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Public Health Nutrition Public Health Nutrition

Article contents

Public health nutrition and food policy

Published online by Cambridge University Press:  02 January 2007

Martin Caraher  and
John Coveney
Martin Caraher*
Affiliation:
Department of Health Management and Food Policy, Institute of Health Sciences, City University, Goswell Place, Northampton Square, London EC1V 0HB, UK
John Coveney
Affiliation:
Department of Public Health, Block G5 The Flats, Flinders Medical Centre, Bedford Park, South Australia 5042, Australia
*
*Corresponding author: Email m.caraher@city.ac.uk
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Abstract

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Food in its many manifestations allows us to explore the global control of health and to examine the ways in which food choice is moulded by many interests. The global food market is controlled by a small number of companies who operate a system that delivers ‘cheap’ food to the countries of the developed world. This ‘cheap’ food comes at a price, which externalises costs to the nation state in terms of health consequences (diabetes, coronary heart disease and other food-related diseases) and to the environment in terms of pollution and the associated clean-up strategies. Food policy has not to any great extent dealt with these issues, opting instead for an approach based on nutrition, food choice and biomedical health. Ignoring wider elements of the food system including issues of ecology and sustainability constrains a broader understanding within public health nutrition. Here we argue that public health nutrition, through the medium of health promotion, needs to address these wider issues of who controls the food supply, and thus the influences on the food chain and the food choices of the individual and communities. Such an upstream approach to food policy (one that has been learned from work on tobacco) is necessary if we are seriously to influence food choice.

Keywords

FoodSustainabilityGlobalisationFood povertyNeo-liberal
Type
Research Article
Information
Public Health Nutrition , Volume 7 , Issue 5 , August 2004 , pp. 591 - 598
Copyright
Copyright © The Authors 2004

