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超越关于在补充营养援助计划中限制含糖饮料的争论。

Moving Beyond the Debate Over Restricting Sugary Drinks in the Supplemental Nutrition Assistance Program.

作者信息

Schwartz Marlene B

机构信息

Rudd Center for Food Policy and Obesity, University of Connecticut, Hartford, Connecticut.

出版信息

Am J Prev Med. 2017 Feb;52(2 Suppl 2):S199-S205. doi: 10.1016/j.amepre.2016.09.022.

Abstract

To address the dual problem of food insecurity and poor nutrition, the U.S. Department of Agriculture has recently revised the nutrition standards for nearly all of its federal food programs to align with the Dietary Guidelines for Americans. One notable exception is the Supplemental Nutrition Assistance Program (SNAP). Policy proposals to restrict SNAP benefits based on nutrition quality (e.g., excluding sugary drinks) have generated controversy and have polarized previous research and advocacy allies. This essay presents many of the issues that have emerged, which include challenges about the feasibility, justification, and effectiveness of restricting benefits; the risk of a slippery slope; concerns about participant dignity; and finally, distrust about the motives behind promoting and opposing a policy change. The purpose of this review is to increase mutual understanding and respect of different perspectives. The conclusion is that the rationales behind both support and opposition to updating the policies regulating SNAP benefits based on nutrition are fundamentally the same-the belief that a fair and just society cares for and protects vulnerable citizens, which in this case are low-income Americans who need assistance affording healthy food. Recommendations include activities to restore trust between the public health and anti-hunger communities, authentic engagement of SNAP participants in the conversation, and an optional SNAP program that includes both incentives and restrictions.

摘要

为解决粮食不安全和营养不良这两个双重问题,美国农业部最近修订了几乎所有联邦食品计划的营养标准,使其与《美国人膳食指南》保持一致。一个显著的例外是补充营养援助计划(SNAP)。基于营养质量限制SNAP福利的政策提案(例如,排除含糖饮料)引发了争议,并使先前的研究和倡导联盟两极分化。本文提出了出现的许多问题,包括限制福利的可行性、合理性和有效性方面的挑战;滑坡风险;对参与者尊严的担忧;最后,对推动和反对政策变化背后动机的不信任。这篇综述的目的是增进对不同观点的相互理解和尊重。结论是,支持和反对基于营养更新SNAP福利监管政策的基本理由是相同的,即相信一个公平公正的社会会关心和保护弱势群体,在这种情况下,弱势群体是需要援助来购买健康食品的低收入美国人。建议包括恢复公共卫生和反饥饿社区之间信任的活动、让SNAP参与者切实参与对话,以及一个包括激励和限制措施的可选SNAP计划。

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