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The INFORMAS healthy food environment policy index (Food-EPI) in Mexico: An assessment of implementation gaps and priority recommendations.
Obesity Reviews ( IF 8.0 ) Pub Date : 2019-01-07 , DOI: 10.1111/obr.12814
Claudia Nieto 1 , Estefania Rodríguez 1 , Karina Sánchez-Bazán 1 , Lizbeth Tolentino-Mayo 1 , Angela Carriedo-Lutzenkirchen 2 , Stefanie Vandevijvere 3 , Simón Barquera 1
Affiliation  

Mexico is one of the countries with the highest prevalence of obesity and recently declared a national epidemic of diabetes. Healthy food environments have the potential to improve the diet of the population and decrease the burden of disease. The aim of the study was to assess the efforts of the Mexican Government towards creating healthier food environments using the Healthy Food Environment Policy Index (Food‐EPI). The tool was developed by the International Network for Food and Obesity/Non‐communicable Diseases Research, Monitoring and Action Support (INFORMAS). Then, it was adapted to the Latin‐American context and assessed the components of policy and infrastructure support. Actors from academia, civil society, government, and food industry assessed the level of implementation of food policies compared with international best practices. Actors were classified as (1) independents from academia and civil society (n = 36), (2) government (n = 28), and (3) industry (n = 6). The indicators with the highest percentage of implementation were those related to monitoring and intelligence. Those related to food retail were rated lowest. When stratified by type of actor, the government officials rated several indicators at a higher percentage of implementation compared with independent actors. None of the indicators were rated at high implementation. Government officials and independent actors agreed upon nine priority actions to improve the food environment in Mexico. These actions have the potential to improve government commitment and advocacy efforts to create healthier food environments.

中文翻译:

墨西哥的INFORMAS健康食品环境政策指数(Food-EPI):对实施差距和优先建议的评估。

墨西哥是肥胖症患病率最高的国家之一,最近宣布为全国性糖尿病流行病。健康的食物环境有可能改善人们的饮食习惯并减轻疾病负担。该研究的目的是使用健康食品环境政策指数(Food-EPI)评估墨西哥政府为创建更健康的食品环境所做的努力。该工具是由国际食品和肥胖症/非传染性疾病研究,监测和行动支持网络(INFORMAS)开发的。然后,它适应了拉丁美洲的环境,并评估了政策和基础设施支持的组成部分。来自学术界,民间社会,政府和食品行业的参与者评估了食品政策与国际最佳实践相比的实施水平。演员分为(1)来自学术界和民间社会的独立人士(n = 36),(2)政府(n = 28)和(3)行业(n = 6)。实施百分比最高的指标是与监测和情报有关的指标。与食品零售相关的那些被评为最低。按行为者类型进行分层时,与独立行为者相比,政府官员对多项指标的实施百分比更高。没有一项指标被评为执行良好。政府官员和独立行为者商定了九项优先行动,以改善墨西哥的食物环境。这些行动有可能改善政府的承诺和倡导工作,以创造更健康的食品环境。(2)政府(n = 28),和(3)工业(n = 6)。实施百分比最高的指标是与监测和情报有关的指标。与食品零售相关的那些被评为最低。按行为者类型进行分层时,与独立行为者相比,政府官员对多项指标的实施百分比更高。没有一项指标被评为执行良好。政府官员和独立行为者商定了九项优先行动,以改善墨西哥的食物环境。这些行动有可能改善政府的承诺和倡导工作,以创造更健康的食品环境。(2)政府(n = 28),和(3)工业(n = 6)。实施百分比最高的指标是与监测和情报有关的指标。与食品零售相关的那些被评为最低。按行为者类型进行分层时,与独立行为者相比,政府官员对多项指标的实施百分比更高。没有一项指标被评为执行良好。政府官员和独立行为者商定了九项优先行动,以改善墨西哥的食物环境。这些行动有可能改善政府的承诺和倡导工作,以创造更健康的食品环境。与食品零售相关的那些被评为最低。按行为者类型进行分层时,与独立行为者相比,政府官员对多项指标的实施百分比更高。没有一项指标被评为执行良好。政府官员和独立行为者商定了九项优先行动,以改善墨西哥的食物环境。这些行动有可能改善政府的承诺和倡导工作,以创造更健康的食品环境。与食品零售相关的那些被评为最低。当按行为者类型进行分层时,与独立行为者相比,政府官员对几个指标的实施百分比更高。没有一项指标被评为执行良好。政府官员和独立行为者商定了九项优先行动,以改善墨西哥的食物环境。这些行动有可能改善政府的承诺和倡导工作,以创造更健康的食品环境。
更新日期:2019-01-07
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