Public Health Nutrition最新文献

{"title":"General and sport-related marketing techniques in Canadian recreation and sport facilities: cross-sectional photo analysis of food and beverage advertisements.","authors":"Nan Lei, Melanie Warken, Amanda Michael, Tammy Benteau, Rachel Joyce Lian Prowse","doi":"10.1017/S1368980026102377","DOIUrl":"10.1017/S1368980026102377","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate food marketing techniques used in Canadian recreation and sport facilities and assess the healthfulness of foods and beverages marketed by the techniques.</p><p><strong>Design: </strong>Cross-sectional content analysis of photographed food marketing instances coded for marketing techniques according to Health Canada's Monitoring Protocol, developed for monitoring food marketing techniques across settings, supplemented with new inductively identified codes and sport-related marketing techniques. Healthfulness was classified as 'of concern' or 'not of concern' according to cut-offs of sodium, sugar and saturated fat established by Health Canada.</p><p><strong>Setting: </strong>Recreation and sport facilities in Canada.</p><p><strong>Participants: </strong>134 facilities with 2576 food marketing instances.</p><p><strong>Results: </strong>91·4 % of food marketing instances included at least one general marketing technique. Branded infrastructure, displays and furniture was the most prevalent (87·9 %) and appeared with another technique half of the time. Sport-related marketing appeared in 12·2 % of marketing instances, with most referring to sponsors. Most (86·5 %) marketing instances were 'of concern'. Food marketing instances with sport-related marketing (97·6 %) were significantly more likely to be 'of concern' than without sport-related marketing (84·6 %) (χ² = 20·54, <i>P</i> < 0·001). Three new indicators - appeals to taste, appeals to emotion, and cross-channel references - captured persuasive elements not addressed by the current monitoring protocol.</p><p><strong>Conclusions: </strong>This study highlights the presence of food branding and the use of sport-related marketing to promote unhealthy products/brands in recreation and sports facilities. Monitoring protocols may underestimate exposure to persuasive food marketing by overlooking subtle, symbolic and cross-channel techniques. Future research can be improved by including subtle techniques and reinforced messages across marketing channels.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e90"},"PeriodicalIF":3.0,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147514423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The co-creation of eating and wellbeing guidelines with rangatahi (young people) in Aotearoa New Zealand.","authors":"Renee Railton, Rachael Glassey, Eloise Goddard, David C Tipene-Leach, Raun Makirere-Haerewa, Layla Christison, Boyd Swinburn","doi":"10.1017/S1368980025101122","DOIUrl":"10.1017/S1368980025101122","url":null,"abstract":"<p><strong>Objective: </strong>To co-create with rangatahi (young people) evidence-based eating and wellbeing guidelines for young people in Aotearoa New Zealand (NZ), informed by mātauranga Māori (traditional Māori knowledge).</p><p><strong>Design: </strong>Rangatahi collaborated with Māori and non-Māori experts to review existing health guidelines covering sustainable eating, physical activity, screen time, sleep and mental wellbeing and develop their own set of guidelines. Peer feedback on the draft guidelines was used to produce the final guidelines. The process integrated scientific evidence with mātauranga Māori, following tikanga Māori (Māori custom) to ensure a culturally centred process.</p><p><strong>Setting: </strong>Wānanga (learning workshops) were held at a local marae (traditional meeting house), and feedback presentations were held in four secondary schools in Hawke's Bay, NZ.</p><p><strong>Participants: </strong>Seventeen rangatahi from four schools with high Māori student enrolment participated in the wānanga, and ninety-four students provided peer feedback through surveys.</p><p><strong>Results: </strong>The rangatahi created ten eating and ten wellbeing guideline messages. These messages were invitational (beginning 'Let's try to…') acknowledging the challenging journey for many rangatahi from current to recommended behaviours. Only one quantification (8-10 h of sleep) was included. Three eating and three physical activity guidelines incorporated the concepts of 'mauri' (life force). The guidelines addressed contemporary issues including sustainable eating, ultra-processed foods, social dimensions of eating and physical activity, screen time and cyberbullying. They also emphasised respect, rights and responsibilities, concluding with a motivational whakatauki (proverb) about aspirations.</p><p><strong>Conclusions: </strong>Innovative, relevant and contemporary eating and wellbeing guidelines have been successfully co-created by rangatahi Māori for all young people across NZ.