Poster Topical Area: Community and Public Health Nutrition

Location: Auditorium

Poster Board Number: 129

P06-108 - Identification and Assessment of Food Service Guidelines Policies for the Twenty Largest Cities in the United States

Monday, Jun 11
8:00 AM – 3:00 PM

Objectives: Food service guidelines (FSG) define food or nutrition standards for foods and beverages sold or offered in food venues such as cafeterias or vending machines to ensure that healthful foods are available. Local governments may implement FSG policies for foods sold or offered in government facilities to employees and visitors, potentially reaching millions of people. This study identified FSG policies among the 20 largest cities in the United States and analyzed them for key policy attributes.


Methods:
Using municipal legal code libraries and other data sources, FSG policies enacted as of December 31, 2016 were identified in the 20 largest cities. Inclusion was determined by full-text review and based on whether policies specified nutritional guidelines for foods served and/or sold to adult populations in local government facilities. A classification tool was used to code policies for key attributes related to specific food or nutrition standards; behavioral design elements such as pricing and labeling; implementation elements such as measurement of compliance; and facility efficiency elements such as energy efficiency or waste reduction.


Results:
Searches of primary and secondary sources identified 469 potential policies and six met inclusion criteria. Included policies were from New York City, Philadelphia, Austin, Seattle, and two policies from San Francisco. Two policies covered all foods sold, three covered foods from vending machines, and one policy specified the creation of a task force delegated to develop FSG. Among the six policies, five met most criteria assessed by the classification tool. Overall alignment to the tool ranged from 17% to 88%. Nearly all the policies met most nutrition attributes and five met at least 50% of attributes associated with implementation. No policies met the attributes associated with facility efficiency.


Conclusions:
Of the six policies identified from the 20 largest American cities, five met most attributes included in our classification tool. Individual alignment was high for nutrition and implementation attributes. This analysis suggests that when cities adopt FSG policies, many are able to develop policies that align with key attributes. These policies can serve as models for other jurisdictions to create healthier food access through FSG.




Funding Source: none

CoAuthors: Hatidza Zaganjor, MPH – Centers for Disease Control and Prevention; Katie Bishop Kendrick, MS, MPH – American Heart Association; Julie Ralston Aoki, JD – Public Health Law Center; Laurie Whitsel, Ph.D., FAHA – American Heart Association; Joel Kimmons, Ph.D. – Centers for Disease Control and Prevention; Diane Harris, PhD, MPH – Centers for Disease Control and Prevention

Stephen Onufrak

Epidemiologist
Centers for Disease Control and Prevention
Berkeley Lake, Georgia