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. 2022 Mar 4;22(1):433.
doi: 10.1186/s12889-022-12827-4.

The potential of food environment policies to reduce socioeconomic inequalities in diets and to improve healthy diets among lower socioeconomic groups: an umbrella review

Anne Lene Løvhaug  1 , Sabrina Ionata Granheim  2 , Sanne K Djojosoeparto  3 , Janas M Harrington  4 , Carlijn B M Kamphuis  5 , Maartje P Poelman  6 , Gun Roos  7 , Alexia Sawyer  8 , Karien Stronks  8 , Liv Elin Torheim  9 , Cliona Twohig  4 , Stefanie Vandevijvere  10 , Frank J van Lenthe  3   11 , Laura Terragni  9
Affiliations

The potential of food environment policies to reduce socioeconomic inequalities in diets and to improve healthy diets among lower socioeconomic groups: an umbrella review

Anne Lene Løvhaug et al. BMC Public Health. .

Abstract

Socioeconomic inequalities in diets need to be tackled to improve population diets and prevent obesity and diet-related non-communicable diseases. The potential of food environment policies to reduce such inequalities has to date however not been appraised. The objective of this umbrella review was to assess the impact of food environment policies on socioeconomic inequalities in diets and to identify knowledge gaps in the existing literature, using the Healthy Food Environment Policy Index as a conceptual framework. The policies considered in the umbrella review are within six domains: 1) food composition 2) food labelling 3) food promotion 4) food provision 5) food retail 6) food pricing. A systematic search for systematic literature reviews on the effect of food environment policies on dietary-related outcomes across socioeconomic groups and published in English between 2004 and 2019 was conducted. Sixteen systematic literature reviews encompassing 159 primary studies were included, covering food composition (n = 2), food labelling (n = 3), food provision (n = 2), food prices (n = 13) and food in retail (n = 4). Quality assessment using the "Assessing the Methodological Quality of Systematic Reviews" quality rating scale showed that review quality was mainly low or critically low. Results suggest that food taxation may reduce socioeconomic inequalities in diets. For all other policy areas, the evidence base was poor. Current research largely fails to provide good quality evidence on impacts of food environment policies on socioeconomic inequalities in diets. Research to fill this knowledge gap is urgently needed.

Keywords: Diets; Food environments; Nutrition policies; Socioeconomic inequalities; Umbrella review.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
PRISMA flowchart. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flowchart. From: Moher D, Liberati A, Tetzlaff J, Altman DG, The PG. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med. 2009;6 [7]: e1000097. 10.1371/journal.pmed.1000097
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