Healthy Eating Policy Strategies in Community Health Improvement Plans: A Cross-Sectional Survey of US Local Health Departments

Sreedhara, Meera; Goins, Karin Valentine; Frisard, Christine; Rosal, Milagros C.; Lemon, Stephenie C.

doi:10.1097/phh.0000000000001104

Cited by 5 publications

(7 citation statements)

References 28 publications

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“…Those findings were consistent with a 2012 survey of LGs in two US states, demonstrating that larger communities had more policies supporting healthy behaviours than smaller communities 14 . A 2016 US study surveyed Community Health Improvement Plans in local health districts with populations of less than 500,000 residents and found that 32% of surveyed local health districts reported one or more healthy eating policies in their plan 15 . Knowledge of policies for supporting healthy retail food environments is important to establish which action areas are in need of policy development and prioritising resources to support specific LGs, benchmarking of policy best practice, and for ongoing monitoring to assess change over time.…”

supporting

confidence: 74%

“…14 A 2016 US study surveyed Community Health Improvement Plans in local health districts with populations of less than 500,000 residents and found that 32% of surveyed local health districts reported one or more healthy eating policies in their plan. 15 Knowledge of policies for supporting healthy retail food environments is important to establish which action areas are in need of policy development and prioritising resources to support specific LGs, benchmarking of policy best practice, and for ongoing monitoring to assess change over time. Although we have previously examined the nutrition-related and obesity prevention policies, practices and attitudes of LGs in the state of Victoria in a survey in 2018, 12 to date, no national studies on this topic have been undertaken in Australia.…”

Section: Local Government Policies On Healthy Food Promotion and Obes...mentioning

confidence: 99%

“…An increased availability of healthier food and drink in these settings has been shown to result in increased sales of healthier options. 2 We are aware of only a small number of studies exploring LG policy focusing on healthy food promotion to support obesity prevention [11][12][13][14][15][16] Policy documents from six LG websites in one Australian state (New South Wales (NSW)) were found to promote healthy eating, cooking and food production skills. 13 However, these policies did not specifically…”

mentioning

confidence: 99%

“…We are aware of only a small number of studies exploring LG policy focusing on healthy food promotion to support obesity prevention 11-16 Policy documents from six LG websites in one Australian state (New South Wales (NSW)) were found to promote healthy eating, cooking and food production skills 13 . However, these policies did not specifically relate to sport and recreation facility food environments.…”

mentioning

confidence: 99%

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Local government policies on healthy food promotion and obesity prevention: results from a national Australian survey

Riesenberg

Blake

Boelsen‐Robinson

et al. 2022

Australian and New Zealand Journal of Public Health

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Objective: Local governments (LGs) often own or manage sport and recreation facilities and can promote health in these settings by implementing healthy food policies. The primary aim of this study was to assess the policies, attitudes and practices of Australian LGs relating to obesity prevention and the provision of healthy food in this setting. Methods: In July 2020, all 539 Australian LGs were invited to complete a survey. We assessed LG priorities to obesity prevention, promoting healthy eating and public health as well as the presence of healthy food policies in sporting facilities. Results: 203 (38%) LGs completed the survey. Improving public health was a high priority, while obesity prevention and promoting healthy eating were a medium priority. 22% of LGs reported that the priority given to promoting healthy food had increased over the previous year and stayed the same at 65%. Ten per cent of LGs had a healthy food and drink policy in sporting facilities, with 32% reporting having made changes without a policy. LGs located in major cities, with larger populations and with more facilities reported having made more healthy changes at their facilities. Conclusion: Promoting health is a priority for LGs across Australia, but very few have policies relating to the food environments in their sporting facilities. Implications for public health: Ongoing monitoring is important to assess changes over time and identify LGs where greater support is required.

