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The purpose of the chapter is to explore the relation between women’s healthy eating intention and food attitudes, beliefs, perceptions, and barriers with a focus on the effect of women’s income differences.

The research applies the Theory of Planned Behavior, including attitudes, subjective norms, perceived behavioral control, perceived barriers, and ability opportunity resources. Close-ended survey responses of 704 women between ages 25 and 65 years, affluent and at-risk-of-poverty women in three EU-member countries were analyzed.

Women are mostly positively inclined towards healthy eating, and income does not differentiate women’s inclination. Influencing factors are perceived behavioral control, attitudes towards healthy eating, subjective norms, and level of knowledge regarding healthy food. Barriers, when present, are similar for lower or higher income women and relate to routinized family habits and food affordability and availability.

Future research should thoroughly investigate family network and structure features, with a focus on family food preferences and habits.

Encouraging women’s healthy behavior also impacts children and men, and vice-versa. There is need to target all family components with enjoyable, self-rewarding, emotionally gratifying, and pleasant tasting food.

Income is an overestimated driver in healthy food choices. Women are strongly influenced by personal and environmental factors, mainly personal control, feelings, and family habits.

Field theory is waxing in the sociology of science, and Pierre Bourdieu’s work is especially influential. His characterization of field structure and dynamics has been especially valuable in drawing attention to hierarchical and center-periphery relations in science and technology, and to the stability and reproduction of science and technology practices. What field theory does less well, however, is to capture the existence of multiple (including marginal) logics around a given sociotechnical object. Nor does it capture the dynamics of a specific logic of neoliberal capitalism in the US: the cultural and economic value of entrepreneurship that emphasizes the continual reconfiguration of social relations, which has its roots in a longer US history of progress-through-reinvention, and is abetted by new technologies designed to continually “update” and remix. Much better at capturing these qualities, we argue, is an institutionalist theory in which dynamism, not stasis, is foregrounded, and there is room for multiple, contradictory, and non-cognitive logics to co-exist. Using the expansion of “alternative nutrition” in the US, we show that its formation took place via the conjunction of parallel streams of social action that encompassed diverse logics and encouraged creativity and hybridity. More generally, variability in field stability and qualities, not static fields, deserve analytic attention.

The purpose of this paper is to explore consumer thinking about nutrition decisions and how firms can use consumers’ awareness of the links between nutrients and health generated by public health messages to market products, including ones, which have little nutritional value. We approach this issue by tracking the development of public health messages based on scientific research, dissemination of those messages in the popular press, and use of nutrition claims in food advertisements to assess whether firms are timing the use of nutrition claims to take advantage of heuristic-based decision-making. Our findings suggest that the timing of the development of nutrition information, its dissemination in the press, and use in advertising accords well with a heuristic processing model in which firms take advantage of associations between nutrient information and health in their advertisements. However, the demonstrated relationships may not be causal. Further research will be needed to provide stronger and more comprehensive evidence regarding the proposed message hijacking process. If the message hijacking framework is borne out: (1) simple overall health rating scales could significantly improve consumer decision-making, (2) the impact of misleading advertisements could be mitigated by encouraging a multidimensional view of nutrition, and (3) more intensive regulation of product labeling could limit the impact of hijacked messages.

Overall, this paper considers a novel hypothesis about the impact of public health messages on nutrition and health.

Among the food system's outcomes, food and nutrition security remains a key concern also in developed countries. This chapter analyzes food and nutrition security issues, unpacking the four dimensions in which the concept is articulated: availability, access, utilization and stability. Then the concept is explored, beyond the official definitions, through a description of the various frames that shape the public debate on food and nutrition security. These frames are: the classical productivist view emerged in the early post-war period; the neoproductivism, promoting a sustainable intensification aimed at producing more food while reducing negative environmental impacts, the entitlement approach based on Sen's reflections on people's capability to access food; the food sovereignty (Via Campesina, 1996) which regards food insecurity as an outcome of unequal power relations: the livelihood approach focused on the assets that determine the living gained by the individual or household; the right to food (De Schutter, 2014) based on the status of each individual as a rights-holder; the similar but less individualistic food democracy and food citizenship perspective which focusses on the collective dimension of those rights; the community food security, again close to the food citizenship but with stronger emphasis on communities and localization. Finally, the main contributions given by small farms to food and nutrition security are described, as identified on the base of the SALSA project outcomes.

The negative effects of gender disparities on nutrition outcomes for women and children are well documented. Gender analyses are often used at the start of projects to capture contextual factors contributing to persisting inequalities and malnutrition but there is a dearth of information about processes for applying findings to program designs and activities at the implementation level. The authors describe a three-phase process used by Helen Keller International (HKI) in 2015–2016 for a nutrition-sensitive program called Family Farms for the Future in rural Cambodia that included: (1) a community-based gender assessment; (2) a workshop to interpret findings from the assessment; and (3) a strategy to incorporate gender-relevant findings into program activities. The gender analysis used qualitative methods involving 32 participatory group activities and 20 individual interviews with men, women, and elders in the program communities. Findings and insights gained from this analysis revealed persistent and different gender disparities and perceptions from each respondent group regarding the reasons for the inequalities. A workshop organized to share the gender analysis findings with program implementers generated ideas and strategies for incorporating and translating findings into program activities. This three-phase process was crucial not only to reveal and understand barriers to socio-economic empowerment of women, but also to obtain buy-in from program implementers and to encourage use of their insights to translate findings into practical strategies and activities to address gender disparities that may influence nutrition and health outcomes of women and children.

