Nisbett Nicholas, Harris Jody, Backholer Kathryn, Baker Philip, Jernigan Valarie Blue Bird, Friel Sharon
Institute of Development Studies at the University of Sussex, UK.
World Vegetable Centre, Thailand.
Glob Food Sec. 2022 Mar;32. doi: 10.1016/j.gfs.2021.100605. Epub 2021 Dec 21.
Equity remains poorly conceptualised in current nutrition frameworks and policy approaches. We draw on existing literatures to present a novel Nutrition Equity Framework (NEF) that can be used to identify priorities for nutrition research and action. The framework illustrates how social and political processes structure the food, health and care environments most important to nutrition. Central to the framework are processes of unfairness, injustice and exclusion as the engine of nutrition inequity across place, time and generations, ultimately influencing both nutritional status and people's space to act. The NEF illustrates conceptually how action on the socio-political determinants of nutrition is the most fundamental and sustainable way of improving nutrition equity for everyone everywhere, through 'equity-sensitive nutrition'. Efforts must ensure, in the words of the Sustainable Development Goals, that not only is "no one left behind" but also that the inequities and injustices we describe do not hold anyone back from realising their right to healthy diets and good nutrition.
在当前的营养框架和政策方法中，公平性的概念仍未得到充分阐释。我们借鉴现有文献，提出了一个新颖的营养公平框架（NEF），可用于确定营养研究和行动的重点。该框架阐明了社会和政治进程如何构建对营养最为重要的食物、健康和护理环境。该框架的核心是不公平、不公正和排斥的过程，这些是跨越地域、时间和代际的营养不平等的驱动力，最终影响营养状况和人们采取行动的空间。营养公平框架从概念上说明了，通过“对公平敏感的营养”，针对营养的社会政治决定因素采取行动是改善各地所有人营养公平的最根本和可持续的方式。必须按照可持续发展目标的要求做出努力，确保不仅“不让任何人掉队”，而且我们所描述的不平等和不公正不会阻碍任何人实现其获得健康饮食和良好营养的权利。
