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

Abstract 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 regardin...

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Main Authors: Katherine Cullerton, Dori Patay, Michael Waller, Eloise Adsett, Amanda Lee
Format: Article
Language:English
Published: BMC 2022-08-01
Series:Health Research Policy and Systems
Subjects:
Online Access:https://doi.org/10.1186/s12961-022-00891-6
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author Katherine Cullerton
Dori Patay
Michael Waller
Eloise Adsett
Amanda Lee
author_facet Katherine Cullerton
Dori Patay
Michael Waller
Eloise Adsett
Amanda Lee
author_sort Katherine Cullerton
collection DOAJ
description Abstract 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 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 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 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.
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spelling doaj.art-d3defbb01c9545d2bf521a471e2e960a2022-12-22T03:44:09ZengBMCHealth Research Policy and Systems1478-45052022-08-0120111510.1186/s12961-022-00891-6Competing public narratives in nutrition policy: insights into the ideational barriers of public support for regulatory nutrition measuresKatherine Cullerton0Dori Patay1Michael Waller2Eloise Adsett3Amanda Lee4School of Public Health, Faculty of Medicine, The University of QueenslandSchool of Public Health, Faculty of Medicine, The University of QueenslandSchool of Public Health, Faculty of Medicine, The University of QueenslandSchool of Public Health, Faculty of Medicine, The University of QueenslandSchool of Public Health, Faculty of Medicine, The University of QueenslandAbstract 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 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 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 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.https://doi.org/10.1186/s12961-022-00891-6Nutrition policyPublic attitudeStreet interceptNarrativesFramingNarrative policy framework
spellingShingle Katherine Cullerton
Dori Patay
Michael Waller
Eloise Adsett
Amanda Lee
Competing public narratives in nutrition policy: insights into the ideational barriers of public support for regulatory nutrition measures
Health Research Policy and Systems
Nutrition policy
Public attitude
Street intercept
Narratives
Framing
Narrative policy framework
title Competing public narratives in nutrition policy: insights into the ideational barriers of public support for regulatory nutrition measures
title_full Competing public narratives in nutrition policy: insights into the ideational barriers of public support for regulatory nutrition measures
title_fullStr Competing public narratives in nutrition policy: insights into the ideational barriers of public support for regulatory nutrition measures
title_full_unstemmed Competing public narratives in nutrition policy: insights into the ideational barriers of public support for regulatory nutrition measures
title_short Competing public narratives in nutrition policy: insights into the ideational barriers of public support for regulatory nutrition measures
title_sort competing public narratives in nutrition policy insights into the ideational barriers of public support for regulatory nutrition measures
topic Nutrition policy
Public attitude
Street intercept
Narratives
Framing
Narrative policy framework
url https://doi.org/10.1186/s12961-022-00891-6
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