Concerns and priorities of Aboriginal and Torres Strait Islander peoples regarding food and nutrition: a systematic review of qualitative evidence.

Christidis, R; Lock, M; Walker, T; Egan, M; Browne, J

Concerns and priorities of Aboriginal and Torres Strait Islander peoples regarding food and nutrition: a systematic review of qualitative evidence.

Christidis, R Lock, M

Walker, T Egan, M Browne, J

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Publisher:: BioMed Central
Publication Type:: Journal Article
Citation:: International Journal for Equity in Health, 2021, 20, (1), pp. 1-19
Issue Date:: 2021-10-07

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Field	Value	Language
dc.contributor.author	Christidis, R
dc.contributor.author	Lock, M https://orcid.org/0000-0002-9810-6086
dc.contributor.author	Walker, T
dc.contributor.author	Egan, M
dc.contributor.author	Browne, J
dc.date.accessioned	2022-02-09T02:05:29Z
dc.date.available	2021-09-11
dc.date.available	2022-02-09T02:05:29Z
dc.date.issued	2021-10-07
dc.identifier.citation	International Journal for Equity in Health, 2021, 20, (1), pp. 1-19
dc.identifier.issn	1475-9276
dc.identifier.issn	1475-9276
dc.identifier.uri	http://hdl.handle.net/10453/154323
dc.description.abstract	BACKGROUND: Aboriginal and Torres Strait Islander Australians experience persistent health and social inequities. Chronic conditions, many of which are diet-related, are leading contributors to the burden of disease and health inequity in Australia. First Nations Peoples have the right to be involved in all policy decisions affecting them. This review aimed to synthesise Aboriginal and Torres Strait Islander Peoples' concerns and priorities about food and nutrition in order to inform policies to improve health equity. METHODS: MEDLINE, CINAHL, Informit and Google Scholar were systematically searched to identify qualitative studies-published from January 2008-that included data from Aboriginal and/or Torres Strait Islander Peoples about their concerns and priorities related to food and nutrition. Data were extracted from included studies using a pre-determined template and study quality was assessed using the Aboriginal and Torres Strait Islander Quality Appraisal Tool. Qualitative findings were synthesised using inductive thematic analysis and categorised based on an ecological model of health. RESULTS: Twenty-one studies were included. Key factors influencing food and nutrition were identified across all levels of the ecological framework. These included interpersonal and institutional racism, junk food availability and marketing, food accessibility and affordability, housing conditions, food knowledge and cooking skills, and connection to family and culture. CONCLUSIONS: Documenting Aboriginal and Torres Strait Islander Peoples' lived experiences of the colonised food system is one step necessary for informing policy to tackle food and nutrition inequities. Based on existing qualitative research, food and nutrition policymakers should prioritise building a supportive food environment by focusing on self-determination; ensuring access to healthy, affordable food and safe housing; and by eliminating systemic racism.
dc.format	Electronic
dc.language	eng
dc.publisher	BioMed Central
dc.relation.ispartof	International Journal for Equity in Health
dc.relation.isbasedon	10.1186/s12939-021-01551-x
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1117 Public Health and Health Services, 1608 Sociology
dc.subject.classification	Public Health
dc.subject.mesh	Australia
dc.subject.mesh	Chronic Disease
dc.subject.mesh	Health Equity
dc.subject.mesh	Humans
dc.subject.mesh	Native Hawaiian or Other Pacific Islander
dc.subject.mesh	Racism
dc.subject.mesh	Australia
dc.subject.mesh	Chronic Disease
dc.subject.mesh	Health Equity
dc.subject.mesh	Humans
dc.subject.mesh	Native Hawaiian or Other Pacific Islander
dc.subject.mesh	Racism
dc.subject.mesh	Humans
dc.subject.mesh	Chronic Disease
dc.subject.mesh	Oceanic Ancestry Group
dc.subject.mesh	Australia
dc.subject.mesh	Racism
dc.subject.mesh	Health Equity
dc.title	Concerns and priorities of Aboriginal and Torres Strait Islander peoples regarding food and nutrition: a systematic review of qualitative evidence.
dc.type	Journal Article
utslib.citation.volume	20
utslib.location.activity	England
utslib.for	1117 Public Health and Health Services
utslib.for	1608 Sociology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2022-02-09T02:05:25Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	20
utslib.citation.issue	1

Abstract:

BACKGROUND: Aboriginal and Torres Strait Islander Australians experience persistent health and social inequities. Chronic conditions, many of which are diet-related, are leading contributors to the burden of disease and health inequity in Australia. First Nations Peoples have the right to be involved in all policy decisions affecting them. This review aimed to synthesise Aboriginal and Torres Strait Islander Peoples' concerns and priorities about food and nutrition in order to inform policies to improve health equity. METHODS: MEDLINE, CINAHL, Informit and Google Scholar were systematically searched to identify qualitative studies-published from January 2008-that included data from Aboriginal and/or Torres Strait Islander Peoples about their concerns and priorities related to food and nutrition. Data were extracted from included studies using a pre-determined template and study quality was assessed using the Aboriginal and Torres Strait Islander Quality Appraisal Tool. Qualitative findings were synthesised using inductive thematic analysis and categorised based on an ecological model of health. RESULTS: Twenty-one studies were included. Key factors influencing food and nutrition were identified across all levels of the ecological framework. These included interpersonal and institutional racism, junk food availability and marketing, food accessibility and affordability, housing conditions, food knowledge and cooking skills, and connection to family and culture. CONCLUSIONS: Documenting Aboriginal and Torres Strait Islander Peoples' lived experiences of the colonised food system is one step necessary for informing policy to tackle food and nutrition inequities. Based on existing qualitative research, food and nutrition policymakers should prioritise building a supportive food environment by focusing on self-determination; ensuring access to healthy, affordable food and safe housing; and by eliminating systemic racism.

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http://hdl.handle.net/10453/154323