Measuring and stimulating progress on implementing widely recommended food environment policies: the New Zealand case study.

Measuring and stimulating progress on implementing widely recommended food environment policies: the New Zealand case study.
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在实施广泛推荐的食品环境政策方面衡量和刺激进展:新西兰案例研究。

DOI:
10.1186/s12961-018-0278-0
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发表时间:
2018-01-25
影响因子:
4
通讯作者:
Swinburn B
Swinburn B
中科院分区:
医学2区
文献类型:
--
作者:
Vandevijvere S;Mackay S;Swinburn B

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监测各国政府广泛推荐的食品环境政策的执行程度,是推动在改善人口营养健康方面取得进展的重要组成部分。新西兰于2017年第二次应用健康食品环境政策指数(Food-EPI)(2014年首次应用),以衡量广泛推荐的食品环境政策的执行进展情况。一个由71名独立(n = 48人)和政府(n = 23人)公共卫生专家组成的全国小组使用了一份经政府官员核实的广泛证据文件,根据国际最佳做法对政府执行47项政策和基础设施支助良好做法指标的程度进行了评级。专家们提出了解决已查明的重大执行差距所需的具体行动,并确定了优先次序。评分者之间的可靠性很好(GWET的AC2 &> 0.8)。与国际基准相比,大约一半(47%)的指标被评为执行“低”或“非常少”,自2014年以来有所下降(60%)。与政策指标(70%)相比,基础设施支持的比例(29%)较低,被评为执行情况“很低”或“很少”。专家们建议采取53项行动,其中9项优先立即执行;其中3项优先行动与2014年相同。绝大多数专家一致认为,食品-计划免疫计划可能有助于有益的政策变化,并增加他们对食品环境和政策的了解。食品计划署有可能加强各国政府在执行广泛推荐的食品环境政策和减轻肥胖和与饮食有关的疾病的负担方面的责任。本文的在线版本(10.1186/s12961-0180278-0)包含向授权用户提供的补充材料。
Monitoring the degree of implementation of widely recommended food environment policies by national governments is an important part of stimulating progress towards better population nutritional health. The Healthy Food Environment Policy Index (Food-EPI) was applied for the second time in New Zealand in 2017 (initially applied in 2014) to measure progress on implementation of widely recommended food environment policies. A national panel of 71 independent (n = 48) and government (n = 23) public health experts rated the extent of implementation of 47 policy and infrastructure support good practice indicators by the Government against international best practice, using an extensive evidence document verified by government officials. Experts proposed and prioritised concrete actions needed to address the critical implementation gaps identified. Inter-rater reliability was good (Gwet’s AC2 > 0.8). Approximately half (47%) of the indicators were rated as having ‘low’ or ‘very little, if any’ implementation compared to international benchmarks, a decrease since 2014 (60%). A lower proportion of infrastructure support (29%) compared to policy (70%) indicators were rated as having ‘low’ or ‘very little, if any’ implementation. The experts recommended 53 actions, prioritising nine for immediate implementation; three of those prioritised actions were the same as in 2014. The vast majority of experts agreed that the Food-EPI is likely to contribute to beneficial policy change and increased their knowledge about food environments and policies. The Food-EPI has the potential to increase accountability of governments to implement widely recommended food environment policies and reduce the burden of obesity and diet-related diseases. The online version of this article (10.1186/s12961-018-0278-0) contains supplementary material, which is available to authorized users.
DOI: 10.1017/s1368980016002391
发表时间: 2017-02-01
影响因子: 3.2
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DOI: 10.2471/blt.14.150565
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期刊: LANCET
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DOI: 10.1016/s0140-6736(16)30054-x
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期刊: Lancet (London, England)
影响因子: --
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DOI: 10.2471/blt.14.145540
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