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ABSTRACT Plastic pollution arising from food systems is driving policies for reduction, removal, reuse and recycling, but literature on plastic uses and outcomes across subsectors is
fragmented. We use a systematic scoping review to describe the extent, range and nature of published evidence since 2000 on seven major plastic types used at any point within food systems
and their quantifiable effects on the environment, food security and human health. Although the majority of publications focus on agricultural production, relatively fewer consider retail,
household and food waste disposal plastics. Gaps in the research include evidence from low- and middle-income countries, health or food security and/or economic outcomes generated from human
population studies—and the subsequent environmental and human health effects. A greater understanding of this disparate evidence landscape is essential to formulate coherent research
strategies to inform potential policy actions and assess trade-offs across economic and environmental targets, human health and food security. Access through your institution Buy or
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THE FOOD SYSTEM Article Open access 06 March 2025 STRENGTHENING GLOBAL PLASTIC POLICY WITH SYSTEMS ANALYSIS Article 22 April 2025 THE USE OF PLASTIC AS A HOUSEHOLD FUEL AMONG THE URBAN POOR
IN THE GLOBAL SOUTH Article 18 February 2025 DATA AVAILABILITY The data for this review are available as an open access interactive gap map, accessible online via
https://anh-academy.org/foodplastics_EGM.html. The search strategy and coding framework are available as Supplementary Information. Citations of studies eligible in this review are available
in alternative formats from the corresponding author upon reasonable request. Source data are provided with this paper. CODE AVAILABILITY The full coding strategy used for data extraction
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identification methods in systematic reviews. _Syst. Rev._ 5, 140 (2016). Article Google Scholar Download references ACKNOWLEDGEMENTS This review was conducted in partnership with the
Campbell Collaboration, for which we acknowledge the wider support of A. Saran, V. Welch, A. Bhavsar and A. O’Connor, as well as the EPPI Reviewer team at the University College London,
which includes J. Brunton, Z. Grouze and S. Graziosi. We thank J. Eyers for his specialist input in crafting our search strategy. Substantial contributions were also made by London School of
Hygiene & Tropical Medicine and Campbell-affiliated data screeners and coders, which include L. Hishi, A. Noubani, N. Ashley dela Cruz, P. Hawkins and A. Clarke. We express thanks to E.
Joy, T. Sparling and T. Galloway for ad hoc guidance concerning the process and/or content of the review. We thank O. Kolade for her programme management support via IMMANA. This study was
funded through UK Aid from the UK Government and the Bill & Melinda Gates Foundation via the Innovative Methods and Metrics for Agriculture and Nutrition Actions (IMMANA) programme,
based at the London School of Hygiene & Tropical Medicine. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * London School of Hygiene and Tropical Medicine, London, UK Joe Yates, Megan
Deeney, Heike B. Rolker, Sofia Kalamatianou & Suneetha Kadiyala * The Campbell Collaboration, New Delhi, India Howard White Authors * Joe Yates View author publications You can also
search for this author inPubMed Google Scholar * Megan Deeney View author publications You can also search for this author inPubMed Google Scholar * Heike B. Rolker View author publications
You can also search for this author inPubMed Google Scholar * Howard White View author publications You can also search for this author inPubMed Google Scholar * Sofia Kalamatianou View
author publications You can also search for this author inPubMed Google Scholar * Suneetha Kadiyala View author publications You can also search for this author inPubMed Google Scholar
CONTRIBUTIONS The project was conceptualized by J.Y., M.D., S. Kalamatianou, and S. Kadiyala. Data were curated by M.D., H.B.R., J.Y. and S.Kadiyala. The formal analysis was by H.B.R., M.D.
and J.Y. The investigation was carried out by J.Y., M.D., H.B.R., S. Kadiyala and H.W. The methodology was designed by J.Y., M.D., H.B.R. and S. Kadiyala. H.W. supervised the project.
Visualization was by M.D., H.B.R. and J.Y. The original draft was written by J.Y., M.D. and H.B.R., and reviewed and edited by J.Y., M.D., H.B.R., S. Kadiyala and H.W. CORRESPONDING AUTHOR
Correspondence to Joe Yates. ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no competing interests. ADDITIONAL INFORMATION PEER REVIEW INFORMATION _Nature Food_ thanks Micah
Peters, Veena Sahajwalla, Pieter van Beukering and the other, anonymous, reviewer(s) for their contribution to the peer review of this work. PUBLISHER’S NOTE Springer Nature remains neutral
with regard to jurisdictional claims in published maps and institutional affiliations. SUPPLEMENTARY INFORMATION SUPPLEMENTARY INFORMATION Supplementary Methods 1–3. SOURCE DATA SOURCE DATA
FIG. 3 Volume of literature (total studies) found according to food system subsectors and outcome domain. SOURCE DATA FIG. 4 Plastic use (exposure) and outcome categories under three impact
domains (total studies at the nexus of each relationship). SOURCE DATA FIG. 5 Number of publications by plastic type and impact domain. SOURCE DATA FIG. 6 Frequency of study designs used to
investigate the effects of plastic use in different food system subsectors. RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Yates, J., Deeney, M.,
Rolker, H.B. _et al._ A systematic scoping review of environmental, food security and health impacts of food system plastics. _Nat Food_ 2, 80–87 (2021).
https://doi.org/10.1038/s43016-021-00221-z Download citation * Received: 23 March 2020 * Accepted: 11 January 2021 * Published: 18 February 2021 * Issue Date: February 2021 * DOI:
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