Glanz K, Lankenau B, Foerster S, Temple S, Mullis R, Schmid T
Cancer Research Center of Hawaii, University of Hawaii, Honolulu, USA.
Health Educ Q. 1995 Nov;22(4):512-27. doi: 10.1177/109019819502200408.
This article reviews environmental and policy intervention approaches to cardiovascular disease prevention through nutrition and recommends opportunities for state and local health departments to initiate and participate in environmental and nutrition policy initiatives. By addressing these complementary aims, the authors hope to stimulate further efforts to achieve progress in nutrition promotion among state and local health-related organizations. Key categories of opportunity to develop new or expanded nutrition policies and environmental strategies include economic incentives, food assistance and feeding programs, regulations for institutional food service operations, and nutrition services in health care. Environmental strategies to reduce barriers to following dietary guidelines, such as point-of-choice programs and school nutrition programs, should be tailored for local communities and widely disseminated. In addition, current federal policy efforts, notably nutrition labeling rules, will provide a valuable focal point for state and local advocacy, education, and monitoring.
本文回顾了通过营养预防心血管疾病的环境和政策干预方法，并推荐了州和地方卫生部门发起并参与环境和营养政策倡议的机会。通过实现这些相辅相成的目标，作者希望推动在州和地方卫生相关组织中进一步努力促进营养改善。制定新的或扩展的营养政策及环境策略的关键机会类别包括经济激励措施、食品援助和供餐计划、机构食品服务运营法规以及医疗保健中的营养服务。减少遵循饮食指南障碍的环境策略，如选择点计划和学校营养计划，应针对当地社区量身定制并广泛传播。此外，当前的联邦政策举措，尤其是营养标签规则，将为州和地方的宣传、教育及监测提供宝贵的重点方向。
