Institute for Population and Social Research, Mahidol University, Nakhon Pathom 73170, Thailand.
Reconstra Utama Integra, Jakarta 12150, Indonesia.
Int J Environ Res Public Health. 2022 Jan 4;19(1):528. doi: 10.3390/ijerph19010528.
Effective policies that address both the supply and demand dimensions of access to affordable, healthy foods are required for tackling malnutrition in South East Asia. This paper presents the Protocol for the South East Asia Obesogenic Food Environment (SEAOFE) study, which is designed to analyze the retail food environment, consumers' and retailers' perspectives regarding the retail food environment, and existing policies influencing food retail in four countries in South East Asia in order to develop evidence-informed policy recommendations. This study was designed as a mixed-methods sequential explanatory approach. The country sites are Malaysia, Indonesia, the Philippines, and Thailand. The proposed study consists of four phases. Phase One describes the characteristics of the current retail food environment using literature and data review. Phase Two interprets consumer experience in the retail food environment in selected urban poor communities using a consumer-intercept survey. This phase also assesses the retail food environment by adapting an in-store audit tool previously validated in higher-income countries. Phase Three identifies factors influencing food retailer decisions, perceptions, and attitudes toward food retail policies using semi-structured interviews with selected retailers. Phase Four recommends changes in the retail food environment using policy analysis and semi-structured interviews with key stakeholders. For the analysis of the quantitative data, descriptive statistics and multiple regression will be used, and thematic analysis will be used to process the qualitative data. This study will engage stakeholders throughout the research process to ensure that the design and methods used are sensitive to the local context.
需要采取有效政策，从供应和需求两方面着手，解决获取负担得起的健康食品的问题，从而应对东南亚的营养不良问题。本文介绍了东南亚肥胖诱发生态环境（SEAOFE）研究的方案，该研究旨在分析零售食品环境、消费者和零售商对零售食品环境的看法，以及影响东南亚四个国家食品零售的现有政策，从而制定循证政策建议。本研究设计为混合方法序贯解释方法。国家地点是马来西亚、印度尼西亚、菲律宾和泰国。拟议的研究由四个阶段组成。第一阶段使用文献和数据回顾描述当前零售食品环境的特点。第二阶段通过消费者拦截调查，在选定的城市贫困社区中解释消费者在零售食品环境中的体验。本阶段还通过改编先前在高收入国家验证过的店内审核工具，评估零售食品环境。第三阶段通过与选定零售商进行半结构化访谈，确定影响食品零售商决策、对食品零售政策的看法和态度的因素。第四阶段通过政策分析和与主要利益相关者进行半结构化访谈，建议改变零售食品环境。对于定量数据的分析，将使用描述性统计和多元回归，并且将使用主题分析来处理定性数据。本研究将在整个研究过程中让利益相关者参与，以确保所使用的设计和方法对当地情况敏感。
