Open AccessFederal, State, and Local Nutrition Policies for Cancer Prevention: Perceived Impact and Feasibility, United States, 2018
Author(s) -
Lauren Lizewski,
Grace Flaherty,
Parke Wilde,
Ross C. Brownson,
Claire Wang,
Melissa Maitin-Shepard,
Yan Li,
Dariush Mozaffarian,
Fang Fang Zhang
Publication year - 2020
Publication title -
american journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.284
H-Index - 264
eISSN - 1541-0048
pISSN - 0090-0036
DOI - 10.2105/ajph.2020.305644
Subject(s) - medicaid , subsidy , supplemental nutrition assistance program , stakeholder , environmental health , state (computer science) , medicine , tobacco control , business , gerontology , political science , public health , economic growth , nursing , public relations , economics , health care , food insecurity , geography , food security , agriculture , archaeology , algorithm , computer science , law
Objectives. To assess stakeholder perceptions of the impact and feasibility of 21 national, state, and local nutrition policies for cancer prevention across 5 domains in the United States. Methods. We conducted an online survey from October through December 2018. Participants were invited to take the survey via direct e-mail contact or an organizational e-newsletter. Results. Federal or state Medicare/Medicaid coverage of nutrition counseling and federal or state subsidies on fruits, vegetables, and whole grains for participants in the Supplemental Nutrition Assistance Program were the policies rated as having the highest perceived impact and feasibility. Overall, the 170 respondents rated policy impact higher than policy feasibility. Polices at the federal or state level had a higher perceived impact, whereas local policies had higher perceived feasibility. Conclusions. Our findings might guide future research and advocacy that can ultimately motivate and target policy actions to reduce cancer burdens and disparities in the United States.