School-aged children living in Montgomery and Troy located in Central Alabama are particularly vulnerable to food insecurity. This study used a one-group pre-test–post-test research design to investigate if gardening and nutritional activities could be used as effective intervention to reduce levels of food insecurity among school-aged children. Statistical results found that several of the participants live in urban food deserts. Food insecurity scores were higher for participants in Montgomery compared to those in Troy, AL. The relationship between parental income, household size, and location were important indicators for measuring food insecurity among participants. Recommendations for future research include expanding the scope of study to different sites and climates with larger samples to enhance our understanding of gardening and nutritional educational activities on food insecurity among school-aged children.

As a movement for alternative means of food production and consumption has grown, so, too, have civic efforts to make alternative food accessible to low-income persons (LIPs). This article examines the impact of alternative food institutions (AFIs) on low-income communities in the United States and Canada, focusing on research published since 2008.

Through a three-stage literature search, I created a database of 110 articles that make empirical or theoretical contributions to scholarly knowledge on the relationship of AFIs to low-income communities in North America. I used an in vivo coding scheme to categorize the impacts that AFIs have on LIPs and to identify predominant barriers to LIPs’ engagement with AFIs.

The impacts of AFIs span seven outcome categories: food consumption, food access and security, food skills, economic, other health, civic, and neighborhood. Economic, social and cultural barriers impede LIPs’ engagement with AFIs. AFIs can promote positive health outcomes for low-income persons when they meet criteria for affordability, convenience and inclusivity.

This review exposes productive avenues of dialogue between health scholars and medical sociology and geography/environmental sociology. Health scholarship offers empirical support for consumer-focused solutions. Conversely, by constructively critiquing the neoliberal underpinnings of AFIs’ discourse and structure, geographers and sociologists supply health scholars with a language that may enable more systemic interventions.

This article is the first to synthesize research on five categories of alternative food institutions (farmers’ markets, CSAs, community gardens, urban farms, and food cooperatives) across disciplinary boundaries.

Using a Constrained Choice Theory framework, this paper will identify variation in choosing the constraint-reflective priorities of budget, taste, or health by sociodemographic group, familial status, and weight category. Identifying which groups experience unique constraints will allow for customized healthy eating programs to address barriers specific to each group.

Data are derived from a paper survey of families with children in Lexington, KY and analyzed using logistic regression.

The results of this study confirm that some sociodemographic groups are more likely to choose priorities that reflect contextual constraints in their lives than others. In particular, having a higher income reduces likelihood of prioritizing budget and increases chances of prioritizing taste. Being married or cohabitating is correlated with choosing health, but having more children reduces the likelihood of prioritizing health. Being obese correlates with increased likelihood of prioritizing budget. Membership in each of these categories reflects constraints on which foods are purchased for the home.

Families are encouraged to improve their diets by eating at home, but families face many constraints when choosing healthy foods at the grocery store. Understanding the constraints experienced by various groups when shopping for food will lead to health policy that more fully addresses barriers to healthy eating for groups with disproportionately high incidence of diet-related disease.

This paper extends Constrained Choice Theory by applying it to a new aspect of health, purchasing groceries, and also by examining a wider variety of sociodemographic groups than previous research.

In this chapter, we draw on health lifestyle, human capital, and health commodity theories to examine the effects of educational attainment on a wide range of individual dietary behaviors and dietary lifestyles.

Using data from the 2005-2006 iteration of the National Health and Nutrition Examination Survey (n = 2,135), we employ negative binomial regression and binary logistic regression to model three dietary lifestyle indices and thirteen healthy dietary behaviors.

We find that having a college degree or higher is associated with seven of the thirteen healthy dietary behaviors, including greater attention to nutrition information (general nutrition, serving size, calories, and total fat) and consumption of vegetables, protein, and dairy products. For the most part, education is unrelated to the inspection of cholesterol and sodium information and consumption of fruits/grains/sweets, and daily caloric intake. We observe that having a college degree is associated with healthier dietary lifestyles, the contemporaneous practice of multiple healthy dietary behaviors (label checking and eating behaviors). Remarkably, household income and the poverty-to-income ratio are unrelated to dietary lifestyles and have virtually no impact on the magnitude of the association between education and dietary lifestyles.

Our findings are consistent with predictions derived from health lifestyle and human capital theories. We find no support for health commodity theory, the idea that people who are advantaged in terms of education live healthier lifestyles because they tend to have the financial resources to purchase the elements of a healthy lifestyle.