The streets I grew up in were lined with a category of outlet that outnumbered any other, by far. In fact, on one stretch of high street there were five variations of this shop, stood side by side.
As a fourteen-year-old I’d use these places to hang with my classmates after school; laugh with and learn from them, joke with the shop owner and receive occasional nuggets of life advice from girls in the year above, sitting at the adjacent table.
Its green tinged light and constant sizzle of hot wings, the encounters with ‘bossman’ and hours around greasy tables, paint such familiar scenes for me and many others living in inner city boroughs
The humble fried chicken shop. A fortress of post-school happenings.
Fast forward five years and I find myself sat in a seminar at medical school, tackling the health crisis that looms, wondering how preventative medicine can help reshape the bleak future of an obesity and life-style-related disease epidemic.
My mind flicks back to the endless afternoons spent in the fried chicken shop. Be it an independent outlet or part of a larger chain. Perhaps PFC (Perfect Fried Chicken) or HFC (Halal Fried Chicken) or even KHF (non-abbreviated form remains unknown). And for the first time I’m questioning, I mean really dissecting, why we all ended up in there.
We were there because the food was cheap, yes.
We were there because we could be boisterous dressed in our blazers and clip on ties, yes.
We were there because hot chips drenched in three types of luminous sauce were delicious, yes.
We were there because, well, they were there (One statistic stated that there are 42 fast food outlets per secondary school in Tower Hamlets, the borough I grew up in).
But it dawned on me that there was something at the root of all this, meaning our local fried chicken shops were much more than their fried chicken.
Fundamentally, they provided a space.
Where other services had failed or simply ceased to exist, these fast food outlets were filling a void.
Where else could we go?
In an area where overcrowded homes were the norm, where gentrification was creeping up the main road, shop by shop, bringing with it all its nuanced trends and too-expensive prices, the places my friends and I could go, after school and before going home, were limited.
And so all too often, the fried chicken shops were where we’d be.
Digging further into my memories of our after-school activities, I realised that our oblivion to the crucial service these chicken shops were providing, meant we had some false sense of choice.
Buying our three wings and chips for a pound, socialising with our friends and making decisions about how we spent our time away from school or home were all very independent activities. We were exercising our agency as developing young people.
But how much control or choice did we truly have?
Amongst other things, there were societal limitations, failures of local youth services, unsafe streets, a lack of safe social spaces and a housing crisis to blame for leading us blindly to these hubs.
These were spaces that were achieving so much in aiding our social development, yet simultaneously damaging our health by, what I see now as, the secondary service they provided; fast food.
Discussion of health choices and health behaviours in the seminar room don’t seem as straight forward now.
Did we really have any other choice back then? Local spaces we could sit talking for hours on a dreary afternoon with a pound in our pocket and an uncontainable energy for life?
And what about beyond the fried chicken shops, how much true choice do any of us have when it comes to the food that we consume?
As a starting point, we need to consider the intersections of sectors supposedly distinct from health if we are to take on what we are labelling as a ‘health emergency’.
Akashi Alam is a third year medical student studying in London. She grew up in Tower Hamlets in a dual heritage home. In 2018 she gave a talk titled ‘Why fried chicken shops are essential spaces for young people’ at TEDxLondon.
The Challenges to Choice blog series
To coincide with the recent release of the Food Diaries film project, which works with over 100 children across 7 countries to explore their food environments and their exposure to unhealthy diets, this mini-series, challenges to choice, highlights some of the challenges we face to live healthier lives. These blogs works to highlight a series of challenges that lie not within the relationship between the individual and the food they eat but outside it- highlighting that our poor diets are being driven by other societal issues which demand government attention, civil society momentum and regulation of corporations if we wish to create healthier societies as the new norm.
Contrary to what certain headlines might have us believe, the limitations to our ‘choice’ of what we eat do not just lie in nanny state governments, taxes and regulation. Across much of the world the everyday environments around us, often perceived as representing freedom of choice, are hampering our ability to lead healthy lives and eat well. Rather than focusing on the failure of the individual, this series highlights some of the ways in which the environments around us are limiting our choices when it comes to achieving a healthy diet.
Cities are rarely planned with health as a priority, portion sizes have grown larger and now appear normal, and socio-economic inequalities mean that some are more able than others to achieve a healthy diet. The rise of hugely profitable private sector corporations and the limited role of the state in regulating these has led to environments where living a healthy life is not an expected norm but something we all have to work increasingly hard to achieve - living environments that are not 'fit for purpose' when it comes to promoting health, and which, if we are to effectively and equitably improve diets and address non-communicable diseases, must be addressed.
The Food Diaries Film Project
What is driving what young people are eating across the globe? Working with over 100 children and across schools in Afghanistan, Bangladesh, Nepal, Pakistan, Tunisia, Vietnam and the UK, we've been exploring this question to better understand, from the perspectives of young people, the food environments they exist within and what they think is driving unhealthy diets. Find out more here.
Dr Ayesha Ahmad explores the power of storytelling, the passages of our experiences and the shadows that they bring to light shapes the prism through which the COvid-19 pandemic is perceived.
Global Health 50/50 Dissertation winner, Lesly Samara Vejar, explores how gender constructs limit women's access to public space and better health and how the power to move freely through cycling could be the key to improving health, wellness and social relations.
A child watching children’s TV in Nepal for an hour a day views over 30 minutes of ads each week for unhealthy foods high in saturated fats, trans-fatty acids, free sugars, or salt; a child watching the Cartoon Network in Bangladesh sees ten ads for chocolate every hour; and in schools in the Philippines, a child can see images promoting Coca Cola, Pepsi and Nestlé. As part of the challenges to choice series, Laura Fisher looks at the growing problem of advertising to children in low- and middle-income countries, the lack of regulation in place to address it, and where responsibility should lie for changing this.
In the third blog of our Challenges to Choice series, Kohenour Akter explores how participatory group interventions helped reveal gender-specific barriers to better diets and find workable solutions to these, arguing that communities themselves are often best placed to locate barriers, as well as solutions, to healthier diets.