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e87"},"PeriodicalIF":3.0,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147514435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Uncovering intersectional inequalities in fruit and vegetable consumption in the UK using Understanding Society data.","authors":"Patricia Stehl, Nina Vyvcharuk, Naomi Daniel, Neža Grilc, Armelle Müller, Sanne Verra","doi":"10.1017/S1368980026102328","DOIUrl":"10.1017/S1368980026102328","url":null,"abstract":"<p><strong>Objective: </strong>Large inequalities in fruit and vegetable consumption (FVC) persist, yet it remains unclear how intersecting factors such as socio-economic status, ethnicity and sex influence FVC in the UK. Using an intersectional framework allows us to explore complex realities and double burdens faced by certain population groups.</p><p><strong>Design: </strong>Cross-sectional data from the UK Household Longitudinal Study Wave 9 (2017-2018) were analyzed. FVC was measured as a binary variable, indicating whether individuals met the recommended five daily portions of fruits and vegetables (400 grams in total). An intersectional Multilevel Analysis of Individual Heterogeneity and Discriminatory Accuracy was used, nesting participants into forty-eight social strata based on sex, ethnicity, age and educational level.</p><p><strong>Setting: </strong>United Kingdom.</p><p><strong>Participants: </strong>A total of 16 275 individuals from the UK Household Longitudinal Study sample were included, with one adult randomly selected per household.</p><p><strong>Results: </strong>Overall, 69·2 % of the sample did not meet the recommended daily FVC. Inequalities were predominantly explained by additive effects of sex, ethnicity, age and educational level. Men, individuals with lower educational levels, ethnic minority groups and younger participants were at higher risk of insufficient FVC, particularly those experiencing combinations of these factors.</p><p><strong>Conclusions: </strong>Low FVC across the population, combined with strong additive effects of social determinants, underscore the need for proportionate universal interventions. Policies targeting improved access to fruits and vegetables across all neighbourhoods, especially those predominantly inhabited by individuals with lower educational levels, are warranted to reduce these inequalities.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e79"},"PeriodicalIF":3.0,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147514466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consumers vary in their attitudes and expectations about dietary fibre: analysis of answers to a pan-European online survey.","authors":"Véronique Azaïs-Braesco, Anne Lionnet, Matthieu Maillot, Marjukka Kolehmainen","doi":"10.1017/S1368980026102298","DOIUrl":"10.1017/S1368980026102298","url":null,"abstract":"<p><strong>Objectives: </strong>Dietary fibre (DF) has known health benefits, but consumer intake remains below recommended levels. This survey aimed at gathering and structuring information about DF-related attitudes of European consumers, including motivations and barriers, as well as preferred incentives for increasing DF intake.</p><p><strong>Participants: </strong>Representative sample of 7247 subjects from seven countries.</p><p><strong>Setting: </strong>Online survey.</p><p><strong>Design: </strong>Participants completed a questionnaire focused on knowledge about DF, perceived intake and reactions to incentives. Hierarchical clustering analysis was used to define ‘clusters’ based on response profiles and ‘groups’ based on socio-demographic characteristics.</p><p><strong>Results: </strong>Consumers had a relatively good overall understanding of DF. However, responses to more detailed questions revealed knowledge gaps. Half of respondents said they consumed enough DF. Among proposed incentives for increasing intake, respondents preferred the labelling of fibre-rich products, then the inclusion of fibre in a wide variety of foods. Five answer clusters were identified: ‘committed consumers’ (sufficient DF intake, convinced of benefits), ‘sceptical’ (little DF-related knowledge, unconvinced), ‘informed consumers’ (good DF knowledge, insufficient intake), ‘helpless consumers’ (low intake, unclear about how to increase) and ‘resistant consumers’ (little concern and knowledge, rejection of all incentives). Socio-demographic groups displayed slight differences in response profiles (e.g. relative to the whole sample: white-collar workers tended to be ‘committed’ rather than ‘resistant’ consumers, and seniors tended to be ‘informed’ or ‘helpless’ rather than ‘sceptical’).</p><p><strong>Conclusions: </strong>This study helped define subpopulations of European consumers based on DF-related attitudes and behaviours. Socio-demographics somewhat explained these differences and should be considered when developing strategies for increasing DF consumption.