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The purpose of this study was to see the impact of increased out-of-pocket expenditure oh health care exerting budget pressure on households, which leads to change in dietary consumption.

It was a hospital-based cross-sectional study comprising 414 patients with a chronic or major illness attending a large tertiary care public hospital at Delhi, India. Each patient represented a household with total number of family members of 2,550 in the study. Questionnaire was used to gather data on factors responsible for changes in consumption of 12 major food items.

Moderate decrease in food consumption of a household after major illness is associated with: rural residence (p < 0.001), decrease in savings (p < 0.001), more number of household items sold (p < 0.001), education of the children affected (p < 0.001), upper socio-economic status (SES) (p < 0.001) and children started working after illness in family (p = 0.043). In addition to decrease in food items, there was also deterioration in quality of food preparation. More than 80% of the families did not change the intake of cereals (rice and wheat), pulses and sugar. Food items that were decreased by most families were fruits, followed by milk and its products, vegetables, meat and egg, oils and ghee.

This study is a subset of other two studies previously published. The authors had not been able to cover this aspect fully in those two studies but understood the importance of impact of expenditure on illness on food consumption. The authors studied change in food consumption pattern (not amount) in subjects after illness. The impact of weather changes in food consumption on the impacted nutritional status of family has not been studied. The authors only collected cross-sectional, observational data and recall bias cannot be completely ruled out and corrected. With such data, only associations could be concluded, not causality. The illness condition of a household was measured by presence of chronic disease and inpatient treatment. Such measures did not take into account the types of illness and number of episodes. Data of this study cannot capture whether food intake of family prior to illness was sufficient/in excess/deficient. The Kuppuswamy scale, mostly used in urban and peri-urban settings, was also used for rural subjects in the study, which might have resulted in impaired capture of rural SES. The authors did not assess whether families were allocated food grains by schemes like public distribution system, which might have resulted in biased decrease in food consumption. Questionnaire used was not validated.

This study demonstrates the various factors that act as barriers to proper food consumption, including non-financial factors. The policy of user fee in government is hitting poorer section, and equity and access to health are compromised. Health expenditure should be increased by public sector policies to implement uniform healthcare. There is need for more studies to identify measures that could be put in place when designing policies and interventions for the uniform distribution of benefits.

The policy of user fee in government is hitting poorer section, and equity and access to health are compromised. Health expenditure should be increased by public-sector policies to implement uniform healthcare.

Major or chronic illness affects money acquisition and priorities of expenditure, resulting in deterioration in quality of food consumption and by a household.

Building on the social marketing theory, this study aims to examine the relationship between family units and obesity in Nigeria; and the social marketing interventions used to reduce and prevent obesity in the Nigerian society.

This study adopted a semi-structured interview research design with 42 obese individuals in Nigeria.

The study findings show that the family unit an individual grows up in influences their consumption behaviour, which drives their obesity. The findings reveal that obese Nigerian citizens are willing to live a healthier lifestyle due to the direct and indirect medical costs associated with obesity. Furthermore, the findings disclose the social marketing interventions – local celebrity endorsements, healthy lifestyle promotions, reduced gym membership and affordable access to healthy foods and services – used to prevent and reduce the rising obesity rates in the Nigerian society.

The findings have important theoretical implication given the focus on consumption behaviour and obesity.

The study findings provide an avenue to guide government officials, policymakers and social marketers in shaping their public policy and social marketing interventions to encourage healthier consumption and lifestyle behaviours among families and individuals in the Nigerian society.

To the best of the authors’ knowledge, this is the first research study to investigate how family units in the emerging market of sub-Saharan Africa drive obesity and the social marketing interventions used to reduce and prevent obesity. Theoretical and practical implications are discussed.

This paper aims to develop a deeper understanding of what (un)sustainable food behaviours and values are transmitted across generations, to what extent this transference happens and the sustainability challenges resulting from this for individuals and households.

A total of 25 semi-structured in-depth interviews are analysed regarding the value of inherited food, family food rituals, habits and traditions, aspects of food production and understanding of sustainability.

Intergenerational transferences are significant in shaping (un)sustainable consumption throughout life, and those passed-on behaviours and values offer opportunities for lifelong sustainable change and food consumption reappraisal in daily life, beyond early years parenting and across diverse households.

Participants were limited to British families, although the sample drew on multiple ethnic heritages. Future research could study collectivist versus more individualistic cultural influence; explore intergenerational transference of other diverse households, such as multigeneration or in rural and urban locations, or whether sustainable crossover derived from familial socialisation continues into behaviours and values beyond food.

The findings show the importance of families and intergenerational transference to the embedding of sustainable consumption behaviours. Mundane family life is a critical source of sustainable learning, and marketers should prioritise understanding of the context and relationships that drive sustainable consumer choices. Opportunities for intentional and unintentional sustainable learning exist throughout life, and marketers and policymakers can both disrupt unsustainable and encourage sustainable behaviours with appropriate interventions, such as nostalgic or well-being communications. The paper sheds light on flexible sustainable identities and how ambivalence or accelerated lives can deflect how policy messages are received, preventing sustainable choices.

