Expanding the Food Environment Framework to Include Family Dynamics: A Systematic Synthesis of Qualitative Evidence Using HIV As a Case Study

Overview

Journal Glob Food Sec

Publisher Elsevier

Date 2024 Sep 23

PMID 39309213

Authors

Ramya Ambikapathi

Morgan Boncyk

Nilupa S Gunaratna

Wafaie Fawzi

Germana Leyna

Suneetha Kadiyala

Crystal L Patil

Affiliations

Soon will be listed here.

Abstract

Food environment changes in low- and middle-income countries are increasing diet-related noncommunicable diseases (NCDs). This paper synthesizes the qualitative evidence about how family dynamics shape food choices within the context of HIV (Prospero: CRD42021226283). Guided by structuration theory and food environment framework, we used best-fit framework analysis to develop the Family Dynamics Food Environment Framework (FDF) comprising three interacting dimensions (resources, characteristics, and action orientation). Findings show how the three food environment domains (personal, family, external) interact to affect food choices within families affected by HIV. Given the growing prevalence of noncommunicable and chronic diseases, the FDF can be applied beyond the context of HIV to guide effective and optimal nutritional policies for the whole family.

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