Parents adopt unhealthy food routines for family wellbeing in place of unaffordable activities
City University London
New study study suggests a key reason parents on a low-income buy unhealthy foods for their families is to compensate for non-food related activities which support social wellbeing, but that they are unable to afford.
The study from the Centre for Food Policy at
City, University of London sheds light on the food buying habits of low-income
parents across England. It looked at how these families' food practices may be
influenced by their 'food environment', i.e. where people can buy and eat food
outside of the home, as well as advertising and promotions they come across,
but also the wider socioeconomic factors in their lives that may be affecting
their decision making.
The findings support the well-established view
that a food environment where unhealthy foods are ubiquitous, cheap and heavily
marketed, drives parents to feed their families on them. However, they further
suggest that when parents are unable to afford social activities with their
children, like visiting a 'soft play' centre or holidays even a short distance
away, they are additionally driven to compensate with family 'treats' taking
the form of unhealthy food routines.
Examples of such routines identified in the study include family visits to fast-food outlets like the local 'chippy' (fish and chips shop), kebab shop, or (famously branded) burger restaurant, or even food related events at home such as family snacks time in front of a movie or board game.
The study involved 60 parents on low incomes
as participants, recruited equally from deprived neighbourhoods across three
regions of England: Great Yarmouth, Stoke-on-Trent and the London Borough of
Lewisham. Participants were aged over 18, a parent of a child in school of
nursey and the primary shopper in the family. Reflecting the highly gendered
nature of food work, 56 participants were women.
All participants took part in semi-structured
interviews relating to practices of purchasing, preparing and consuming foods
in the family, and the roles of different family members, including children,
in enacting those practices. Fifty-eight of the participants took part in a
photo elicitation exercise over a week where they took photos of things that
made it harder or easier for them to buy the food they wanted for their
families. Twenty-two of the participants also took part in a 'shop-along'
interview where they guided the interviewing researcher around the shops of
their choice, and what they bought.
The data from these sources were coded in a
'thematic analysis' to identify key themes which informed the interpretation of
the findings, summarised overall as:
- · low-income families use many tools to navigate food environments and feed families within budget.
- · food environments push families to unhealthy foods but support other aspects of wellbeing.
- · food practices shape how families engage with food environments.
- · Food environment interventions must also address the broader aspects of people's lives
Based on the findings, the study authors'
policy recommendations include removing unhealthy food promotions and food
service outlets from the food environment, whilst crucially replacing them with
healthier promotions and outlets to retain the opportunities for social
wellbeing these provide for families.
Further recommendations include increasing the
number of affordable, family activities available in deprived, local communities;
making existing activities more affordable, such as through the availability of
discounts; and addressing the broader social need to lift families out of
financial insecurity, such as through more extensive benefit schemes, living
wage policies, and action on insecure work provision.
Professor Corinna Hawkes is the Principal
Investigator of the study, and Director of the Centre for Food Policy at City,
University of London. She said:
Given the wonderful food available in this
country, it's a travesty how many people's health is damaged by poor quality
diets. This study shows that the pathway forward involves understanding how
people experience food in their everyday realities. Policy to address
inequalities will only work if it recognises that food is more than just
nutrition and must meet a wider range of people's needs, such as social and
economic well-being.
The study is published online in the
journal, Health & Place.
The authors undertook this study as part of the National Institute for Health Research (NIHR) Obesity Policy Research Unit that conducts independent research to inform government policy.