Sydney School of Public Health, Edward Ford Building A27, The University of Sydney, NSW, 2006, Australia (PF, PV, JN).
Menzies Centre for Health Policy, Charles Perkins Centre D17, The University of Sydney, NSW, 2006, Australia (AMT).
Hawaii J Health Soc Welf. 2021 Feb 1;80(2):33-40.
Highly processed and energy-dense foods are contributing to the high and rising rates of non-communicable diseases and nutrient deficiencies in Solomon Islands. Non-communicable diseases currently cause 69% of deaths in Solomon Islands, and the rate is rising, fuelled in part by limited health system capacity to treat these conditions. Solomon Islands also has the highest reported undernourishment rate in the Pacific. Recent decades have seen several factors change the food and economic environment in Solomon Islands. Importantly, rural-to-urban migration has caused a disconnect between urban residents and access to land and home gardens. This study aimed to examine the complexities of nutritious food access in urban Solomon Islands. Data were collected from 32 women in Honiara, the islands' capital, using a novel survey instrument. There were 3 important findings: (1) the dominant influencers of the diet patterns described by participants in this study were food affordability and access to land on which to grow it, (2) all participants experienced food insecurity, and (3) reported diet patterns reflected unhealthy diets which were particularly high in processed and sugary foods. These findings suggest a need for improvements in the food environment in Honiara.
高度加工和高能量的食物是造成所罗门群岛非传染性疾病和营养缺乏率居高不下的原因。非传染性疾病目前导致所罗门群岛 69%的人死亡，而且这一比例还在上升，部分原因是卫生系统治疗这些疾病的能力有限。所罗门群岛也是太平洋地区报告营养不良率最高的国家。近几十年来，有几个因素改变了所罗门群岛的食物和经济环境。重要的是，农村向城市的移民导致城市居民与获得土地和家庭菜园的机会脱节。本研究旨在探讨所罗门群岛城市中获得营养食物的复杂性。数据是从首都霍尼亚拉的 32 名妇女那里收集的，使用了一种新颖的调查工具。有 3 个重要发现：（1）参与者描述的饮食模式的主要影响因素是食物的可负担性和获得土地的机会，（2）所有参与者都经历了粮食不安全，（3）报告的饮食模式反映了不健康的饮食，其中特别高的是加工食品和含糖食品。这些发现表明需要改善霍尼亚拉的食物环境。
