Policy options for obesity in Europe : a comparison of public health specialists with other stakeholders

ABSTRACT: Objective: To explore policy options that public health specialists (PHS) consider appropriate for combating obesity in Europe, and compare their preferences with those of other stakeholders (non-PHS). Design: Structured interviews using multicriteria mapping, a computer-based, decision-su...

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Autores:
González Zapata, Laura Inés
Álvarez Dardet, Carlos
Ortiz Moncada, Rocio
Millstone, Erik
Clemente, Vicente
Holdsworth, Michelle
Sarri, Katerina
Tarlao, Giulio
Horvath, Zoltanne
Lobstein, Tim
Savva, Savvas
Tipo de recurso:
Article of investigation
Fecha de publicación:
2008
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
eng
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/23494
Acceso en línea:
http://hdl.handle.net/10495/23494
Palabra clave:
Obesity
Obesidad
Public Policy
Política Pública
Política Nutricional
Nutrition Policy
Rights
openAccess
License
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
id UDEA2_8dc9c16d2417d283d2ba4a45a98da042
oai_identifier_str oai:bibliotecadigital.udea.edu.co:10495/23494
network_acronym_str UDEA2
network_name_str Repositorio UdeA
repository_id_str
dc.title.spa.fl_str_mv Policy options for obesity in Europe : a comparison of public health specialists with other stakeholders
title Policy options for obesity in Europe : a comparison of public health specialists with other stakeholders
spellingShingle Policy options for obesity in Europe : a comparison of public health specialists with other stakeholders
Obesity
Obesidad
Public Policy
Política Pública
Política Nutricional
Nutrition Policy
title_short Policy options for obesity in Europe : a comparison of public health specialists with other stakeholders
title_full Policy options for obesity in Europe : a comparison of public health specialists with other stakeholders
title_fullStr Policy options for obesity in Europe : a comparison of public health specialists with other stakeholders
title_full_unstemmed Policy options for obesity in Europe : a comparison of public health specialists with other stakeholders
title_sort Policy options for obesity in Europe : a comparison of public health specialists with other stakeholders
dc.creator.fl_str_mv González Zapata, Laura Inés
Álvarez Dardet, Carlos
Ortiz Moncada, Rocio
Millstone, Erik
Clemente, Vicente
Holdsworth, Michelle
Sarri, Katerina
Tarlao, Giulio
Horvath, Zoltanne
Lobstein, Tim
Savva, Savvas
dc.contributor.author.none.fl_str_mv González Zapata, Laura Inés
Álvarez Dardet, Carlos
Ortiz Moncada, Rocio
Millstone, Erik
Clemente, Vicente
Holdsworth, Michelle
Sarri, Katerina
Tarlao, Giulio
Horvath, Zoltanne
Lobstein, Tim
Savva, Savvas
dc.subject.decs.none.fl_str_mv Obesity
Obesidad
Public Policy
Política Pública
Política Nutricional
Nutrition Policy
topic Obesity
Obesidad
Public Policy
Política Pública
Política Nutricional
Nutrition Policy
description ABSTRACT: Objective: To explore policy options that public health specialists (PHS) consider appropriate for combating obesity in Europe, and compare their preferences with those of other stakeholders (non-PHS). Design: Structured interviews using multicriteria mapping, a computer-based, decision-support tool. Setting: Nine European countries. Subjects: A total of 189 stakeholders. Twenty-seven interviewees were PHS and non-PHS included food, sports and health sectors. Measurements: A four-step approach was taken, i.e. selecting options, defining criteria, scoring options quantitatively and weighting the criteria to provide overall rankings of options. Interviews were recorded and transcribed to yield qualitative data. Results: The PHS concur with other stakeholders interviewed, as all emphasised the importance of educational initiatives in combating obesity, followed by policies to improve community sports facilities, introduce mandatory food labelling and controlling food and drink advertising. Further analyses revealed several significant differences. The non-PHS from the private sector ranked institutional reforms favourably; the PHS from non-Mediterranean countries supported the option of medicines to prevent obesity; and those PHS from Mediterranean countries endorsed the use of activity monitoring devices such as pedometers. As far as appraisal criteria were concerned, PHS considered efficacy and the economic impact on the public sector to be the most important. Conclusion: There is clear consensus among PHS and other stakeholders concerning the need for a package of policy options, which suggests that European-wide implementation could be successful. However, it would be advisable to avoid more contentious policy options such as taxation until future changes in public opinion.