The findings provide greater understanding about the mechanisms responsible for the sustainable transformation of consumption habits, suggesting intergenerational transferences are significant in shaping (un)sustainable food consumption throughout life. The study shows secondary socialisation can play a critical role in the modification of early behaviour patterns of food socialisation. The authors found individuals replicate food behaviours and values from childhood, but through a process of lifelong learning, can break formative habits, particularly with reverse socialisation influences that prioritise sustainable behaviours.

This purpose of this study is to examine the fluidity of family life which continues to attract attention. This is increasingly significant for the intergenerational relationship between adult children and their elderly parents. Using practice theory, the aims are to understand the role of food in elderly families and explore how family practices are maintained when elderly transition into care.

A phenomenological research approach was used as the authors sought to build an understanding of the social interactions between family and their lifeworld.

This study extends theory on the relationship between the elderly parent and their family and explores through practice theory how families performed their love, how altered routines and long standing rituals provided structure to the elderly relatives and how care practices were negotiated as the elderly relatives transitioned from independence to dependence and towards care. A theoretical framework is introduced that provides guidance for the transition stages and the areas for negotiation.

This research has implications for food manufacturers and marketers, as the demand for healthy food for the elderly is made more widely available, healthy and easy to prepare. The limitations of the research are due to the sample located in East Yorkshire only.

This research has implications for brand managers of food manufacturers and supermarkets that need to create product lines that target this segment by producing healthy, convenience food.

It is also important for health and social care policy as the authors seek to understand the role of food, family and community and how policy can be devised to provide stability in this transitional and uncertain lifestage.

This research extends the body of literature on food and the family by focussing on the elderly cared for and their family. The authors show how food can be construed as loving care, and using practice theory, a theoretical framework is developed that can explain the transitions and how the family negotiates the stages from independence to dependence.

A growing stream of consumer research has examined the family dynamics and consumption practices that come from the changing life stages. This study aims to better understand the narratives surrounding power struggles emanating from continued parental food provision upon the stages of adulthood. The study illustrates the contestations within the family as well as the strategies that recipients use to alleviate these tensions within the context of adult Greek daughters and sons.

The study used in-depth narrative interviews with 17 Greek consumers together with photo elicitation to examine consumers’ power struggles in experiencing continued food provision within the family.

The study demonstrates that continued food provision affects the stages of adulthood. The adult children go through a journey of negotiation and struggles of power arising within parental food provision practices. The study demonstrates four power-based struggles and four negotiation strategies to cope with and alleviate the contestations.

Such exploration allowed insights to emerge in relation to the narratives of sons and daughters themselves. However, there are two other relational partners – the food providers and the partners of the food recipients – whose perspectives were not captured but would further aid understanding if captured in future research.

The authors show that consumption practices at home can be a source of friction; thus, food related practices outside the family home can be encouraged to mitigate tensions. The findings could inform advertising campaigns and marketing strategies regarding the loving yet challenging family relationship.

The authors encourage mothers to be reflective on the tendency towards continued provision, as the food provision contributes to the daughter and son’s sense of protracted adulthood stages. Insights from the study are applicable to family tensions in other contexts such as the boomerang generation.

This study focuses on a stage of family life and from a perspective of the recipient, both areas which have been previously under explored. The theoretical perspectives of power are used to contribute to areas of food and family consumption by showing how the provision of food marks meanings of love, but also reveals sources of power and contention. The study also contributes by exploring the role of food consumption in the protraction of adulthood.

This paper aims to investigate dynamics of food consumption practices among poor families in a developing country to advance the Food Well-being (FWB) in Poverty framework.

The research design used semi-structured interviews with 25 women and constructivist grounded theory to explore food consumption practices of poor families in rural South India.

Poor families’ everyday interactions with food reveal the relational production of masculinities and femininities and the power hegemony that fixes men and women into an unequal status quo. Findings provides critical insights into familial arrangements in absolute poverty that are detrimental to the task of achieving FWB.

The explanatory potential of FWB in Poverty framework is limited to a gender (women) and a specific country context (India). Future research can contextualise the framework in other developing countries and different consumer segments.

The FWB in Poverty framework helps identify, challenge and transform cultural norms, social structures and gendered stereotypes that perpetuate power hegemonies in poverty. Policymakers can encourage men and boys to participate in family food work, as well as recognise and remunerate women and girls for their contribution to maintaining familial units.

This paper makes an original contribution to the relevant literature by identifying and addressing the absence of theoretical understanding of families, food consumption and poverty. By contextualising the FWB framework in absolute poverty, the paper generates novel understandings of fluidity and change in poor families and FWB.

