Concerns and priorities of Aboriginal and Torres Strait Islander peoples regarding food and nutrition: a systematic review of qualitative evidence
Open accessAbstract
Background: Aboriginal and Torres Strait Islander Australians experience persistent health and social inequities. Chronic conditions, many of which are diet-related, are leading contributors to the burden of disease and health inequity in Australia. First Nations Peoples have the right to be involved in all policy decisions affecting them. This review aimed to synthesise Aboriginal and Torres Strait Islander Peoples’ concerns and priorities about food and nutrition in order to inform policies to improve health equity. Methods: MEDLINE, CINAHL, Informit and Google Scholar were systematically searched to identify qualitative studies–published from January 2008–that included data from Aboriginal and/or Torres Strait Islander Peoples about their concerns and priorities related to food and nutrition. Data were extracted from included studies using a pre-determined template and study quality was assessed using the Aboriginal and Torres Strait Islander Quality Appraisal Tool. Qualitative findings were synthesised using inductive thematic analysis and categorised based on an ecological model of health. Results: Twenty-one studies were included. Key factors influencing food and nutrition were identified across all levels of the ecological framework. These included interpersonal and institutional racism, junk food availability and marketing, food accessibility and affordability, housing conditions, food knowledge and cooking skills, and connection to family and culture. Conclusions: Documenting Aboriginal and Torres Strait Islander Peoples’ lived experiences of the colonised food system is one step necessary for informing policy to tackle food and nutrition inequities. Based on existing qualitative research, food and nutrition policymakers should prioritise building a supportive food environment by focusing on self-determination; ensuring access to healthy, affordable food and safe housing; and by eliminating systemic racism.
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Indigenous Autism in Canada: A Scoping Review
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“Studies were assessed as “high quality” if they met at least 10 of the 14 appraisal questions, “moderate quality” if meeting 6 to 9 out of 14 questions, and “low quality” if meeting 5 or less questions, based on previous applications of the IQAT in literature (Christidis et al., 2021).”
Method
- Authors
- Christidis, R., Lock, M., Walker, T., Egan, M., & Browne, J.
- Affiliations
- Deakin University (AU)
- Corresponding author
- Browne, Jennifer
- Venue
- International Journal for Equity in Health
- Published
- 2021-10-07
- Volume
- 20
- Issue
- 1
- Pages
- 220-220
- ISSN
- 1475-9276 (ISSN-L)
- PMC
- PMC8499519
- OpenAlex
- W3202784697
- Cited by
- 57
- References
- 98
- Citations by year
- 2026: 12 · 2025: 14 · 2024: 16 · 2023: 13 · 2022: 1 · 2021: 1
- FWCI
- 0.84
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- International Journal for Equity in Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- OPUS - Open Publications of UTS Scholars (University of Technology Sydney) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Own your potential (DEAKIN) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Funders
- National Heart Foundation of Australia (105,168)
- Deakin University
- Topics
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Health Sciences › Health Professions › General Health Professions › Indigenous Health and Education
- Health Sciences › Health Professions › General Health Professions › Food Security and Health in Diverse Populations
- Keywords
- Aboriginal and Torres Strait Islander peoples, food and nutrition, health disparities, food environment, racism, housing conditions, cultural connections, self-determination (international law), diet-related chronic diseases, Indigenous health policy
- MeSH terms
- Health Equity, Australian Aboriginal and Torres Strait Islander Peoples, Australia, Chronic Disease, Humans, Native Hawaiian or Other Pacific Islander, Racism
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