Szponar L, Ciok J, Dolna A, Oltarzewski M
Department of Food and Nutrition Safety, National Food and Nutrition Institute, Warsaw, Poland.
Obes Rev. 2007 May;8 Suppl 2:91-8. doi: 10.1111/j.1467-789X.2007.00363.x.
To explore the perspectives of stakeholders towards a range of policy options to respond to obesity in Poland, a multi-criteria mapping method was used. During structured interviews, stakeholders were invited to appraise policy options by reference to criteria of their own choosing. They also provided relative weightings to their criteria, generating overall rankings of the policy options in relation to each other. Efficacy, feasibility and societal benefits were the groups of criteria deemed most important. There was most consensus in favour of options related to health education, particularly in schools, compared with options that aimed at modifying the environment to prevent obesity, i.e. options around physical activity, modifying the supply and demand for food products, and information-related options. There was little support for technological solutions or institutional reforms. There was broad consensus that to reverse the rising trend in the incidence of obesity, it will be necessary to implement a portfolio of measures, but options related to behaviour change through education are most highly regarded. It will also be necessary to invest in improved surveillance and monitoring of Polish dietary practices, levels of physical activity and obesity in terms of data on height, weight and body mass indexes.
为探究波兰利益相关者对一系列应对肥胖政策选项的看法,采用了多标准映射方法。在结构化访谈中,邀请利益相关者根据他们自己选择的标准评估政策选项。他们还为自己的标准提供了相对权重,得出了政策选项彼此之间的总体排名。有效性、可行性和社会效益是被认为最重要的标准类别。与旨在改变环境以预防肥胖的选项相比,即围绕体育活动、改变食品供需和信息相关的选项,人们最一致支持与健康教育相关的选项,尤其是学校中的健康教育。对技术解决方案或机构改革的支持很少。人们普遍认为,要扭转肥胖发病率上升的趋势,有必要实施一系列措施,但通过教育改变行为的选项最受重视。还需要投资改进对波兰饮食行为、体育活动水平以及身高、体重和体重指数数据方面的肥胖情况的监测。