References

1Lang, T. Old policies, new recipes? Times Higher Education Supplement 15 03 2002; 15.Google Scholar
2Barthes, R. Mythologies. London: Palladin, 1973.Google Scholar
3Brannen, J, Dodd, K, Oakley, A, Storey, P. Young People, Health and Family Life. Milton Keynes, UK: Open University Press, 1994.Google Scholar
4Charles, N. Food and family ideology. In: Jackson, S, Moores, S, eds. The Politics of Domestic Consumption. Hemel Hempstead, UK: Prentice Hall/Harvester Wheatsheaf, 1995.Google Scholar
5Ritzer, G. The McDonaldisation of Society. The Millennium Edition. Thousand Oaks, CA: Pine Forge Press, 2000.Google Scholar
6Ritzer, G. September 11, 2001: mass murder and its roots in the symbolism of American consumer culture. In: Ritzer, G, eds. McDonaldisation: The Reader. London: Sage, 2002; 199–212.Google Scholar
7Coveney, J. Food, Morals and Meaning: The Pleasure and Anxiety of Eating. London: Routledge, 2000.Google Scholar
8Lang, T. The new globalisation, food and health: is public health receiving its due emphasis? Journal of Epidemiology and Community Health 1998; 52: 538–9.CrossRefGoogle ScholarPubMed
9Bettcher, D, Yach, D, Guindon, GE. Global trade and health: key linkages and future challenges. Bulletin of the World Health Organization 2000; 78(40): 521–34.Google ScholarPubMed
10Bettcher, D, Lee, K. Globalisation and public health. Journal of Epidemiology and Community Health 2002; 56: 8–17.CrossRefGoogle ScholarPubMed
11Crister, G. Fat Land. Boston, MA: Houghton Mifflin, 2003.Google Scholar
12Fleck, F. WHO challenges food industry in report in diet and health. British Medical Journal 2003; 326: 515.CrossRefGoogle ScholarPubMed
13World Health Organization (WHO). Diet, Nutrition and the Prevention of Chronic Diseases. Technical Report Series No. 916. Geneva: WHO, 2003.Google Scholar
14Boseley, S. Sugar industry threatens to scupper WHO. The Guardian 21 04 2003; 1–2.Google ScholarPubMed
15Caballero, B, Popkin, B. The Nutrition Transition: Diet and Disease in the Developing World. London: Academic Press, 2002.Google Scholar
16Popkin, B. The nutrition transition and its health implications in lower-income countries. Public Health Nutrition 1998; 1(1): 5–21.CrossRefGoogle ScholarPubMed
17Drewnowski, A, Popkin, BM. The nutrition transition: new trends in the global diet. Nutrition Reviews 1997; 55: 31–43.CrossRefGoogle ScholarPubMed
18Guldan, G. Paradoxes of plenty: China's infant and child feeding transition. In: Jing, J, ed. Feeding China's Little Emperors: Food, Children and Social Change. Stanford, CA: Stanford University Press, 2000.Google Scholar
19World Health Organization (WHO). Food and Nutrition Action Plan for Europe. Copenhagen: WHO European Regional Office, 2000.Google Scholar
20Brunner, E, Cohen, D, Toon, L. Cost effectiveness of cardiovascular disease prevention strategies: a perspective on EU food based dietary guidelines. Public Health Nutrition 2001; 4(2B): 711–5.CrossRefGoogle ScholarPubMed
21Barris, E, McLeod, K. Globalization and international trade in the twenty-first century: opportunities for and threats to the health sector in the South. International Journal of Health Services 2000; 30(1): 187–210.CrossRefGoogle Scholar
22Klein, N. No Logo. London: Flamingo, 2000.Google Scholar
23World Health Organization (WHO). Food Safety and Globalisation of Trade in Food: A Challenge to the Public Health Sector. Geneva: WHO Food Safety Unit, 1998.Google Scholar
24Sokolov, R. Why We Eat What We Eat: How the Encounter Between the New World and the Old Changed the Way Everyone on the Planet Eats. New York: Summit Books, 1991.Google Scholar
25Castells, M. The Rise of the Network Society: Economy, Society and Culture. vol. 1. Oxford: Blackwell, 1999.Google Scholar
26Chopra, M, Galbraith, S, Darnton-Hill, I. A global response to a global problem: the epidemic of overnutrition. Bulletin of the World Health Organization 2002; 80: 952–8.Google ScholarPubMed
27Paxton, A. The Food Miles Report. London: Sustainable Agriculture, Food and Environment (SAFE) Alliance, 1994.Google Scholar
28French Presidency. Health and Human Nutrition: Elements for Action. Working Paper. Brussels: European Commission, 24 08 2000.Google Scholar
29Pretty, J, Brett, C, Hine, RE, Mason, CF, Morison, JIL, Raven, H, et al. An assessment of the total external costs of UK agriculture. Agricultural Systems 2000; 65: 113–36.CrossRefGoogle Scholar
