽  
Kelly D. Brownell ◽  
Kate Clancy ◽  
...  
Keyword(s):  
Public Health ◽  
Environmental Sustainability ◽  
Food Systems ◽  
Food System ◽  
The United States ◽  
Community Members ◽  
Targeted Interventions ◽  
Health Community ◽  
Policies And Programs ◽  
State Programs

Despite 2 decades of effort by the public health community to combat obesity, obesity rates in the United States continue to rise. This lack of progress raises fundamental questions about the adequacy of our current approaches. Although the causes of population-wide obesity are multifactorial, attention to food systems as potential drivers of obesity has been prominent. However, the relationships between broader food systems and obesity are not always well understood. Our efforts to address obesity can be advanced and improved by the use of systems approaches that consider outcomes of the interconnected global food system, including undernutrition, climate change, the environmental sustainability of agriculture, and other social and economic concerns. By implementing innovative local and state programs, taking new approaches to overcome political obstacles to effect policy, and reconceptualizing research needs, we can improve obesity prevention efforts that target the food systems, maximize positive outcomes, and minimize adverse consequences. We recommend strengthening innovative local policies and programs, particularly those that involve community members in identifying problems and potential solutions and that embrace a broad set of goals beyond making eating patterns healthier. We also recommend undertaking interdisciplinary research projects that go beyond testing targeted interventions in specific populations and aim to build an understanding of the broader social, political, and economic context.

scholarly journals The Economic, Social, and Environmental Impacts of Farmers Markets: Recent Evidence from the US

2021 ◽  
Vol 13 (6) ◽  
pp. 3423
Author(s):  
Phillip Warsaw ◽  
Steven Archambault ◽  
Arden He ◽  
Stacy Miller
Keyword(s):  
Food Systems ◽  
Food System ◽  
Agricultural Practices ◽  
The United States ◽  
Current Evidence ◽  
Farmers Markets ◽  
Future Research ◽  
Regional Food ◽  
Recent Scholarship ◽  
Fresh Food

Farmers markets are regular, recurring gatherings at a common facility or area where farmers and ranchers directly sell a variety of fresh fruits, vegetables, and other locally grown farm products to consumers. Markets rebuild and maintain local and regional food systems, leading to an outsized impact on the food system relative to their share of produce sales. Previous research has demonstrated the multifaceted impacts that farmers markets have on the communities, particularly economically. Recent scholarship in the United States has expanded inquiry into social impacts that markets have on communities, including improving access to fresh food products and increasing awareness of the sustainable agricultural practices adopted by producers, as well developing tools for producers and market stakeholders to measure their impact on both producers and communities. This paper reviews the recent scholarship on farmers markets to identify recent trends and synthesizes the current evidence describing the ways in which farmers markets contribute to the wellbeing of their communities, as well as identifying areas for additional future research.

scholarly journals The health implications of distrust in the food system: findings from the dimensions of trust in food systems scale (DOTIFS scale)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Emma Tonkin ◽  
Trevor Webb ◽  
Julie Henderson ◽  
Paul R. Ward ◽  
John Coveney ◽  
...  
Keyword(s):  
Public Health ◽  
Food Safety ◽  
Content Validity ◽  
Food Systems ◽  
Food System ◽  
Dietary Guidelines ◽  
Consumer Trust ◽  
Safety Practices ◽  
Health Related ◽  
The Impact

Abstract Background Consumer trust in food systems is essential for consumers, food industry, policy makers and regulators. Yet no comprehensive tool for measuring consumer trust in food systems exists. Similarly, the impact that trust in the food system has on health-related food behaviours is yet to be empirically examined. The aim of this research was to develop a comprehensive instrument to measure trust in the food system (the Dimensions of Trust in Food Systems Scale (DOTIFS scale) and use it to explore whether trust in the food system impacts consumers’ health-related behaviours. Methods The DOTIFS scale was developed using sociological theories of trust and pre-existing instruments measuring aspects of trust. It was pilot tested and content validity was assessed with 85 participants. A mixed-methods exploration of the health-related behaviours of 18 conveniently sampled Australian consumers with differing trust scores determined by the DOTIFS scale was then conducted. During March–July 2019 shopping- and home-observations were used to assess participants’ food safety practices and exposure to public health fortification programs, while the CSIRO Healthy Diet Score determined their adherence to national dietary guidelines. Results The DOTIFS scale was found to have high comprehension, ease of use and content validity. Statistical analysis showed scale scores significantly trended as predicted by participants’ stated level of trust. Differences were found in the way individuals with more or less trust in the food system comply with national dietary guidelines, are exposed to public health fortification programs, and adhere to recommended food safety practices. Conclusions The DOTIFS scale is a comprehensive, sociologically- and empirically- informed assessment of consumer trust in food systems that can be self-administered online to large populations and used to measure changes in consumer trust over time. The differences in health-related behaviours between individuals with varying levels of trust warrant further investigation.