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e74"},"PeriodicalIF":3.0,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13087982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147514407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wellbeing and quality of life secondary outcomes from a Mediterranean Diet and walking randomised controlled trial in older Australians.","authors":"Ella L Bracci, Courtney R Davis, Denny Meyer, Michael Kingsley, Jeff Breckon, Catherine Itsiopoulos, Helen Macpherson, Kade Davison, Andrew Scholey, Greg Kennedy, Leonie Segal, Andrew Pipingas, Karen J Murphy","doi":"10.1017/S1368980026102274","DOIUrl":"10.1017/S1368980026102274","url":null,"abstract":"<p><strong>Objective: </strong>The Mediterranean Diet (MedDiet) and physical activity (PA) can enhance mood and support psychological wellbeing in adults. However, the combined effect is relatively unknown. MedWalk aimed to determine the combined effect on wellbeing, psychological health and quality of life (QoL), compared to a control group.</p><p><strong>Design: </strong>This is an analysis of secondary outcomes from the MedWalk 12-month cluster-randomised controlled trial. Participants completed the Total and Secure Flourishing Index (FI), the four domain General Health Questionnaire (GHQ-28) and the 8-domain Assessment of Quality of Life (AQoL-8D). Data were analysed using general linear models using change scores (FI and AQoL-8D) or generalised linear mixed models with a time × group interaction effect (GHQ-28).</p><p><strong>Setting: </strong>Independent living facilities across South Australia and Victoria in 2021-2022.</p><p><strong>Participants: </strong>One hundred and sixty-one older men and women.</p><p><strong>Results: </strong>Participants were 74·9 ± 5·9 years of age and predominantly female (74 %). A greater improvement was found for the MedWalk group (marginal means (MM) = 1·65, se = 1·36) than the control group (MM = -2·50, se = 1·32) for the Total Flourish score (<i>P</i> = 0·003) and Secure Flourish score (<i>P</i> = 0·009) ((MM = 1·06, se = 1·65) <i>v</i>. (MM = -3·34, se = 1·61)) from baseline to 6 months. The MedWalk group (MM = 0·021, se = 0·014) had more positive changes (<i>P</i> = 0·048) to the Mental Health AQoL-8D domain than the control group (MM = -0·007, se = 0·014). No significant group × time interactions were identified for the GHQ-28.</p><p><strong>Conclusions: </strong>Combined MedDiet and walking interventions can modify psychological health, wellbeing and QoL in relatively healthy populations.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e78"},"PeriodicalIF":3.0,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13087977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147514417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What nourishes us: psychometric validation of culturally grounded measures of indigenous nourishment in a cross-sectional study of two urban native communities.","authors":"Tara L Maudrie, Dane Hautala, Laura E Caulfield, Jessica M McPherson, Laura R Moore, Jessica Dickerson, Joe Vital, Brook LaFloe, Alanna Norris, Kerry Hawk Lessard, Antony Stately, Valarie Bluebird Jernigan, Melissa L Walls, Victoria M O'Keefe","doi":"10.1017/S1368980026102262","DOIUrl":"10.1017/S1368980026102262","url":null,"abstract":"<p><strong>Objective: </strong>To examine the Indigenous Nourishment Scales (INS), a set of community-developed strengths-based measures of nourishment, for psychometric validity and reliability through community-based research with two urban American Indian/Alaska Native (AI/AN) communities.</p><p><strong>Design: </strong>Cross-sectional survey of health measures and INS. Descriptive statistics, exploratory factor analysis (EFA), correlation analysis and regression were used to determine the psychometric properties of the INS and their relationship with Physical (Fruit and Vegetable Intake), Spiritual (Spiritual Well-being), Emotional (Emotional Well-being) and Relational (Social Well-being) health outcomes.</p><p><strong>Setting: </strong>Two urban cities in the USA.</p><p><strong>Participants: </strong>249 urban AI/AN adults.</p><p><strong>Results: </strong>EFA revealed two unidimensional scales (Connectedness to Food; Indigenous Food Identity) and one two-factor scale (Access to and Participation in Indigenous Foodways). The INS demonstrated strong internal consistency reliability and convergent construct validity as evidenced by their association with fruit and vegetable intake and other related concepts. Regression models showed that Access to Indigenous Foodways and Participation in Indigenous Foodways were significantly and positively associated with all four domains of well-being. Food Connectedness was positively and significantly associated with spiritual, emotional and relational well-being, while Indigenous Food Identity was positively and significantly associated with spiritual and emotional well-being.</p><p><strong>Conclusions: </strong>Positive associations between scale scores and multiple domains of well-being indicate the potential relevance of Indigenous nourishment as a meaningful determinant of health. By establishing the psychometric validity of community-developed measures, this study offers a pathway for Indigenizing assessments of nutrition and well-being among AI/AN peoples.