National nutrition policy in high-income countries: is health equity on the agenda?

Zorbas, Christina, Browne, Jennifer, Chung, Alexandra, Baker, Phillip, Palermo, Claire, Reeve, Erica, Peeters, Anna and Backholer, Kathryn 2020, National nutrition policy in high-income countries: is health equity on the agenda?, Nutrition reviews, pp. 1-14, doi: 10.1093/nutrit/nuaa120.

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Title National nutrition policy in high-income countries: is health equity on the agenda?
Author(s) Zorbas, ChristinaORCID iD for Zorbas, Christina
Browne, JenniferORCID iD for Browne, Jennifer
Chung, AlexandraORCID iD for Chung, Alexandra
Baker, PhillipORCID iD for Baker, Phillip
Palermo, Claire
Reeve, EricaORCID iD for Reeve, Erica
Peeters, AnnaORCID iD for Peeters, Anna
Backholer, KathrynORCID iD for Backholer, Kathryn
Journal name Nutrition reviews
Start page 1
End page 14
Total pages 14
Publisher Oxford University Press
Place of publication Oxford, Eng.
Publication date 2020-11-23
ISSN 0029-6643
Keyword(s) food policy
healthy equity
obesity prevention
socioeconomic inequalities
Summary Objective: Equity-oriented policy actions are a key public health principle. In this study, how equity and socioeconomic inequalities are represented in policy problematizations of population nutrition were examined. Data Sources: We retrieved a purposive sample of government nutrition-policy documents (n = 18) from high-income nations. Data Synthesis: Thematic analysis of policy documents was informed by a multitheoretical understanding of equitable policies and Bacchi’s “What’s the Problem Represented to be?’ analysis framework. Despite common rhetorical concerns about the existence of health inequalities, these concerns were often overshadowed by greater emphasis on lifestyle “problems” and reductionist policy actions. The notion that policy actions should be for all and reach everyone were seldom backed by specific actions. Rhetorical acknowledgements of the upstream drivers of health inequalities were also rarely problematized, as were government responsibilities for health equity and the role of policy and governance in reducing socioeconomic inequalities in nutrition. Conclusion: To positively influence health equity outcomes, national nutrition policy will need to transition toward the prioritization of actions that uphold social justice and comprehensively address the upstream determinants of health.
Notes In press
Language eng
DOI 10.1093/nutrit/nuaa120
Indigenous content off
Field of Research 111799 Public Health and Health Services not elsewhere classified
11 Medical and Health Sciences
17 Psychology and Cognitive Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2020, The Author(s)
Free to Read? No
Free to Read Start Date 2021-11-24
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