Jane M. Dixon, Sarah J. Hinde and Cathy L. Banwell
With rising levels of obesity, public health attention has turned to the “obesogenic environment”, which includes the ready availability of convenience foods. We seek to provide…
Abstract
Purpose
With rising levels of obesity, public health attention has turned to the “obesogenic environment”, which includes the ready availability of convenience foods. We seek to provide an historical account of the popularity of convenience foods, alongside an elaboration of how international and Australian experts believe convenience food has contributed to rising rates of obesity. In this context, the paper aims to speculate about the likely success of functional foods, or “phoods”, and draw conclusions about potential implications for the obesity epidemic.
Design/methodology/approach
An “expanded” Delphi survey was utilised to identify key trends underpinning the rise in obesity and expert's hypotheses about how these trends have operated to promote obesity. Elaborating on these data, an historical perspective of the emergence and consolidation of convenience foods in Australian diets, with particular attention paid to foods that offer “healthy convenience”, is provided.
Findings
Australian research shows how the growing consumption of convenience foods is contributing to upward trends in overweight. It is argued that the functional food sector is well placed in a context where consumers are being encouraged to embrace convenient food solutions, while also being concerned about the nutritional qualities of foods.
Originality/value
Whilst the development of healthy and convenient “phoods” may benefit people's health, the paper identifies how they may also undermine efforts to reduce the weight of the population. This makes the regulatory issue of health claims pivotal to balance the interests of the functional food sector and the public health community.
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Wimalin Rimpeekool, Martyn Kirk, Vasoontara Yiengprugsawan, Cathy Banwell, Sam-ang Seubsman and Adrian Sleigh
The purpose of this paper is to assess the usefulness of nutrition labels in Thailand during nutrition transition from traditional to modern diets that increase salt, sugar, and…
Abstract
Purpose
The purpose of this paper is to assess the usefulness of nutrition labels in Thailand during nutrition transition from traditional to modern diets that increase salt, sugar, and calorie intake and to note socio-demographic interactions and associations with consumption of transitional processed foods.
Design/methodology/approach
The authors studied 42,750 distance learning Open University adults aged 23-96 years in 2013 residing nationwide and participating in an ongoing community-based prospective cohort study. The authors used multivariable logistic regression to relate nutrition label experiences (“read”, “good understand”, “frequent use”), socio-demographic factors, and consumption of four transitional foods. These foods included “unhealthy” instant foods, carbonated soft drinks, and sweet drinks, or “healthy” milk.
Findings
Overall, two-thirds reported good understanding and frequent use of nutrition labels. Unhealthy transition-indicator processed foods were frequently consumed: instant foods (7 per cent), (carbonated) soft drinks (15 per cent), and sweet drinks (41 per cent). Frequent users of nutrition labels (e.g. females, older persons, professionals) were less likely to consume unhealthy indicator foods. Those with the most positive overall nutrition label experience (“read” + “good understanding” + “frequent use”) had the best indicator food profiles: instant foods (odds ratio (OR) 0.63; 95%CI, 0.56-0.70); soft drinks (OR 0.56; 95%CI, 0.52-0.61); sweet drinks (OR 0.79; 95%CI, 0.74-0.85); milk (OR 1.87; 95%CI, 1.74-2.00).
Originality/value
Knowledge protected – those with most nutrition label experience were least likely to consume unhealthy foods. Results support government regulated nutrition labels, expanding to include sweet drinks. The study is remarkable for its large size and nationwide footprint. Study subjects were educated, represent Thais of the future, and show high awareness of transition-indicator foods.
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Amporn Jirattikorn, Arunrat Tangmunkongvorakul, Patou Masika Musumari, Arratee Ayuttacorn, Kriengkrai Srithanaviboonchai, Cathy Banwell and Matthew Kelly
For decades, northern Thailand has been a hub for migration in the Greater Mekong Sub-region, particularly for migrants from Myanmar. HIV prevalence among Myanmar/Burmese migrants…
Abstract
Purpose
For decades, northern Thailand has been a hub for migration in the Greater Mekong Sub-region, particularly for migrants from Myanmar. HIV prevalence among Myanmar/Burmese migrants is higher than in the general Thai population. This study aims to focus on Shan migrants living with HIV in Chiang Mai, the metropolitan centre of northern Thailand and to examine two related aspects: migrants’ sexual risk behaviour and their HIV knowledge and beliefs. The study aims to understand circumstances in which mobility increases HIV risk behaviour and prevalence.
