理解社区参与在农村食品环境改善中的应用：一项系统综述。

Understanding the Use of Community Involvement in Rural Food Environment Modifications: A Systematic Review.

作者信息

Liew Yin, Brown Leanne J, Madden Renaye, Alston Laura, Urquhart Lisa, Heaney Susan, Schumacher Tracy

机构信息

School of Health Sciences, University of Newcastle, Callaghan, New South Wales, Australia.

Department of Rural Health, University of Newcastle, Tamworth, New South Wales, Australia.

出版信息

Curr Nutr Rep. 2025 Jun 28;14(1):87. doi: 10.1007/s13668-025-00674-9.

DOI:10.1007/s13668-025-00674-9

PMID:40580242

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12206173/

Abstract

PURPOSE OF REVIEW

Rural communities experience higher rates of adverse health outcomes compared to their urban counterparts, and involving community members in intervention design and implementation is increasingly recognized as a pivotal factor in fostering successful intervention outcomes. This review aims to synthesize the evidence on rural food environment modifications globally, and to understand the role and involvement of community members in these interventions. Eligible records were dated between 1st January 2011 and 6th September 2024. Two independent reviewers conducted screening, quality assessment, and data extraction. Studies were included if they addressed a food environment, described food environment modifications, indicated community involvement, were based in regional or rural areas and published in English. The Mixed Methods Appraisal Tool was used to assess the risk of bias. Results were reported as a narrative synthesis.

RECENT FINDINGS

Thirty-three studies were eligible for inclusion following appraisal of full texts, comprised of 46 reports. Of these, 12 studies (16 reports) focused on First Nations populations and will be reported separately, due to the complex and sensitive nature of engaging with these communities. Therefore, 21 studies (30 reports) were included in this review. Study designs were heterogenous. Restaurants, supermarkets and schools were a common focus for modifications, while some programs simultaneously targeted several food environments. However, community involvement was inconsistently reported across studies, making conclusions about involvement difficult.

SUMMARY

Standardized reporting of the involvement of community members is needed to ensure systematic and authentic approaches to community involvement are integrated into rural public health interventions and research to enhance success.

REGISTRATION

Prospero; CRD42023400455.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s13668-025-00674-9.

摘要

综述目的

与城市社区相比，农村社区的不良健康结局发生率更高，让社区成员参与干预设计和实施越来越被视为取得成功干预结果的关键因素。本综述旨在综合全球范围内关于农村食物环境改善的证据，并了解社区成员在这些干预措施中的作用和参与情况。纳入的记录时间为2011年1月1日至2024年9月6日。两名独立评审员进行筛选、质量评估和数据提取。如果研究涉及食物环境、描述了食物环境改善、表明有社区参与、基于地区或农村地区且以英文发表，则纳入研究。使用混合方法评估工具评估偏倚风险。结果以叙述性综述的形式呈现。