The effectiveness, cost-effectiveness and policy processes of regulatory, voluntary and partnership policies to improve food environments: an evidence synthesis

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dc.catalogadorgrr
dc.contributor.authorBlanchard, Laurence
dc.contributor.authorRay, Stephanie
dc.contributor.authorLaw, Cherry
dc.contributor.authorVega Salas, María Jesús
dc.contributor.authorBidonde, Julia
dc.contributor.authorBridge, Gemma
dc.contributor.authorEgan, Matt
dc.contributor.authorPetticrew, Mark
dc.contributor.authorRutter,Harry
dc.contributor.authorKnai, Cécile
dc.date.accessioned2024-10-15T15:55:36Z
dc.date.available2024-10-15T15:55:36Z
dc.date.issued2024
dc.description.abstractBackground: Dietary factors are among the largest and costliest drivers of chronic diseases in England. As a response, the government implements a range of population interventions to promote healthy diets by targeting food environments.Objectives: This study aimed to conduct a systematic review of the effectiveness, cost-effectiveness and policy process of real-world evaluations of national and state policies on improving food environments, with a focus on whether they were regulatory, voluntary or partnership approaches.Data sources: Fourteen relevant English-language databases were searched in November 2020 for studies published between 2010 and 2020.Methods: Six separate evidence reviews were conducted to assess the evidence of effectiveness, cost-effectiveness and policy processes of policies to improve food environments.Results: A total of 483 primary research evaluations and 14 evidence syntheses were included. The study reveals considerable geographic, methodological and other imbalances across the literature, with, for example, 81% of publications focusing only on 12 countries. The systematic reviews also reveal the effectiveness and cost-effectiveness of reviewed regulatory approaches designed to improve health, consumer behaviour and food environment outcomes while public–private partnerships and voluntary approaches to improve diets via reformulation, advertising and promotion restrictions or other changes to the environment were limited in their effectiveness and cost-effectiveness. The study also revealed key enabling and impeding factors across regulatory, voluntary and public–private partnership approaches.Conclusion: From the available evidence reviewed, this study finds that regulatory approaches appear most effective at improving the food environment, and voluntary agreements and partnerships have limited effectiveness. These findings should be carefully considered in future public health policy development, as should the findings of geographic imbalance in the evidence and inadequate representation of equity dimensions across the policy evaluations. We find that food policies are at times driven by factors other than the evidence and shaped by compromise and pragmatism. Food policy should be first and foremost designed and driven by the evidence of greatest effectiveness to improve food environments for healthier diets
dc.fuente.origenORCID
dc.identifier.doi10.3310/JYWP4049
dc.identifier.issn2050-439X
dc.identifier.urihttps://doi.org/10.3310/JYWP4049
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/88235
dc.information.autorucDepartamento de Ciencias de la Salud; Vega Salas, María Jesús; 0000-0002-5798-7091; 180391
dc.issue.numero8
dc.language.isoen
dc.revistaPublic Health Research
dc.rightsacceso abierto
dc.rights.licenseCC BY 4.0 Attribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/deed.en
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods16 Peace and Justice Strong Institutions
dc.subject.ods01 No poverty
dc.subject.odspa16 Paz, justicia e instituciones sólidas
dc.subject.odspa01 Fin de la pobreza
dc.titleThe effectiveness, cost-effectiveness and policy processes of regulatory, voluntary and partnership policies to improve food environments: an evidence synthesis
dc.typeinforme
dc.volumen12
sipa.codpersvinculados180391
sipa.trazabilidadORCID;2024-10-14
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