Queensland University of Technology Brisbane, Brisbane, Queensland, Australia.
Syst Rev. 2024 Aug 28;13(1):221. doi: 10.1186/s13643-024-02632-y.
BACKGROUND: In high-income countries, significant diet-related health inequalities exist between people of different socioeconomic backgrounds. Individuals who face socioeconomic challenges are less likely to meet dietary guidelines, leading to increased incidence and prevalence of morbidity and mortality associated with dietary risk factors. To promote healthy eating, strategies may focus on individual-level factors (e.g., knowledge, skills, and behavior) along with broader societal factors (e.g., social determinants of health). The concept of food literacy is considered an individual-level factor and has been framed as a skill set that individuals must possess to effectively navigate the complexities of the modern food system. Food literacy interventions can be a complementary but effective tool for encouraging healthy eating behavior among diverse populations, including those facing socioeconomic disadvantage. However, there is limited evidence to guide the design of food literacy intervention for vulnerable population groups. In the process of developing an ideal portfolio of solutions and strategies to promote food literacy and healthy eating for people experiencing socioeconomic disadvantage, this systematic scoping review aims to comprehensively examine the effects of food literacy interventions on promoting food literacy behavior and healthy eating in adults (18 years and above) from various socioeconomic groups (SEGs) in high-income countries. METHODS: The review includes both qualitative and quantitative papers obtained from academic databases, including MEDLINE (via EBSCOhost), Embase, Web of Science, and Google Scholar. In addition to the electronic search, manual forward and backward citation searching will be conducted to identify additional relevant papers. Food literacy interventions will be evaluated across four domains: planning and management, selection, preparation, and consumption. Papers included in the review will be analyzed for process, impact, and outcome evaluation. The main outcome of a food literacy intervention is the modification in eating behavior, while the mechanism for this action will be through impact measure of food literacy behaviors. Implementation factors will be extracted for process evaluation. This review will also include a range of dietary behavior measures, such as diet quality index and dietary intake indicator. The screening process for all citations, full-text articles, and abstract data will be carried out by two reviewers independently. In case of any potential conflicts, they will be resolved through discussion. The quality of quantitative studies will be reviewed using the JBI critical appraisal checklist for analytical cross-sectional studies. The "Consolidated Criteria for Reporting Qualitative Studies (COREQ)" will be used to report on the quality of qualitative papers. SYSTEMATIC REVIEW REGISTRATION: https://doi.org/10.17605/OSF.IO/TPNKU.
背景:在高收入国家,不同社会经济背景的人群之间存在着显著的与饮食相关的健康不平等现象。面临社会经济挑战的个体不太可能遵守饮食指南,这导致与饮食风险因素相关的发病率和患病率增加。为了促进健康饮食,策略可能侧重于个体层面的因素(例如知识、技能和行为)以及更广泛的社会层面因素(例如健康的社会决定因素)。食品素养的概念被认为是一个个体层面的因素,并被定义为个人在现代食品系统中有效应对复杂性所需具备的技能组合。食品素养干预可以是鼓励不同人群(包括面临社会经济劣势的人群)健康饮食行为的一种补充但有效的工具。然而,目前指导针对弱势群体设计食品素养干预措施的证据有限。在制定一个理想的综合解决方案和策略组合,以促进社会经济劣势人群的食品素养和健康饮食的过程中,本系统评价旨在全面研究食品素养干预措施对促进高收入国家不同社会经济群体(SEGs)成年人(18 岁及以上)的食品素养行为和健康饮食的影响。
方法:该评价包括从学术数据库中获得的定性和定量论文,包括 MEDLINE(通过 EBSCOhost)、Embase、Web of Science 和 Google Scholar。除了电子检索外,还将进行手动向前和向后引用搜索,以确定其他相关论文。食品素养干预措施将在四个方面进行评估:计划和管理、选择、准备和消费。纳入评价的论文将进行过程、影响和结果评价分析。食品素养干预的主要结果是饮食行为的改变,而这种行为的机制将是通过食品素养行为的影响衡量。将提取实施因素进行过程评价。本评价还将包括一系列饮食行为措施,如饮食质量指数和饮食摄入量指标。将由两名评审员独立对所有引文、全文文章和摘要数据进行筛选。如果存在任何潜在的分歧,将通过讨论解决。使用 JBI 分析性横断面研究的批判性评价检查表对定量研究的质量进行评价。将使用“定性研究报告的统一标准(COREQ)”报告定性论文的质量。
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