Conceptual framework of women’s food environments and determinants of food acquisition and dietary intake in low- and middle-income countries: a scoping review
O’Meara, Lydia ; de Bruyn, Julia ; Hope, Tammy ; Fajó-Pascual, Marta (Universidad de Zaragoza) ; Hodge, Rachel ; Turner, Christopher ; Stoynova, Mina ; Wellard, Kate ; Ferguson, Elaine ; Dominguez-Salas, Paula
Resumen: Women in low-income and middle-income countries (LMICs) are disproportionately affected by malnutrition in all its forms. Diets link human health and environmental sustainability; however, existing food environment frameworks rarely consider the unique needs of women that can differ due to sociocultural norms and lower social status, potentially reducing the effectiveness of nutrition initiatives. We conducted a systematic scoping review of peer-reviewed literature published in English, Spanish, Portuguese, and French to identify determinants of food acquisition and dietary intake of women in LMICs. By synthesising evidence from 518 studies across 125 countries, we identified 143 eco-social, structural, and individual-level determinants to develop an empirically grounded food environment conceptual framework for women. Women’s agency—encompassing decision making and financial autonomy, bargaining power, control over time, and freedom of movement—emerged as a prominent mediator of food acquisition practices and dietary intakes across diverse regions and the rural–urban continuum. Our findings highlight the importance of addressing legislative, structural, and sociocultural determinants mediating women’s agency, alongside other key external and individual-level food environment determinants influencing procurement and consumption of nutritious diets. This empirically grounded conceptual framework can guide research priorities and analytical approaches and identify intervention points for policies and programmes to optimise women’s nutrition.
Idioma: Inglés
DOI: 10.1016/j.lanplh.2025.06.004
Año: 2025
Publicado en: The Lancet. Planetary Health (2025), 101280 [18 pp.]
ISSN: 2542-5196
Tipo y forma: Review (Published version)
Área (Departamento): Área Medic.Prevent.Salud Públ. (Dpto. Microb.Ped.Radio.Sal.Pú.)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes.
Exportado de SIDERAL (2025-10-17-14:33:25)
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Idioma: Inglés
DOI: 10.1016/j.lanplh.2025.06.004
Año: 2025
Publicado en: The Lancet. Planetary Health (2025), 101280 [18 pp.]
ISSN: 2542-5196
Tipo y forma: Review (Published version)
Área (Departamento): Área Medic.Prevent.Salud Públ. (Dpto. Microb.Ped.Radio.Sal.Pú.)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. Exportado de SIDERAL (2025-10-17-14:33:25)
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Articles > Artículos por área > Medicina Preventiva y Salud Pública
Record created 2025-08-26, last modified 2025-10-17