WHO Collaborating Centre for Obesity Prevention, Deakin University, Melbourne, Victoria 3122, Australia.
Health Promot Int. 2010 Mar;25(1):123-33. doi: 10.1093/heapro/daq003.
Policies from non-health sectors have considerable impacts on the food environment and in turn on population nutrition. Health impact assessment (HIA) methods have been developed to identify the potential health effects of non-health policies; however, they are underused both within and outside the health sector. HIA and other assessment methods and tools can be used more extensively in health promotion to assist with the identification of the best policy options to pursue to improve and protect health. A participatory process is presented in this paper which combines HIAs with feasibility and effectiveness assessments. The intention is to enable health promoters to more accurately identify which policy change options would be most likely to improve diets, considering both impact and likelihood of implementation. The process was successfully used in Fiji and Tonga and provided a more systematic way of understanding which policy interventions showed the most promise.
非卫生部门的政策对食品环境有重大影响，进而对人口营养产生影响。已经开发了健康影响评估 (HIA) 方法来确定非卫生政策的潜在健康影响；然而，它们在卫生部门内外都未得到充分利用。可以在更广泛的健康促进中使用 HIA 和其他评估方法和工具，以帮助确定最佳政策选择，以改善和保护健康。本文提出了一个参与式过程，将 HIA 与可行性和效果评估相结合。其目的是使健康促进者能够更准确地确定哪些政策变化选择最有可能改善饮食，同时考虑影响和实施的可能性。该过程在斐济和汤加成功使用，并提供了一种更系统的方法来了解哪些政策干预措施最有希望。
