Fournier Bonnie, Illasiak Velma, Kushner Kaysi Eastlick, Raine Kim
Thompson Rivers University, School of Nursing. 805 TRU Way, Kamloops, BC, Canada.
Hamlet of Aklavik, Aklavik, NT, Canada.
Health Promot Int. 2019 Oct 1;34(5):902-911. doi: 10.1093/heapro/day040.
With increasing childhood obesity rates and type 2 diabetes developing in younger age groups, many schools have initiated policies to support healthy eating and active living. Policy interventions can influence not only health behaviours in students but can also impact these behaviours beyond the school walls into the community. We articulate a policy story that emerged during the data collection phase of a study focused on building knowledge and capacity to support healthy eating and active living policy options in a small hamlet located in the Canadian Arctic. The policy processes of a local school food policy to address unhealthy eating are discussed. Through 14 interviews, decision makers, policy influencers and health practitioners described a policy process, retrospectively, including facilitators and barriers to adopting and implementing policy. A number of key activities facilitated the successful policy implementation process and the building of a critical mass to support healthy eating and active living in the community. A key contextual factor in school food policies in the Arctic is the influence of traditional (country) foods. This study is the first to provide an in-depth examination of the implementation of a food policy in a Canadian Arctic school. Recommendations are offered to inform intervention research and guide a food policy implementation process in a school environment facing similar issues.
随着儿童肥胖率的上升以及2型糖尿病在更年轻年龄组中的出现，许多学校已启动相关政策以支持健康饮食和积极生活方式。政策干预不仅会影响学生的健康行为，还会将这些行为的影响扩展到学校围墙之外，延伸至社区。我们阐述了一个在一项研究的数据收集阶段出现的政策故事，该研究聚焦于在加拿大北极地区的一个小村庄建立支持健康饮食和积极生活方式政策选项的知识与能力。文中讨论了一项针对不健康饮食的当地学校食品政策的政策过程。通过14次访谈，决策者、政策影响者和健康从业者回顾性地描述了一个政策过程，包括采用和实施该政策的促进因素和障碍。一些关键活动推动了政策的成功实施过程，并形成了支持社区健康饮食和积极生活方式的关键群体。北极地区学校食品政策的一个关键背景因素是传统（乡村）食品的影响。本研究首次对加拿大北极地区一所学校的食品政策实施情况进行了深入考察。文中提供了相关建议，以指导干预研究，并为面临类似问题的学校环境中的食品政策实施过程提供指导。
