Tay Zoey, Whitton Clare, van Dam Rob M, Chia Kee Seng, Swinburn Boyd, Vandevijvere Stefanie, Rebello Salome A
Saw Swee Hock School of Public Health, National University of Singapore, National University Health System, 12 Science Drive 2, MD1 Tahir Foundation Building, 10-01V, 117549, 65-65168557, 65-67791489, Singapore.
School of Public Health, Curtin University, Perth, Australia.
Public Health Nutr. 2020 Oct 13;24(4):1-8. doi: 10.1017/S1368980020003468.
Singapore, an urbanised, developed nation, with a high reliance on food importation and a high prevalence of eating out is facing rising rates of obesity and diabetes. The objective of the current study was to characterise and evaluate the Singapore government's policies to improve the food environment and to identify and prioritise concrete actions.
The Healthy Food Environment Policy Index tool and process were used. An expert panel rated the Singapore government's implementation of forty-seven indicators compared with international best practice in 2018. Indicators were prioritised, and specific recommendations were proposed by panel.
Singapore.
Twenty experts primarily from academia.
As compared with international benchmarks, the level of implementation of most indicators (thirty-three indicators, 70 %) by the Singapore government was evaluated as being at least moderate. Highly rated indicators included those related to provision of healthier meals at school, supporting the use of healthier ingredients by food vendors and governmental leadership. More policy indicators (6, 26 %) as compared with infrastructure support indicators (2, 8 %) received a 'very little or no implementation' rating. After rating, the experts prioritised eleven indicators and proposed thirty-one actions informed by several considerations including those of effectiveness, political acceptability, feasibility and unique characteristics of food retail in Singapore.
Supported by documented evidence, an independent expert panel identified areas of strengths and provided specific recommendations to meaningfully improve the Singapore food environment to facilitate healthier eating. Fundamental recommendations including improving nutrition profiling and strengthening monitoring systems have the potential to positively influence environments across policy domains.
新加坡作为一个城市化的发达国家，高度依赖食品进口且外出就餐的比例很高，正面临着肥胖率和糖尿病患病率不断上升的问题。本研究的目的是描述和评估新加坡政府改善食品环境的政策，并确定具体行动的优先级。
采用健康食品环境政策指数工具和流程。一个专家小组将新加坡政府在2018年对47项指标的实施情况与国际最佳实践进行了比较。专家小组对指标进行了优先级排序，并提出了具体建议。
新加坡。
主要来自学术界的20名专家。
与国际基准相比，新加坡政府对大多数指标（33项指标，70%）的实施水平被评估为至少中等。评分较高的指标包括与在学校提供更健康的膳食、支持食品供应商使用更健康的食材以及政府领导相关的指标。与基础设施支持指标（2项，8%）相比，更多的政策指标（6项，2%）获得了“实施很少或未实施”的评分。评分后，专家们对11项指标进行了优先级排序，并根据有效性、政治可接受性、可行性以及新加坡食品零售的独特特征等多项考虑因素提出了31项行动建议。
在有记录的证据支持下，一个独立的专家小组确定了优势领域，并提出了具体建议，以切实改善新加坡的食品环境，促进更健康的饮食。包括改善营养成分标识和加强监测系统在内的基本建议有可能对各个政策领域的环境产生积极影响。
