Food Behavior Research Articles

Can local food become an inclusive practice in urban areas? A community provisioning systems approach

In the context of crises such as the pandemic and the war in Ukraine, local food systems have emerged as a potential solution to the challenges of food sovereignty and sustainability. However, the adoption of local food as a widespread practice remains limited. The aim of this research is to identify the drivers that could lead to the widespread adoption of local food systems as an inclusive practice in urban areas. We adopt a systemic approach to analyze the dynamics of supply systems and communities in a city within the Paris region, combining geographic, ethnographic, and documentary data. Our findings reveal a tentative practice and a gap between the supply and the population’s usage patterns. Our research highlights how food behaviors are embedded within interacting systems. It calls on public authorities to make local food systems a significant focus for large-scale distribution and urges the economic sphere to rethink its business models and value chains.

Exploring Effects of Food Shaming on Consumers’ Food-Related Attitudes and Behaviors

Objective To compare attitudes and behaviors of American adults who have experienced food shaming versus those who have not. Design This was an online survey of 2003 US adults, followed by an additional 5 one-on-one in-depth interviews, for a total of 2008. Data were collected between September and November 2022. Participants US adults (n = 2008) recruited via commercial research panels. Main Outcome Measures Prevalence of food shaming, and attitudes and behaviors among adults who have experienced food shaming versus those who have not. Analysis χ 2 and analysis of covariance investigating associations between experience with food shaming and food-related attitudes and behaviors, controlling for body mass index where possible. Results Nearly 3 in 10 American adults report that they have experienced food shame. Experiencing food shame correlates with higher guilt and shame, greater likelihood to engage in regimented eating, and more prevalent, as well as negative, emotions around food and imagined interactions with food and nutrition professionals. Conclusions and Implications Food shaming is a phenomenon with wide-reaching impacts on attitudes and behaviors. We expect that this innovative study will inform registered dietitian nutritionists and other health professionals to help people develop healthy, sustainable relationships with food.

Individual and Environmental Determinants of the Consumption of Iron-Rich Foods among Senegalese Adolescent Girls: A Behavioural Model

To improve adolescent nutrition, it is crucial to understand factors underlying food behaviours. This study aims to identify pathways by which the environment and individual factors interact to affect the consumption of iron-rich food (IRF) among Senegalese adolescent girls in the hopes to reduce anemia. This is a cross-sectional study conducted among 600 adolescent girls (10–19 years old) of all 14 regions of Senegal. IRF consumption in the past day and night was evaluated using a food frequency questionnaire. Individual determinants, such as the attitude, the subjected norm, and the perceived behaviour control (PBC), and environmental determinants, such as food accessibility and price, were assessed using a validated and reliable questionnaire. Path analyses were conducted to examine relations between IRF consumption and individual and environmental variables. Overall, 83.7% of girls had the intention to eat IRF and 84.7% reported doing so. The PBC (β = 0.20, p < 0.01) and the attitude (β = 0.57, p < 0.01) predict the intention of consuming IRF daily. In turn, the environment predicts the attitude (β = −0.22, p < 0.01) and the PBC (β = 0.26, p < 0.01). The intention was a predictor of the IRF consumption (β = 0.16, p < 0.05). This research provides guidance to nutrition education programmes as well as to improve the food environment to facilitate the consumption of IRF among adolescent girls by inspiring community health initiatives based on empirical data.

Product Characteristics and Emotions to Bridge the Intention-Behavior Gap in Green Food Purchasing

Promoting environmentally friendly behaviors is a pivotal strategy in addressing the climate crisis. The food industry’s impact on pollution and resource consumption underscores the importance of fostering eco-sustainable food consumption, which can significantly benefit the environment. However, despite the global surge in green purchase intentions, a noticeable discrepancy persists between these intentions and actual purchasing behavior. This study aimed to investigate the influence of various factors on the likelihood of purchasing green food. An online survey was administered to Italian adult consumers (n = 832, 66% female, aged 18–84 years), collecting sociodemographic data and assessing emotions related to green purchases, perceptions of green food characteristics, intention to buy green food, and frequency of green food purchases. Through cluster analysis, three distinct consumer categories emerged: Coherent Buyers (individuals willing to buy green food and actively doing so), Coherent Non-Buyers (individuals who have no intention to buy green food and do not buy it), and Non-Buyers with Favorable Intentions (individuals expressing willingness to buy green food but not following through with purchases). Results from multinomial logistic regression analysis revealed that several factors influenced the likelihood of being categorized in the other two categories, as opposed to the Coherent Buyers one. These factors included younger age, a lower sense of pride associated with purchasing green products, and considering healthiness, natural content, and eco-sustainability of food less important and familiarity of green food more important. These findings provide valuable insights for marketers and policymakers, facilitating efforts to bridge the gap between green food intentions and behaviors and promote a shift toward a more eco-sustainable dietary pattern.

