Emergency Department, Holy Cross Hospital, Holy Cross Health, Silver Spring, MD, United States.
Georgetown Institute for Women, Peace and Security, Walsh School of Foreign Service, Georgetown University, Washington, DC, United States.
Front Public Health. 2024 May 16;12:1339859. doi: 10.3389/fpubh.2024.1339859. eCollection 2024.
Poor diet is the leading cause of mortality in the U.S. due to the direct relationship with diet-related chronic diseases, disproportionally affects underserved communities, and exacerbates health disparities. Evidence-based policy solutions are greatly needed to foster an equitable and climate-smart food system that improves health, nutrition and reduces chronic disease healthcare costs. To directly address epidemic levels of U.S. diet-related chronic diseases and nutritional health disparities, we conducted a policy analysis, prioritized policy options and implementation strategies, and issued final recommendations for bipartisan consideration in the 2023-24 Farm Bill Reauthorization. Actional recommendations include: sugar-sweetened beverage taxation, Supplemental Nutrition Assistance Program (SNAP) fruit and vegetable subsidy expansion, replacement of ultra-processed foods (UPF) with sustainable, diverse, climate-smart agriculture and food purchasing options, and implementing "food is medicine."
不良饮食是导致美国居民死亡的主要原因，这是由于饮食相关的慢性疾病之间存在直接关系，饮食相关的慢性疾病不成比例地影响服务不足的社区，并加剧了健康差距。迫切需要循证政策解决方案来促进公平和气候智能型的食物系统，以改善健康、营养状况并降低慢性病的医疗保健成本。为了直接解决美国与饮食相关的慢性疾病和营养健康差距的流行程度，我们进行了政策分析，确定了政策选项和实施策略，并在 2023-24 年农业法案重新授权中为两党审议提出了最终建议。可行的建议包括：含糖饮料征税、补充营养援助计划（SNAP）水果和蔬菜补贴扩大、用可持续、多样化、气候智能型农业和食品采购选择取代超加工食品（UPF），以及实施“食物即药物”。