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supporting

confidence: 74%

Section: Local Government Policies On Healthy Food Promotion and Obes...mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Local government policies on healthy food promotion and obesity prevention: results from a national Australian survey

Riesenberg

Blake

Boelsen‐Robinson

et al. 2022

Australian and New Zealand Journal of Public Health

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“…Communities and LHDs are increasingly engaging in population health activities, including health improvement planning, potentially due to benefits such as reductions in diabetes and cardiovascular disease mortality (15,16). Although most CHIPs generally address nutrition and PA, emerging evidence suggests that strategic health improvement plans underutilize PSE strategies to address HE and PA (17)(18)(19)(20).…”

Section: Introductionmentioning

confidence: 99%

Healthy Eating and Physical Activity Policy, Systems, and Environmental Strategies: A Content Analysis of Community Health Improvement Plans

Sreedhara

Goulding

Goins

et al. 2020

Front. Public Health

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Background: Policy, systems, and environmental (PSE) approaches can sustainably improve healthy eating (HE) and physical activity (PA) but are challenging to implement. Community health improvement plans (CHIPs) represent a strategic opportunity to advance PSEs but have not been adequately researched. The objective of this study was to describe types of HE and PA strategies included in CHIPs and assess strategies designed to facilitate successful PSE-change using an established framework that identifies six key activities to catalyze change.Methods: A content analysis was conducted of 75 CHIP documents containing HE and/or PA PSE strategies, which represented communities that were identified from responses to a national probability sample of US local health departments (<500,000 residents). Each HE/PA PSE strategy was assessed for alignment with six key activities that facilitate PSE-change (identifying and framing the problem, engaging and educating key people, identifying PSE solutions, utilizing available evidence, assessing social and political environment, and building support and political will). Multilevel latent class analyses were conducted to identify classes of CHIPs based on HE/PA PSE strategy alignment with key activities. Analyses were conducted separately for CHIPs containing HE and PA PSE strategies.Results: Two classes of CHIPs with PSE strategies emerged from the HE (n = 40 CHIPs) and PA (n = 43 CHIPs) multilevel latent class analyses. More CHIPs were grouped in Class A (HE: 75%; PA: 79%), which were characterized by PSE strategies that simply identified a PSE solution. Fewer CHIPs were grouped in Class B (HE: 25%; PA: 21%), and these mostly included PSE strategies that comprehensively addressed multiple key activities for PSE-change.Conclusions: Few CHIPs containing PSE strategies addressed multiple key activities for PSE-change. Efforts to enhance collaborations with important decision-makers and community capacity to engage in a range of key activities are warranted.

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Use of Evidence-Based Interventions to Promote Healthy Weight, Nutrition, and Physical Activity in Community Health Improvement Plans from Large Local Health Departments

Dupuis

Reiner

Silver

et al. 2023

Journal of Public Health Management and Practice

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We sought to identify evidence-based healthy weight, nutrition, and physical activity strategies related to obesity prevention in large local health department (LHD) Community Health Improvement Plans (CHIPs). We analyzed the content of the most recent, publicly available plans from 72 accredited LHDs serving a population of at least 500 000 people. We matched CHIP strategies to the County Health Rankings and Roadmaps' What Works for Health (WWFH) database of interventions. We identified 739 strategies across 55 plans, 62.5% of which matched a “WWFH intervention” rated for effectiveness on diet and exercise outcomes. Among the 20 most commonly identified WWFH interventions in CHIPs, 10 had the highest evidence for effectiveness while 4 were rated as likely to decrease health disparities according to WWFH. Future prioritization of strategies by health agencies could focus on strategies with the strongest evidence for promoting healthy weight, nutrition, and physical activity outcomes and reducing health disparities.

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Healthy Eating Policy Strategies in Community Health Improvement Plans: A Cross-Sectional Survey of US Local Health Departments

Abstract: Supplemental Digital Content is Available in the Text.

Cited by 5 publications

References 28 publications

Local government policies on healthy food promotion and obesity prevention: results from a national Australian survey

Local government policies on healthy food promotion and obesity prevention: results from a national Australian survey

Healthy Eating and Physical Activity Policy, Systems, and Environmental Strategies: A Content Analysis of Community Health Improvement Plans

Use of Evidence-Based Interventions to Promote Healthy Weight, Nutrition, and Physical Activity in Community Health Improvement Plans from Large Local Health Departments

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