Stakeholder Network Analysis for Front-of-Pack Labeling in China

BackgroundFront-of-pack (FoP) labeling on packaged foods is recommended by the World Health Organization (WHO) to reduce diet-related non-communicable diseases, but it has not yet been implemented in China. The introduction of FoP labeling is driven by multiple institutions and stakeholders. This st...

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Main Authors: Xuejun Yin, Lihong Ye, Xin Xin, Lin Xiang, Yue Yu, Ruijie Yan, Kehan Wen, Maoyi Tian, Alexandra Jones, Simone Pettigrew, Juan Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2022.871062/full
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author Xuejun Yin
Xuejun Yin
Lihong Ye
Xin Xin
Lin Xiang
Yue Yu
Ruijie Yan
Kehan Wen
Maoyi Tian
Maoyi Tian
Alexandra Jones
Simone Pettigrew
Juan Zhang
author_facet Xuejun Yin
Xuejun Yin
Lihong Ye
Xin Xin
Lin Xiang
Yue Yu
Ruijie Yan
Kehan Wen
Maoyi Tian
Maoyi Tian
Alexandra Jones
Simone Pettigrew
Juan Zhang
author_sort Xuejun Yin
collection DOAJ
description BackgroundFront-of-pack (FoP) labeling on packaged foods is recommended by the World Health Organization (WHO) to reduce diet-related non-communicable diseases, but it has not yet been implemented in China. The introduction of FoP labeling is driven by multiple institutions and stakeholders. This study aimed to identify key institutional actors involved in FoP labeling and describe links between actors to support future FoP labeling policies and programmes in China.MethodsThe Net-Map method was adopted. We conducted Net-map activities with eight participants using face-to-face interviews between November 2020 and May 2021. Participants were asked to identify actors involved in the development and implementation of FoP labeling in China, describe networks among actors according to pre-defined link types (command, dissemination, funding, and technical assistance), and estimate influence of each actor within the FoP labeling landscape. Social network analysis measures of cohesion and centrality were used to describe each network. Gephi software was used for social network analysis and network visualization.ResultsForty-one unique actors were identified across seven actor categories including government agencies (n = 14), technical support agencies (n = 7), professional associations (n = 10), food industry groups (n = 2), media groups (n = 4), international organizations (n = 3), and a consumer group (n = 1). Weighted influence scores among actors ranged from 0.13 to 3.13. The Department of Food Safety Standards, Risk Surveillance and Assessment of the National Health Commission (DFSSRSA of NHC) was the actor with the highest weighted influence score, followed by the Bureau of Disease Prevention and Control of National Health Commission, Chinese Nutrition Society, and the National Institute for Nutrition and Health of Chinese Center for Disease Control and Prevention. DFSSRSA of NHC played a central role in both command and technical assistance networks. State-owned media had the greatest betweenness and outdegree centrality in the dissemination network. The Chinese Nutrition Society was in the central position and provided funding to diverse actors in the funding network.ConclusionsA variety of multisectoral actors have an interest in the introduction of FoP labeling policies and programmes. Effectively engaging key actors identified in this study can generate a multisectoral commitment to advance FoP labeling policies and programmes in China.
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spelling doaj.art-cf105f9405af41de882329ab08cc355f2022-12-22T03:23:16ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2022-05-01910.3389/fnut.2022.871062871062Stakeholder Network Analysis for Front-of-Pack Labeling in ChinaXuejun Yin0Xuejun Yin1Lihong Ye2Xin Xin3Lin Xiang4Yue Yu5Ruijie Yan6Kehan Wen7Maoyi Tian8Maoyi Tian9Alexandra Jones10Simone Pettigrew11Juan Zhang12School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaThe George Institute for Global Health, University of New South Wales, Newtown, NSW, AustraliaSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaFaculty of Psychology, Beijing Normal University, Beijing, ChinaSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaFaculty of Psychology, Beijing Normal University, Beijing, ChinaSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaFaculty of Psychology, Beijing Normal University, Beijing, ChinaThe George Institute for Global Health, University of New South Wales, Newtown, NSW, AustraliaSchool of Public Health, Harbin Medical University, Harbin, ChinaThe George Institute for Global Health, University of New South Wales, Newtown, NSW, AustraliaThe George Institute for Global Health, University of New South Wales, Newtown, NSW, AustraliaSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaBackgroundFront-of-pack (FoP) labeling on packaged foods is recommended by the World Health Organization (WHO) to reduce diet-related non-communicable diseases, but it has not yet been implemented in China. The introduction of FoP labeling is driven by multiple institutions and stakeholders. This study aimed to identify key institutional actors involved in FoP labeling and describe links between actors to support future FoP labeling policies and programmes in China.MethodsThe Net-Map method was adopted. We conducted Net-map activities with eight participants using face-to-face interviews between November 2020 and May 2021. Participants were asked to identify actors involved in the development and implementation of FoP labeling in China, describe networks among actors according to pre-defined link types (command, dissemination, funding, and technical assistance), and estimate influence of each actor within the FoP labeling landscape. Social network analysis measures of cohesion and centrality were used to describe each network. Gephi software was used for social network analysis and network visualization.ResultsForty-one unique actors were identified across seven actor categories including government agencies (n = 14), technical support agencies (n = 7), professional associations (n = 10), food industry groups (n = 2), media groups (n = 4), international organizations (n = 3), and a consumer group (n = 1). Weighted influence scores among actors ranged from 0.13 to 3.13. The Department of Food Safety Standards, Risk Surveillance and Assessment of the National Health Commission (DFSSRSA of NHC) was the actor with the highest weighted influence score, followed by the Bureau of Disease Prevention and Control of National Health Commission, Chinese Nutrition Society, and the National Institute for Nutrition and Health of Chinese Center for Disease Control and Prevention. DFSSRSA of NHC played a central role in both command and technical assistance networks. State-owned media had the greatest betweenness and outdegree centrality in the dissemination network. The Chinese Nutrition Society was in the central position and provided funding to diverse actors in the funding network.ConclusionsA variety of multisectoral actors have an interest in the introduction of FoP labeling policies and programmes. Effectively engaging key actors identified in this study can generate a multisectoral commitment to advance FoP labeling policies and programmes in China.https://www.frontiersin.org/articles/10.3389/fnut.2022.871062/fullfront-of-package labelingNet-mapstakeholder mappingstakeholder analysisnetwork analysisChina
spellingShingle Xuejun Yin
Xuejun Yin
Lihong Ye
Xin Xin
Lin Xiang
Yue Yu
Ruijie Yan
Kehan Wen
Maoyi Tian
Maoyi Tian
Alexandra Jones
Simone Pettigrew
Juan Zhang
Stakeholder Network Analysis for Front-of-Pack Labeling in China
Frontiers in Nutrition
front-of-package labeling
Net-map
stakeholder mapping
stakeholder analysis
network analysis
China
title Stakeholder Network Analysis for Front-of-Pack Labeling in China
title_full Stakeholder Network Analysis for Front-of-Pack Labeling in China
title_fullStr Stakeholder Network Analysis for Front-of-Pack Labeling in China
title_full_unstemmed Stakeholder Network Analysis for Front-of-Pack Labeling in China
title_short Stakeholder Network Analysis for Front-of-Pack Labeling in China
title_sort stakeholder network analysis for front of pack labeling in china
topic front-of-package labeling
Net-map
stakeholder mapping
stakeholder analysis
network analysis
China
url https://www.frontiersin.org/articles/10.3389/fnut.2022.871062/full
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