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OBJECTIVES: Community efforts to improve access to nutritious foods are one strategy to reduce food insecurity, promote healthy eating, and prevent diet-related chronic diseases. Food policy councils (FPCs) can facilitate relationships between food systems players and implementation of local policy efforts to increase access to healthier foods. This study examined associations between FPCs with local policy supports for healthy food access. METHODS: We used data from CDC's 2014 National Survey of Community-Based Policy and Environmental Supports for Healthy Eating and Active Living, a nationally representative survey of U.S. municipalities with population ≥1000 (n = 2029). We calculated the prevalence of FPCs, overall and by municipal characteristics including population size, census region, rural/urban status, poverty prevalence, median education level, and racial/ethnic composition. We used multivariable logistic regression to examine cross-sectional associations between FPCs and four types of supports for healthy food access (approaches to help open or improve food stores; practices to support farmers markets; transportation-related supports; and community planning documents). RESULTS: Overall, 7.6% of municipalities reported having a local or regional FPC. FPCs were reported more frequently among larger municipalities with ≥50,000 people (29.2%, 95% confidence interval (CI): 21.6–36.8) compared to smaller municipalities (4.3% for |