Investigating UK School-Aged Children’s Sustainable Food Packaging Disposal Knowledge and Engagement Levels in Ecologically Valid Settings

There is a growing emphasis on sustainable approaches; however, consumer-related barriers can modulate adherence. Therefore, engaging future generations from an early age in adopting sustainable food-packaging practices is fundamental. This paper investigates food-packaging-related knowledge, preferences, and engagement levels at a UK science-based event. School-aged children (n = 255; 8–18 years) completed various activities to initiate conversation encompassing food packaging disposal, symbols, issues, preferences, and behaviour, as well as educational-based discussions. Most children were able to select the correct response for disposal-related questions; however, they struggled to correctly identify the appropriate bin for used food items (e.g., pizza box). Children’s knowledge of symbols varied considerably: Mobius loop and Fairtrade symbols were easily recognisable, whereas there was no clear consensus/poor knowledge for the remaining symbols. Children’s main food packaging issues were ‘excessive packaging’ and ‘bins are full’ and key information searching locations were labels-on-pack and digital sources. Currently, 51% of the children adopt sustainable approaches; therefore, engaging more children in such practices is essential. 77% of the children were interested in changing future food-packaging behaviour. Going forward, sustainable food-packaging practices need to be incorporated into the school curriculum to promote engagement as well as improving infrastructure so that children can easily implement appropriate practices; thus, resulting in notable societal impact.

Young customers’ intention to purchase organic food in South Africa: extending the theory of planned behaviour

Ethical consumption has become an increasing trend as young customers get increasingly aware of their environmental and ethical responsibilities. The study aimed to examine the determinants of organic food purchase intention and behaviour of young customers in South Africa by extending the Theory of Planned Behaviour (TPB). The main objective of the study was to determine the effects of TPB constructs (attitude, subjective norms and perceived behavioural control) on young consumers’ intention to purchase organic food. Also, the study investigated whether the extended TPB model would improve the predictive validity of the model. The TPB was modified by the addition of three value constructs (health, environmental and appearance consciousness) as antecedents of attitude and intention and two personal factors (moral norms and ethical self-identity) as predictors of purchase intention. In addition, the study examined the mediating effects of attitude towards organic food in the relationship between value and purchase intention. Furthermore, the study determined the effect of intention on actual organic food purchase behaviour of young consumers. The study adopted a quantitative research approach and data was collected through the cross-sectional survey method using self-administered questionnaires from four hundred and three respondents. The questionnaires were distributed to the respondents through mall intercept and the Partial Least Square Structural Equation Modelling (PLS SEM) was used to test the hypotheses of the study. The findings confirmed that two constructs of the TPB (attitude towards organic food and perceived behavioural control) are predictors of purchase intention. In addition, health and environmental consciousness are antecedents of attitude and intention. Attitude mediates the relationship between health, environmental consciousness and intention. Furthermore, intention is a predictor of behaviour. Recommendations to improve the purchase of organic food focus on communication by marketers to consumers about the benefits of organic food. The study concludes that the extended TPB is an applicable theoretical framework to explain the purchase of organic food by young consumers.

Consumer’s willingness to try new microalgae-based food in Indonesia

Microalgae has been an under-researched food ingredient that is high in protein. In Indonesian context, research on consumer's willingness to try microalgae as a food ingredient should be performed. This research was performed to examine the factors influencing consumers' willingness to try microalgae. Data were collected from 535 respondents using a structured questionnaire distributed via Google Form on social media which were then analyzed using Structural Equation Models-Partial Least Square, with initial tests of internal consistency and reliability of questionnaire items carried out using the Pearson Product Moment correlation analysis. The results showed that consumer willingness to try microalgae-based food was positively and significantly influenced by consumer lifestyles towards food and consumer behavior (knowledge, attitudes, involvement and subjective norms). This finding indicates that there is a fairly broad opportunity to develop microalgae as a food ingredient in Indonesia. The government is encouraged to support the promotion of microalgae as health food. Positive support from the government is expected to drive marine farmers, entrepreneurs, food processing industries, cultivators, distributors and food retailers to further enhance the microalgae businesses.

