Original contributions: Food security/eating behavior and public health nutrition/policy

2000 ◽  
Vol 100 (9) ◽  
pp. A59-A60

Sustainability and nutrition 380 Sustainable development 382 Food security 383 Climate change and obesity 384 Useful websites and further reading 388 The public health nutrition field has identified a need to encompass the inter-relationship of man with his environment (The Giessen Declaration, 2005). Ecological public health nutrition places nutrition within its wider structural settings including the political, physical, socio-cultural and economic environment that influence individual behaviour and health. As a consequence, it includes the impact of what is eaten on the natural environment as well as the impact of environmental and climate change on all components of food security, i.e. on what food is available, accessible, utilizable and stable (...


2009 ◽  
Vol 12 (9) ◽  
pp. 1531-1539 ◽  
Author(s):  
Shanthi Thuraisingam ◽  
Lynn Riddell ◽  
Kay Cook ◽  
Mark Lawrence

AbstractObjectiveNutrient Reference Values (NRV) are evidence-based benchmarks for assessing the dietary adequacy of individuals and population groups as well as informing public health nutrition policies and programmes. The present paper presents the findings of an analysis of the views of submitters to a draft document associated with the development of the 2006 NRV for Australia and New Zealand. The aim of the study was to explore how these views were reflected in the policy-making process and final policy document.DesignThe information necessary to fulfil this aim required access to stakeholder submissions to the NRV development process and this necessitated exploiting the provisions of the Commonwealth of Australia’s Freedom of Information (FOI) Act 1982. We understand that the present research represents the first time that an FOI request seeking information about a National Health and Medical Research Council food and nutrition policy process has been made and therefore is novel in its approach to public health nutrition policy analysis.ResultsThe analysis of stakeholder submissions identified that stakeholders had particular concerns about the conduct of the review process and the future application of the nutrient values to policy and programmes. There is a lack of evidence that the majority of stakeholder comments were addressed in the final NRV document.ConclusionAlthough these findings cannot be interpreted to assess the validity or otherwise of the set nutrient values, they do raise questions about the process for their development and the adequacy of the final document to reflect the views of key stakeholders.


2015 ◽  
Vol 19 (11) ◽  
pp. 2070-2078 ◽  
Author(s):  
Katherine Cullerton ◽  
Timothy Donnet ◽  
Amanda Lee ◽  
Danielle Gallegos

AbstractObjectivePoor dietary intake is the most important behavioural risk factor affecting health globally. Despite this, there has been little investment in public health nutrition policy actions. Policy process theories from the field of political science can aid understanding why policy decisions have occurred and identify how to influence ongoing or future initiatives. The present review aims to examine public health nutrition policy literature and identify whether a policy process theory has been used to analyse the process.DesignElectronic databases were searched systematically for studies examining policy making in public health nutrition in high-income, democratic countries.SettingInternational, national, state and local government jurisdictions within high-income, democratic countries.SubjectsIndividuals and organisations involved in the nutrition policy-making process.ResultsSixty-three studies met the eligibility criteria, most were conducted in the USA and a majority focused on obesity. The analysis demonstrates an accelerating trend in the number of nutrition policy papers published annually and an increase in the diversity of nutrition topics examined. The use of policy process theory was observed from 2003; however, it was utilised by only 14 % of the reviewed papers.ConclusionsThere is limited research into the nutrition policy process in high-income countries. While there has been a small increase in the use of policy process theory from 2003, an opportunity to expand its use is evident. We suggest that nutrition policy making would benefit from a pragmatic approach that ensures those trying to influence or understand the policy-making process are equipped with basic knowledge around these theories.


Author(s):  
Clare E. Ramsahoi ◽  
Sasha S. Sonny ◽  
Jennifer M. Monk

Upon moving to a new country and new food environment, 2 important public health issues may be experienced by immigrants as they adapt to their new country of residence, namely a higher prevalence of food insecurity and/or a decline in overall health over time postimmigration. Therefore, improving the food environment experienced by new migrants may be an effective strategy to reduce long-term health complications and improve well-being postimmigration. The aim of this paper is to discuss the potential barriers experienced by new immigrants in the access, availability, and utilization of familiar culturally appropriate foods and the subsequent impact on their food security status. Culturally appropriate foods are foods commonly consumed as part of cultural food traditions and are often staples within the diet; however, limited availability of and/or access to these foods can reduce food security. By understanding the barriers to food security and challenges that may be faced by immigrants and refugees, dietitians will be better equipped to assist these individuals in accessing culturally familiar foods and improve quality of life. In this capacity, dietitians can play a critical public health nutrition role by serving as a conduit for new immigrants to access community resources and navigate a new food environment.


