Oza-Frank Reena, Warnock Amy Lowry, Calancie Larissa, Bassarab Karen, Palmer Anne, Cooksey Stowers Kristen, Harris Diane
Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy, Atlanta, GA 30341 (
Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Prev Chronic Dis. 2025 Jan 9;22:E03. doi: 10.5888/pcd22.240335.
Food policy councils (FPCs) are frequently used to facilitate change in food systems at the local, state, and regional levels, or in tribal nations. The objective of this study was to describe the prevalence of food policy councils and similar coalitions among US municipalities and their associations with healthy food access policies.
We used data from the 2021 National Survey of Community-Based Policy and Environmental Supports for Healthy Eating and Active Living, administered to municipal officials from May through September 2021. We used logistic regression models to examine associations between 1) having an FPC and 2) FPC membership composition and healthy food access policies. We grouped policies into 4 categories based on topic modules in the survey instrument: supporting new or existing food stores to sell healthy foods, financial or electronic benefits transfer (EBT) supports, transportation-related supports for accessing locations to purchase food, and consideration of local food supports in community planning.
Municipalities with FPCs (27.6%) had significantly higher odds than municipalities without FPCs of having policies supporting access to food retail stores (adjusted odds ratio [AOR] = 1.5; 95% CI, 1.2-1.9), access to farmers markets (AOR = 2.2; 95% CI, 1.7-2.7), access to transportation supports (AOR = 2.2; 95% CI, 1.8-2.8), and objectives in community planning documents (AOR = 2.0; 95% CI, 1.6-2.5). Among municipalities with FPCs, those with a health/public health representative (42.1%) or a community representative (65.1%) were more likely to report having any healthy food access policies.
This study emphasized the positive association between FPCs and healthy food access policies. This study also highlights the potential importance of FPC membership composition, including health/public health and community representatives.
食品政策委员会（FPCs）常被用于推动地方、州、地区或部落国家层面的食品系统变革。本研究的目的是描述美国各城市中食品政策委员会及类似联盟的普遍情况，以及它们与健康食品获取政策的关联。
我们使用了2021年全国基于社区的健康饮食与积极生活政策及环境支持调查的数据，该调查于2021年5月至9月对市政官员进行。我们使用逻辑回归模型来检验1）拥有食品政策委员会与2）食品政策委员会成员构成和健康食品获取政策之间的关联。我们根据调查问卷工具中的主题模块将政策分为4类：支持新的或现有的食品商店销售健康食品、财政或电子福利转账（EBT）支持、与获取购买食品地点相关的交通支持，以及在社区规划中考虑本地食品支持。
拥有食品政策委员会的城市（27.6%）比没有食品政策委员会的城市拥有支持食品零售店获取（调整后的优势比[AOR]=1.5；95%置信区间，1.2 - 1.9）、农贸市场获取（AOR = 2.2；95%置信区间，1.7 - 2.7）、交通支持获取（AOR = 2.2；95%置信区间，1.8 - 2.8）以及社区规划文件中的目标（AOR = 2.0；95%置信区间，1.6 - 2.5）的政策的可能性显著更高。在拥有食品政策委员会的城市中，有健康/公共卫生代表（42.1%）或社区代表（65.1%）的城市更有可能报告拥有任何健康食品获取政策。
本研究强调了食品政策委员会与健康食品获取政策之间的积极关联。本研究还突出了食品政策委员会成员构成的潜在重要性，包括健康/公共卫生和社区代表。
