Objective: To evaluate the feasibility of undertaking a food skills intervention study in areas of social deprivation aimed at altering cooking confidence, food preparation methods and dietary choices. Design: A standardised skills programme was implemented in community-based settings. Pre-(T1) and post-intervention (T2) and 6-month follow-up (T3) measures (7-day diaries and self-administered questionnaires) were undertaken in intervention and comparison groups. Setting: Eight urban communities in Scotland. Subjects: One hundred and thirteen adults living in areas of social deprivation. Results: It was clear that many subjects led fragmented lives and found commitment to intervention classes problematic. Sixty-three subjects completed the final (T3) assessments. The response to each component varied due to inability to attend sessions, illness, study requirements, employment, moving out of the area, change in circumstances, loss of interest and loss of postal questionnaires. At baseline, reported consumption of fruit and vegetables was low (mean frequency 8.1^4.78 times per week). Fruit intake increased significantly (P, 0.05) between T1 and T2 in the intervention group (1.7^2.36 to 2.7^3.28 times per week) only. Between T1 and T3, there was a significant increase (P , 0.05) in intervention subjects who reported confidence in following a recipe (67 -90%,).Conclusions: This exploratory trial shows that a food skills intervention is likely to have a small but positive effect on food choice and confidence in food preparation. A full-scale randomised controlled trial in this hard-to-reach group would require a range of flexible approaches rather than a fully defined intervention, and presents challenges for trial design.

Food poverty is an important contributing factor to health inequalities in industrialized countries; it refers to the inability to acquire or eat an adequate quality or sufficient quantity of food in socially acceptable ways (or the uncertainty of being able to do so). Synonymous with household food insecurity, the issue needs to be located within a social justice framework. Recognising the clear interdependence between the right to food and the right to health, this paper explores how international human rights obligations could inform approaches to addressing food poverty and insecurity with specific reference to Ireland and the UK. Little attention has been paid to how countries should meet their obligations to respect, protect and fulfil the right to food in developed countries. The paper contributes by examining the social and policy circumstances which inhibit poor households from obtaining sufficient food to eat healthily, along with strategies and interventions from State and civil society actors in the two countries. In practice, problems and potential solutions have largely been directed towards the individual rather than at social determinants, particularly as research on environmental factors such as distance to shops has produced equivocal results. Other key structural aspects such as income sufficiency for food are broadly ignored by the State, and anti-poverty strategies are often implemented without monitoring for effects on food outcomes. Thus scant evidence exists for either Ireland or the UK meeting its rights to food obligations to date, in terms of roles and responsibilities in ensuring access to affordable, available and appropriate food for all.

Modes of food production-consumption defined as 'alternative' have received considerable academic attention, with studies exploring both their potential for contributing to rural development strategies and the opportunities they provide for countering established power relations in food supply systems. However, the use of the term 'alternative' as part of a persistent dualism in which it is opposed to the 'conventional' is problematic as it loses sight of the specificity of different examples food production-consumption. Based on extensive field research with a series of very different food projects, this article develops a methodological framework which structures a description of how specific examples of food production-consumption are organised with reference to a series of analytical fields. This framework retains a sense of the diversity and particularity of particular cases of production-consumption, and directs attention to the particular locations of resistance to prevalent power relations in food systems that are made possible through different food projects.

A number of 'food scares' over the past decade in Europe have generated considerable debate about public understandings of food risk, and the extent to which such understandings impact on decision making. This paper reports on a focus group study of how UK consumers discuss choosing safe food. Strategies for making food choices were, in general, characterised by confidence rather than anxiety. Although concerned in an abstract way with the safety of food and how it was monitored, 'risk' and 'safety' were rarely the primary discursive framework used for justifying food choices. Other discourses, such as health, naturalness, economy and convenience, competed with, overlapped with or were legitimated by that of 'risk'. However, everyday decision making was presented as a routine endeavour, aided by a number of 'short cuts' or rules of thumb for establishing food choices as routine and unremarkable. These short cuts divided safe from risky categories of food, but also divided preferred from despised foodstuffs in relation to other food discourses. Rules of thumb provided useful rhetorical devices for routinising accounts of food choice. In practice, however, rules of thumb are reported as being utilised in complex and contingent ways. They thus provide a sophisticated bulwark against the uncertainties of food risks when events (such as the media concern over BSE) threaten everyday trust in routine decisions.

