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A comprehensive overview and qualitative analysis of government-led nutrition policies in Australian institutions

BACKGROUND: Institutions are a recommended setting for dietary interventions and nutrition policies as these provide an opportunity to improve health by creating healthy food environments. In Australia, state and territory governments encourage or mandate institutions in their jurisdiction to adopt...

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Autores principales: Rosewarne, Emalie, Hoek, Annet C., Sacks, Gary, Wolfenden, Luke, Wu, Jason, Reimers, Jenny, Corben, Kirstan, Moore, Michael, Ni Mhurchu, Cliona, Webster, Jacqui
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325668/
https://www.ncbi.nlm.nih.gov/pubmed/32605547
http://dx.doi.org/10.1186/s12889-020-09160-z
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author Rosewarne, Emalie
Hoek, Annet C.
Sacks, Gary
Wolfenden, Luke
Wu, Jason
Reimers, Jenny
Corben, Kirstan
Moore, Michael
Ni Mhurchu, Cliona
Webster, Jacqui
author_facet Rosewarne, Emalie
Hoek, Annet C.
Sacks, Gary
Wolfenden, Luke
Wu, Jason
Reimers, Jenny
Corben, Kirstan
Moore, Michael
Ni Mhurchu, Cliona
Webster, Jacqui
author_sort Rosewarne, Emalie
collection PubMed
description BACKGROUND: Institutions are a recommended setting for dietary interventions and nutrition policies as these provide an opportunity to improve health by creating healthy food environments. In Australia, state and territory governments encourage or mandate institutions in their jurisdiction to adopt nutrition policies. However, no work has analysed the policy design across settings and jurisdictions. This study aimed to compare the design and components of government-led institutional nutrition policies between Australian states and territories, determine gaps in existing policies, and assess the potential for developing stronger, more comprehensive policies. METHODS: Government-led institutional nutrition policies, in schools, workplaces, health facilities and other public settings, were identified by searching health and education department websites for each Australian state and territory government. This was supplemented by data from other relevant stakeholder websites and from the Food Policy Index Australia website. A framework for monitoring and evaluating nutrition policies in publicly-funded institutions was used to extract data and a qualitative analysis of the design and content of institutional nutrition policies was performed. Comparative analyses between the jurisdictions and institution types were conducted, and policies were assessed for comprehensiveness. RESULTS: Twenty-seven institutional nutrition policies were identified across eight states and territories in Australia. Most policies in health facilities and public schools were mandatory, though most workplace policies were voluntary. Twenty-four included nutrient criteria, and 22 included guidelines for catering/fundraising/advertising. While most included implementation guides or tools and additional supporting resources, less than half included tools/timelines for monitoring and evaluation. The policy design, components and nutrient criteria varied between jurisdictions and institution types, though all were based on the Australian Dietary Guidelines. CONCLUSIONS: Nutrition policies in institutions present an opportunity to create healthy eating environments and improve population health in Australia. However, the design of these policies, including lack of key components such as accountability mechanisms, and jurisdictional differences, may be a barrier to implementation and prevent the policies having their intended impact.
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spelling pubmed-73256682020-07-01 A comprehensive overview and qualitative analysis of government-led nutrition policies in Australian institutions Rosewarne, Emalie Hoek, Annet C. Sacks, Gary Wolfenden, Luke Wu, Jason Reimers, Jenny Corben, Kirstan Moore, Michael Ni Mhurchu, Cliona Webster, Jacqui BMC Public Health Research Article BACKGROUND: Institutions are a recommended setting for dietary interventions and nutrition policies as these provide an opportunity to improve health by creating healthy food environments. In Australia, state and territory governments encourage or mandate institutions in their jurisdiction to adopt nutrition policies. However, no work has analysed the policy design across settings and jurisdictions. This study aimed to compare the design and components of government-led institutional nutrition policies between Australian states and territories, determine gaps in existing policies, and assess the potential for developing stronger, more comprehensive policies. METHODS: Government-led institutional nutrition policies, in schools, workplaces, health facilities and other public settings, were identified by searching health and education department websites for each Australian state and territory government. This was supplemented by data from other relevant stakeholder websites and from the Food Policy Index Australia website. A framework for monitoring and evaluating nutrition policies in publicly-funded institutions was used to extract data and a qualitative analysis of the design and content of institutional nutrition policies was performed. Comparative analyses between the jurisdictions and institution types were conducted, and policies were assessed for comprehensiveness. RESULTS: Twenty-seven institutional nutrition policies were identified across eight states and territories in Australia. Most policies in health facilities and public schools were mandatory, though most workplace policies were voluntary. Twenty-four included nutrient criteria, and 22 included guidelines for catering/fundraising/advertising. While most included implementation guides or tools and additional supporting resources, less than half included tools/timelines for monitoring and evaluation. The policy design, components and nutrient criteria varied between jurisdictions and institution types, though all were based on the Australian Dietary Guidelines. CONCLUSIONS: Nutrition policies in institutions present an opportunity to create healthy eating environments and improve population health in Australia. However, the design of these policies, including lack of key components such as accountability mechanisms, and jurisdictional differences, may be a barrier to implementation and prevent the policies having their intended impact. BioMed Central 2020-06-30 /pmc/articles/PMC7325668/ /pubmed/32605547 http://dx.doi.org/10.1186/s12889-020-09160-z Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Rosewarne, Emalie
Hoek, Annet C.
Sacks, Gary
Wolfenden, Luke
Wu, Jason
Reimers, Jenny
Corben, Kirstan
Moore, Michael
Ni Mhurchu, Cliona
Webster, Jacqui
A comprehensive overview and qualitative analysis of government-led nutrition policies in Australian institutions
title A comprehensive overview and qualitative analysis of government-led nutrition policies in Australian institutions
title_full A comprehensive overview and qualitative analysis of government-led nutrition policies in Australian institutions
title_fullStr A comprehensive overview and qualitative analysis of government-led nutrition policies in Australian institutions
title_full_unstemmed A comprehensive overview and qualitative analysis of government-led nutrition policies in Australian institutions
title_short A comprehensive overview and qualitative analysis of government-led nutrition policies in Australian institutions
title_sort comprehensive overview and qualitative analysis of government-led nutrition policies in australian institutions
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325668/
https://www.ncbi.nlm.nih.gov/pubmed/32605547
http://dx.doi.org/10.1186/s12889-020-09160-z
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