publishDate 2008
dc.date.issued.none.fl_str_mv 2008
dc.date.accessioned.none.fl_str_mv 2021-10-26T22:32:13Z
dc.date.available.none.fl_str_mv 2021-10-26T22:32:13Z
dc.type.spa.fl_str_mv info:eu-repo/semantics/article
dc.type.coarversion.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
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dc.type.local.spa.fl_str_mv Artículo de investigación
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dc.identifier.citation.spa.fl_str_mv González-Zapata, L., Alvarez-Dardet, C., Ortiz-Moncada, R., Clemente, V., Millstone, E., Holdsworth, M., . . . Savva, S. (2009). Policy options for obesity in Europe: A comparison of public health specialists with other stakeholders. Public Health Nutrition, 12(7), 896-908. doi:10.1017/S136898000800308X
dc.identifier.issn.none.fl_str_mv 1368-9800
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/10495/23494
dc.identifier.doi.none.fl_str_mv 10.1017/S136898000800308X
dc.identifier.eissn.none.fl_str_mv 1475-2727
identifier_str_mv González-Zapata, L., Alvarez-Dardet, C., Ortiz-Moncada, R., Clemente, V., Millstone, E., Holdsworth, M., . . . Savva, S. (2009). Policy options for obesity in Europe: A comparison of public health specialists with other stakeholders. Public Health Nutrition, 12(7), 896-908. doi:10.1017/S136898000800308X
1368-9800
10.1017/S136898000800308X
1475-2727
url http://hdl.handle.net/10495/23494
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.ispartofjournalabbrev.spa.fl_str_mv Public Health Nutr.
dc.rights.spa.fl_str_mv info:eu-repo/semantics/openAccess
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dc.format.extent.spa.fl_str_mv 13
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv Cambridge University Press
dc.publisher.group.spa.fl_str_mv Determinantes Sociales y Económicos de la Situación de Salud y Nutrición
dc.publisher.place.spa.fl_str_mv Oxford, Inglaterra
institution Universidad de Antioquia
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spelling González Zapata, Laura InésÁlvarez Dardet, CarlosOrtiz Moncada, RocioMillstone, ErikClemente, VicenteHoldsworth, MichelleSarri, KaterinaTarlao, GiulioHorvath, ZoltanneLobstein, TimSavva, Savvas2021-10-26T22:32:13Z2021-10-26T22:32:13Z2008González-Zapata, L., Alvarez-Dardet, C., Ortiz-Moncada, R., Clemente, V., Millstone, E., Holdsworth, M., . . . Savva, S. (2009). Policy options for obesity in Europe: A comparison of public health specialists with other stakeholders. Public Health Nutrition, 12(7), 896-908. doi:10.1017/S136898000800308X1368-9800http://hdl.handle.net/10495/2349410.1017/S136898000800308X1475-2727ABSTRACT: Objective: To explore policy options that public health specialists (PHS) consider appropriate for combating obesity in Europe, and compare their preferences with those of other stakeholders (non-PHS). Design: Structured interviews using multicriteria mapping, a computer-based, decision-support tool. Setting: Nine European countries. Subjects: A total of 189 stakeholders. Twenty-seven interviewees were PHS and non-PHS included food, sports and health sectors. Measurements: A four-step approach was taken, i.e. selecting options, defining criteria, scoring options quantitatively and weighting the criteria to provide overall rankings of options. Interviews were recorded and transcribed to yield qualitative data. Results: The PHS concur with other stakeholders interviewed, as all emphasised the importance of educational initiatives in combating obesity, followed by policies to improve community sports facilities, introduce mandatory food labelling and controlling food and drink advertising. Further analyses revealed several significant differences. The non-PHS from the private sector ranked institutional reforms favourably; the PHS from non-Mediterranean countries supported the option of medicines to prevent obesity; and those PHS from Mediterranean countries endorsed the use of activity monitoring devices such as pedometers. As far as appraisal criteria were concerned, PHS considered efficacy and the economic impact on the public sector to be the most important. Conclusion: There is clear consensus among PHS and other stakeholders concerning the need for a package of policy options, which suggests that European-wide implementation could be successful. However, it would be advisable to avoid more contentious policy options such as taxation until future changes in public opinion.COL006560813application/pdfengCambridge University PressDeterminantes Sociales y Económicos de la Situación de Salud y NutriciónOxford, Inglaterrainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARTArtículo de investigaciónhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc-nd/2.5/co/http://purl.org/coar/access_right/c_abf2https://creativecommons.org/licenses/by-nc-nd/4.0/Policy options for obesity in Europe : a comparison of public health specialists with other stakeholdersObesityObesidadPublic PolicyPolítica PúblicaPolítica NutricionalNutrition PolicyPublic Health Nutr.Public Health Nutrition896908127ORIGINALGonzalezLaura_2008_PolicyOptions.pdfGonzalezLaura_2008_PolicyOptions.pdfArtículo de investigaciónapplication/pdf568883https://bibliotecadigital.udea.edu.co/bitstream/10495/23494/1/GonzalezLaura_2008_PolicyOptions.pdf8385371ac7bd96c3c543f97003b73cb8MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8823https://bibliotecadigital.udea.edu.co/bitstream/10495/23494/2/license_rdfb88b088d9957e670ce3b3fbe2eedbc13MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://bibliotecadigital.udea.edu.co/bitstream/10495/23494/3/license.txt8a4605be74aa9ea9d79846c1fba20a33MD5310495/23494oai:bibliotecadigital.udea.edu.co:10495/234942021-10-26 17:32:14.344Repositorio Institucional Universidad de Antioquiaandres.perez@udea.edu.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