Department of Epidemiology and Data Science, Amsterdam UMC-Vrije Universiteit, De Boelelaan 1089a, 1081HVAmsterdam, The Netherlands.
Upstream Team, Amsterdam UMC, Amsterdam, The Netherlands Email:
Public Health Nutr. 2021 May;24(7):1851-1853. doi: 10.1017/S1368980021000677. Epub 2021 Feb 26.
I reflect upon the potential reasons why American low-income households do not spend an optimal proportion of their food budgets on fruits and vegetables, even though this would allow them to meet the recommended levels of fruit and vegetable consumption. Other priorities than health, automatic decision-making processes and access to healthy foods play a role, but solutions for the persistent socio-economic inequalities in diet should be sought in the wider food system which promotes cheap, mass-produced foods. I argue that, ultimately, healthy eating is not a matter of prioritisation by individual households but by policymakers.
我思考了为什么美国低收入家庭即使知道多吃水果和蔬菜有益于健康,也没有将食品预算的最优部分用于购买水果和蔬菜,从而达到推荐的水果和蔬菜摄入量。除了健康,其他优先事项、自动决策过程和获取健康食品的机会都会产生影响,但应该在更广泛的促进廉价、大规模生产食品的食品体系中寻求解决饮食方面持续存在的社会经济不平等问题的办法。我认为,归根结底,健康饮食不是家庭的优先事项,而是政策制定者的优先事项。