The Healthy Food Environment Policy Index (Food‐EPI) aims to assess the extent of implementation of recommended food environment policies by governments compared with international best practices and prioritize actions to fill implementation gaps. The Food‐EPI was applied in 11 countries across six regions (2015‐2018). National public health nutrition panels (n = 11‐101 experts) rated the extent of implementation of 47 policy and infrastructure support good practice indicators by their government(s) against best practices, using an evidence document verified by government officials. Experts identified and prioritized actions to address implementation gaps. The proportion of indicators at “very low if any,” “low,” “medium,” and “high” implementation, overall Food‐EPI scores, and priority action areas were compared across countries. Inter‐rater reliability was good (GwetAC2 = 0.6‐0.8). Chile had the highest proportion of policies (13%) rated at “high” implementation, while Guatemala had the highest proportion of policies (83%) rated at “very low if any” implementation. The overall Food‐EPI score was “medium” for Australia, England, Chile, and Singapore, while “very low if any” for Guatemala. Policy areas most frequently prioritized included taxes on unhealthy foods, restricting unhealthy food promotion and front‐of‐pack labelling. The Food‐EPI was found to be a robust tool and process to benchmark governments' progress to create healthy food environments.

中文翻译：

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一项11国研究，以2015-2018年健康食品环境政策指数为基准，以各国政府实施推荐的营养政策为基准。

健康食品环境政策指数（Food-EPI）旨在评估政府与国际最佳实践相比实施建议的食品环境政策的程度，并优先采取行动填补实施方面的空白。Food-EPI已在六个地区（2015-2018）的11个国家中应用。全国公共卫生营养专家组（n = 11-101位专家）使用政府官员核实的证据文件，根据最佳实践对本国政府对47项政策和基础架构支持良好实践指标的实施程度进行了评估。专家们确定了解决实施差距的行动并确定了优先次序。比较了各国“非常低”，“低”，“中”和“高”实施指标的比例，食品－EPI总体得分和优先行动领域。评估者间的可靠性良好（GwetAC2 = 0.6-0.8）。智利的政策被评为“高”执行率的比例最高（13％），而危地马拉的政策被评为“极低（如果有的话）”的比例最高。在澳大利亚，英国，智利和新加坡，食物-EPI总体得分为“中”，而在危地马拉则为“非常低”。最经常优先考虑的政策领域包括对不健康食品征税，限制不健康食品的促销和包装前标签。事实证明，Food-EPI是一个强有力的工具和流程，可以用来基准化政府在创建健康食品环境方面的进展。