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Food sovereignty, food security and health equity: a meta-narrative mapping exercise
There has been growing policy interest in social justice issues related to both health and food. We sought to understand the state of knowledge on relationships between health equity—i.e. health inequalities that are socially produced—and food systems, where the concepts of ‘food security’ and ‘food...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4559116/ https://www.ncbi.nlm.nih.gov/pubmed/25288515 http://dx.doi.org/10.1093/heapol/czu109 |
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author | Weiler, Anelyse M. Hergesheimer, Chris Brisbois, Ben Wittman, Hannah Yassi, Annalee Spiegel, Jerry M. |
author_facet | Weiler, Anelyse M. Hergesheimer, Chris Brisbois, Ben Wittman, Hannah Yassi, Annalee Spiegel, Jerry M. |
author_sort | Weiler, Anelyse M. |
collection | PubMed |
description | There has been growing policy interest in social justice issues related to both health and food. We sought to understand the state of knowledge on relationships between health equity—i.e. health inequalities that are socially produced—and food systems, where the concepts of ‘food security’ and ‘food sovereignty’ are prominent. We undertook exploratory scoping and mapping stages of a ‘meta-narrative synthesis’ on pathways from global food systems to health equity outcomes. The review was oriented by a conceptual framework delineating eight pathways to health (in)equity through the food system: 1—Multi-Scalar Environmental, Social Context; 2—Occupational Exposures; 3—Environmental Change; 4—Traditional Livelihoods, Cultural Continuity; 5—Intake of Contaminants; 6—Nutrition; 7—Social Determinants of Health and 8—Political, Economic and Regulatory context. The terms ‘food security’ and ‘food sovereignty’ were, respectively, paired with a series of health equity-related terms. Combinations of health equity and food security (1414 citations) greatly outnumbered pairings with food sovereignty (18 citations). Prominent crosscutting themes that were observed included climate change, biotechnology, gender, racialization, indigeneity, poverty, citizenship and HIV as well as institutional barriers to reducing health inequities in the food system. The literature indicates that food sovereignty-based approaches to health in specific contexts, such as advancing healthy school food systems, promoting soil fertility, gender equity and nutrition, and addressing structural racism, can complement the longer-term socio-political restructuring processes that health equity requires. Our conceptual model offers a useful starting point for identifying interventions with strong potential to promote health equity. A research agenda to explore project-based interventions in the food system along these pathways can support the identification of ways to strengthen both food sovereignty and health equity. |
format | Online Article Text |
id | pubmed-4559116 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-45591162015-09-08 Food sovereignty, food security and health equity: a meta-narrative mapping exercise Weiler, Anelyse M. Hergesheimer, Chris Brisbois, Ben Wittman, Hannah Yassi, Annalee Spiegel, Jerry M. Health Policy Plan Reviews There has been growing policy interest in social justice issues related to both health and food. We sought to understand the state of knowledge on relationships between health equity—i.e. health inequalities that are socially produced—and food systems, where the concepts of ‘food security’ and ‘food sovereignty’ are prominent. We undertook exploratory scoping and mapping stages of a ‘meta-narrative synthesis’ on pathways from global food systems to health equity outcomes. The review was oriented by a conceptual framework delineating eight pathways to health (in)equity through the food system: 1—Multi-Scalar Environmental, Social Context; 2—Occupational Exposures; 3—Environmental Change; 4—Traditional Livelihoods, Cultural Continuity; 5—Intake of Contaminants; 6—Nutrition; 7—Social Determinants of Health and 8—Political, Economic and Regulatory context. The terms ‘food security’ and ‘food sovereignty’ were, respectively, paired with a series of health equity-related terms. Combinations of health equity and food security (1414 citations) greatly outnumbered pairings with food sovereignty (18 citations). Prominent crosscutting themes that were observed included climate change, biotechnology, gender, racialization, indigeneity, poverty, citizenship and HIV as well as institutional barriers to reducing health inequities in the food system. The literature indicates that food sovereignty-based approaches to health in specific contexts, such as advancing healthy school food systems, promoting soil fertility, gender equity and nutrition, and addressing structural racism, can complement the longer-term socio-political restructuring processes that health equity requires. Our conceptual model offers a useful starting point for identifying interventions with strong potential to promote health equity. A research agenda to explore project-based interventions in the food system along these pathways can support the identification of ways to strengthen both food sovereignty and health equity. Oxford University Press 2015-10 2014-10-04 /pmc/articles/PMC4559116/ /pubmed/25288515 http://dx.doi.org/10.1093/heapol/czu109 Text en Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014; all rights reserved. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Reviews Weiler, Anelyse M. Hergesheimer, Chris Brisbois, Ben Wittman, Hannah Yassi, Annalee Spiegel, Jerry M. Food sovereignty, food security and health equity: a meta-narrative mapping exercise |
title | Food sovereignty, food security and health equity: a meta-narrative mapping exercise |
title_full | Food sovereignty, food security and health equity: a meta-narrative mapping exercise |
title_fullStr | Food sovereignty, food security and health equity: a meta-narrative mapping exercise |
title_full_unstemmed | Food sovereignty, food security and health equity: a meta-narrative mapping exercise |
title_short | Food sovereignty, food security and health equity: a meta-narrative mapping exercise |
title_sort | food sovereignty, food security and health equity: a meta-narrative mapping exercise |
topic | Reviews |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4559116/ https://www.ncbi.nlm.nih.gov/pubmed/25288515 http://dx.doi.org/10.1093/heapol/czu109 |
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