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e72"},"PeriodicalIF":3.0,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13087975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147514419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Economic evaluation of the 'Click & Crunch' online intervention to improve healthy food purchases from Australian primary school canteens: a cost and cost-effectiveness analysis.","authors":"Rebecca Wyse, Tara Clinton-McHarg, Rachel Zoetemeyer, Rachel Sutherland, Kathryn Reilly, Tessa Delaney, Serene Sze Lin Yoong, Luke Wolfenden, John Wiggers, Penny Reeves","doi":"10.1017/S1368980026102286","DOIUrl":"10.1017/S1368980026102286","url":null,"abstract":"<p><strong>Objective: </strong>Behavioural interventions can be delivered via online school canteens to improve healthy purchasing for students. However, no evaluations of the cost or cost-effectiveness of online canteen interventions have been conducted. The objective was to conduct a cost and cost-effectiveness analysis of implementing an online school canteen intervention to improve healthy purchasing.</p><p><strong>Setting: </strong>The 'Click & Crunch' cluster randomised controlled trial was conducted in seventeen Australian primary schools.</p><p><strong>Participants: </strong>Eight control schools (848 students) received the standard online canteen. Nine intervention schools (1359 students) received a behavioural intervention delivered through the online canteen.</p><p><strong>Design: </strong>Incremental cost-effectiveness ratios (ICER) were calculated for the cost per student to achieve (1) a unit decrease in the mean energy (kJ) content and (2) a percentage increase in the mean proportion of healthier 'Everyday' items purchased in their online lunch orders (from a health service and societal perspective).</p><p><strong>Results: </strong>It costs AUD$568 per school (range $343-$806) to implement. The ICER for mean energy content was AUD$0·06 and AUD$0·46 for mean proportion of 'Everyday' foods (from a health perspective). At a willingness to pay of AUD$0·20 and AUD$1·20 per student, the intervention would have a 95 % and 99 % probability of being cost-effective for the energy (kJ) content and proportion of 'Everyday' items, respectively.</p><p><strong>Conclusions: </strong>'Click & Crunch' has the potential to be a cost-effective intervention to reduce the energy content and increase the proportion of 'Everyday' items from primary school online canteen lunch orders.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e92"},"PeriodicalIF":3.0,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147514397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conceptualisation and measurement of child hunger: a rapid review.","authors":"Alix Mooney, Frédérique Vallières, Greg Sheaf, Maurice Sadlier, Sheila Garry, Andrea Galante, Kristin Hadfield, Azza Warraitch","doi":"10.1017/S1368980026102195","DOIUrl":"10.1017/S1368980026102195","url":null,"abstract":"<p><strong>Objective: </strong>Child hunger is a significant global health concern prioritised by multiple global public health organisations. In 2006, the US Committee on National Statistics (CNSTAT) highlighted the need for clarity and consistency in the operationalisation and measurement of child hunger. This review examines whether these recommendations have been implemented in child nutrition programming over the past two decades. In addition, we explore how child hunger is currently conceptualised and measured across different contexts.</p><p><strong>Design: </strong>We conducted a pre-registered rapid review of studies that define or measure 'child hunger'. Six electronic databases (Web of Science, MEDLINE, Embase, PsycINFO, Social Science Database and ERIC) and websites of twenty public health organisations were searched for reports that mentioned the term 'child hunger' or 'child' near 'hunger' published after 2006.</p><p><strong>Setting: </strong>There were no restrictions on study settings.</p><p><strong>Participants: </strong>Studies focusing on children under the age of 18 years were included.</p><p><strong>Results: </strong>Sixty-seven articles measured child hunger and were therefore eligible for inclusion. Of these, only twenty-three provided a definition of child hunger. Definitions commonly described child hunger as a consequence of or as a subcategory of household 'food insecurity'. Most scales used in the included studies examined the quantity or amount of food intake by children, while few measures also assessed the quality of food consumed. The physiological dimension of hunger was not measured by any of the questionnaires.</p><p><strong>Conclusions: </strong>The findings underscore the need for more comprehensive and standardised approaches that account for the multidimensional nature of child hunger.