Suchergebnisse

OBJECTIVES: This study aimed to assess expert stakeholder perceptions on the impact and feasibility of 21 national, state, and local nutrition policies for cancer prevention in the US. METHODS: We distributed a survey to members of professional groups in the field of nutrition, cancer prevention, and public policy through direct email contact, organizational email/e-newsletter, and listservs. The survey asked participants to rank the health impact and political feasibility of 21 nutrition policies across 5 domains: (a) taxes/subsidies, (b) labeling, (c) nutrition standards, (d) nutrition education, and (e) nutrition promotion in healthcare, based on a Likert scale (1 = least; 5 = most impactful or feasible). We compared the impact and feasibility scores for each policy and by levels of implementation (federal, state, or local). RESULTS: A total of 170 respondents provided complete responses, representing civil service employees (n = 92, 54.1%), employees of advocacy groups (n = 31, 18.2%), researchers (n = 19, 11.2%), healthcare professionals (n = 18, 10.6%), and others (n = 10, 5.9%). For perceived impact, policies with the highest impact scores were Medicare/Medicaid coverage of nutrition counseling for people with chronic conditions at the federal and state levels (mean ± SE: 4.25 ± 0.10); and policy with the lowest impact score was local tax on processed meat (2.90 ± 0.13). For perceived feasibility, policy with the highest feasibility score was federal subsidies on fruits, vegetables, and whole grains in Medicare/Medicaid (4.13 ± 0.09); and policy with the lowest feasibility score was federal tax on processed meat (1.86 ± 0.10). When the impact and feasibility were evaluated jointly, Medicare/Medicaid subsidies for fruits, vegetables, and whole grains and coverage of nutrition counseling received the highest scores, whereas taxes on processed meats or junk food received the lowest scores. CONCLUSIONS: Based on expert stakeholder perceptions, specific federal, state, and local government nutrition policies ...

Objectives. To assess stakeholder perceptions of the impact and feasibility of 21 national, state, and local nutrition policies for cancer prevention across 5 domains in the United States. Methods. We conducted an online survey from October through December 2018. Participants were invited to take the survey via direct e-mail contact or an organizational e-newsletter. Results. Federal or state Medicare/Medicaid coverage of nutrition counseling and federal or state subsidies on fruits, vegetables, and whole grains for participants in the Supplemental Nutrition Assistance Program were the policies rated as having the highest perceived impact and feasibility. Overall, the 170 respondents rated policy impact higher than policy feasibility. Polices at the federal or state level had a higher perceived impact, whereas local policies had higher perceived feasibility. Conclusions. Our findings might guide future research and advocacy that can ultimately motivate and target policy actions to reduce cancer burdens and disparities in the United States.