Early Start, School of Health and Society, University of Wollongong, Wollongong, New South Wales, Australia.
School of Biosciences, Faculty of Health and Medical Sciences, Taylor's University, Subang Jaya, Selangor, Malaysia.
Nutr Rev. 2022 Jul 7;80(8):1896-1918. doi: 10.1093/nutrit/nuac016.
Policy-specific actions to improve food environments will support healthy population diets.
To identify cited barriers and facilitators to food environment policy (FEP) processes reported in the literature, exploring these according to the nature of the policy (voluntary or mandatory) and country development status.
A systematic search was conducted of 10 academic and 7 grey-literature databases, national websites, and manual searches of publication references.
Data on government-led FEPs, barriers, and facilitators from key informants were collected.
The constant-comparison approach generated core themes for barriers and facilitators. The appraisal tool developed by Hawker et al. was adopted to determine the quality of qualitative and quantitative studies.
A total of 142 eligible studies were identified. Industry resistance or disincentive was the most cited barrier in policy development. Technical challenges were most frequently a barrier for policy implementation. Frequently cited facilitators included resource availability or maximization, strategies in policy process, and stakeholder partnership or support.
The findings from this study will strategically inform health-reform stakeholders about key elements of public health policy processes. More evidence is required from countries with human development indices ranging from low to high and on voluntary policies.
PROSPERO registration no. CRD42018115034.
针对改善食品环境的具体政策将有助于促进民众健康饮食。
根据政策的性质（自愿性或强制性）和国家发展状况，确定文献中报告的食品环境政策（FEP）流程中提到的障碍因素和促进因素。
系统检索了 10 个学术数据库和 7 个灰色文献数据库、国家网站，并对出版物参考文献进行了手工检索。
从主要知情人那里收集了关于政府主导的食品环境政策、障碍因素和促进因素的数据。
采用恒定比较法生成障碍因素和促进因素的核心主题。采用 Hawker 等人开发的评估工具来确定定性和定量研究的质量。
共确定了 142 项合格研究。业界抵制或阻碍是政策制定中最常被提及的障碍。技术挑战是政策实施中最常见的障碍。经常被提及的促进因素包括资源的可利用性或最大化、政策过程中的策略以及利益相关者的伙伴关系或支持。
本研究的结果将为卫生改革利益相关者提供有关公共卫生政策流程关键要素的战略信息。需要更多来自人类发展指数从低到高的国家以及自愿性政策的证据。
PROSPERO 注册号 CRD42018115034。
