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Accepted manuscript

Mapping how responsibility for poor diets is framed in the United Kingdom: a scoping review

Published online by Cambridge University Press:  22 September 2025

Nestor Serrano-Fuentes
Affiliation:
National Institute for Health Research Applied Research Collaboration Wessex, Southampton Science Park, Innovation Centre, Southampton, United Kingdom. School of Health Sciences, Highfield Campus, University of Southampton, Southampton, United Kingdom
Lyn Ellett
Affiliation:
School of Psychology, Highfield Campus, University of Southampton, United Kingdom.
Christina Vogel
Affiliation:
Medical Research Council Lifecourse Epidemiology Centre, University of Southampton, Southampton General Hospital, Southampton, United Kingdom. National Institute for Health Research Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom Centre for Food Policy, City University of London, London, United Kingdom
Janis Baird
Affiliation:
National Institute for Health Research Applied Research Collaboration Wessex, Southampton Science Park, Innovation Centre, Southampton, United Kingdom. Medical Research Council Lifecourse Epidemiology Centre, University of Southampton, Southampton General Hospital, Southampton, United Kingdom. National Institute for Health Research Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom
Nuno Tavares
Affiliation:
National Institute for Health Research Applied Research Collaboration Wessex, Southampton Science Park, Innovation Centre, Southampton, United Kingdom. School of Health Sciences, Highfield Campus, University of Southampton, Southampton, United Kingdom Faculty of Science and Health, University of Portsmouth, Portsmouth, United Kingdom
Mari Carmen Portillo*
Affiliation:
National Institute for Health Research Applied Research Collaboration Wessex, Southampton Science Park, Innovation Centre, Southampton, United Kingdom. School of Health Sciences, Highfield Campus, University of Southampton, Southampton, United Kingdom
*
Corresponding author: Mari Carmen Portillo, School of Health Sciences (Building 67), University Rd, Highfield Campus, SO17 1SJ, United Kingdom, M.C.Portillo-Vega@soton.ac.uk
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Abstract

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Objective:

To identify and present (i) how responsibility for poor diets in the United Kingdom is framed across the public, mass media, and the government, and (ii) how groups experiencing socioeconomic disadvantage are presented within this framing.

Design:

A scoping review of peer-reviewed literature was conducted using six databases. A systematic narrative synthesis guided by qualitative content analysis was applied to summarise the findings.

Results:

36 articles were included. Studies exploring public perceptions of poor diets acknowledged personal and broader systems drivers, with individual responsibility predominating across studies. Research analysing media portrayals showed similar patterns of individual responsibility among right-leaning newspapers, which focused on individual lifestyle changes. However, left-wing newspapers highlighted the role of the food industry and the government. Studies analysing government policies identified citizens as the primary agents of change through rational decision-making. Framing from socioeconomically disadvantaged groups showed a preference for prioritising their own choice, but were limited by household income, food prices and family food preferences. Policies and media portrayals provided limited emphasis on these populations, with individual responsibility narratives prevailing.

Conclusions:

The framing of responsibility for poor diets in the United Kingdom centred on the individual, obscuring the powerful influence of food manufacturers and retailers and the role of government in providing safe, healthy environments for all. This review highlights the urgent need to challenge this narrative, with the public health nutrition community working collectively to force a radical shift in public, media and policy framing and incite strong regulatory action by governments.

Information

Type
Scoping Review
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of The Nutrition Society