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Predictors of public support for nutrition-focused policy, systems and environmental change strategies in Los Angeles County, 2013
BACKGROUND: Since 2010, federal and local agencies have invested broadly in a variety of nutrition-focused policy, systems and environmental change (PSE) initiatives in Los Angeles County (LAC). To date, little is known about whether the public supports such efforts. We address this gap in the liter...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5253563/ https://www.ncbi.nlm.nih.gov/pubmed/28087545 http://dx.doi.org/10.1136/bmjopen-2016-012654 |
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author | Robles, Brenda Kuo, Tony |
author_facet | Robles, Brenda Kuo, Tony |
author_sort | Robles, Brenda |
collection | PubMed |
description | BACKGROUND: Since 2010, federal and local agencies have invested broadly in a variety of nutrition-focused policy, systems and environmental change (PSE) initiatives in Los Angeles County (LAC). To date, little is known about whether the public supports such efforts. We address this gap in the literature by examining predictors of support for a variety of PSEs. METHODS: Voters residing in LAC (n=1007) were randomly selected to participate in a cross-sectional telephone survey commissioned by the LAC Department of Public Health. The survey asked questions about attitudes towards the obesity epidemic, nutrition knowledge and behaviours, public opinions about changing business practices/government policies related to nutrition, and sociodemographics. A factor analysis informed outcome variable selection (ie, type of PSEs). Multivariable regression analyses were performed to examine predictors of public support. Predictors in the regression models included (primary regressor) community economic hardship; (control variables) political affiliation, sex, age, race and income; and (independent variables) perceptions about obesity, perceived health and weight status, frequency reading nutrition labels, ease of finding healthy and unhealthy foods, and food consumption behaviours (ie, fruit and vegetables, non-diet soda, fast-food and sit-down restaurant meals). RESULTS: 3 types of PSE outcome variables were identified: promotional/incentivising, limiting/restrictive and business practices. Community economic hardship was not found to be a significant predictor of public support for any of the 3 PSE types. However, Republican party affiliation, being female and perceiving obesity as a serious health problem were. CONCLUSIONS: These findings have implications for public health practice and community planning in local health jurisdictions. |
format | Online Article Text |
id | pubmed-5253563 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-52535632017-01-25 Predictors of public support for nutrition-focused policy, systems and environmental change strategies in Los Angeles County, 2013 Robles, Brenda Kuo, Tony BMJ Open Public Health BACKGROUND: Since 2010, federal and local agencies have invested broadly in a variety of nutrition-focused policy, systems and environmental change (PSE) initiatives in Los Angeles County (LAC). To date, little is known about whether the public supports such efforts. We address this gap in the literature by examining predictors of support for a variety of PSEs. METHODS: Voters residing in LAC (n=1007) were randomly selected to participate in a cross-sectional telephone survey commissioned by the LAC Department of Public Health. The survey asked questions about attitudes towards the obesity epidemic, nutrition knowledge and behaviours, public opinions about changing business practices/government policies related to nutrition, and sociodemographics. A factor analysis informed outcome variable selection (ie, type of PSEs). Multivariable regression analyses were performed to examine predictors of public support. Predictors in the regression models included (primary regressor) community economic hardship; (control variables) political affiliation, sex, age, race and income; and (independent variables) perceptions about obesity, perceived health and weight status, frequency reading nutrition labels, ease of finding healthy and unhealthy foods, and food consumption behaviours (ie, fruit and vegetables, non-diet soda, fast-food and sit-down restaurant meals). RESULTS: 3 types of PSE outcome variables were identified: promotional/incentivising, limiting/restrictive and business practices. Community economic hardship was not found to be a significant predictor of public support for any of the 3 PSE types. However, Republican party affiliation, being female and perceiving obesity as a serious health problem were. CONCLUSIONS: These findings have implications for public health practice and community planning in local health jurisdictions. BMJ Publishing Group 2017-01-13 /pmc/articles/PMC5253563/ /pubmed/28087545 http://dx.doi.org/10.1136/bmjopen-2016-012654 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Public Health Robles, Brenda Kuo, Tony Predictors of public support for nutrition-focused policy, systems and environmental change strategies in Los Angeles County, 2013 |
title | Predictors of public support for nutrition-focused policy, systems and environmental change strategies in Los Angeles County, 2013 |
title_full | Predictors of public support for nutrition-focused policy, systems and environmental change strategies in Los Angeles County, 2013 |
title_fullStr | Predictors of public support for nutrition-focused policy, systems and environmental change strategies in Los Angeles County, 2013 |
title_full_unstemmed | Predictors of public support for nutrition-focused policy, systems and environmental change strategies in Los Angeles County, 2013 |
title_short | Predictors of public support for nutrition-focused policy, systems and environmental change strategies in Los Angeles County, 2013 |
title_sort | predictors of public support for nutrition-focused policy, systems and environmental change strategies in los angeles county, 2013 |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5253563/ https://www.ncbi.nlm.nih.gov/pubmed/28087545 http://dx.doi.org/10.1136/bmjopen-2016-012654 |
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