The healthy food environment policy index: findings of an expert panel in New Zealand.
The healthy food environment policy index: findings of an expert panel in New Zealand.
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DOI：
10.2471/blt.14.145540
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发表时间：
2015-05-01
影响因子：
11.1
通讯作者：
International Network for Food and Obesity/non-communicable diseases Research, Monitoring and Action Support
中科院分区：
文献类型：
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作者：
Vandevijvere S;Dominick C;Devi A;Swinburn B;International Network for Food and Obesity/non-communicable diseases Research, Monitoring and Action Support
根据健康食品环境政策指数，评估新西兰政府为改善食品环境健康所采取的行动。一个由52名公共卫生专家组成的小组根据国际最佳做法，对政府执行食品环境政策和基础设施支持的42项指标的程度进行了评级。他们的评级是根据政府官员和国际基准验证的书面证据得出的。一些指标的执行率很高：提供成分清单和营养素说明，规范包装食品的健康声明;政策制定的透明度;监测非传染性疾病的流行情况和监测非传染性疾病的风险因素。以下指标几乎没有得到执行：限制向儿童销售不健康食品;财政和食品零售政策以及在贸易协定范围内保护国家食品环境。评价者间可靠性为0.78（95%置信区间，CI：0.76-0.79）。根据执行方面的差距，专家们建议采取34项行动，并将其中7项列为优先事项。健康食品环境政策指数提供了一套有用的指标，可以将注意力集中在需要政府采取行动的地方。预计这一政策指数将加强政府的问责制，激励政府采取行动，并支持民间社会的宣传努力。
To assess government actions to improve the healthiness of food environments in New Zealand, based on the healthy food environment policy index. A panel of 52 public health experts rated the extent of government implementation against international best practice for 42 indicators of food environment policy and infrastructure support. Their ratings were informed by documented evidence, validated by government officials and international benchmarks. There was a high level of implementation for some indicators: providing ingredient lists and nutrient declarations and regulating health claims on packaged foods; transparency in policy development; monitoring prevalence of noncommunicable diseases and monitoring risk factors for noncommunicable diseases. There was very little, if any implementation of the following indicators: restrictions on unhealthy food marketing to children; fiscal and food retail policies and protection of national food environments within trade agreements. Interrater reliability was 0.78 (95% confidence interval, CI: 0.76–0.79). Based on the implementation gaps, the experts recommended 34 actions, and prioritized seven of these. The healthy food environment policy index provides a useful set of indicators that can focus attention on where government action is needed. It is anticipated that this policy index will increase accountability of governments, stimulate government action and support civil society advocacy efforts.