Design/methodology/approach
Using a qualitative study, the authors conducted in-depth interviews in 2017 with 43 HIV-infected Shan migrants (21 males and 22 females), and 29 health-care providers who work in district hospitals in Chiang Mai.
Findings
The authors found that social and economic vulnerability associated with migration, and AIDS-related mortality, increased migrants’ likelihood of having multiple serial partners. Confusion about HIV symptoms, stigmatization of HIV positive women and low risk perceptions, particularly among men, increased their risk behaviours.
Originality/value
To the best of the authors’ knowledge, this paper is the first to study the way of life, sexual behaviour and HIV knowledge and beliefs of Shan Migrants from Myanmar Living with HIV in Thailand.
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Matthew Kelly, Sam-ang Seubsman, Cathy Banwell, Jane Dixon and Adrian Sleigh
The purpose of this paper is to investigate whether the food retail transition underway in Thailand, a transitional middle-income setting, is associated with increased consumption…
Abstract
Purpose
The purpose of this paper is to investigate whether the food retail transition underway in Thailand, a transitional middle-income setting, is associated with increased consumption of processed foods high in fat, salt and energy. Such “problem foods” are important risks for avoidable cardio-vascular disease and diabetes burdens.
Design/methodology/approach
The source population were members of the nationwide Thai Cohort Study (TCS) followed since 2005 (n=87,151) for a study of the health-risk transition. For this report we used a multi-region sub-sample (n=1,516) of TCS members responding to an additional questionnaire about food environments, shopping patterns and food consumption. By using a TCS sub-sample we gained access to four years (2005-2009) of longitudinal observations on a wide array of variables related to health and wellbeing from an informative group.
Findings
Overall 85 per cent of the sample now have access to supermarkets; ten years ago the figure was 47 per cent, and when aged ten years, 5 per cent. Now half the participants regularly visit supermarkets and convenience stores, especially urban dwellers with higher incomes. Frequent shopping at supermarkets and convenience stores associated with consumption of six “problem foods” (soft drinks, snack foods, processed meats, western style bakery items, instant foods and deep fried foods). Frequent fresh market shopping was associated with increased vegetable intake. There was no association between food shopping and body mass index , diabetes or hypertension but supermarket shopping was related to hyperlipidaemia.
Research limitations/implications
Modernization of food retailing is changing Thai diets and creating diet-related health risks.
Originality/value
The paper addresses a knowledge gap on links between modernizing food retail in Asia and consumption of unhealthy foods, revealing strong linkage in transitional Thailand.
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From the 1970s onwards, studies of the dynamics involved in family food provisioning in Britain and the USA have provided consistent evidence of the centrality of husbands and…
Abstract
From the 1970s onwards, studies of the dynamics involved in family food provisioning in Britain and the USA have provided consistent evidence of the centrality of husbands and male breadwinners to food decisions. Recent studies are beginning to show the significance of children or the “junior consumer” to household food decisions. This paper reports on focus groups conducted in Australia in the mid‐1990s that support the argument that children exert considerable influence over family diets. One obvious reason for this trend lies in the activities of food retailers and advertisers/marketers, who target their goods, services and messages to children. These marketplace actors are encouraging children to identify as consumers. A less obvious explanation, and the one explored in this paper, concerns changing parenting practices. Despite the double workload of many family food providers, children's demands are being responded to in unprecedented ways. Metaphorically, children are displacing male adults at the head of the table. The paper comments on the consequences of children's dominance over dietary practices.
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Examining how ideas about violence and agency relate to gender, this chapter considers women's participation in armed struggle during the 1960s–1980s. Drawing on a small selection…
Abstract
Examining how ideas about violence and agency relate to gender, this chapter considers women's participation in armed struggle during the 1960s–1980s. Drawing on a small selection of case studies, it specifically explores women's involvement with left-wing urban guerrilla groups in Italy, West Germany and the United States. I examine different examples of political violence connected to ‘women's issues’, discuss the experiences and reflections of women involved and look at how such activities were received by the broader women's liberation movement. With a foundation thus established, the chapter interrogates the implications of the examples covered in relation to the social organisation of gender, touches on their significance to feminism and concludes with a consideration of the subversive and potentially liberatory possibilities associated with women's political violence.