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Rethinking the Social Determination of Food in Chile Through Practices and Interactions of Actors in Food Environments: Nonexperimental, Cross-Sectional Study
Indexado
WoS WOS:001317647300004
Scopus SCOPUS_ID:85204061207
DOI 10.2196/62765
Año 2024
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Background: Food environments are crucial for promoting healthy and sustainable eating and preventing obesity. However, existing food environment frameworks assume an already installed causality and do not explain how associations in food environments are established or articulated, especially from an integrative and transdisciplinary approach. This research attempts to bridge these gaps through the use of Actor-Network Theory, which traces the relationship network between human (and nonhuman) actors in order to describe how these interact and what agencies (direct or remote) are involved. Objective: This study aims to explain the practices and interactions of actors in food environments in order to approach the problem of unhealthy eating with a transdisciplinary approach. Methods: This is a nonexperimental, cross-sectional study. Due to the complexity of the study phenomena, a mixed methods approach with 4 consecutive phases will be developed in Chile. Phase 1 involves a systematic literature review of food environment evidence since 2015, following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) protocol; phase 2 involves the application of a shortened version of the Nutrition Environment Measure Scale—Perceptions adapted to Chile (NEMS-P-Ch) in 2 neighborhoods with different socioeconomic levels; in phase 3, six focus groups in each neighborhood will be conducted to address social determinants such as gender, employment status, and migration; and in phase 4, participant observation and in-depth interviews will be used to analyze the direct and empirical exploration of the actors in their daily interaction with food environments. The triangulation and complementarity of the data will allow us to create a practical model about the practices and interactions of actors in their food environments, which reflects the complexity and transdisciplinary nature of the study. Results: We have advanced in phases 1-3 of the study. In phase 1, a total of 109 manuscripts are being revised for data extraction. In phase 2, we applied the NEMS-P-Ch to 785 people, 49.4% (388/785) of whom belong to a low socioeconomic neighborhood. Participants from phase 2 are being contacted to participate in the focus groups (phase 3). By the end of July, we have conducted 6 focus groups with 5-11 participants. Conclusions: This study will provide a comprehensive understanding of how individuals interact with their food environments, offering deep insights into the factors influencing their food-related decisions. In addition, the study aims to develop a model that more accurately reflects reality by examining not only the food environments themselves but also the interactions among various stakeholders within these environments and their daily practices. The findings of this study will offer evidence-based insights to inform public policies tailored to the specific territories and communities under investigation or those with similar characteristics.

Revista



Revista ISSN
1929-0748

Métricas Externas



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Disciplinas de Investigación



WOS
Public, Environmental & Occupational Health
Health Care Sciences & Services
Scopus
Sin Disciplinas
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Espinoza, Patricia Gálvez - Universidad de Chile - Chile
2 Osiac, Lorena Rodríguez - Universidad de Chile - Chile
3 Maggiolo, Carolina Franch - Universidad de Chile - Chile
4 Rojas, Daniel Egaña - Universidad de Chile - Chile

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Financiamiento



Fuente
FONDECYT program
Agencia Nacional de Investigación y Desarrollo
National Research and Development Agency
Microdata Center at the Universidad de Chile

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Agradecimientos



Agradecimiento
The authors thank the Microdata Center at the Universidad de Chile for their support during the second phase of this protocol. In addition, special thanks are extended to Ms D\u00E9rgica Sanhueza and Mr Alexis Rebolledo for organizing the literature review, Ms Lorena Iglesias and Ms Carolina Zamudio for their assistant in the literature review process, and Ms Catalina Sandoval for proofreading this manuscript. This work was supported by the National Research and Development Agency (ANID), Chile, in March 2023, and its Fondecyt Program (grant 1230545).

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