Behavioural Factors Influencing Consumer Acceptance of Sustainable Healthy Food: A Review and Research Agenda

ABSTRACTHuman and planetary health goals have coalesced within consumer food choices. Food‐based dietary guidelines provide expert recommendations on what to eat, however, adherence is low and few include sustainability recommendations. This systematic review sought to extract consumer behavioural findings specifically related to ‘healthy sustainable diets’ to gain insights into the levers of food‐related behavioural change. Data analysed from 57 studies reveal that while 27 discrete behavioural theories underpinned conceptualisation of research, just three dominate this literature: Theory of Planned Behaviour, Transtheoretical Model and Social Practice Theory. Correspondingly, studies were mainly concerned with motivation, attitudes, intentions and practices. Promising research directions are emerging from investigations into the roles of emotions, meat attachment and types of knowledge. Those sustainable healthy food behaviours (SuHeFB) most investigated were meat consumption reduction, plant‐based food consumption, and alternative‐to‐animal protein food product acceptance. In addressing the perplexity surrounding consumer inertia in altering dietary habits, this review provides a comprehensive SuHeFB construct typology and a justification for directing research attention towards the phenomenon of amotivation. In addition, 31 future research questions are posited under six related SuHeFB themes.

Impact of a nudge-based food environment intervention in a hospital convenience store on staff’s food intake and Na/K

BackgroundA food environment intervention using nudge tactics was implemented at a hospital convenience store (CVS) in Tokyo to improve employees’ eating habits. The objective of this study was to evaluate its effects on the urinary sodium-to-potassium ratio (Na/K), food intake, eating attitude, and behavior.MethodsUsing a pre–post design; the intervention incorporated nudge tactics, healthier options, easy-to-pick food placement, and eye-catching information. We also used price incentives. The primary outcomes included changes in Na/K and sodium and potassium excretion assessed using spot urine samples at health checkups. Secondary outcomes were changes in staff food intake, eating attitude, and behavior which were assessed using questionnaire surveys. All outcomes were evaluated statistically. Furthermore, we investigated how the intervention led to outcomes using path analysis.ResultsA total of 140 participant (52men and 88women) were analyzed. Significant changes were observed in Na/K (3.16 to 2.98 in median, p = 0.02) and potassium excretion (43.4 to 45.2 mmol/day in mean, p = 0.03). However, sodium excretion did not change significantly. The intake of fruits and dairy products increased with improved self-efficacy. The most influential factor for lowering Na/K and increasing potassium excretion was information from the CVS; purchasing “balanced meals” to lower Na/K and salads to increase potassium excretion were second.ConclusionsFood environment intervention using nudge tactics can improve staff’s food intake and lower Na/K.Trial registrationRegistration number: UMIN000049444 (UMIN-CTR).Date of registration: November. 7. 2022.

Pizza3: A general simulation framework to simulate food-mechanical and food-deconstruction problems

Current mesh-based simulation approaches face significant challenges in continuously modeling the mechanical behaviors of foods through processing, storage, deconstruction, and digestion. This is primarily due to the limitations of continuum mechanics in dealing with systems characterized by free boundaries, substantial deformations, mechanical failures, and non–homogenized mechanical properties. The dynamic nature of food microstructure and the transformation of the food bolus, in relation to its composition, present formidable obstacles in computer-aided food design. In response, the Pizza3 project adopts an innovative methodology, utilizing an explicit microstructural representation to construct and subsequently deconstruct food products in a modular, Lego-like fashion. Central to this simulation approach are “food atoms”, conceptualized from the principles of smoothed particle hydrodynamics. These units are significantly larger than actual atoms but are finely scaled to represent both solid and liquid states of food faithfully. In solid phases, food atoms interact via pairwise forces akin to bond-peridynamic methods, thus extending the capabilities of continuum mechanics to encompass large deformations and fracturing phenomena. For liquids, the model employs artificial conservative and dissipative forces, enabling the simulation of a variety of phenomena within the framework of partial compressibility. The interaction dynamics between rigid and soft objects and fluids are accurately captured through Hertzian contact mechanics, offering a versatile parameterization applicable to impermeable (but possibly penetrable) surfaces and enforcing no-slip conditions. The efficacy of this framework is showcased through the successful modeling of three time-dependent 3D scenarios, each rigorously validated against established analytical and experimental models. Advancing beyond these initial applications, the framework is further extended to more intricate cases inadequately addressed in current literature. This extension sheds light on the underlying mechanisms of in-mouth texture perception, offering new insights and tools for food engineering and design.

