Kelley Michele A, Allen-Meares Paula
Michele A. Kelley, ScD, MA, ACSW, is associate professor emerita, School of Public Health, University of Illinois Chicago, 1603 West Taylor Street, Chicago, IL 60612, USA.
Paula Allen-Meares, PhD, MSW, is chancellor emerita and professor of medicine, Department of Medicine, University of Illinois Chicago, Chicago, IL, USA; and professor emerita of social work, professor emerita of education, and dean emerita, School of Social Work, University of Michigan, Ann Arbor, MI, USA.
Health Soc Work. 2025 Aug 1;50(3):190-198. doi: 10.1093/hsw/hlaf025.
As a critical social determinant of health, food equity (FE) is essential for addressing health equity. It expands the concept of food security to incorporate more community collaboration in the production and distribution of affordable, nutritious food with attention to cultural preferences and environmental change/sustainability. Both health equity and environmental sustainability are central to the Grand Challenges for Social Work. To advance progress on meeting these particular challenges, this article discusses how the social work health impact model can be applied for taking action to promote FE. Current issues in the food system that contribute to food insecurity and health inequities are presented, along with selected interventions across contexts. The authors call for reimagining roles for social workers to address FE with implications for social work education and creative collaboration for improving the food system and food access, and with consideration of environmental and health consequences of a changing food landscape.
作为健康的关键社会决定因素,食物公平对于实现健康公平至关重要。它扩展了粮食安全的概念,将更多社区合作纳入到价格合理、营养丰富的食物生产和分配中,同时关注文化偏好以及环境变化/可持续性。健康公平和环境可持续性都是社会工作重大挑战的核心。为推动在应对这些特殊挑战方面取得进展,本文讨论了如何应用社会工作健康影响模型采取行动促进食物公平。文中介绍了导致粮食不安全和健康不平等的当前食品系统问题,以及不同背景下的部分干预措施。作者呼吁重新构想社会工作者的角色,以应对食物公平问题,这对社会工作教育以及为改善食品系统和食物获取而进行的创造性合作具有启示意义,同时要考虑不断变化的食物格局对环境和健康的影响。