30Bawden, R. Eating into the environment. In: Proceedings of Eating into the Future ConferenceAdelaide1999 [online]. Available at http://www.pandora.nla.gov.au/nph-arch/1999/Z1999-Oct-11 and http://www.chdf.org.au/eatwellsa/conference/index.htm. Accessed 20 December 2003.Google Scholar
31Coveney, J. Food security and sustainability: are we selling ourselves short? Asia Pacific Journal of Clinical Nutrition 2000; 9: S97–100.CrossRefGoogle ScholarPubMed
32Baum, F. The New Public Health: An Australian Perspective. 2nd ed. Melbourne: Oxford University Press, 2002.Google Scholar
33McMichael, T. Human Frontiers, Environments and Disease: Past Patterns, Uncertain Futures. Cambridge: Cambridge University Press, 2001.CrossRefGoogle Scholar
34Sherman, D, Sauer-Thompson, G. Green or Gone: Health, Ecology, Plagues, Greed and Our Future. Adelaide: Wakefield Press,.1998.Google ScholarPubMed
35Food and Agriculture Organization (FAO). Food Insecurity: When People Must Live with Hunger and Fear of Starvation. Rome: FAO, 1999.Google Scholar
36United Nations International Children's Fund (UNICEF). The Urban Poor and Household Food Security: Policy and Project Lessons of How Government and the Urban Poor Attempt to Deal with Household Food Insecurity, Poor Health and Malnutrition. New York: UNICEF, 1994.Google Scholar
37Dobson, B, Beardsworth, A, Keil, T, Walker, R. Diet, Choice and Poverty: Social, Cultural and Nutritional Aspects of Food Consumption among Low Income Families. York, UK: Family Policy Studies Centre, Joseph Rowntree Foundation, 1994.Google Scholar
38Köhler, BM, Feichtinger, E, Barlösius, E, Dowler, E, ed. Poverty and Food in Welfare Societies. Berlin: Sigma, 1997.Google Scholar
39Smith, A, Booth, S. Food insecurity in Australia. Australian Journal of Nutrition and Dietetics 2001; 58(3): 188–94.Google Scholar
40Crotty, P. Food and class. In: Germov, J, Williams, L, eds. A Sociology of Food and Nutrition: The Social Appetite. Melbourne: Oxford University Press, 1999; 135–48.Google Scholar
41Caraher, M, Dixon, P, Lang, T, Carr-Hill, R. Barriers to accessing healthy foods: differentials by gender, social class, income and mode of transport. Health Education Journal 1998; 57(3): 191–201.CrossRefGoogle Scholar
42Lang, T, Caraher, M. Food poverty and shopping deserts: what are the implications for health promotion policy and practice. Health Education Journal 1998; 57(3): 202–11.CrossRefGoogle Scholar
43Atkins, P, Bowler, I. Food in Society: Economy, Culture and Geography. London: Arnold, 2001.Google Scholar
44National Association of Retail Grocers of Australia (NARGA). Time Issues Pack. Parramatta: NARGA, 2001.Google Scholar
45Robinson, N, Caraher, M, Lang, T. Access to shops; the views of low income shoppers. Health Education Journal 2000; 59(2): 121–36.CrossRefGoogle Scholar
46Cranbrook, C. The Rural Economy and Supermarkets. Suffolk: Great Glenham Farms, 1997.Google Scholar
47Goldsmith, Z, Roth, S. How to show you love the planet. New Statesman 16 07 2001; 18–21.Google Scholar
48Meedeniya, J, Smith, A, Carter, P. Food Supply in Rural South Australia: A Survey of Cost, Quality and Variety. Adelaide: Eat Well South Australia, 2000.Google Scholar
49Reardon, T, Berdegué, JA, Farrington, J. Supermarkets and farming in Latin America: pointing directions for elsewhere? Natural Resource Perspectives 2002; 81: 1–6.Google Scholar
50Faiguenbaum, S, Berdegué, JA, Reardon, T. The rapid rise of supermarkets in Chile: effects on dairy, vegetables and beef chains. Policy Development Review 2002; 20(4): 459–72.CrossRefGoogle Scholar
51Lang, T. Local sustainability in a sea of globalisation? The case of food policy. In: Kenny, M, Meadowcroft, J, eds. Planning Sustainability. London: Routledge, 1999.Google Scholar
52Lang, T. Diet, health and globalisation: five key questions. Proceedings of the Nutrition Society 1998; 58: 335–43.CrossRefGoogle Scholar
53Dowler, E, Turner, S, Dobson, B. Poverty Bites: Food, Health and Poor Families. London: Child Poverty Action Group, 2001.Google Scholar
54Acheson, D. Independent Inquiry into Inequalities in Health Report. London: The Stationery Office, 1998.Google Scholar
55Grant, W. The prospects for CAP reform. Political Quarterly 2003; 74(1): 19–26.CrossRefGoogle Scholar
56Department of Health (DoH), The NHS Plan. Cm 4818-1. London: DoH, 2000.Google Scholar