Impact of COVID-19 on Chinese urban consumers’ food safety knowledge and behavior – A comparative study between pre and post pandemic eras

The COVID-19 pandemic caused notable changes to the food-related habits of consumers worldwide due to their concerns about the risk of infection and the requirement to follow government mandates. To investigate the impact of the pandemic on Chinese consumers’ food safety knowledge, food safety behaviors, and their most recent food poisoning experiences, we compared the results from an online survey (n = 583, Dec 2019) conducted before the pandemic was officially announced with an identical survey (n = 599, Aug 2023) conducted seven months after the Chinese government downgraded restrictions related to COVID-19. Post-pandemic there was a significant decrease in consumers’ food safety knowledge and self-reported food safety behaviors and a significant increase in their self-reported experiences of food poisoning. Despite respondents stating that their food safety knowledge and behaviors had improved since the start of the pandemic, the data obtained from the two surveys and the respondents self-reporting of foodborne illness suggest that in fact their safety knowledge and behaviors had decreased. These findings highlight the need to reinforce food safety education and behaviors during times when the food system is disrupted, and consumers are focusing on what they perceive to be more immediate issues.

Assessment of gastroesophageal reflux disease signs, symptoms, and food behaviors concerning mental health in Herat, Afghanistan: A descriptive study.

Gastroesophageal reflux disease (GERD) is a highly prevalent gastrointestinal disorder with modifiable risk factors that are associated with considerable health and economic burdens. The current study was conducted to assess the signs and symptoms, food behaviors, depression, anxiety, and stress related to GERD in Herat, Afghanistan. A descriptive study was conducted between August 29 and October 20, 2020, among patients with GERD symptoms, who provided informed verbal consent at the Mowaffaq Clinic and Sehat Hospital in Herat, Afghanistan. The minimum sample size was 384. Data were collected using a three-domain questionnaire and Depression, Anxiety, and Stress Scale 42 standard questionnaire. SPSS version 27 was used to perform descriptive statistics and χ 2 tests. The sample consisted of 396 patients, with the majority being female (67.9%), married (78.5%), and illiterate (34.8%). Heartburn (88.1%) and regurgitation (84.3%) were the most common symptoms reported by participants. Tomato consumption (60.1%) was the most frequent type of eating behavior. Most patients reported severe anxiety (45.9%) and showed statistically significant differences in age, sex, education level, and cigarette usage. This study also found that certain demographic status, eating behaviors, and symptoms were associated with significantly different depression, anxiety, and stress scores among patients with GERD. Our study demonstrates the association between GERD and various modifiable risk factors in Herat, Afghanistan. Public health initiatives focusing on preventive measures and raising awareness can potentially alleviate the burden of GERD. Moreover, further research and targeted interventions are essential to improve health outcomes, particularly among patients with GERD, who may experience psychological comorbidities.

Project DINE: Addressing Disparities in Nutrition and Maternal Mortality and Morbidity through Nutrition and Father Engagement

Abstract: This study assessed the outcomes of an intervention (Project DINE) that added nutrition and breastfeeding education to Healthy Start programs in Georgia for a sample of Black expecting parents. Using a community-based participatory approach and a 2 × 2 randomized cluster factorial design, three of six Healthy Start sites were intervention sites. Participants completed the Adult Food and Physical Activity Behavior Questionnaire and a breastfeeding education survey pre- and post-intervention. Paired t-tests determined that there was an improvement in overall self-reported diet quality among the expecting couples (n=61; p = .025). Breastfeeding survey data showed that the percentage of correct answers increased from 78% to 84% (n=89; p=.0009) for all participants. Qualitative data were also collected through open-ended responses on the breastfeeding post-test (n=66) and focus groups with fathers (n=10). This project demonstrates the need for nutrition and breastfeeding education for both expecting parents during pregnancy to improve maternal health.

