Vine Michelle M, Elliott Susan J
1McMaster University, Hamilton, Ontario, Canada.
Health Promot Pract. 2014 May;15(3):331-9. doi: 10.1177/1524839913498087. Epub 2013 Aug 28.
Excess body weight has become a major public health issue. Given the link between poor nutrition, obesity, and chronic disease in youth, increasing attention is being paid to the school as an ideal setting for promoting nutritious eating practices. Informed by the ANGELO (Analysis Grid for Environments Linked to Obesity) framework, we employ a documentary analysis to investigate the context of school nutrition in Canada, particularly the relationship between regional- and upper-level policies. In doing so, we examine policy documents and technical reports across three levels. We used mixed methods to analyze relevant English language policy documents and technical reports across Canada (n = 58), published between 1989 and 2011. Results reveal distinct differences across federal, provincial, and regional levels. The availability of nutritious food in schools and having nutrition education as part of the curriculum were key components of the physical environment across federal and provincial levels. Federal and provincial priorities are guided by a health promotion framework and adopting a partnership approach to policy implementation. Gaps in regional-level policy include incorporating nutrition education in the curriculum and making the link between nutrition and obesity. Policy implications are provided, in addition to future research opportunities to explore the connections between these environments at the local level.
超重已成为一个主要的公共卫生问题。鉴于青少年营养不良、肥胖与慢性病之间的联系，学校作为促进营养饮食行为的理想场所正受到越来越多的关注。在ANGELO（与肥胖相关环境分析网格）框架的指导下，我们采用文献分析方法来研究加拿大学校营养的背景，特别是地区政策和高层政策之间的关系。在此过程中，我们考察了三个层面的政策文件和技术报告。我们运用混合方法分析了1989年至2011年间加拿大发布的相关英文政策文件和技术报告（n = 58）。结果显示联邦、省和地区层面存在明显差异。学校提供营养食品以及将营养教育纳入课程是联邦和省级层面物质环境的关键组成部分。联邦和省级的优先事项以健康促进框架为指导，并在政策实施中采用伙伴关系方法。地区层面政策的差距包括将营养教育纳入课程以及建立营养与肥胖之间的联系。除了提供政策建议外，还提出了未来的研究机会，以探索这些环境在地方层面的联系。
