1Department of Nutrition and Dietetics,Monash University,Level 1,264 Ferntree Gully Road,Notting Hill,VIC 3168,Australia.
2Victorian Aboriginal Community Controlled Health Organisation,Collingwood,Victoria,Australia.
Public Health Nutr. 2017 Nov;20(16):3019-3028. doi: 10.1017/S1368980017001902. Epub 2017 Aug 14.
The present study aimed to explore how Australian local governments prioritise the health and well-being of Aboriginal populations and the extent to which nutrition is addressed by local government health policy.
In the state of Victoria, Australia, all seventy-nine local governments' public health policy documents were retrieved. Inclusion of Aboriginal health and nutrition in policy documents was analysed using quantitative content analysis. Representation of Aboriginal nutrition 'problems' and 'solutions' was examined using qualitative framing analysis. The socio-ecological framework was used to classify the types of Aboriginal nutrition issues and strategies within policy documents.
Victoria, Australia.
Local governments' public health policy documents (n 79).
A small proportion (14 %, n 11) of local governments addressed Aboriginal health and well-being in terms of nutrition. Where strategies aimed at nutrition existed, they mostly focused on individual factors rather than the broader macroenvironment.
A limited number of Victorian local governments address nutrition as a health issue for their Aboriginal populations in policy documents. Nutrition needs to be addressed as a community and social responsibility rather than merely an individual 'behaviour'. Partnerships are required to ensure Aboriginal people lead government policy development.
本研究旨在探讨澳大利亚地方政府如何优先考虑原住民的健康和福祉,以及地方政府卫生政策在多大程度上涉及营养问题。
在澳大利亚维多利亚州,检索了所有 79 个地方政府的公共卫生政策文件。使用定量内容分析方法分析政策文件中包含的原住民健康和营养情况。使用定性框架分析检查原住民营养“问题”和“解决方案”的代表性。使用社会生态框架对政策文件中涉及的原住民营养问题和策略的类型进行分类。
澳大利亚维多利亚州。
地方政府的公共卫生政策文件(n=79)。
只有一小部分(14%,n=11)的地方政府在营养方面涉及原住民的健康和福祉。在存在针对营养问题的策略的地方,这些策略大多侧重于个人因素,而不是更广泛的宏观环境。
在政策文件中,维多利亚州只有少数地方政府将营养作为原住民的健康问题来处理。营养问题需要作为社区和社会责任来解决,而不仅仅是个人“行为”问题。需要建立伙伴关系,以确保原住民主导政府政策的制定。