Bionomic Observations of Thereuonema tuberculata (Scutigeromorpha: Scutigeridae) with New State Records from the USA1

Abstract Thereuonema tuberculata (Wood) (Scutigeromorpha: Scutigeridae) is in exotic centipede found in the eastern and midwestern United States. I present new records for this centipede in Nebraska and the first report from Kansas. Bionomics observations on the food preferences, behavior, and endoparasites of centipedes are discussed and compared with those previously described from its native range in Asia.

Quality of Life and Psychological Changes in Bariatric Surgery: An Observational Study.

Candidates for bariatric surgery may have psychiatric disorders that must be evaluated. The aim of this study was to describe the psychological state and quality of life (QoL) of patients with obesity awaiting bariatric surgery prior to surgical procedure and 1 year after surgery. A longitudinal retrospective observational study was carried out in 71 patients awaiting bariatric surgery. Anthropometric data were collected, and the following were evaluated before and 1 year after the intervention: 44 patients were evaluated to rule out personality disorder, using the Salamanca Questionnaire of Personality Disorders; eating disorder, with the Bulimia Test of Edinburgh (BITE); depression, using the Beck Depression Inventory (BDI); and 71 patients were evaluated QoL, with the "36-Item Short Form Health Survey" (SF-36). A total of 34.1% (n = 15) of patients presented personality disorder (group B most frequent). A total of 31.8% (n = 14) obtained scores suggesting anomalous food behavior (6.8%, n = 3 severe). According to the BDI, 43.2% (n = 19) showed low mood prior to the intervention. Lower scores were obtained when evaluating QoL for physical functioning (physical function: 56.81 ± 24.9; physical problems: 66.76 ± 37.64). One year after the intervention, QoL improved in those patients who underwent the sleeve gastrectomy (SG). Patients with bariatric surgery more frequently presented with type B and C personalities. One year after bariatric surgery, an improvement in QoL test was observed. Patients who underwent SG technique showed better mean scores than those after biliopancreatic diversion.

Precision Nutrition for Management of Cardiovascular Disease Risk during Menopause.

Women can spend up to 40% of their lives in the postmenopausal state. As women begin to transition into menopause, known as perimenopause, changes in hormonal concentrations and body composition dramatically increase overall cardiometabolic risk. Dietary patterns and interventions can be utilized to prevent and treat cardiovascular disease (CVD) and some dietary patterns over others may be more beneficial due to their specific effects on the health aspects of menopause. In this narrative review, we summarize key cardiovascular alterations that occur during the menopause transition and explore current dietary recommendations to address CVD risk as well as explore the new frontier of precision nutrition and the implications for nutrition prescription during menopause. Popular dietary interventions for CVD such as the Dietary Approaches to Stop Hypertension (DASH) diet and the Mediterranean diet (MED) have limited data in women following menopause. However, both diets improve CVD risk biomarkers of total cholesterol and low-density lipoprotein cholesterol as well as lower oxidative stress and inflammation and improve endothelial function. As the menopause transition increases the risk for developing metabolic syndrome, insulin insensitivity, and dyslipidemia, the DASH diet and MED may be impactful dietary strategies for mediating CVD risk in menopausal women. However, these are "one-size-fits-all" approaches that neglect individual characteristics such as genetic predisposition and environmental factors. Precision nutrition considers individual factors for nutrition prescription, spanning from evaluating food intake preferences and behaviors to deep phenotyping. Data from a large-scale investigation of the menopause transition suggests nutritional strategies that address postprandial glycemic responses, and the gut microbiome may attenuate some of the unfavorable effects of menopause on CVD risk factors. Considering menopause, women are a clinical population that would greatly benefit from precision nutrition. Future research should explore the use of machine learning and artificial intelligence in a precision nutrition framework to modify the DASH diet and MED to address adverse effects that occur during the menopause transition are vital for supporting women's health as they age.

