A Systems Approach to Tackle Barriers for Healthy Eating among People Experiencing Disadvantages

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Veröffentlicht in:European Journal of Public Health vol. 35, no. Supplement_4 (Oct 2025)
1. Verfasser: van Duin, E W
Weitere Verfasser: Van Kerckhove, J, Cardon, G, Poelman, M P, Djojosoeparto, S K, Kamphuis, CBM, Sonneveld, N, Harrington, J M, Vandevijvere, S
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Oxford University Press
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024 7 |a 10.1093/eurpub/ckaf161.1135  |2 doi 
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045 2 |b d20251001  |b d20251031 
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100 1 |a van Duin, E W  |u University of Ghent, Ghent, Belgium; evita.vanduin@ugent.be 
245 1 |a A Systems Approach to Tackle Barriers for Healthy Eating among People Experiencing Disadvantages 
260 |b Oxford University Press  |c Oct 2025 
513 |a General Information 
520 3 |a   Individuals’ dietary behaviour is concentrated on nutrient-poor food and beverages, which magnifies persisting health inequities, as vulnerable groups are more exposed to unhealthy products. Agentic approaches do not acknowledge the complex interplay of the commercial, societal, and political factors that are at the root of this behaviour, creating the illusion that individuals are solely responsible for their health. Systems thinking can provide insights into these intricate problems and can help to identify leverage points for action. This study - as part of the Era4Health FoodPath project - aimed to identify barriers related to healthy eating among people in vulnerable socio-economic situations, from the perspective of both citizens and local stakeholders. Three Group Model Building sessions were organised: one with professionals (n = 6) and one with individuals from a vulnerable neighbourhood in Ghent (n = 8) separately, aimed at creating a causal loop diagram (CLD) depicting the barriers towards healthy eating, guided by the Nutrition Equity framework. The last session combined both groups to understand different perspectives and identify leverage and action points for change. The two CLDs were integrated to illustrate the multiplex of factors influencing individuals’ dietary behaviour. The sessions highlighted the importance of policies, the food environment, and food-related assistance. While in the session with the professionals the value of policies was discussed, the citizens stressed the importance of the availability of local initiatives. Social initiatives were regarded as the pathway towards tackling barriers, through the dissemination of information, bottom-up approaches, or local food markets, next to (policy)-actions on the accessibility of unhealthy commodities. The results can be used to inform stakeholders and policy to foster healthy eating behaviours among individuals in vulnerable situations and reduce health inequities. Key messages • Policies and grassroots initiatives - like local markets, community centres, and information sharing - are crucial for facilitating healthy dietary behaviour and driving change. • Systems approaches are necessary to tackle unhealthy dietary habits and reduce health inequities. 
653 |a Beverages 
653 |a Food 
653 |a At risk populations 
653 |a Markets 
653 |a Citizens 
653 |a Commodities 
653 |a Eating behavior 
653 |a Eating 
653 |a Grass roots movement 
653 |a Community centers 
653 |a Behavior 
653 |a Neighborhoods 
653 |a Nutrition 
653 |a Health disparities 
653 |a Habits 
653 |a Political factors 
653 |a Policies 
653 |a Barriers 
653 |a Professionals 
653 |a Action 
653 |a Leverage 
653 |a Information dissemination 
653 |a Behavior modification 
653 |a Healthy food 
653 |a Vulnerability 
653 |a Health initiatives 
653 |a Stakeholders 
653 |a Inequality 
653 |a Behavior change 
653 |a Drinks 
653 |a Community organizations 
653 |a Health services 
653 |a Health behavior 
653 |a Information sharing 
653 |a Socioeconomic factors 
653 |a Access 
653 |a Change agents 
653 |a Trade 
653 |a Diet 
653 |a Dissemination 
653 |a Systems approach 
653 |a Low income groups 
653 |a Social 
700 1 |a Van Kerckhove, J  |u Sciensano, Brussels, Belgium 
700 1 |a Cardon, G  |u University of Ghent, Ghent, Belgium 
700 1 |a Poelman, M P  |u Wageningen University & Research, Wageningen, Netherlands 
700 1 |a Djojosoeparto, S K  |u Wageningen University & Research, Wageningen, Netherlands 
700 1 |a Kamphuis, CBM  |u Utrecht University, Utrecht, Netherlands 
700 1 |a Sonneveld, N  |u Wageningen University & Research, Wageningen, Netherlands 
700 1 |a Harrington, J M  |u University College Cork, Cork, Ireland 
700 1 |a Vandevijvere, S  |u Sciensano, Brussels, Belgium 
773 0 |t European Journal of Public Health  |g vol. 35, no. Supplement_4 (Oct 2025) 
786 0 |d ProQuest  |t ABI/INFORM Global 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3265307710/abstract/embedded/L8HZQI7Z43R0LA5T?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3265307710/fulltextPDF/embedded/L8HZQI7Z43R0LA5T?source=fedsrch