Food environments in the Pacific region and efforts to improve them: a scoping review

Abstract Objective: To understand the characteristics of food environments in the Pacific region, and the broader economic, policy and sociocultural surroundings that influence food choices and interventions to improve food environments for Pacific communities. Design: Systematic searches were c...

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Main Authors: Sela Ki Folau Fusi, Clara Gómez-Donoso, Kathryn Backholer, Jennifer Browne, Megan Ferguson, Adrian J Cameron
Format: Article
Language:English
Published: Cambridge University Press 2025-01-01
Series:Public Health Nutrition
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Online Access:https://www.cambridge.org/core/product/identifier/S1368980024002350/type/journal_article
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author Sela Ki Folau Fusi
Clara Gómez-Donoso
Kathryn Backholer
Jennifer Browne
Megan Ferguson
Adrian J Cameron
author_facet Sela Ki Folau Fusi
Clara Gómez-Donoso
Kathryn Backholer
Jennifer Browne
Megan Ferguson
Adrian J Cameron
author_sort Sela Ki Folau Fusi
collection DOAJ
description Abstract Objective: To understand the characteristics of food environments in the Pacific region, and the broader economic, policy and sociocultural surroundings that influence food choices and interventions to improve food environments for Pacific communities. Design: Systematic searches were conducted for articles related to food environments or factors influencing food choices from 1993 to 2024 in five academic databases, Google, Google Scholar and relevant organisations’ websites. Studies were included if they meet the eligibility criteria. Two authors independently reviewed the title and abstract of identified articles. Full-text screening was conducted before data were extracted from eligible studies. A narrative analysis was informed by an existing food environments framework. Setting: Pacific Island countries or territories that are a member of the Pacific Community (SPC). Participants: Not applicable. Results: From the sixty-six included studies (of 2520 records screened), it was clear that food environments in the Pacific region are characterised by high availability and promotion of ultra-processed unhealthy foods. These foods were reported to be cheaper than healthier alternatives and have poor nutritional labelling. Food trade and investment, together with sociocultural and political factors, were found to contribute to unhealthy food choices. Policy interventions have been implemented to address food environments; however, the development and implementation of food environment policies could be strengthened through stronger leadership, effective multisectoral collaboration and clear lines of responsibility. Conclusions: Interventions focused on improving physical, economic, policy and sociocultural influences on food choices should be prioritised in the Pacific region to improve the food environment and mitigate barriers to healthy eating.
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spelling doaj-art-798aab70df184b09a3778f4e32ed89512025-01-16T21:52:19ZengCambridge University PressPublic Health Nutrition1368-98001475-27272025-01-012810.1017/S1368980024002350Food environments in the Pacific region and efforts to improve them: a scoping reviewSela Ki Folau Fusi0Clara Gómez-Donoso1Kathryn Backholer2Jennifer Browne3https://orcid.org/0000-0002-6497-2541Megan Ferguson4Adrian J Cameron5Institute for Health Transformation, Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, AustraliaInstitute for Health Transformation, Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, AustraliaInstitute for Health Transformation, Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, AustraliaInstitute for Health Transformation, Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, AustraliaSchool of Public Health, The University of Queensland, Brisbane, AustraliaInstitute for Health Transformation, Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, Australia Abstract Objective: To understand the characteristics of food environments in the Pacific region, and the broader economic, policy and sociocultural surroundings that influence food choices and interventions to improve food environments for Pacific communities. Design: Systematic searches were conducted for articles related to food environments or factors influencing food choices from 1993 to 2024 in five academic databases, Google, Google Scholar and relevant organisations’ websites. Studies were included if they meet the eligibility criteria. Two authors independently reviewed the title and abstract of identified articles. Full-text screening was conducted before data were extracted from eligible studies. A narrative analysis was informed by an existing food environments framework. Setting: Pacific Island countries or territories that are a member of the Pacific Community (SPC). Participants: Not applicable. Results: From the sixty-six included studies (of 2520 records screened), it was clear that food environments in the Pacific region are characterised by high availability and promotion of ultra-processed unhealthy foods. These foods were reported to be cheaper than healthier alternatives and have poor nutritional labelling. Food trade and investment, together with sociocultural and political factors, were found to contribute to unhealthy food choices. Policy interventions have been implemented to address food environments; however, the development and implementation of food environment policies could be strengthened through stronger leadership, effective multisectoral collaboration and clear lines of responsibility. Conclusions: Interventions focused on improving physical, economic, policy and sociocultural influences on food choices should be prioritised in the Pacific region to improve the food environment and mitigate barriers to healthy eating. https://www.cambridge.org/core/product/identifier/S1368980024002350/type/journal_articlePhysical food environmentEconomic food environmentPolitical food environmentSociocultural food environmentDietObesityPacific region
spellingShingle Sela Ki Folau Fusi
Clara Gómez-Donoso
Kathryn Backholer
Jennifer Browne
Megan Ferguson
Adrian J Cameron
Food environments in the Pacific region and efforts to improve them: a scoping review
Public Health Nutrition
Physical food environment
Economic food environment
Political food environment
Sociocultural food environment
Diet
Obesity
Pacific region
title Food environments in the Pacific region and efforts to improve them: a scoping review
title_full Food environments in the Pacific region and efforts to improve them: a scoping review
title_fullStr Food environments in the Pacific region and efforts to improve them: a scoping review
title_full_unstemmed Food environments in the Pacific region and efforts to improve them: a scoping review
title_short Food environments in the Pacific region and efforts to improve them: a scoping review
title_sort food environments in the pacific region and efforts to improve them a scoping review
topic Physical food environment
Economic food environment
Political food environment
Sociocultural food environment
Diet
Obesity
Pacific region
url https://www.cambridge.org/core/product/identifier/S1368980024002350/type/journal_article
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