An integrated approach to identifying and characterising resilient urban food systems to promote population health in a changing climate

2015 ◽  
Vol 18 (13) ◽  
pp. 2498-2508 ◽  
Author(s):  
Sarah W James ◽  
Sharon Friel
Keyword(s):  
Population Health ◽  
Environmental Sustainability ◽  
Mixed Methods Research ◽  
Food Systems ◽  
Food System ◽  
Production Systems ◽  
Integrated Approach ◽  
Integrated Analysis ◽  
Climate Resilience ◽  
Urban Food Systems

AbstractObjectiveTo determine key points of intervention in urban food systems to improve the climate resilience, equity and healthfulness of the whole system.DesignThe paper brings together evidence from a 3-year, Australia-based mixed-methods research project focused on climate change adaptation, cities, food systems and health. In an integrated analysis of the three research domains – encompassing the production, distribution and consumption sectors of the food chain – the paper examines the efficacy of various food subsystems (industrial, alternative commercial and civic) in achieving climate resilience and good nutrition.SettingGreater Western Sydney, Australia.SubjectsPrimary producers, retailers and consumers in Western Sydney.ResultsThis overarching analysis of the tripartite study found that: (i) industrial food production systems can be more environmentally sustainable than alternative systems, indicating the importance of multiple food subsystems for food security; (ii) a variety of food distributors stocking healthy and sustainable items is required to ensure that these items are accessible, affordable and available to all; and (iii) it is not enough that healthy and sustainable foods are produced or sold, consumers must also want to consume them. In summary, a resilient urban food system requires that healthy and sustainable food items are produced, that consumers can attain them and that they actually wish to purchase them.ConclusionsThis capstone paper found that the interconnected nature of the different sectors in the food system means that to improve environmental sustainability, equity and population health outcomes, action should focus on the system as a whole and not just on any one sector.

Essay I Primary Care and Public Health

2015 ◽  
pp. 26-27
Author(s):  
Julie K. Wood
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Health Professionals ◽  
The United States ◽  
Federal Agencies ◽  
Community Members ◽  
Policy Makers ◽  
Public Health Professionals ◽  
Primary Care Clinicians ◽  
The Right

Drawing on the experiences of hundreds of public health and primary care clinicians from across the United States, this book explains why population health is receiving so much attention from policy makers in states and federal agencies, the practical steps that clinicians and public health professionals can take to work together to meet the needs of their community, signs that you are on the right track (or not) and how to sustain successes to the benefit of patients, community members, and the health care and public health teams that care for them.

Data and the Future of Public Health

2015 ◽  
pp. 305-310
Author(s):  
Jeffrey Engel
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Health Professionals ◽  
The United States ◽  
Federal Agencies ◽  
Community Members ◽  
Policy Makers ◽  
Public Health Professionals ◽  
Primary Care Clinicians ◽  
The Right

Drawing on the experiences of hundreds of public health and primary care clinicians from across the United States, this book explains why population health is receiving so much attention from policy makers in states and federal agencies, the practical steps that clinicians and public health professionals can take to work together to meet the needs of their community, signs that you are on the right track (or not) and how to sustain successes to the benefit of patients, community members, and the health care and public health teams that care for them.

Partnering With Medicaid, Medicare, Public Health, and Primary Care to Improve Health Outcomes

2015 ◽  
pp. 195-206
Author(s):  
Sharon G. Moffatt ◽  
Monica Valdes Lupi ◽  
Kathleen Nolan
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Health Professionals ◽  
The United States ◽  
Federal Agencies ◽  
Community Members ◽  
Policy Makers ◽  
Public Health Professionals ◽  
Primary Care Clinicians ◽  
The Right

Drawing on the experiences of hundreds of public health and primary care clinicians from across the United States, this book explains why population health is receiving so much attention from policy makers in states and federal agencies, the practical steps that clinicians and public health professionals can take to work together to meet the needs of their community, signs that you are on the right track (or not) and how to sustain successes to the benefit of patients, community members, and the health care and public health teams that care for them.

Community Health Assessments: Past, Present, and Future

2015 ◽  
pp. 167-179 ◽  
Author(s):  
Kevin Barnett ◽  
Sara Rosenbaum
Keyword(s):  
Public Health ◽  
Health Professionals ◽  
The United States ◽  
Federal Agencies ◽  
Community Members ◽  
Policy Makers ◽  
Public Health Professionals ◽  
Health Assessments ◽  
Primary Care Clinicians ◽  
The Right

Drawing on the experiences of hundreds of public health and primary care clinicians from across the United States, this book explains why population health is receiving so much attention from policy makers in states and federal agencies, the practical steps that clinicians and public health professionals can take to work together to meet the needs of their community, signs that you are on the right track (or not) and how to sustain successes to the benefit of patients, community members, and the health care and public health teams that care for them.

