Awareness, support, and opinions of healthy food and drink policies: a survey of staff and visitors in New Zealand healthcare organisations.

Simple item page
dc.citation.issue1
dc.citation.volume24
dc.contributor.authorGerritsen S
dc.contributor.authorRosin M
dc.contributor.authorTe Morenga L
dc.contributor.authorJiang Y
dc.contributor.authorKidd B
dc.contributor.authorShen S
dc.contributor.authorUmali E
dc.contributor.authorMackay S
dc.contributor.authorNi Mhurchu C
dc.coverage.spatialEngland
dc.date.accessioned2024-09-04T21:05:36Z
dc.date.available2024-09-04T21:05:36Z
dc.date.issued2024-08-12
dc.description.abstractBackground In 2016, a voluntary National Healthy Food and Drink Policy (hereafter, “the Policy”) was released to encourage public hospitals in New Zealand to provide food and drink options in line with national dietary guidelines. Five years later, eight (of 20) organisations had adopted it, with several preferring to retain or update their own institutional-level version. This study assessed staff and visitors’ awareness and support for and against the Policy, and collected feedback on perceived food environment changes since implementation of the Policy. Methods Cross-sectional electronic and paper-based survey conducted from June 2021 to August 2022. Descriptive statistics were used to present quantitative findings. Free-text responses were analysed following a general inductive approach. Qualitative and quantitative findings were compared by level of implementation of the Policy, and by ethnicity and financial security of participants. Results Data were collected from 2,526 staff and 261 visitors in 19 healthcare organisations. 80% of staff and 56% of visitors were aware of the Policy. Both staff and visitors generally supported the Policy, irrespective of whether they were aware of it or not, with most agreeing that “Hospitals should be good role models.” Among staff who opposed the Policy, the most common reason for doing so was freedom of choice. The Policy had a greater impact, positive and negative, on Māori and Pacific staff, due to more frequent purchasing onsite. Most staff noticed differences in the food and drinks available since Policy implementation. There was positive feedback about the variety of options available in some hospitals, but overall 40% of free text comments mentioned limited choice. 74% of staff reported that food and drinks were more expensive. Low-income staff/visitors and shift workers were particularly impacted by reduced choice and higher prices for healthy options. Conclusions The Policy led to notable changes in the healthiness of foods and drinks available in NZ hospitals but this was accompanied by a perception of reduced value and choice. While generally well supported, the findings indicate opportunities to improve implementation of food and drink policies (e.g. providing more healthy food choices, better engagement with staff, and keeping prices of healthy options low) and confirm that the Policy could be expanded to other public workplaces.
dc.description.confidentialfalse
dc.format.pagination2179-
dc.identifier.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/39135033
dc.identifier.citationGerritsen S, Rosin M, Te Morenga L, Jiang Y, Kidd B, Shen S, Umali E, Mackay S, Ni Mhurchu C. (2024). Awareness, support, and opinions of healthy food and drink policies: a survey of staff and visitors in New Zealand healthcare organisations.. BMC Public Health. 24. 1. (pp. 2179-).
dc.identifier.doi10.1186/s12889-024-19693-2
dc.identifier.eissn1471-2458
dc.identifier.elements-typejournal-article
dc.identifier.issn1471-2458
dc.identifier.number2179
dc.identifier.pii10.1186/s12889-024-19693-2
dc.identifier.urihttps://mro.massey.ac.nz/handle/10179/71412
dc.languageeng
dc.publisherBioMed Central Ltd
dc.publisher.urihttps://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-024-19693-2
dc.relation.isPartOfBMC Public Health
dc.rights(c) The author/sen
dc.rights.licenseCC BYen
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subjectEquity
dc.subjectEvaluation
dc.subjectFood policy
dc.subjectFood services
dc.subjectHealthcare
dc.subjectHealthy food availability
dc.subjectHospital
dc.subjectSurvey
dc.subjectWorkplace health
dc.subjectHumans
dc.subjectNew Zealand
dc.subjectCross-Sectional Studies
dc.subjectMale
dc.subjectFemale
dc.subjectNutrition Policy
dc.subjectAdult
dc.subjectSurveys and Questionnaires
dc.subjectMiddle Aged
dc.subjectDiet, Healthy
dc.subjectAttitude of Health Personnel
dc.subjectHealth Knowledge, Attitudes, Practice
dc.titleAwareness, support, and opinions of healthy food and drink policies: a survey of staff and visitors in New Zealand healthcare organisations.
dc.typeJournal article
pubs.elements-id491198
pubs.organisational-groupCollege of Health
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