Literature from across the social sciences and research evidence are used to highlight interdisciplinary and intersectional research approaches to food and family. Responsibilisation emerges as an important thematic thread, as family has (compared with the state and corporations) been increasingly made responsible for its members’ health and diet.

Three questions are addressed: first, to what extent food is fundamentally social, and integral to family identity, as reflected in the sociology of food; second, how debates about families and food are embedded in global, political and market systems; and third, how food work and caring became constructed as gendered.

Interest in food can be traced back to early explorations of class, political economy, the development of commodity culture and gender relations. Research across the social sciences and humanities draws on concepts that are implicitly sociological. Food production, mortality and dietary patterns are inextricably linked to the economic/social organisation of capitalist societies, including its gender-based divisions of domestic labour. DeVault’s (1991) groundbreaking work reveals the physical and emotional work of providing/feeding families, and highlights both its class and gendered dimensions. Family mealtime practices have come to play a key role in the emotional reinforcement of the idea of the nuclear family.

This study highlights the imperative to take pluri-disciplinary and intersectional approaches to researching food and family. In addition, this paper emphasises that feeding the family is an inherently political, moral, ethical, social and emotional process, frequently associated with gendered constructions.

The purpose of this paper is to address the meaning of food consumption practices in maintaining intergenerational relationships between young university students and their parents.

Student food consumption has been mainly studied through quantitative methods, treating students as a homogenous group, more or less living in a vacuum, and often with the focus on nutrition. This paper gives voice to young adults to unpack the significance of cooking and food consumption in relation to maintaining or changing family ties. The study is based on 12 qualitative interviews, five focus groups and a workshop, with Danish and international students in Denmark. Theoretically, the study draws on family, consumption and transition research.

The authors identify four realms of intergenerational relationships in the context of food. The relationships range from a wish either to maintain the status quo in the relationship, or to change and rethink the relationship, and importantly, the act of maintaining or changing the family relationships may be initiated either by the grown-up child or by the parent. The study concludes that the act of moving away from home is a period of intense (re)construction of food consumption habits and skills, which draw several threads back to the family home, and relationships undergo change in various ways.

The limitations of this study are that it has been carried out only in a Danish context.

The contributions of the study are capturing the children’s view of this transition, and providing insights into how apparently mundane consumption can be full of symbolic meaning. The paper will be of interest for researchers and practitioners seeking to understand intergenerational relations and consumption.

Children are increasingly seen as active consumers participating in various aspects of family food consumption. The purpose of this paper is to look at children’s first-hand accounts of their visits to the supermarket and reports on their in store experiences as participants in the family food shopping. It offers an account of family food shopping from the perspective of the children.

Qualitative discussion groups with children aged eight to 11 years research were used to elicit children’s perceptions of food shopping as part of a study into food consumption experiences. This offers an opportunity to capture the children’s perspective on this everyday consumption activity.

Engaging in family food shopping is part of a socialisation process that introduces children to food retail environments and to shopping scripts played out in store. Young children claim to actively participate in family food shopping in store contributing in a variety of ways to family food purchases that includes making requests in store, negotiating over product choices and assisting with the food shopping. The strategies employed by the children include restricting requests to specific product categories (usually for sweets, or cereals or products for their school lunchbox); selecting products on behalf of other family members; dissuading parents for buying certain food items and helping out in store. Most of the first-hand accounts reflect a positive experience with children contributing to the food decisions that relate directly to their interests. The research finds relatively little conflict and more co-operation between children and their parents in an attempt to influence what goes into the shopping trolley.

This is a small exploratory study with a geographically constrained sample. The children’s accounts cannot be verified but are presented as a way of looking at how children themselves relate to the family food shopping experience. Future research might extend the geographical scope of this investigation and consider soliciting parental views to validate the children’s accounts.

This work provides further evidence of the ways in which children are actively included as part of family food decisions in a supermarket context. Children’s in store contributions to family food can inform retailers and companies as well as policy makers.

This offers a unique insight into how children view shopping with the family and relates more broadly to the discussion around children’s consumption and their role as active consumers.

This paper aims to describe an ethnographic research study conducted within French families in order to examine the transfer of food learning between parents and children.

An ethnographic study in the respondents' home was conducted. Semi‐directive interviews with children and parents and observation were carried out in heterogeneous families.

Results indicate that food meal time is a way of socializing family members in consumption skills related to food. Food learning took place in two ways: from parents to children and from children to parents. Through different socialization factors, children will discover new food products or food practices and will be able to bring them to the home. By sharing these new experiences, children teach (directly or indirectly) parents new consumption skills related to the food domain. The food environment (e.g: familial atmosphere, interactions around the meal), more than the act of eating itself allows for a better understanding of food transmission within the family.

These findings would be of benefit to public policy as well as to investors and food manufacturers by integrating the reverse socialization aspect. Limits and research perspectives are discussed after the presentation of the results.

The paper investigates interactions between parents and children within their natural setting: their home.