2015 ◽  
Vol 18 (13) ◽  
pp. 2333-2340 ◽  
Author(s):  
Mark A Lawrence ◽  
Sharon Friel ◽  
Kate Wingrove ◽  
Sarah W James ◽  
Seona Candy

AbstractObjectiveTo develop a policy formulation tool for strategically informing food and nutrition policy activities to promote healthy and sustainable diets (HSD).DesignA policy formulation tool consisting of two complementary components was developed. First, a conceptual framework of the environment–public health nutrition relationship was constructed to characterise and conceptualise the food system problem. Second, an ‘Orders of Food Systems Change’ schema drawing on systems dynamics thinking was developed to identify, assess and propose policy options to redesign food systems.SettingFood and nutrition policy activities to promote HSD have been politicised, fragmented and lacking a coherent conceptual and strategic focus to tackle complex food system challenges.ResultsThe tool’s conceptual framework component comprises three integrated dimensions: (i) a structure built around the environment and public health nutrition relationship that is mediated via the food system; (ii) internal mechanisms that operate through system dynamics; and (iii) external interactions that frame its nature and a scope within ecological parameters. The accompanying schema is structured around three orders of change distinguished by contrasting ideological perspectives on the type and extent of change needed to ‘solve’ the HSD problem.ConclusionsThe conceptual framework’s systems analysis of the environment–public health nutrition relationship sets out the food system challenges for HSD. The schema helps account for political realities in policy making and is a key link to operationalise the framework’s concepts to actions aimed at redesigning food systems. In combination they provide a policy formulation tool to strategically inform policy activities to redesign food systems and promote HSD.


2010 ◽  
Vol 14 (4) ◽  
pp. 729-739 ◽  
Author(s):  
Jennie I Macdiarmid ◽  
Jennifer Loe ◽  
Flora Douglas ◽  
Anne Ludbrook ◽  
Caroline Comerford ◽  
...  

AbstractObjectiveTo develop a timeline for evaluating public health nutrition policy interventions.DesignConcept mapping, a stakeholder-driven approach for developing an evaluation framework to estimate the ‘time to impact’ for policy interventions. The Schools (Health Promotion and Nutrition) (Scotland) Act 2007 was used as the model to develop the evaluation timeline as it had typical characteristics of government policy. Concept mapping requires stakeholders to generate a list of the potential outcomes, sort and rate the outcomes. Multidimensional scaling and hierarchical cluster data analysis were used to develop an anticipated timeline to impact for the policy.SettingUnited Kingdom.SubjectsOne hundred and eleven stakeholders representing nutrition, public health, medicine, education and catering in a range of sectors: research, policy, local government, National Health Service and schools.ResultsEighty-five possible outcomes were identified and grouped into thirteen clusters describing higher-level themes (e.g. long-term health, food literacy, economics, behaviour, diet, education). Negative and unintended consequences were anticipated relatively soon after implementation of the policy, whereas positive outcomes (e.g. dietary changes, health benefits) were thought likely to take longer to emerge. Stakeholders responsible for implementing the legislation anticipated that it would take longer to observe changes than those from policy or research.ConclusionsDeveloping an anticipated timeline provides a realistic framework upon which to base an outcome evaluation for policy interventions and identifies positive and negative outcomes as well as considering possible unintended consequences. It offers benefit to both policy makers and researchers in mapping the progress expected towards long-term health goals and outcomes.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L James ◽  
M Arango ◽  
S Lawrence

Abstract Issue Poor nutrition is a leading contributor to ill health worldwide. WHO recommends restrictions on the marketing of unhealthy food to children to reduce intakes of energy-dense, nutrient-poor foods. In Canada, the government made this a mandate commitment. This provides an opportunity for other countries pursuing public health nutrition policy to better understand and overcome commercial interests when trying to advance public health. Background Heart & Stroke Foundation (H&S) advocated for over a decade (2008-2019) to secure government policies to restrict food marketing to youth in Canada. The inclusion of such policy in the government's 2015 mandate was promising and the associated bill was one of the strongest in the world - well received by public health advocates worldwide, positioning Canada as global leader. However, the commercial interests of various stakeholders including food and marketing industries created concerns among policy makers. Public health advocates underestimated the influence, power and opposition of industry. Results In order to counter industry opposition, the public health community worked in coalitions and employed a range of innovative tactics to mitigate policy concerns. This included public engagement on social media, evidence generation, celebrity endorsement, as well as calling out industry practices and political blockers. Despite the innovative and collaborative approach of public health, the policy failed to be adopted. Lessons Food industry will use a range of concerns including economic, environmental, and health issues to generate skepticism among policy makers. Public health advocates working in nutrition need to be proactive and prepared with insightful counter arguments and evidence to dispel myths and re-frame the issue. Key messages Public health progress on nutrition policy is at an early stage and we need to learn lessons from successes and failures. There is a strong amount of food industry opposition to public health nutrition policy.


2012 ◽  
Vol 15 (11) ◽  
pp. 1979-1980 ◽  
Author(s):  
Agneta Yngve ◽  
Marilyn Tseng ◽  
Irja Haapala ◽  
Allison Hodge

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