Food sovereignty, food security and health equity: A meta-narrative mapping exercise

dc.contributor.authorWeiler, Anelyse M.
dc.contributor.authorHergesheimer, Chris
dc.contributor.authorBrisbois, Ben
dc.contributor.authorWittman, Hannah
dc.contributor.authorYassi, Annalee
dc.contributor.authorSpiegel, Jerry M.
dc.date.accessioned2024-05-31T16:46:11Z
dc.date.available2024-05-31T16:46:11Z
dc.date.issued2014
dc.description.abstractThere has been growing policy interest in social justice issues related to both health and food. We sought to understand the state of knowledge on relationships between health equity—i.e. health inequalities that are socially produced—and food systems, where the concepts of ‘food security’ and ‘food sovereignty’ are prominent. We undertook exploratory scoping and mapping stages of a ‘meta-narrative synthesis’ on pathways from global food systems to health equity outcomes. The review was oriented by a conceptual framework delineating eight pathways to health (in)equity through the food system: 1—Multi-Scalar Environmental, Social Context; 2—Occupational Exposures; 3—Environmental Change; 4—Traditional Livelihoods, Cultural Continuity; 5—Intake of Contaminants; 6—Nutrition; 7—Social Determinants of Health and 8—Political, Economic and Regulatory context. The terms ‘food security’ and ‘food sovereignty’ were, respectively, paired with a series of health equity-related terms. Combinations of health equity and food security (1414 citations) greatly outnumbered pairings with food sovereignty (18 citations). Prominent crosscutting themes that were observed included climate change, biotechnology, gender, racialization, indigeneity, poverty, citizenship and HIV as well as institutional barriers to reducing health inequities in the food system. The literature indicates that food sovereignty-based approaches to health in specific contexts, such as advancing healthy school food systems, promoting soil fertility, gender equity and nutrition, and addressing structural racism, can complement the longer-term socio-political restructuring processes that health equity requires. Our conceptual model offers a useful starting point for identifying interventions with strong potential to promote health equity. A research agenda to explore project-based interventions in the food system along these pathways can support the identification of ways to strengthen both food sovereignty and health equity.
dc.description.reviewstatusReviewed
dc.description.scholarlevelFaculty
dc.description.sponsorshipThe authors are funded by the Canadian Institutes of Health Research. This work was supported by the Canadian Institutes of Health Research (CIHR) under grant ROH-115207, “Food systems and health equity in an era of globalization: Think, eat and grow green globally (TEG3)“.
dc.identifier.citationWeiler, A. M., Hergesheimer, C., Brisbois, B., Wittman, H., Yassi, A., & Spiegel, J. M. (2014). Food sovereignty, food security and health equity: A meta-narrative mapping exercise. Health Policy and Planning, 30(8), 1078–1092. https://doi.org/10.1093/heapol/czu109
dc.identifier.urihttps://doi.org/10.1093/heapol/czu109
dc.identifier.urihttps://hdl.handle.net/1828/16576
dc.language.isoen
dc.publisherHealth Policy and Planning
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectfood security
dc.subjectfood sovereignty
dc.subjecthealth equity
dc.subjectmeta-narrative
dc.subjectsocial determinants
dc.subjectsocial justice
dc.subject.departmentDepartment of Sociology
dc.titleFood sovereignty, food security and health equity: A meta-narrative mapping exercise
dc.typeArticle

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