Local government stakeholders' perceptions of potential policy actions to influence both climate change and healthy eating in Victoria: A qualitative study

IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Promotion Journal of Australia Pub Date : 2024-02-19 DOI:10.1002/hpja.848
Urvi Thanekar, Gary Sacks, Oriana Ruffini, Belinda Reeve, Miranda R. Blake
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Abstract

Issue Addressed

Climate change is a defining public health issue of the 21st century. Food systems are drivers of diet-related disease burden, and account for 30% of global greenhouse gas emissions. Local governments play a crucial role in improving both the healthiness and environmental sustainability of food systems, but the potential for their actions to simultaneously address these two issues is unclear. This study aimed to explore the perceptions of Australian local government stakeholders regarding policy actions simultaneously addressing healthy eating and climate change, and the influences on policy adoption.

Methods

We conducted 11 in-depth semi-structured interviews with stakeholders from four local governments in Victoria, Australia. Data were analysed using reflexive thematic analysis. We applied Multiple Streams Theory (MST) ‘problem’, ‘politics and ‘policy’ domains to explain policy adoption influences at the local government level.

Results

Key influences on local government action aligned with MST elements of ‘problem’ (e.g., local government's existing risk reports as drivers for climate change action), ‘policy’ (e.g., budgetary constraints) and ‘politics’ (e.g., local government executive agenda). We found limited evidence of coherent policy action in the areas of community gardens, food procurement and urban land use.

Conclusion

Barriers to further action, such as resource constraints and competing priorities, could be overcome by better tailoring policy action areas to community needs, with the help of external partnerships and local government executive support.

So What?

This study demonstrates that Victorian local stakeholders believe they are well-positioned to implement feasible and coherent interventions that address both healthy eating and climate.

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维多利亚州地方政府利益相关者对影响气候变化和健康饮食的潜在政策行动的看法:定性研究。
解决的问题:气候变化是 21 世纪一个决定性的公共卫生问题。食品系统是与饮食相关的疾病负担的驱动因素,占全球温室气体排放量的 30%。地方政府在改善食品系统的健康性和环境可持续性方面发挥着至关重要的作用,但其行动同时解决这两个问题的潜力尚不明确。本研究旨在探讨澳大利亚地方政府利益相关者对同时解决健康饮食和气候变化问题的政策行动的看法,以及对政策采用的影响因素:我们对澳大利亚维多利亚州四个地方政府的利益相关者进行了 11 次深入的半结构式访谈。我们采用反思性主题分析法对数据进行了分析。我们运用多流理论(MST)中的 "问题"、"政治 "和 "政策 "领域来解释地方政府采用政策的影响因素:结果:对地方政府行动的主要影响因素与多元流理论中的 "问题"(例如,作为气候变化行动驱动力的地方政府现有风险报告)、"政策"(例如,预算限制)和 "政治"(例如,地方政府行政议程)要素相一致。我们发现,在社区菜园、食品采购和城市土地利用等领域,采取一致政策行动的证据有限:结论:在外部伙伴关系和地方政府行政支持的帮助下,通过更好地根据社区需求调整政策行动领域,可以克服进一步行动的障碍,如资源限制和相互竞争的优先事项。所以呢?这项研究表明,维多利亚州的地方利益相关者认为,他们完全有能力实施可行且一致的干预措施,以解决健康饮食和气候问题。
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来源期刊
Health Promotion Journal of Australia
Health Promotion Journal of Australia PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.10
自引率
10.50%
发文量
115
期刊介绍: The purpose of the Health Promotion Journal of Australia is to facilitate communication between researchers, practitioners, and policymakers involved in health promotion activities. Preference for publication is given to practical examples of policies, theories, strategies and programs which utilise educational, organisational, economic and/or environmental approaches to health promotion. The journal also publishes brief reports discussing programs, professional viewpoints, and guidelines for practice or evaluation methodology. The journal features articles, brief reports, editorials, perspectives, "of interest", viewpoints, book reviews and letters.
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