Selected health characteristics are associated with urban Canadians’ acceptability of policies promoting healthier restaurant food environments

Abstract Objective: The adoption of policies promoting healthier restaurant food environments is contingent on their acceptability. Limited evidence exists regarding individual characteristics associated with restaurant food environment policy acceptability, especially health-related characteristi...

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Main Authors: Jessica Lambert-De Francesch, Kadia Saint-Onge, Nazeem Muhajarine, Lise Gauvin
Format: Article
Language:English
Published: Cambridge University Press 2025-01-01
Series:Public Health Nutrition
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Online Access:https://www.cambridge.org/core/product/identifier/S136898002400257X/type/journal_article
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author Jessica Lambert-De Francesch
Kadia Saint-Onge
Nazeem Muhajarine
Lise Gauvin
author_facet Jessica Lambert-De Francesch
Kadia Saint-Onge
Nazeem Muhajarine
Lise Gauvin
author_sort Jessica Lambert-De Francesch
collection DOAJ
description Abstract Objective: The adoption of policies promoting healthier restaurant food environments is contingent on their acceptability. Limited evidence exists regarding individual characteristics associated with restaurant food environment policy acceptability, especially health-related characteristics. This study examined associations between health characteristics and restaurant food environment policy acceptability among urban Canadians. Design: Links between health characteristics and complete agreement levels with selected policies were examined using data in the cross-sectional Targeting Healthy Eating and Physical Activity survey study, that is, a large pan-Canadian study on policy acceptability. For each policy, several logistic multilevel regression analyses were conducted. Setting: Canada’s seventeen most populated census metropolitan areas. Participants: Urban Canadian adults responded to the survey (n 27 162). Results: Body mass index was not associated with acceptability after adjustments for other health and sociodemographic characteristics were made. Across all policies and analyses, those reporting excellent or very good health statuses were more likely to be in complete agreement with targeted policies than those with good health statuses. For selected policies and analyses, those reporting poor health statuses were also more likely to be in complete agreement than those describing their health status as good. For all policies and analyses, both those consuming restaurant-prepared foods daily and those never consuming these foods were more likely to be in complete agreement than those consuming these foods once per week. Conclusions: More research is needed to explain discrepancies in acceptability according to health characteristics. Bringing this study’s findings to the attention of policymakers may help build momentum for policy enactment.
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institution Kabale University
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publishDate 2025-01-01
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spelling doaj-art-48c34a409902490886e43ac97f9966152025-01-20T08:05:46ZengCambridge University PressPublic Health Nutrition1368-98001475-27272025-01-012810.1017/S136898002400257XSelected health characteristics are associated with urban Canadians’ acceptability of policies promoting healthier restaurant food environmentsJessica Lambert-De Francesch0https://orcid.org/0000-0002-4598-5478Kadia Saint-Onge1Nazeem Muhajarine2Lise Gauvin3Centre de Recherche du Centre Hospitalier de l’Université de Montréal, Montréal H2X 0A9, Québec, Canada École de santé publique, Département de Médecine Sociale et Préventive, Université de Montréal, Montréal H3N 1X9, Québec, CanadaDépartement de kinésiologie, Faculté de médecine, Université de Laval, Québec, CanadaDepartment of Community Health and Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada Saskatchewan Population Health and Evaluation Research Unit, Saskatoon, Saskatchewan, CanadaCentre de Recherche du Centre Hospitalier de l’Université de Montréal, Montréal H2X 0A9, Québec, Canada École de santé publique, Département de Médecine Sociale et Préventive, Université de Montréal, Montréal H3N 1X9, Québec, Canada Abstract Objective: The adoption of policies promoting healthier restaurant food environments is contingent on their acceptability. Limited evidence exists regarding individual characteristics associated with restaurant food environment policy acceptability, especially health-related characteristics. This study examined associations between health characteristics and restaurant food environment policy acceptability among urban Canadians. Design: Links between health characteristics and complete agreement levels with selected policies were examined using data in the cross-sectional Targeting Healthy Eating and Physical Activity survey study, that is, a large pan-Canadian study on policy acceptability. For each policy, several logistic multilevel regression analyses were conducted. Setting: Canada’s seventeen most populated census metropolitan areas. Participants: Urban Canadian adults responded to the survey (n 27 162). Results: Body mass index was not associated with acceptability after adjustments for other health and sociodemographic characteristics were made. Across all policies and analyses, those reporting excellent or very good health statuses were more likely to be in complete agreement with targeted policies than those with good health statuses. For selected policies and analyses, those reporting poor health statuses were also more likely to be in complete agreement than those describing their health status as good. For all policies and analyses, both those consuming restaurant-prepared foods daily and those never consuming these foods were more likely to be in complete agreement than those consuming these foods once per week. Conclusions: More research is needed to explain discrepancies in acceptability according to health characteristics. Bringing this study’s findings to the attention of policymakers may help build momentum for policy enactment. https://www.cambridge.org/core/product/identifier/S136898002400257X/type/journal_articlePublic opinionPolicyRestaurantHealthMultilevel analysis
spellingShingle Jessica Lambert-De Francesch
Kadia Saint-Onge
Nazeem Muhajarine
Lise Gauvin
Selected health characteristics are associated with urban Canadians’ acceptability of policies promoting healthier restaurant food environments
Public Health Nutrition
Public opinion
Policy
Restaurant
Health
Multilevel analysis
title Selected health characteristics are associated with urban Canadians’ acceptability of policies promoting healthier restaurant food environments
title_full Selected health characteristics are associated with urban Canadians’ acceptability of policies promoting healthier restaurant food environments
title_fullStr Selected health characteristics are associated with urban Canadians’ acceptability of policies promoting healthier restaurant food environments
title_full_unstemmed Selected health characteristics are associated with urban Canadians’ acceptability of policies promoting healthier restaurant food environments
title_short Selected health characteristics are associated with urban Canadians’ acceptability of policies promoting healthier restaurant food environments
title_sort selected health characteristics are associated with urban canadians acceptability of policies promoting healthier restaurant food environments
topic Public opinion
Policy
Restaurant
Health
Multilevel analysis
url https://www.cambridge.org/core/product/identifier/S136898002400257X/type/journal_article
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