ArticleInternational journal of environmental research and public health2019
Systemic Barriers and Equitable Interventions to Improve Vegetable and Fruit Intake in Children: Interviews with National Food System Actors.
Article in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 4 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 4 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Participatory systems mapping: a review of population health research practice.Health research policy and systems · 2026Pooled it
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2024Pooled it
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2020Pooled it
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2019Pooled it
- Improving low fruit and vegetable intake in children: Findings from a system dynamics, community group model building study.PloS one · 2019Trial
- Predictors of carotenoid status in New Zealand children using carotenoid reflection score: a cross-sectional study.Asia Pacific journal of clinical nutrition · 2026Article
- Causal Loop Diagrams of Food Systems, Diet, and Obesity: A Scoping Review of Methods, Contextual Factors, and Outcomes.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Article
- Developing Group Model-Building Workshops for Children's Healthy Living Food Systems.Current developments in nutrition · 2025Article
- Building Culturally Centered System Dynamics Logic Models for the Brown Buttabean Motivation Organization: Protocol for a Systems Science Approach.JMIR research protocols · 2023Article
- Habitual Dietary Patterns, Nutrient Intakes, and Adherence to the Mediterranean Diet among New Zealand Adults: The NZ MED Cross-Sectional Study.Nutrients · 2023Article
- Systems Thinking and Complexity Science Methods and the Policy Process in Non-communicable Disease Prevention: A Systematic Scoping Review.International journal of health policy and management · 2023Article
- Applying a systems perspective to understand the mechanisms of the European School Fruit and Vegetable Scheme.European journal of public health · 2022Article
- Combining Cognitive Mapping and indigenous knowledge to improve food environments in regional New Zealand.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2022Article
- Community Co-Design of Regional Actions for Children's Nutritional Health Combining Indigenous Knowledge and Systems Thinking.International journal of environmental research and public health · 2022Article
- 'I should be disease free, healthy and be happy in whatever I do': a cross-country analysis of drivers of adolescent diet and physical activity in different low- and middle-income contexts.Public health nutrition · 2021Article
- Developing the logic framework underpinning a whole-systems approach to childhood overweight and obesity prevention: Amsterdam Healthy Weight Approach.Obesity science & practice · 2021Article
- Understanding obesity-related behaviors in youth from a systems dynamics perspective: The use of causal loop diagrams.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021Review
- Article
- A System Dynamics and Participatory Action Research Approach to Promote Healthy Living and a Healthy Weight among 10-14-Year-Old Adolescents in Amsterdam: The LIKE Programme.International journal of environmental research and public health · 2020Article
- Environmental Influences on Food Behaviour.International journal of environmental research and public health · 2019Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Fruit and vegetable (FV) intake is declining in New Zealand, and over half of New Zealand's children do not meet the recommendation of two serves of fruit and three serves of vegetables daily (with even lower adherence among children in high-deprivation neighbourhoods). The aim of this study was to map the potential causal pathways explaining this decline and possible actions to reverse it. Semi-structured interviews were held in April-May 2018 with 22 national actors from the produce industry, food distribution and retail sector, government, and NGO health organisations. The qualitative systems dynamics method of cognitive mapping was used to explore causal relationships within the food system that result in low FV intake among children. Barriers and solutions identified by participants were analysed using thematic analysis and according to a public health intervention framework. Participants were in agreement with the goal of improving FV intake for health and economic outcomes, and that health promotion strategies had been ineffectual to date due to multiple systemic barriers. Common barriers discussed were poverty, high food prices, low skills/knowledge, unhealthy food environments, climate change, and urbanization. Solutions with the strongest evidence of efficacy identified by the participants were subsidizing FVs and early childhood interventions to improve FV exposure.
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