The future of public health nutrition: a critical policy analysis of Eat Well Australia

Bastian, Amber

doi:10.1111/j.1753-6405.2010.00630.x

Cited by 10 publications

(8 citation statements)

References 10 publications

(10 reference statements)

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“…One article showed that there were no significant changes in school-based eating at the end of a 2-year study, although there were some positive changes in the early stage of the intervention ( 38 ) . This is consistent with other reviews, particularly those studies that actually assessed changes in dietary intake, which found no overall effect in the long term but some effect in the short term or in population subgroups ( 64 – 66 ) . Long-term follow-up is essential if we are to determine whether nutrition interventions offer sustained benefits ( 67 , 68 ) .…”

Section: Discussionsupporting

confidence: 92%

The implementation and effectiveness of school-based nutrition promotion programmes using a health-promoting schools approach: a systematic review

Wang

Stewart

2012

Public Health Nutr.

149

140

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Objective: To evaluate implementation and effectiveness of nutrition promotion programmes using the health-promoting schools (HPS) approach, to indicate areas where further research is needed and to make recommendations for practice in this field. Design: The searched electronic databases included: CINAHL, Cochrane Library, Health Reference Center, Informit Search, MEDLINE, ProQuest, PsycINFO, PubMed, ScienceDirect, Scopus, Social Services Abstracts and Web of Science. Inclusion criteria were: (i) controlled or before-and-after studies evaluating a nutrition intervention and involving the HPS approach, either fully or in part; (ii) provision of information about components and delivery of the intervention; and (iii) report on all evaluated outcomes. Setting: Schools. Subjects: Students, parents and school staff. Results: All included studies described intervention delivery and six reported on process evaluation. In intervention schools school environment and ethos were more supportive, appropriate curriculum was delivered and parents and/or the community were more engaged and involved. Students participated in interventions at differing levels, but the majority was satisfied with the intervention. The evidence indicates that nutrition promotion programmes using the HPS approach can increase participants' consumption of high-fibre foods, healthier snacks, water, milk, fruit and vegetables. It can also reduce participants' 'breakfast skipping', as well as reduce intakes of red food, low-nutrient dense foods, fatty and cream foods, sweet drinks consumption and eating disorders. It can help to develop hygienic habits and improved food safety behaviours. Conclusions: More professional training for teachers in the HPS approach, further qualitative studies, longer intervention periods, improved follow-up evaluations and adequate funding are required for future school-based nutrition promotion programmes.

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Section: Discussionsupporting

confidence: 92%

The implementation and effectiveness of school-based nutrition promotion programmes using a health-promoting schools approach: a systematic review

Wang

Stewart

2012

Public Health Nutr.

149

140

View full text Add to dashboard Cite

show abstract

“…Previous national nutrition activities such as the Food and Nutrition Policy (1992) and Eat Well Australia (2000‐2010) have considered addressing food and nutrition insecurity; however, these policies and programs have historically been regarded as being inadequately resourced . Accordingly, the relative abundance of responses at a state government level may in part be compensating for this lack of a national, whole‐of‐government approach to addressing FI.…”

Section: Discussionmentioning

confidence: 99%

Population‐based interventions addressing food insecurity in Australia: A systematic scoping review

Yii

Palermo

Kleve

2019

Nutrition & Dietetics

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Aim: Food insecurity (FI) is a critical public health issue in Australia. Populationbased interventions aiming to address the socio-ecological determinants of FI are critical for relieving and preventing it. This review aimed to map and summarise the characteristics of population-based interventions addressing household and/or community FI in Australia. Methods: A systematic scoping review was undertaken. Five databases, selected for range and relevance to FI in Australia ("CINAHL plus", "Ovid MEDLINE", "Sociological Abstracts", "Australian Public Affairs Information Service", and "Rural and Remote Health") were searched in May 2018 using the terms and relevant synonyms "FI" and "interventions". In addition a systematic grey literature search using multiple Google searches was undertaken.Data synthesis included categorisation and counting intervention type. Interventions were defined and charted by influence of at least one dimension of food security and impact on the socioeconomic, cultural and environmental conditions. Results: A total of 3565 published and grey literature records were identified, with the final 60 records describing 98 interventions. Few national interventions were identified, with approaches predominantly in Victoria, Northern Territory and Tasmania. Determinants related to living and working environments, food availability and food utilisation were most frequently addressed.Interventions addressing the key determinant of FI economic access were limited. A number of interventions did not appear to be associated with rigorous evaluation. Conclusions: While there is evidence of population responses to FI in Australia, the effectiveness of these remains limited. Importantly there is a lack of coordinated and coherent national responses that address the range of FI determinants. K E Y W O R D Sfood supply, food security, nutrition, public health, social determinants of health

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“…25 Previous studies have demonstrated that WPR is a useful approach for interrogating how public health nutrition and childhood obesity are problematized in policy documents and media stories. [30][31][32][33] For example, analysis of Australia's now expired national public health nutrition agenda, Eat Well Australia, revealed public health nutrition was represented as an individual problem, and as a problem arising from social, political and economic circumstances. 30 Analysis of media representations of childhood obesity in Australia revealed media coverage favoured the representation of childhood obesity as a problem of individuals, in direct contrast to the social representation observed in the academic literature.…”

Section: Methodsmentioning

confidence: 99%

A Critical Analysis of Representations of Inequalities in Childhood Obesity in Australian Health Policy Documents

Chung

Zorbas

Peeters

et al. 2021

Int J Health Policy Manag

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Background: In Australia, childhood obesity follows a socioeconomic gradient whereby children with lower socioeconomic position are disproportionately burdened. To reduce these inequalities in childhood obesity requires a multi-component policy-driven response. Action to address health issues is underpinned by the ways in which they are represented as 'problems' in public policy. This study critically examines representations of inequalities in childhood obesity within Australian health policy documents published between 2000-2019. Methods: Australia's federal, state and territory government health department websites were searched for health policy documents including healthy weight, obesity, healthy eating, food and nutrition strategies; child and youth health strategies; and broader health and wellbeing, prevention and health promotion policies that proposed objectives or strategies for childhood obesity prevention. Thematic analysis of eligible documents was guided by a theoretical framework informed by problematization theory, ecological systems theory, and theoretical principles for equity in health policy. Results: Eighteen policy documents were eligible for inclusion. The dominant representation of inequalities in childhood obesity was one of individual responsibility. The social determinants of inequalities in childhood obesity were acknowledged, yet policy actions predominantly focused on individual determinants. Equity was positioned as a principle of policy documents but was seldom mentioned in policy actions. Conclusion: Current representations of inequalities in childhood obesity in Australian health policy documents do not adequately address the underlying causes of health inequities. In order to reduce inequalities in childhood obesity future policies will need greater focus on health equity and the social determinants of health (SDoH).

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The future of public health nutrition: a critical policy analysis of Eat Well Australia

Abstract: A s the disease burden and costs of diet-related diseases in Australia are high, and are unequally distributed among the population, nutrition is considered a priority public health issue that has been gaining increasing attention over the past two decades.

Cited by 10 publications

References 10 publications

The implementation and effectiveness of school-based nutrition promotion programmes using a health-promoting schools approach: a systematic review

The implementation and effectiveness of school-based nutrition promotion programmes using a health-promoting schools approach: a systematic review

Population‐based interventions addressing food insecurity in Australia: A systematic scoping review

A Critical Analysis of Representations of Inequalities in Childhood Obesity in Australian Health Policy Documents

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