Fusi Sela Ki Folau, Gómez-Donoso Clara, Backholer Kathryn, Browne Jennifer, Ferguson Megan, Cameron Adrian J
Institute for Health Transformation, Global Centre for Preventive Health and Nutrition, School of Health and Social Development, Faculty of Health, Deakin University, Geelong, Australia.
School of Public Health, The University of Queensland, Brisbane, Australia.
Public Health Nutr. 2024 Nov 26;28(1):e5. doi: 10.1017/S1368980024002350.
To understand the characteristics of food environments in the Pacific region, and the broader economic, policy and sociocultural surroundings that influence food choices and interventions to improve food environments for Pacific communities.
Systematic searches were conducted for articles related to food environments or factors influencing food choices from 1993 to 2024 in five academic databases, Google, Google Scholar and relevant organisations' websites. Studies were included if they meet the eligibility criteria. Two authors independently reviewed the title and abstract of identified articles. Full-text screening was conducted before data were extracted from eligible studies. A narrative analysis was informed by an existing food environments framework.
Pacific Island countries or territories that are a member of the Pacific Community (SPC).
Not applicable.
From the sixty-six included studies (of 2520 records screened), it was clear that food environments in the Pacific region are characterised by high availability and promotion of ultra-processed unhealthy foods. These foods were reported to be cheaper than healthier alternatives and have poor nutritional labelling. Food trade and investment, together with sociocultural and political factors, were found to contribute to unhealthy food choices. Policy interventions have been implemented to address food environments; however, the development and implementation of food environment policies could be strengthened through stronger leadership, effective multisectoral collaboration and clear lines of responsibility.
Interventions focused on improving physical, economic, policy and sociocultural influences on food choices should be prioritised in the Pacific region to improve the food environment and mitigate barriers to healthy eating.
了解太平洋地区食品环境的特征，以及影响食品选择的更广泛的经济、政策和社会文化环境，以及为太平洋社区改善食品环境的干预措施。
在五个学术数据库、谷歌、谷歌学术搜索以及相关组织的网站上，对1993年至2024年期间与食品环境或影响食品选择的因素相关的文章进行了系统检索。符合纳入标准的研究被纳入。两位作者独立审查了已确定文章的标题和摘要。在从符合条件的研究中提取数据之前进行了全文筛选。叙事分析以现有的食品环境框架为依据。
属于太平洋共同体（SPC）成员的太平洋岛国或领土。
不适用。
在筛选的2520条记录中，有66项研究被纳入，很明显，太平洋地区的食品环境具有超加工不健康食品供应量大且宣传力度大的特点。据报道，这些食品比健康食品更便宜，而且营养标签很差。食品贸易和投资，以及社会文化和政治因素，被认为导致了不健康的食品选择。已经实施了政策干预措施来解决食品环境问题；然而，通过更强有力的领导、有效的多部门合作和明确的责任分工，可以加强食品环境政策的制定和实施。
在太平洋地区，应优先采取干预措施，改善对食品选择的物理、经济、政策和社会文化影响，以改善食品环境，减少健康饮食的障碍。