Background: To assess whether monthly home visits from trained volunteers could improve infant feeding practices at age 12 months, a randomised controlled trial was carried out in two disadvantaged inner city London boroughs. Methods: Women attending baby clinics with their infants (312) were randomised to receive monthly home visits from trained volunteers over a 9-month period (intervention group) or standard professional care only (control group). The primary outcome was vitamin C intakes from fruit. Secondary outcomes included selected macro and micro-nutrients, infant feeding habits, supine length and weight. Data were collected at baseline when infants were aged approximately 10 weeks, and subsequently when the child was 12 and 18 months old. Results: Two-hundred and twelve women (68%) completed the trial. At both follow-up points no significant differences were found between the groups for vitamin C intakes from fruit or other nutrients. At first follow-up, however, infants in the intervention group were significantly less likely to be given goats' or soya milks, and were more likely to have three solid meals per day. At the second follow-up, intervention group children were significantly less likely to be still using a bottle. At both follow-up points, intervention group children also consumed significantly more specific fruit and vegetables. Conclusions: Home visits from trained volunteers had no significant effect on nutrient intakes but did promote some other recommended infant feeding practices. Trial registration: Current Controlled Trials ISRCTN55500035Nutrition in early life is a key determinant of growth, development and health status, both in childhood and later adult life. Current UK recommendations advise all mothers to exclusively breastfeed for 6 months, and to delay introducing solids until at least 6 months. [3][4][5] Data from national surveys show that infant feeding practices in the UK are, however, highly variable.6 7 The 2005 Infant Feeding Survey indicated some encouraging trends with 76% of mothers across the UK initiating breastfeeding. However, rates fell steeply after a few weeks and less than 1% of mothers were exclusively breastfeeding at 6 months.6 Stark social inequalities were evident, with breastfeeding rates highest amongst older, middle-class and educated mothers. The 2005 survey also reported that 51% of mothers had introduced solids by 4 months and only 2% had delayed introducing solids until 6 months. Mothers giving solids when babies were 4-6 months were more likely to provide commercially prepared foods (85%) than home prepared (51%), and only 46% had given fruit. 6A substantial body of research has evaluated interventions aimed at increasing the initiation, and to lesser extent, the duration of breastfeeding.8 9 In contrast, very few well-designed studies have evaluated interventions focusing on the later stages of infant feeding beyond breastfeeding. 10Recent National Institute of Health and Clinical Excellence (NICE) guidance has highlighted the paucity o...

The contribution of food, nutrition and physical activity to inequalities in health across Europe is largely unexplored. This paper summarizes cross sectional survey data on food patterns and nutrient intakes, and briefer data on physical activity, by various indicators of socio-economic status for countries across Europe. Factors are examined which underlie the outcome data seen. These include structural and material conditions and circumstances which contribute to excluding sociodemographic groups from participating in mainstream patterns of living. Trends in social and economic conditions, and their implications for nutritional and physical wellbeing are briefly outlined.

Recent European literature on 'alternative' food networks (AFNs) draws heavily upon an apparently accessible and diverse body of non-conventional food networks in the agrofood sector and whilst researchers frequently refer to individual examples of farmers markets, box schemes, producer cooperatives and community-supported agriculture projects, less attention is given to the methodological processes that facilitate the identification and examination of these networks. From the preliminary stages of a research project focusing on examples of AFNs,2 this paper examines the process of operationalizing AFNs research and reviews the difficulties associated with identifying, comparing and characterizing AFNs.

Reconnecting Consumers, Producers and Food presents a detailed and empirically grounded analysis of alternatives to current models of food provision. The book offers insights into the identities, motives and practices of individuals engaged in reconnecting producers, consumers and food. Arguing for a critical revaluation of the meanings of choice and convenience, Reconnecting Consumers, Producers and Food provides evidence to support the construction of a more sustainable and equitable food system which is built on the relationships between people, communities and their environments.