Acceptability of policies targeting dietary behaviours and physical activity: a systematic review of tools and outcomes

Scheidmeir, Marie; Kubiak, Thomas; Łuszczyńska, Aleksandra; Wendt, Janine; Scheller, Daniel A.; Meshkovska, Biljana; Müller-Stierlin, Annabel; Forberger, Sarah; Łobczowska, Karolina; Neumann-Podczaska, Agnieszka; Wieczorowska‐Tobis, Katarzyna; Zeeb, Hajo; Steinacker, Jürgen M.; Woods, Catherine; Lakerveld, Jeroen

doi:10.1093/eurpub/ckac053

Cited by 5 publications

(11 citation statements)

References 39 publications

(103 reference statements)

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“…As for sociodemographic differences in acceptability levels, our results are especially coherent with previous gender-based findings ( 12 , 16 ). Women’s greater odds of being in complete agreement with the targeted policies may be attributable to their overall greater levels of health consciousness ( 27 ) and their greater desire to adhere to Western society’s beauty ideals based on thin or fit body phenotypes ( 28 ).…”

Section: Discussionsupporting

confidence: 91%

“…Our results regarding variations in acceptability levels, based on examined policy, align with what is proposed by the Intervention Ladder, where an inverse relationship between policy acceptability and policy intrusiveness is observed ( 12 , 16 ). Unique to our study, we were also able to show jurisdictional differences in acceptability levels.…”

Section: Discussionsupporting

confidence: 88%

“…Person- and policy-related correlates of food policy acceptability have been the focus of two systematic reviews ( 12 , 16 ). Regarding person-related correlates of food policy acceptability, both reviews report consistent trends across gender and age variables, with greater acceptability levels generally observed among women and older individuals.…”

Section: Introductionmentioning

confidence: 99%

“…In relation to policy-related correlates of food policy acceptability, both reviews highlight that food policy acceptability increases as a function of the policy’s stage of implementation and decreases as a function of the policy’s level of intrusiveness ( 12 , 16 ). In other words, policies at more advanced stages of implementation and policies with lower levels of intrusiveness generally render high levels of acceptability.…”

Section: Introductionmentioning

confidence: 99%

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Sociodemographic characteristics help predict Canadian urbanites’ acceptability of restaurant food environment policies

Lambert-De Francesch,

Saint-Onge,

Muhajarine

et al. 2024

Front. Nutr.

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IntroductionPublic acceptability of policies aiming to improve the healthfulness of the restaurant food environment is key to their successful implementation. Yet, the acceptability of these policies remains ambiguous, especially across diverse population groups. This study aims to examine associations between sociodemographic characteristics and acceptability levels of three restaurant food environment policies of varying degrees of intrusiveness across 17 urban Canadian jurisdictions.MethodsData was extracted from the THEPA survey, one of the largest and most jurisdictionally comprehensive surveys on intervention acceptability (N = 27,162). To account for potential jurisdictional differences in acceptability, for each policy, multilevel logistic regression models were developed.ResultsResults indicated that, on average, those in complete agreement with the implementation of the targeted policies represented 20.3%–26.9% of participants, depending on the policy. Acceptability varied according to policy intrusiveness, jurisdiction, and participants’ sociodemographic characteristics. Women, individuals with household incomes of <$40,000/year, immigrants from a high-income country other than Canada, and Indigenous peoples were more likely to express complete agreement with all policies, versus men, participants with household incomes of $40,000–$79,999/year, Canadian-born individuals, and non-Indigenous individuals. A lower likelihood of expressing complete agreement with all policies was observed for those with a $80,000–$119,999/year household income, versus those with a $40,000–$79,999/year household income. For selected policies and models, other sociodemographic characteristics (i.e., age, education, and being born in a low-or middle-income country) predicted acceptability. The examined sociodemographic characteristics did not explain jurisdictional differences in acceptability.DiscussionUnderstanding jurisdictional differences in acceptability merits further research. Policy implications involve engaging diverse sociodemographic groups in conversations about acceptable ways in which their restaurant food environment could be rendered more healthful.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Sociodemographic characteristics help predict Canadian urbanites’ acceptability of restaurant food environment policies

Lambert-De Francesch,

Saint-Onge,

Muhajarine

et al. 2024

Front. Nutr.

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“…We conducted further meta- and systematic reviews that showed that (i) socio-cultural, economic and political contexts play a crucial role in successful policy implementation 42 , 43 and that (ii) highly intrusive measures like taxation or restrictions are least likely to be accepted when first implemented, but confidence in relevance and effectiveness increases over time, which in turn may increase acceptance. 44 We conducted scoping reviews on implementation processes of SSB taxation and physical activity policies to explore what happens after their enactment until possible effects are observed. Due to the small number of available studies, these two scoping maps did not allow firm conclusions about processes.…”

Section: Public Policies With Potential Influence On Food and Physica...mentioning

confidence: 99%

Dietary behaviour and physical activity policies in Europe: learnings from the Policy Evaluation Network (PEN)

Ahrens

Brugger

Flechtner-Mors

et al. 2022

European Journal of Public Health

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The European Policy Evaluation Network (PEN), initiated in autumn 2018, aimed at advancing the evidence base for public policies impacting dietary behaviour, physical activity and sedentary behaviours in Europe. This is needed because non-communicable diseases—the leading cause of global mortality—are substantially caused by physical inactivity and unhealthy dietary behaviours, which in turn are driven by upstream factors that have not yet been addressed effectively by prevention approaches. Thus, successful policy interventions are required that target entire populations and tackle the ‘causes of the causes’. To advance our knowledge on the effective implementation of policies and their impact in terms of improving health behaviours, PEN focused on five research tasks: (i) Adaptation and implementation of a Food Environment Policy Index (Food-EPI) and development of a Physical Activity Environment Policy Index (PA-EPI); (ii) Mapping of health-related indicators needed for policy evaluation and facilitating a harmonized pan-European approach for surveillance to assess the impact of policy interventions; (iii) Refining quantitative methods to evaluate the impact of public policies; (iv) Identifying key barriers and facilitators of implementation of policies; and (v) Advance understanding the equity impact of the development, implementation and evaluation of policies aimed at promoting physical activity and a healthy diet. Finally, and in order to provide concrete evidence for policymaking, existing exemplary policies, namely sugar-sweetened beverages taxation, active transport policies and school policies on nutrition and physical activity were assessed in consideration of these five tasks. At the end of the PEN project’s formal runtime, considerable advancements have been made. Here, we present an overview of the most important learnings and outputs.

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Acceptability of built environment interventions to improve healthy eating and physical activity among city dwellers in Saskatchewan, Canada: THEPA findings from a local context

Ramamoorthy,

Gauvin,

Muhajarine

2024

Cities & Health

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Acceptability of policies targeting dietary behaviours and physical activity: a systematic review of tools and outcomes

Cited by 5 publications

References 39 publications

Sociodemographic characteristics help predict Canadian urbanites’ acceptability of restaurant food environment policies

Sociodemographic characteristics help predict Canadian urbanites’ acceptability of restaurant food environment policies

Dietary behaviour and physical activity policies in Europe: learnings from the Policy Evaluation Network (PEN)

Acceptability of built environment interventions to improve healthy eating and physical activity among city dwellers in Saskatchewan, Canada: THEPA findings from a local context

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