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Using systems science to understand thedeterminants of inequities in healthy eating

Friel, Sharon; Pescud, Melanie; Malbon, Eleanor; Lee, Amanda; Carter, Rob; Greenfield, Joanne; Cobcroft, Megan; Potter, Jane; Rychetnik, Lucie; Meertens, Beth

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Introduction Systems thinking has emerged in recent years as a promising approach to understanding and acting on the prevention and amelioration of non-communicable disease. However, the evidence on inequities in non-communicable diseases and their risks factors, particularly diet, has not been examined from a systems perspective. We report on an approach to developing a system oriented policy actor perspective on the multiple causes of inequities in healthy eating. Methods Collaborative...[Show more]

dc.contributor.authorFriel, Sharon
dc.contributor.authorPescud, Melanie
dc.contributor.authorMalbon, Eleanor
dc.contributor.authorLee, Amanda
dc.contributor.authorCarter, Rob
dc.contributor.authorGreenfield, Joanne
dc.contributor.authorCobcroft, Megan
dc.contributor.authorPotter, Jane
dc.contributor.authorRychetnik, Lucie
dc.contributor.authorMeertens, Beth
dc.date.accessioned2021-10-12T00:58:55Z
dc.date.available2021-10-12T00:58:55Z
dc.identifier.issn1932-6203
dc.identifier.urihttp://hdl.handle.net/1885/250659
dc.description.abstractIntroduction Systems thinking has emerged in recent years as a promising approach to understanding and acting on the prevention and amelioration of non-communicable disease. However, the evidence on inequities in non-communicable diseases and their risks factors, particularly diet, has not been examined from a systems perspective. We report on an approach to developing a system oriented policy actor perspective on the multiple causes of inequities in healthy eating. Methods Collaborative conceptual modelling workshops were held in 2015 with an expert group of representatives from government, non-government health organisations and academia in Australia. The expert group built a systems model using a system dynamics theoretical perspective. The model developed from individual mind maps to pair blended maps, before being finalised as a causal loop diagram. Results The work of the expert stakeholders generated a comprehensive causal loop diagram of the determinants of inequity in healthy eating (the HE2 Diagram). This complex dynamic system has seven sub-systems: (1) food supply and environment; (2) transport; (3) housing and the built environment; (4) employment; (5) social protection; (6) health literacy; and (7) food preferences. Discussion The HE2 causal loop diagram illustrates the complexity of determinants of inequities in healthy eating. This approach, both the process of construction and the final visualisation, can provide the basis for planning the prevention and amelioration of inequities in healthy eating that engages with multiple levels of causes and existing policies and programs.
dc.description.sponsorshipThis research was supported by The Australian Prevention Partnership Centre through the NHMRC partnership centre grant scheme (grant ID: GNT9100001) with the Australian Government Department of Health, New South Wales Ministry of Health, Australian Capital Territory Health, HCF, and the HCF Research Foundation.
dc.format.mimetypeapplication/pdf
dc.language.isoen_AU
dc.publisherPublic Library of Science
dc.rights© 2017 Friel et al
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.sourcePLOS ONE (Public Library of Science)
dc.titleUsing systems science to understand thedeterminants of inequities in healthy eating
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume12
dc.date.issued2017
local.identifier.absfor111799 - Public Health and Health Services not elsewhere classified
local.identifier.ariespublicationu1026210xPUB163
local.publisher.urlhttp://www.plos.org/
local.type.statusPublished Version
local.contributor.affiliationFriel, Sharon, College of Asia and the Pacific, ANU
local.contributor.affiliationPescud, Melanie, College of Asia and the Pacific, ANU
local.contributor.affiliationMalbon, Eleanor, College of Asia and the Pacific, ANU
local.contributor.affiliationLee, Amanda, Sax Institute
local.contributor.affiliationCarter, Rob, Deakin University
local.contributor.affiliationGreenfield, Joanne, ACT Health
local.contributor.affiliationCobcroft, Megan, NSW Health
local.contributor.affiliationPotter, Jane, Heart Foundation
local.contributor.affiliationRychetnik, Lucie, Sax Institute
local.contributor.affiliationMeertens, Beth, Heart Foundation
dc.relationhttp://purl.org/au-research/grants/nhmrc/GNT9100001
local.bibliographicCitation.issue11
local.bibliographicCitation.startpage1
local.bibliographicCitation.lastpage18
local.identifier.doi10.1371/journal.pone.0188872
local.identifier.absseo920499 - Public Health (excl. Specific Population Health) not elsewhere classified
dc.date.updated2020-11-23T11:26:05Z
local.identifier.scopusID2-s2.0-85036528401
dcterms.accessRightsOpen Access
dc.provenanceThis is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
dc.rights.licenseCreative Commons License (Attribution 4.0 International)
CollectionsANU Research Publications

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