Competing public narratives in nutrition policy: insights into the ideational barriers of public support for regulatory nutrition measures.

Commercial determinants of health Framing Narrative policy framework Narratives Neoliberalism Nutrition policy Public attitude Street intercept

Journal

Health research policy and systems
ISSN: 1478-4505
Titre abrégé: Health Res Policy Syst
Pays: England
ID NLM: 101170481

Informations de publication

Date de publication:
09 Aug 2022
Historique:
received: 09 09 2021
accepted: 22 07 2022
entrez: 9 8 2022
pubmed: 10 8 2022
medline: 12 8 2022
Statut: epublish

Résumé

Enacting evidence-based public health policy can be challenging. One factor contributing to this challenge is a lack of public support for specific policies, which may stem from limited interest or conviction by policy arguments. This can happen when messaging strategies regarding policy do not resonate with the target group and/or policy narratives compete in public discourse. To understand how policy messaging can better resonate with a target audience, we examined the frames and narratives used by the Australian public when discussing nutrition policies. We conducted 76 street intercept interviews in urban and regional settings in Queensland, Australia. Quantitative data were analysed using mean agreement scores and t-tests, and the qualitative data were analysed using an adapted qualitative narrative policy framework (QNPF). The QNPF is used to illustrate how competing narratives vary in the way they define different elements. These elements often include setting, characters, plot, policy solution and belief systems. Level of support for all nutrition policies was generally moderate to high, although nutrition policies perceived to be most intrusive to personal freedoms were the least popular among the public. The value of fairness was consistently invoked when participants discussed their support for or opposition to policy. Using the QNPF, two distinct settings were evident in the narratives: concern for the community or concern for self. Villains were identified as either "other individuals, in particular parents" or "Big Food". Victims were identified as "children" or "the food industry, in particular farmers". Frequently used plots focused on individuals making poor choices because they were uneducated, versus Big Food being powerful and controlling people and the government. The study examined the frames and narratives used by the Australian public when discussing nutrition policies. By examining these frames and narratives, we gained insight into multiple strategies which may increase public support for certain nutrition policies in Australia.

Sections du résumé

BACKGROUND BACKGROUND
Enacting evidence-based public health policy can be challenging. One factor contributing to this challenge is a lack of public support for specific policies, which may stem from limited interest or conviction by policy arguments. This can happen when messaging strategies regarding policy do not resonate with the target group and/or policy narratives compete in public discourse. To understand how policy messaging can better resonate with a target audience, we examined the frames and narratives used by the Australian public when discussing nutrition policies.
METHODS METHODS
We conducted 76 street intercept interviews in urban and regional settings in Queensland, Australia. Quantitative data were analysed using mean agreement scores and t-tests, and the qualitative data were analysed using an adapted qualitative narrative policy framework (QNPF). The QNPF is used to illustrate how competing narratives vary in the way they define different elements. These elements often include setting, characters, plot, policy solution and belief systems.
RESULTS RESULTS
Level of support for all nutrition policies was generally moderate to high, although nutrition policies perceived to be most intrusive to personal freedoms were the least popular among the public. The value of fairness was consistently invoked when participants discussed their support for or opposition to policy. Using the QNPF, two distinct settings were evident in the narratives: concern for the community or concern for self. Villains were identified as either "other individuals, in particular parents" or "Big Food". Victims were identified as "children" or "the food industry, in particular farmers". Frequently used plots focused on individuals making poor choices because they were uneducated, versus Big Food being powerful and controlling people and the government.
CONCLUSIONS CONCLUSIONS
The study examined the frames and narratives used by the Australian public when discussing nutrition policies. By examining these frames and narratives, we gained insight into multiple strategies which may increase public support for certain nutrition policies in Australia.

Identifiants

pubmed: 35945586
doi: 10.1186/s12961-022-00891-6
pii: 10.1186/s12961-022-00891-6
pmc: PMC9361541
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

86

Subventions

Organisme : Australian Government Medical Research Future Fund
ID : BP3

Informations de copyright

© 2022. The Author(s).

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Auteurs

Katherine Cullerton (K)

School of Public Health, Faculty of Medicine, The University of Queensland, 266 Herston Rd, Herston, QLD, 4006, Australia. k.cullerton@uq.edu.au.

Dori Patay (D)

School of Public Health, Faculty of Medicine, The University of Queensland, 266 Herston Rd, Herston, QLD, 4006, Australia.

Michael Waller (M)

School of Public Health, Faculty of Medicine, The University of Queensland, 266 Herston Rd, Herston, QLD, 4006, Australia.

Eloise Adsett (E)

School of Public Health, Faculty of Medicine, The University of Queensland, 266 Herston Rd, Herston, QLD, 4006, Australia.

Amanda Lee (A)

School of Public Health, Faculty of Medicine, The University of Queensland, 266 Herston Rd, Herston, QLD, 4006, Australia.

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Classifications MeSH