The Navajo Nation Healthy Diné Nation Act: Community Support of a 2% Tax on Unhealthy Foods.
The Navajo Nation Healthy Diné Nation Act: Community Support of a 2% Tax on Unhealthy Foods.
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DOI：
10.1097/phh.0000000000001753
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发表时间：
2023-09-01
影响因子：
3.3
通讯作者：
de Heer, Hendrik D.
中科院分区：
文献类型：
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作者：
Curley, Caleigh;Eddie, Regina;Tallis, Kristen;Lane, Taylor S.;Yazzie, Del;Sanderson, Priscilla R.;Lorts, Cori;Shin, Sonya;Behrens, Timothy K.;George, Carmen;Antone-Nez, Ramona;Ashley, Christine;de Heer, Hendrik D.
2014年的《健康饮食国家法案》（HDNA）包括对纳瓦霍民族几乎没有营养价值的食品（“垃圾食品”）征收2%的税。这项法律是美国和世界上任何土著民族的第一部法律，这些民族的人口面临着常见营养相关疾病的高风险。迄今为止，关于土著民族对食品税立法的社区支持的研究完全缺乏。评估对dna的支持程度以及与支持相关的因素，包括社会人口变量、对dna的了解、营养摄入和价格偏好。横断面调查。纳瓦霍族。共有来自21个社区的234名纳瓦霍族社区成员。支持dna的参与者的百分比。参与者97%为纳瓦霍人，平均为中年人，67%年收入低于2.5万美元，69.7%为女性。一半的受访者表示“支持”（37.4%）或“强烈支持”（13.0%），另有35%的人表示中立或有些支持；15%的人不支持该税。收入高（P = 0.025）、受教育程度高（P = 0.026）、了解立法（“非常好”vs“根本不”）的参与者获得更大支持的几率更高，相信dna会使纳瓦霍人更健康的人（P < 0.001）也有同样的可能性。年龄、性别、语言和报告的营养摄入（健康或不健康）与dna支持无关，但愿意为快餐和苏打水支付5%或12%-15%的价格的参与者获得更大支持的几率增加(P值范围从。023至<.001)。接受调查的大多数纳瓦霍社区成员都适度支持纳瓦霍国家对不健康食品征税。较高的收入、受教育程度和对法律的理解与更多的支持有关，但营养摄入与此无关。
The Healthy Diné Nation Act (HDNA) of 2014 included a 2% tax on foods of little-to-no-nutritious value (“junk foods”) on the Navajo Nation. The law was the first ever in the United States and any Indigenous nation worldwide with a population at a high risk for common nutrition-related conditions. To date, research on community support for food tax legislation among Indigenous nations is entirely lacking. To assess the extent of support for the HDNA and factors associated with support including sociodemographic variables, knowledge of the HDNA, nutrition intake, and pricing preferences. Cross-sectional survey. The Navajo Nation. A total of 234 Navajo Nation community members across 21 communities. The percentage of participants who were supportive of the HDNA. Participants were 97% Navajo, on average middle-aged, 67% reported an income below $25 000 annually, and 69.7% were female. Half of the respondents said they “support” (37.4%) or “strongly support” (13.0%) the tax, while another 35% of people said they were neutral or somewhat supportive; 15% did not support the tax. Participants with higher income (P = .025) and education (P = .026) and understanding of the legislation (P < .001 for “very well” vs “not at all”) had increased odds of greater support, as did people who believed that the HDNA would make Navajo people healthier (vs not, P < .001). Age, gender, language, and reported nutrition intake (healthy or unhealthy) were not associated with HDNA support, but participants willing to pay 5% or 12%-15% higher prices for fast food and soda had increased odds of greater support (P values range from .023 to <.001). The majority of Navajo community members surveyed were moderately supportive of the Navajo Nation tax on unhealthy foods. Higher income and education and understanding of the law were associated with greater support, but nutrition intake was not.
成功实施了《纳瓦霍民族》商店的《健康迪尼国家法》。
影响因子：
2.8
作者：
George C;Bancroft C;Salt S;Curley C;Curley C;Eddie R;Edison T;de Heer H;Sanderson PR;Yazzie D;Antone-Nez R;Shin S
通讯作者：
Shin S
影响因子：
3.7
作者：
Colchero MA;Guerrero-López C M CM;Barrientos-Gutiérrez T T;Salmerón J J;Bautista-Arredondo S
通讯作者：
Bautista-Arredondo S