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Prioritising Policy Interventions for Obesity Prevention: An evidence informed approach. FPH Annual Conference Aviemore 9 th – 11 th November John Mooney MFPH SCPHRP [email protected] Overview. ‘Environmental scan’ methods SCPHRP Set-up & Objectives
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FPH Annual Conference
Aviemore 9th – 11th November
John Mooney MFPH
i.e. “underpinned by a multi-dimensional web of causation unlikely to be responsive to single lever interventions” (see ‘Foresight Map’)
(*Swinburn & Egger 1999)
Offers a means of dealing with an uncertain evidence base and finite resources
Based on the logic of a financial investment portfolio geared to maximise ‘return on investment’
Balances potential gains with level of risk
Facilitates multi-pronged approach
Readily understandable by policymakers
Swinburn B, Gill T, Kumanyika S. A proposed framework for translating evidence into action. Obes Rev. 2005; 6:23–33.
Sugar, rum and tobacco are commodities which are nowhere necessities of life, which are become objects of almost universal consumption, and which are therefore extremely proper subjects of taxation”
(Adam Smith, The Wealth of Nations, 1776)
3-level rationale proposed by Kim and Colleagues (2006)*:
*Kim D, Kawachi I: Food taxation and pricing strategies to ‘thin out’ the obesity epidemic. Am J Prev Med 2006, 30:430-437.
Large prospective US cohort
[Schulze et al 2004*]
Schulze MB, Manson JE, et al. Sugar-Sweetened Beverages, Weight Gain, and
Incidence of Type 2 Diabetes in Young and Middle-Aged Women. JAMA 2004, 292:927-934.
(Sturm & Datar 2005)
Sturm R, Datar A: Body mass index in elementary school children, metropolitan area food
prices and food outlet density. Public Health 2005, 119:1059-1068.
- Resulted in Traffic-light labels
International studies have shown:
#Vyth & Steenhuis et al 2010.
There is no shortage of evidence about potentially effective policy interventions
The complexity of obesity requires that efforts should be comprehensive across all four major domains of influence: Physical, Economic, Legislative and Socio-cultural.
The ANGELO framework combined with the portfolio matrix is a convenient means of summarising available evidence
Implementation requires stakeholder participation: Five Criteria ‘score table’ provides discussion ready format
Policy Interventions to Tackle the Obesogenic Environment in Scotland
[Focus on adults of working age]
Available from May 2011