Nottingham University Hospitals NHS Trust, Division of Respiratory Medicine, Nottingham, UK.
Faculty of Medicine & Health Sciences, Division of Epidemiology and Public Health, UK Centre for Tobacco and Alcohol Studies, Clinical Sciences Building, City Hospital, University of Nottingham, Nottingham, UK.
J Cancer Policy. 2021 Mar;27:100256. doi: 10.1016/j.jcpo.2020.100256. Epub 2020 Nov 5.
Half of the UK population will get cancer during their lifetime, with the current survival rate at 50 %. Behavioural factors such as obesity contribute to two-fifths of the UK's most common cancers. Food 'pricing' and 'place and promotion' policies aim to avert this risk by reducing the rate of obesity in the UK.
A cross-sectional survey collected data on the acceptance of obesity-related pricing and place and promotion policies from 3293 UK adults in 2016. Cross-tabulations and chi-squared tests were performed to investigate the support for these policies in the four UK countries and different socioeconomic groups.
Only two-fifths of respondents supported all policies. Food place and promotion policies were better supported by the public than taxation, with over 70 % support for the promotion of healthy foods as opposed to 40 % support for 'fat tax'. The most deprived social groups were least supportive of all policies. There was not a noticeable difference in policy support between the four UK countries.
The support for obesity policies is low, most notably amongst lower socioeconomic groups and for policies involving a price increase, across the UK.
Obesity prevention policies could reduce the rate of related cancers, but their success requires public support and acceptance. Increasing tax on unhealthy foods is less well supported in the UK population than policies which affect the in-store placement and promotion of these products. Lower levels of support for all these policies among low-income groups, among whom obesity and cancer rates are highest, indicate a particular need for strategies to increase policy support in these groups.
英国有一半的人口会在一生中患上癌症，目前的存活率为 50%。肥胖等行为因素导致英国五分之二最常见的癌症。食品“定价”和“地点和促销”政策旨在通过降低英国的肥胖率来规避这一风险。
2016 年，一项横断面调查从 3293 名英国成年人那里收集了有关接受肥胖相关定价和地点及促销政策的数据。通过交叉表和卡方检验，调查了这些政策在英国四个国家和不同社会经济群体中的支持情况。
只有五分之二的受访者支持所有政策。与税收相比，食品地点和促销政策更受公众支持，超过 70%的人支持推广健康食品，而只有 40%的人支持“脂肪税”。最贫困的社会群体对所有政策的支持度最低。在四个英国国家之间，政策支持没有明显差异。
英国对肥胖政策的支持率较低，尤其是在社会经济地位较低的群体中，以及涉及价格上涨的政策方面。
肥胖预防政策可以降低相关癌症的发病率，但要取得成功，需要得到公众的支持和认可。对不健康食品征收更高的税在英国民众中的支持度不如影响这些产品店内摆放和促销的政策。在低收入群体中，所有这些政策的支持率都较低，而这些群体的肥胖率和癌症率最高，这表明需要特别制定策略来提高这些群体对政策的支持度。
