Borg P, Fogelholm M
UKK Institute for Health Promotion Research, Tampere, Finland.
Obes Rev. 2007 May;8 Suppl 2:47-52. doi: 10.1111/j.1467-789X.2007.00358.x.
The aim of the Finnish Policy Options for Responding to the Growing Challenge of Obesity Research Project study was to use a multi-criteria mapping method to assess stakeholder opinions on policies that might have relevance when planning policies targeting obesity prevention. When evaluating policies, criteria relating to 'Positive societal benefits' and 'Additional health benefits' were often considered important, along with the more obvious 'Efficacy in addressing obesity'. Other criteria (like economic factors) were of less importance. All policy options targeting at 'Educational and Research Initiatives' were highly ranked in the analysis by all stakeholders. Policies aimed at improving 'Food-Related Informational Initiatives' were also ranked well on average, although more variation between stakeholders existed. Policies targeting increased physical activity and easier access/provision to healthy foods received also relatively good rankings but with wide variation and doubts in the appraisals. Policies encouraging new technological innovations and institutional reforms were mostly ranked poorly and were not seen as solutions to obesity problem. Irrespective of the stakeholder group, it seems that while traditional educational policies were most highly ranked, several other policies are also viable options in the policy portfolio of obesity prevention.
芬兰应对肥胖问题日益严峻挑战的政策选项研究项目的目的是使用多标准映射方法,评估利益相关者对规划预防肥胖政策时可能相关的政策的意见。在评估政策时,与“积极的社会效益”和“额外的健康益处”相关的标准通常被认为很重要,同时还有更明显的“解决肥胖问题的效果”。其他标准(如经济因素)则不太重要。在所有利益相关者的分析中,所有针对“教育和研究倡议”的政策选项排名都很高。旨在改善“与食品相关的信息倡议”的政策平均排名也不错,尽管利益相关者之间存在更大差异。针对增加身体活动以及更方便地获取/提供健康食品的政策排名也相对较好,但评估中存在很大差异和疑虑。鼓励新技术创新和机构改革的政策大多排名不佳,且不被视为解决肥胖问题的办法。无论利益相关者群体如何,似乎虽然传统教育政策排名最高,但在预防肥胖的政策组合中,其他一些政策也是可行的选择。