Evidence map›Paper›PMID 31511108›Full record

ArticlePublic health nutrition2020

The politics of food in the Pacific: coherence and tension in regional policies on nutrition, the food environment and non-communicable diseases.

Rebecca Dodd, Erica Reeve, Emalie Sparks, Anita George, Paula Vivili, Si Thu Win Tin, Dai Buresova, Jacqui Webster, Anne-Marie Thow

Abstract read
In one paragraph

Article in Public health nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Rebecca DoddThe George Institute for Global Health, University of New South Wales, Sydney, Australia.ORCID 0000-0003-3469-8999
Erica ReeveDeakin University, Melbourne, Victoria, Australia.ORCID 0000-0002-9239-7732
Emalie SparksThe George Institute for Global Health, University of New South Wales, Sydney, Australia.
Anita GeorgeMcCabe Centre for Law and Cancer, Melbourne, Victoria, Australia.
Paula ViviliThe Pacific Community, Noumea, New Caledonia.
Si Thu Win TinThe Pacific Community, Noumea, New Caledonia.
Dai BuresovaMcCabe Centre for Law and Cancer, Melbourne, Victoria, Australia.
Jacqui WebsterThe George Institute for Global Health, University of New South Wales, Sydney, Australia.
Anne-Marie ThowUniversity of Sydney, Sydney, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOur study analysed evolving regional commitments on food policy in the Pacific. Our aim was to understand regional priorities and the context of policy development, to identify opportunities for progress.

designWe analysed documentation from a decade of regional meetings in order to map regional policy commitments relevant to healthy diets. We focused on agriculture, education, finance, health, and trade sectors, and Heads of State forums. Drawing on relevant political science methodologies, we looked at how these sectors 'frame' the drivers of and solutions to non-communicable diseases (NCD), their policy priorities, and identified areas of coherence and tension.

settingThe Pacific has among the highest rates of non-communicable diseases in the world, but also boasts an innovative and proactive response. Heads of State have declared NCD a 'crisis' and countries have committed to specific prevention activities set out in a regional 'Roadmap'. Yet, diet-related NCD risk-factors remain stubbornly high and many countries face challenges in establishing a healthy food environment.

resultsPolicies to improve food environments and prevent NCD are a stated priority across regional policy forums, with clear agreement on the need for a multi-sectoral response. However, we identified challenges in sustaining these priorities as political attention fluctuated. We found examples of inconsistencies and tension in sectoral responses to the NCD epidemic that may restrict implementation of the multi-sectoral action.

conclusionUnderstanding the priorities and positions underpinning sectoral responses can help drive a more coherent NCD response, and lessons from the Pacific are relevant to public health nutrition policy and practice globally.

Indexed as

Nutrition PolicyDietDiet, HealthyHumansNoncommunicable DiseasesNutritional StatusPacific IslandsPolicy MakingPoliticsRisk FactorsFood policyNon-communicable diseasesNutrition policyPacificPriority-setting

Identifiers

PMID31511108
PMCPMC10200530

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.