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e71"},"PeriodicalIF":3.0,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13087978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147514447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Türkiye's position in socio-economic inequalities in adult obesity: a gender-specific and regional assessment.","authors":"Atalay Aktuna, Isil Ergin, Merve Akbayrak, Hur Hassoy","doi":"10.1017/S1368980026102031","DOIUrl":"10.1017/S1368980026102031","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to determine the current status of the obesity epidemic in Türkiye from a global perspective by examining gender-specific socio-economic inequalities at national and regional socio-economic development (SED) levels.</p><p><strong>Design: </strong>A cross-sectional analysis was conducted using data from the 2022 Türkiye Health Survey, employing weighted binary logistic regression models, age-standardised prevalence estimates for national obesity prevalence and model-based age-adjusted prevalence estimates for regional comparisons, with analyses stratified by sex.</p><p><strong>Setting: </strong>Türkiye.</p><p><strong>Participants: </strong>Data included 20 725 nationally representative adults aged 20 years and older (10 808 women and 9917 men).</p><p><strong>Results: </strong>The national age-standardised obesity prevalence was substantially higher (OR: 1·558; 95 % CI: 1·556, 1·560) in women (28·0 %) than men (18·4 %). In low-SED regions, the gender disparity (women 28·4 %, men 17·9 %) was larger. Higher education was consistently associated with lower obesity risk, more pronounced in women and low-SED regions. The income-obesity relationship was complex. An inverted U-shaped pattern across income quintiles was observed among men in high regional SED and among women both nationwide and across all levels of regional SED.</p><p><strong>Conclusions: </strong>As of 2022, Türkiye maintains a high obesity prevalence reflecting socio-economic patterns typical of developing countries experiencing nutritional transition. The epidemic stage varies by regional SED, emphasising the necessity for prevention strategies designed with a focus on socio-economic determinants, regional and gender sensitivity.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"e83"},"PeriodicalIF":3.0,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147378441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socioecological factors influencing maternal and child nutrition: An exploratory qualitative study in semi-urban communities in Ogun State, Nigeria.","authors":"Adenike Mercy Abiodun, Seóna Dunne, Stephen Fallows","doi":"10.1017/S136898002610216X","DOIUrl":"https://doi.org/10.1017/S136898002610216X","url":null,"abstract":"<p><strong>Objective: </strong>To explore the multilevel factors (barriers and facilitators) influencing maternal and child nutrition (MCN) from community perspectives using the Socioecological Model (SEM) as the guiding framework.</p><p><strong>Design: </strong>An exploratory qualitative study combining semi-structured online interviews (Microsoft Teams) and photovoice method. Data were audio-recorded, translated, transcribed and analysed inductively using Braun and Clarke's thematic approach, with final themes mapped to the SEM levels.</p><p><strong>Settings: </strong>Two semi-urban communities in Ado-Odo Ota Local Government Area, Ogun State, Nigeria.</p><p><strong>Participants: </strong>Twenty-five participants (aged 25-75 years), including pregnant and lactating mothers, fathers, grandmothers, community leaders, and health workers, were recruited through purposive and snowball sampling.</p><p><strong>Results: </strong>Despite basic nutrition awareness, maternal diets were predominantly carbohydrate-based while infant feeding was characterised by delayed breastfeeding initiation, prelacteal feeding, and suboptimal complementary feeding practices. At the interpersonal level, strong familial and community support was evident, however, grandmothers strongly influenced dietary taboos and health-seeking decisions. Organisational barriers, including poor facilities and negative staff attitudes, reduced trust in primary healthcare centres and encouraged reliance on private clinics and traditional providers. Community-level challenges such as poverty, rising food prices, unreliable water supply and poor waste disposal systems increased the risk of malnutrition. Nonetheless, some households demonstrated resilience through home gardening, bulk food purchasing and adequate hygiene practices.</p><p><strong>Conclusions: </strong>MCN is shaped by interconnected factors. Sustainable progress requires moving beyond individual knowledge transfer towards integrated, system-based actions that strengthen nutrition and health services, improve access to diverse foods, safe water and sanitation, and leverage existing community strengths.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":" ","pages":"1-31"},"PeriodicalIF":3.0,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147378422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}