Impact of Globalization on Consumer Food Behaviour: A Comprehensive Review

The current market dynamics, including consumer food behaviour, are profoundly influenced by the processes of civilizational and cultural evolution, as well as the ongoing globalization phenomena. The discourse begins with an exploration of the theoretical underpinnings of globalization and its intersection with consumer food behaviour. It further delves into the broader phenomenon of globalization in the contemporary era and elucidates its specific impacts on the dietary and purchasing habits of consumers. The reviewed studies indicate that globalization has significantly influenced various aspects of consumer food behaviour. These include changes in grocery shopping patterns, an increased frequency of fast food consumption, and a heightened interest in both comfort foods and novel dining experiences. The pervasive reach of global media, multinational food corporations, and international supply chains has facilitated the widespread availability and popularity of diverse food products and dining practices across different cultures and regions. However, globalization's impact is not unidirectional. It has also catalysed the emergence of counter-movements and alternative consumer attitudes. There is a growing preference for locally sourced and environmentally sustainable food products, reflecting a backlash against the perceived homogenizing effects of globalization. Movements such as the Slow Food movement advocate for traditional and regional cuisine as a means of preserving cultural heritage and promoting sustainable agricultural practices. Additionally, heightened awareness of food safety and quality has led to an increased demand for organic and non-genetically modified food products.

Experimental assessment of the impact of food processing on δ15N values in dietary meat – Implications for paleodietary reconstruction

Stable isotope studies of bone collagen are widely applied in an attempt to understand the history and range of modern human and earlier hominin diets. The nitrogen isotope system has been extensively applied to the human bioarchaeological record to predict dietary protein sources, as nitrogen isotope ratios roughly track the trophic positionality of an organism. While the ratio of nitrogen isotopes in organisms (δ15N) tends to be reflective of trophic position, nitrogen isotope fractionation is complex and subject to many sources of variation. This study explores how human behavior might influence this variation. We experimentally investigated the impact of food-related behaviors on the δ15N dietary proxy, with specific focus on selection and processing of animal food sources. In assessing putrefaction, processing, prey choice, and fuel wood, we saw that these variables generated small shifts of ∼1.5‰ or less in the δ15N values of food items. We conclude that scavenging as a frequent dietary adaptation may be isotopically visible, but the timing of carcass scavenging likely matters. We also posit that prey species and fuel wood species might matter for the patterning of δ15N shifts produced by different types of cooking. The results of this study expand the range of contributing factors to consider when utilizing the nitrogen isotope dietary proxy and open new testable questions about the use of this method in populations where complex food behavior may be common.

Bridging the Intention-Behavior Gap in Organic Food Consumption: Empirical Evidence from China.

The transition to a low-carbon economy emphasizes the importance of green and low-carbon consumption; yet, there is often a discrepancy between consumers' intentions and their actual behavior regarding organic foods. This study aims to identify strategies to bridge this gap. The research model of organic food consumption intention and behavior is constructed, and a structural equation model is used to test the research hypotheses based on a valid sample of 480 residents of Guangdong Province through an online questionnaire survey. Further, the intention‒behavior gap is defined and its determinants are investigated through multiclass logistic regression. Finally, we categorize and forecast the alignment between consumption intentions and behaviors using machine learning algorithms. The results reveal that attitudes, social interactions, and cognitive information play crucial roles in aligning intentions with behaviors. By enhancing social information exchange or improving cognitive understanding, consumers can reduce their intention‒behavior discrepancy. This research offers valuable policy recommendations for fostering green consumption among residents from various perspectives.

Planning healthy food environments: An analysis of local government municipal public health and wellbeing policy in regional Victoria.

While there has been an increased focus on how local governments can support the creation of healthy food environments through healthy public policy, little is known about how this is reflected in public health policy in regional areas. The aim of this study was to understand how improvements to the food environment are prioritised, implemented and evaluated by local governments in regional Victoria. Using a qualitative descriptive approach, content analysis was undertaken of Municipal Public Health and Wellbeing Plans and Council Plans from 10 regional local governments in Victoria, Australia. Seventeen policy documents were analysed including 10 Council Plans, 6 Municipal Public Health and Wellbeing Plans and 1 Food Systems Strategy. Findings highlight regional public health and wellbeing plans have very few concrete actions in place to improve food environments. There is an opportunity for Australian regional local governments to include in their public health and wellbeing plans a greater emphasis on supporting healthy food behaviours, and therefore seeking opportunities to improve food environments through clearly aligned priorities, objectives, actions and measures of success. SO WHAT?: Improving the quality of public health and wellbeing plans can support local government to use policy to drive improvements in food environments leading to improved health and wellbeing for regional communities.