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英国的肥胖问题:对权力下放行政区政策的回顾与比较分析

Obesity in the UK: a review and comparative analysis of policies within the devolved administrations.

作者信息

Musingarimi Primrose

机构信息

The International Longevity Centre-UK, 11 Tufton Street, Westminster, London, SW1P 3QB, UK.

出版信息

Health Policy. 2009 Jun;91(1):10-6. doi: 10.1016/j.healthpol.2008.11.004. Epub 2008 Dec 20.

Abstract

In the United Kingdom obesity is a significant public problem and the formulation and implementation of policies to address it are primarily the responsibility of the devolved administrations. Containing populations which are broadly similar, albeit with regional differences, devolution allows for the exploration of the obesity policy directions the different UK countries have taken; thus providing opportunities for policy learning and comparison. A review and analysis of policy responses in the devolved administrations reveals differences in the strategic approaches to tackling obesity with England having recently introduced a population-wide strategy in contrast to the other countries. Further, policies to address obesity in England and Northern Ireland are being target driven in contrast to Scotland and Wales. In all the countries, the focus on obesity has been on addressing childhood obesity with Scotland having taken the lead on setting nutritional standards for school meals and the other countries subsequently following. While devolution has provided scope for the variation in responses to address the obesity epidemic in the UK, it is still too early to determine the impact of the different strategic approaches being used to tackling it.

摘要

在英国,肥胖是一个重大的公共问题,制定和实施解决肥胖问题的政策主要是下放权力的各行政部门的责任。权力下放涵盖了大体相似的人群,尽管存在地区差异,但它使得人们能够探究英国不同国家所采取的肥胖政策方向;从而为政策学习和比较提供了机会。对下放权力的各行政部门政策回应的回顾与分析显示,在应对肥胖问题的战略方法上存在差异,与其他国家相比,英格兰最近推出了一项覆盖全人口的战略。此外,与苏格兰和威尔士不同,英格兰和北爱尔兰解决肥胖问题的政策是目标驱动型的。在所有国家,对肥胖问题的关注都集中在解决儿童肥胖问题上,苏格兰率先为学校膳食制定营养标准,其他国家随后跟进。虽然权力下放为英国应对肥胖流行的不同反应提供了变化空间,但要确定目前用于解决肥胖问题的不同战略方法的影响,仍为时过早。

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