57Department of Health (DoH). National Service Framework for Coronary Heart Disease: Modern Standards and Service Models. London: DoH, 2000.Google Scholar
58Department of Health. The NHS Cancer Plan: A Plan for Investment, A Plan for Reform. London: The Stationery Office, 2000.Google Scholar
59Department of Health. The National School Fruit Scheme [online], 2001. Available at http://www.doh.gov.uk/schoolfruitscheme. Accessed 25 October 2003.Google Scholar
60Department of Health. Five-a-day Update [online], 2001. Available at http://www.doh.gov.uk/fiveaday. Accessed 25 October 2003.Google Scholar
61Dowler, E, Caraher, M. Local food projects: the new philanthropy?. Political Quarterly 2003; 74(1): 57–65.CrossRefGoogle Scholar
62McKinlay, JB, Marceau, LD. Upstream health public policy: lessons from the battle of tobacco. International Journal of Health Services 2000; 30(1): 49–69.CrossRefGoogle Scholar
63Vanclay, F, Lawrence, G. The Environmental Imperative: Ecosocial Concerns for Australian Agriculture. Rockhampton: Central Queensland University Press, 1995.Google Scholar
64Lawrence, G, Share, P, Campbell, H. The restructuring of agriculture and rural society: evidence from Australia and New Zealand. Journal of Australian Political Economy 1992; 30: 1–23.Google Scholar
65Blair, W. Food: A Growth Industry. Report of the Food Regulation Review. Canberra: Food Regulation Review, 1998.Google Scholar
66Coveney, J, Lawrence, M. Discussion Paper: Health Claims May 2000. Canberra: Public Health Association of Australia, 2000.Google Scholar
67Australian Consumers Association (ACA). Health Claims Position Paper. Sydney: ACA, 1999.Google Scholar
68Strategic Inter-government Nutrition Alliance (SIGNAL). EatWell Australia: An Agenda for Action for Public Health Nutrition 2000–2010. Canberra: SIGNAL and the National Public Health Partnership, 2000.Google Scholar
69Coveney, J, Santich, B. A question of balance: food, nutrition and sustainable gastronomy. Appetite 1997; 28: 267–78.CrossRefGoogle Scholar
70Crotty, P. Good Nutrition? Fact and Fashion in Dietary Advice. St Leanards, New South Wales: Allen and Unwin, 1995.Google Scholar
71Heasman, M, Tudge, C. Future Food: Two Radical Views of 21st Century Eating. The Caroline Walker Lecture 1999. London: Caroline Walker Trust, 1999.Google Scholar
72Lawrence, M, Germov, J. Future food: the politics of functional foods and health claims. In: Germov, J, Williams, L, eds. A Sociology of Food and Nutrition: The Social Appetite. Melbourne: Oxford University Press, 1999; 54–76.Google Scholar
73Heasman, M, Mellentin, J. The Functional Foods Revolution: Healthy People, Healthy Profits? London: Earthscan, 2001.Google Scholar
74Caraher, M. Relationship marketing. Paper presented to the European Forum on Health in EuropeGastin, AustriaSeptember 2000.Google Scholar
75Charles, N, Kerr, M. Issues of responsibility and control in the feeding of families. In: Rodmell, S, Watt, A, eds. The Politics of Health Education: Raising the Issues. London: Routledge and Kegan Paul, 1986.Google Scholar
76Lang, T, Caraher, M, Dixon, P, Carr-Hill, R. Cooking Skills and Health: Inequalities in Health. London: Health Education Authority, 1999.Google Scholar
77Welsh, J, MacRae, RJ. Food citizenship and community food security: lessons from Toronto, Canada. Canadian Journal of Development Studies 1998; 19: 238–55.CrossRefGoogle Scholar
78Brownell, KD, Horgen, KB. Food Fight: The Inside Story of the Food Industry, America's Obesity Crisis, and What We Can Do About It. Chicago, IL: Contemporary Books, 2004.Google Scholar
79The Food Commission. Cause or Compromise? A Survey into Marketing Partnerships between Food Companies and Health Charities or Medical Associations. London: The Food Commission, 2002.Google Scholar
80Labonte, R. Healthy public policy and the World Trade Organisation: a proposal for an international health presence in future world trade/investment talks. Health Promotion International 1998; 13(3): 245–56.CrossRefGoogle Scholar
81Lee, K, Buse, K, Fustukian, S. Health Policy in a Globalising World. Cambridge: Cambridge University Press, 2002.Google Scholar
82Norman, A. Slam-dunking Wal-Mart! Atlantic City, NJ: Raphel Marketing, 1999.Google Scholar
83Caraher, M. Food protest and the new activism. In: John, S, Thomson, S, eds. New Activism and the Corporate Response. Basingstoke, UK: Palmgrave, 2003; 185–205.Google Scholar
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