Alberta Institute for Human Nutrition, University of Alberta, Edmonton, Alberta, Canada, T6G 2E1.
Public Health Nutr. 2013 May;16(5):815-23. doi: 10.1017/S1368980012004818. Epub 2012 Nov 13.
Little is known about how public entities can partner with industry to achieve public health goals. We investigated industry's perspective of factors that influenced their adoption and implementation of voluntary, government-issued nutrition guidelines (Alberta Nutrition Guidelines for Children and Youth, ANGCY) in recreational facilities.
In-depth semi-structured interviews were conducted. Data were analysed using directed content analysis.
Food services in recreational facilities.
Seven managers from industry participated; five from companies that had adopted and implemented the ANGCY (adopters) in recreational facilities and two from companies that had not (non-adopters).
Industry views nutrition guidelines through the lens of profitability. Non-adopters were unwilling to implement the ANGCY for fear of sacrificing short-term profitability, whereas adopters adhered to them in an attempt to position themselves for long-term profitability. Adopters faced barriers including few resources, no training, complex guidelines, low availability of and demand for ANGCY-compliant products, competitive pressures and substantial declines in revenue. Managers believed widespread voluntary adoption of the ANGCY was unlikely without government incentives and/or a mandate, as the environmental context for voluntary action was poor. All managers supported government-mandated implementation of the ANGCY to level the playing field upon which companies compete.
Public-private partnerships in recreational facilities can embrace public health goals in the short term, provided industry perceives potential for long-term financial gain. Widespread uptake of voluntary nutrition guidelines in this setting is unlikely, however, as market mechanisms do not encourage industry to sell and promote healthier options. Government legislation may therefore be warranted.
对于公共实体如何与行业合作实现公共卫生目标，人们知之甚少。我们调查了行业对影响其在娱乐设施中采用和实施自愿性政府发布的营养指南（艾伯塔省儿童和青年营养指南，ANGCY）的因素的看法。
进行了深入的半结构化访谈。使用定向内容分析对数据进行分析。
娱乐设施中的食品服务。
来自行业的七名经理参加了研究；五名来自在娱乐设施中采用和实施 ANGCY 的公司（采用者），两名来自未采用的公司（非采用者）。
行业通过盈利能力的视角看待营养指南。非采用者不愿意实施 ANGCY，因为担心牺牲短期盈利能力，而采用者则坚持遵守，试图为长期盈利能力定位。采用者面临的障碍包括资源有限、没有培训、指南复杂、ANGCY 合规产品的供应和需求低、竞争压力以及收入大幅下降。经理们认为，如果没有政府激励措施和/或授权，广泛自愿采用 ANGCY 的可能性不大，因为自愿行动的环境背景很差。所有经理都支持政府强制实施 ANGCY，以在公司竞争的平台上实现公平竞争。
在短期内，公共-私营部门在娱乐设施中的伙伴关系可以实现公共卫生目标，前提是行业认为有潜在的长期经济利益。然而，在这种情况下，广泛采用自愿营养指南的可能性不大，因为市场机制并不鼓励行业销售和推广更健康的选择。因此，可能需要政府立法。