Challenges of Working Together

2015 ◽  
pp. 105-110
Author(s):  
Lara Snyder
Keyword(s):  
Public Health ◽  
Health Professionals ◽  
The United States ◽  
Federal Agencies ◽  
Community Members ◽  
Policy Makers ◽  
Public Health Professionals ◽  
Working Together ◽  
Primary Care Clinicians ◽  
The Right

Drawing on the experiences of hundreds of public health and primary care clinicians from across the United States, this book explains why population health is receiving so much attention from policy makers in states and federal agencies, the practical steps that clinicians and public health professionals can take to work together to meet the needs of their community, signs that you are on the right track (or not) and how to sustain successes to the benefit of patients, community members, and the health care and public health teams that care for them.

scholarly journals Yesterday’s dinner, tomorrow’s weather, today’s news? US newspaper coverage of food system contributions to climate change

2009 ◽  
Vol 12 (7) ◽  
pp. 1006-1014 ◽  
Author(s):  
Roni A Neff ◽  
Iris L Chan ◽  
Katherine Clegg Smith
Keyword(s):  
Public Health ◽  
Climate Change ◽  
Food Systems ◽  
Food System ◽  
Newspaper Coverage ◽  
Security Threats ◽  
Government Responsibility ◽  
The Public ◽  
The Us ◽  
Public Health Messages

AbstractBackgroundThere is strong evidence that what we eat and how it is produced affects climate change.ObjectiveThe present paper examines coverage of food system contributions to climate change in top US newspapers.DesignUsing a sample of sixteen leading US newspapers from September 2005 to January 2008, two coders identified ‘food and climate change’ and ‘climate change’ articles based on specified criteria. Analyses examined variation across time and newspaper, the level of content relevant to food systems’ contributions to climate change, and how such content was framed.ResultsThere were 4582 ‘climate change’ articles in these newspapers during this period. Of these, 2·4 % mentioned food or agriculture contributions, with 0·4 % coded as substantially focused on the issue and 0·5 % mentioning food animal contributions. The level of content on food contributions to climate change increased across time. Articles initially addressed the issue primarily in individual terms, expanding to address business and government responsibility more in later articles.ConclusionsUS newspaper coverage of food systems’ effects on climate change during the study period increased, but still did not reflect the increasingly solid evidence of the importance of these effects. Increased coverage may lead to responses by individuals, industry and government. Based on co-benefits with nutritional public health messages and climate change’s food security threats, the public health nutrition community has an important role to play in elaborating and disseminating information about food and climate change for the US media.

scholarly journals The Importance of a Food Systems Approach to Low and Middle Income Countries and Emerging Economies: A Review of Theories and Its Relevance for Disease Control and Malnutrition

2021 ◽  
Vol 5 ◽  
Author(s):  
Pablo Alarcon ◽  
Paula Dominguez-Salas ◽  
Eric M. Fèvre ◽  
Jonathan Rushton
Keyword(s):  
Public Health ◽  
Food Safety ◽  
Emerging Economies ◽  
Food Systems ◽  
Food System ◽  
Systems Science ◽  
Multidisciplinary Teams ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

Our review explores the changing food production, distribution and consumption environment in low and middle-income countries and emerging economies as a basis for framing how to study food systems in order to address public health issues of food safety and nutrition. It presents the state of knowledge on existing food systems science and its use in terms of sustainable actions for food safety and public health. The review identifies a knowledge gap in food system mapping and governance, with value chain mapping of key commodities often missing. Despite a number of initiatives, the application of food systems methods is highly variable in scope and quality. Most analyses concentrate on specific commodities, rarely taking into account the need for a whole diet approach when looking at nutrition or the assessment of a range of infectious agents and their interactions when looking at food safety. Of the studies included in the review there is a growing observation of “informal” food systems, a term used inconsistently and one that requires revision. “Informal” food systems link to the formal sector to provide food security, yet with trade-offs between economic efficiencies and food safety. Efforts to improve food safety are hampered by inadequate food safety capacities and a lack of policy coherence leading to: inadequate investment; fragmented food quality control systems; weak or non-existent traceability mechanisms; weak foodborne disease surveillance; obsolete food regulation; and weak regulatory enforcement. In-depth food systems assessments can complement risk analysis to identify risky behaviors and understand institutional settings in order to improve codes of practice and enforcement. Methods for looking at food safety from a food systems perspective are emerging, yet existing nutrition and food systems science are not advancing sufficiently in response to nutritional public health problems. There is an urgency for improved understanding of the structure and drivers of the food systems, for better planning of changes that leads to nutrients access and healthy levels of eating. It is proposed that countries and international institutions provide an atlas of food system maps for the key commodities based on an agreed common methodology and developed by multidisciplinary teams.

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