| Popis: |
Successfully addressing the growing burden of nutrition-related disease requires adoption of nutrition policy measures aimed at shifting population dietary behaviors away from excessive consumption of unhealthy foods and beverages, such as those high sugar, salt and trans-fats, and towards higher consumption of health-promoting foods and beverages, such as fruits and vegetables. However, governments around the world are slow to enact such policies. Public support for nutrition policy action, or lack thereof, can help or hinder political action on nutrition, particularly in democratic contexts in which public support is a central consideration in political decision-making. However, several studies have demonstrated a fundamental trade-off with regard to public support for enacting nutrition policy: the most effective policy measures for discouraging unhealthy behaviors (known as ‘push’ measures), which tend to impinge more heavily on individual freedom of choice, tend to garner relatively little public support, particularly compared to policies that enable individual freedom of choice for healthy behaviors (known as ‘pull’ measures), that are relatively less effective and also tend to generate inequities in realized health benefits. Given this observed trade-off, along with increasing recommendations for more comprehensive nutrition policy action, this study aims to examine public support for ‘packages’ of policies that bundle together policies with a range of impact on individual choice (I.e., both ‘push’ and ‘pull’ measures), and therefore carry different implications for both effectiveness and public support. This study will focus on the context of Germany, a country with a persistently high prevalence of nutrition-related disease and persistently low adoption of nutrition policy despite a strong economic rationale to intervene. Specifically, this study will examine public support for different packages of nutrition policy measures that have been identified to be high priority in Germany based on metrics of population health impact, feasibility of adoption, and equity of impact, as identified through a recently conducted assessment of the nutrition policy landscape in Germany. In doing so, this study will yield insights into comprehensive packages of nutrition policy measures that may be adopted to mitigate the trade-off between effectiveness and public support. |
