Using a global food environment framework to understand relationships with food choice in diverse low- and middle-income countries

This study aimed to determine if the Turner et al. (2018) framework allows researchers to identify and study relationships between food environments and individual food choice in diverse contexts and if updates to the framework are warranted. We mapped evidence from 15 drivers of food choice projects to the framework, using thematic analysis to identify common drivers within the food environment across countries and emergent characteristics not listed in the framework. The framework contained breadth and depth of content necessary to identify common drivers – prices and affordability, availability, and vendor and product properties. Insights regarding common drivers and emergent characteristics may inform iterative development of conceptual and empirical research and reinforce current strategies seeking to improve nutrition and health outcomes in LMICs through targeted policies and interventions. •Frameworks align theoretical concepts and empirical research to set research agendas and inform policies and interventions.•The Turner et al. (2018) framework is useful for food environment and food choice research in diverse settings.•Food prices and affordability, availability, and quality and safety may be entry points to promote sustainable healthy diets.•Food environment concepts should consider food safety perspectives, social forces, gender dynamics, stability, and food system drivers.