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Objectives New to Healthy People 2020
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NWS HP2020–18:
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Increase the number of States that have State-level policies that incentivize food retail outlets to provide foods that are encouraged by the Dietary Guidelines.
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Status: New to Healthy People 2020.
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View Objective Comments
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Objective Clarification:
While “Objectives” are inherently broad concepts, this Objective as written, does run the risk of being so broad in scope that it becomes misunderstood or ignored. Perhaps building multiple objectives that include key concepts like: greater access to healthy retail food outlets, consumer education, and need for food policy councils would better articulate the issues.
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Objective Clarification:
Thsi goal should be to increase access to food outlets not just the number of state level policies.
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Objective Clarification:
Definitely keep this objective.
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Objective Clarification:
The American Society for Nutrition believes this objective as written is vague, and without more specificity regarding what types of state-level initiatives would bring about this much-needed change, this may not be a useful objective. At a minimum, the types of foods recommended by the Dietary Guidelines (fruits, vegetables, whole grains) should be listed.
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Objective Clarification:
The American Heart Association supports this objective as one important means to improve access and affordability of healthy foods in "food desert" communities. (Reference: Ver Ploeg M. Breneman V. Farrigan T. Hamrick K. Hopkins D. Kaufman P. Lin BH. Nord M. Smith T. Williams R. Kinnison K. Olander C. Singh. Tuckermanty E. Access to affordable and nutritious food – measuring and understanding food deserts and their consequences: Report to Congress. June 2009. Accessed December 20, 2009 at http://www.ers.usda.gov/Publications/AP/AP036/)
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Objective Text:
NWS 18 Would be good to enumerate the policies and disaggregate to measure specific policies. Also--add other built environment objectives that influence diet: fast food per capita, supermarkets per capita, convenience stores per capita
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Objective Clarification:
Considering the economy, it may not be practical to request that states incentive food retail outlets. A more reasonable objective may be to increase the number of food retail outlets that provide healthy food options encouraged by the Dietary Guidelines
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Objective Clarification, Objective Text:
Increase the number of communities, counties, states and tribal nations that conduct food system assessments outlining current and future status of food prodution, distribution, processing, procurement and retail of healthy fresh and quality good food that is available and accessible for vulnearable communities, families and children.
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Objective Clarification, Objective Text:
Would suggest - increase number of states, counties, and cities in which food policy councils are appointed to improve food systems including school food, communty food environments including production, distribution, processing, procurement, and retail of fresh, healthy, quality good food.
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Objective Clarification:
Long terms studies show an association between increased consumption of sugar-sweetened drinks and weight gain as well as obesity among children and adults. One study showed how an educational program advocating fewer sugary sodas reduced weight gain and obesity among kids after 12 months. Kids and parents should be educated around the ink between sugary drinks and childhood obesity.
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Objective Clarification, Objective Text:
I agree with other commenters that this does not go far enough. Food deserts cannot be eradicated simply by incentivizing grocers to sell fresh fruits and vegetables. SOme neighborhoods don't have enough retail outlets at all--so maybe add some language about incentivizing grocery chains and farmers markets to open in underserved communities.
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Objective Clarification, Objective Text:
Not only should this objective address urban food deserts, but rural ones as well. I would also add that there should be State-level policies that include community education, to make sure people know how to make the best use of healthy, whole ingredients.
NYC Fresh Initiative is a good example of such a program.
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Objective Clarification, Objective Text, Data Source, Status:
Add comments that suggest Objective Clarification, recommendations to update the Objective Text, information on the Data Source, and detail on the Status.
Comment: This is vague, indirect (it's trying to get at reducing food deserts), and difficult during recession.
New Objective: "Increase the proportion of low-resource urban census blocks in which residents have access to a supermarket, farmers' market, produce stand or grocery store within a 1/2 mile radius."
New Objective: "Increase the number of states, counties and cities in which a Food/Fitness Policy Council, or similar body, has been appointed to recommend improvements in food systems, transportation systems, land use, and food security programs to increase access to healthy food and physical activity."
Data Source: CDC GIS, under development.
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