How beliefs and policy characteristics shape the public acceptability of nutritional policies-A survey study in Germany.

IF 3.6 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES Health Policy Pub Date : 2024-12-03 DOI:10.1016/j.healthpol.2024.105221

Marike Andreas, Anna K Kaiser, Raenhha Dhami, Vincent Brugger, Falko F Sniehotta

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Abstract

Background: Despite the high prevalence of obesity in Germany, few effective political measures have been implemented to protect population health and improve the sustainability of food systems. One argument frequently raised against policy implementation is the lack of acceptability for policy measures in the German population.

Aim: We aimed to evaluate the acceptability of policy measures currently discussed in Germany's national nutrition strategy and how perceived policy characteristics and participant characteristics influence policy acceptability.

Method: We conducted an online survey with 2001 participants between 06.12.2023 and 05.01.2024, in which we collected data on perceived policy characteristics (acceptability, equity, societal and personal effectiveness), as well as participant values and beliefs.

Results: Most policies were highly acceptable, with policies such as the introduction of free school lunches (84 % acceptability), the introduction of a ban on fast food advertising aimed at children (71 %) or a sugar tax (53 %) being acceptable to a majority of the sample. The least acceptable policy was the introduction of a tax on animal products (36 %). Logistic regression analyses showed that perceived equity and societal and personal effectiveness predicted policy acceptability. Likewise, environmental values and beliefs about state intervention of participants influenced policy acceptability.

Conclusion: The high acceptability observed in this study suggests an opportunity for German policymakers to implement evidence-based and acceptable nutritional strategies to improve population health.

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信念和政策特征如何影响公众对营养政策的接受度--德国的调查研究。

背景：尽管德国肥胖症发病率很高，但几乎没有实施有效的政治措施来保护人口健康和改善食品系统的可持续性。目的：我们旨在评估德国国家营养战略中目前讨论的政策措施的可接受性，以及认知的政策特征和参与者特征如何影响政策的可接受性：我们在 2023 年 12 月 6 日至 2024 年 1 月 5 日期间对 2001 名参与者进行了在线调查，收集了有关政策特征（可接受性、公平性、社会和个人有效性）以及参与者价值观和信念的数据：大多数政策的可接受性都很高，大多数样本都能接受的政策包括实行免费学校午餐（84% 的可接受性）、禁止针对儿童的快餐广告（71%）或征收糖税（53%）。最不被接受的政策是征收动物产品税（36%）。逻辑回归分析表明，公平感以及社会和个人效率预示着政策的可接受性。同样，参与者的环境价值观和对国家干预的信念也影响了政策的可接受性：本研究中观察到的高可接受性表明，德国的政策制定者有机会实施以证据为基础的、可接受的营养策略，以改善人口健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Policy 医学-卫生保健

CiteScore

6.40

自引率

6.10%

发文量

157

审稿时长

3-8 weeks

期刊介绍： Health Policy is intended to be a vehicle for the exploration and discussion of health policy and health system issues and is aimed in particular at enhancing communication between health policy and system researchers, legislators, decision-makers and professionals concerned with developing, implementing, and analysing health policy, health systems and health care reforms, primarily in high-income countries outside the U.S.A.