Worksite-based research and initiatives to increase fruit and vegetable consumption
Worksite-based research and initiatives to increase fruit and vegetable consumption
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DOI：
10.1016/j.ypmed.2003.12.020
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发表时间：
2004-09-01
影响因子：
5.1
通讯作者：
Hunt, MK
中科院分区：
文献类型：
--
作者：
Sorensen, G;Linnan, L;Hunt, MK
背景。促进增加水果和蔬菜消费的工作场所倡议包括一系列广泛的计划。一些举措侧重于物理和信息环境，其双重目标是增加健康食品选择的可得性，并通过选择点标签和标志提供教育和支持。作者回顾了最近关于综合工作场所健康促进计划的文献，这些计划解决了某种类型的环境/组织干预来增加水果/蔬菜的消费。这项审查表明，环境/组织倡议依赖于管理承诺、监督支持和支持性组织结构来长期维持政策努力。以社会生态方法为基础，提高了项目的有效性；让工人参与项目规划和实施（例如，员工咨询委员会和同行提供的干预措施）；应对多种（相对于单一）变化风险因素；并整合工人更广泛的社会背景（如家庭、社区等）。未来基于工作场所的干预措施的优先事项包括确定和减少组织和环境变化的障碍，解决水果和蔬菜消费中的社会差异，解决驱动行为的社会背景因素，以及建立扩大的社区伙伴关系网络。未来的研究需要确定将产生有意义的水果和蔬菜消费增加的关键政策和计划组成部分；工作场所组织和环境变化的阻碍者/推动者；有效的社区参与性方法；以及在所有工作场所传播具有成本效益的干预措施的方法。(C) 2004癌症预防研究所和爱思唯尔公司。版权所有。
Background. Worksite initiatives to promote increased consumption of fruits and vegetables include a wide range of programs. Some initiatives focus on the physical and informational environments, with the dual aim of increasing the availability of healthful food options and providing education and support through point-of-choice labeling and signage.Methods. Authors reviewed recent literature on comprehensive worksite health promotion programs that have addressed some type of environmental/organizational intervention to increase fruit/vegetable consumption.Results. This review revealed that environmental/organizational initiatives rely on management commitment, supervisory support, and supportive organizational structures to sustain policy efforts over time. Program effectiveness is enhanced when they are based on social ecological approaches; include worker participation in program planning and implementation (e.g. employee advisory boards and peer-delivered interventions); address multiple (vs. single) risk factors for change; and integrate workers' broader social context (e.g. families, neighborhoods, etc.).Conclusions. Priorities for future worksite-based interventions include identifying and reducing barriers to organizational and environmental change, addressing social disparities in fruit and vegetable consumption, addressing social contextual factors driving behaviors, and building expanded networks of community partnerships. Future research is needed to identify key policy and program components that will yield meaningful increases in fruit and vegetable consumption; bartiers/facilitators of organizational and environmental change within worksites; effective community-based participatory methods; and methods to disseminate cost-effective interventions for all worksites. (C) 2004 The Institute For Cancer Prevention and Elsevier Inc. All rights reserved.