Gonzalez-Zapata L.I. auteur aut IRD Alvarez-Dardet C. auteur aut IRD Ortiz-Moncada R. auteur aut IRD Clemente V. auteur aut IRD Millstone E. auteur aut IRD Holdsworth Michelle auteur aut IRD Sarri K. auteur aut IRD Tarlao G. auteur aut IRD Horvath Z. auteur aut IRD Lobstein T. auteur aut IRD Sawa S. auteur aut IRD text journalArticle eng text/pdf born digital access Objective: To explore policy options that public health specialists (PHS) consider appropriate for combating obesity in Europe, and compare their preferences with those of other stakeholders (non-PHS). Design: Structured interviews using multicriteria mapping, a computer-based, decision-support tool. Setting: Nine European countries. Subjects: A total of 189 stakeholders. Twenty-seven interviewees were PHS and non-PHS included food, sports and health sectors. Measurements: A four-step approach was taken, i.e. selecting options, defining criteria, scoring options quantitatively and weighting the criteria to provide overall rankings of options. Interviews were recorded and transcribed to yield qualitative data. Results: The PHS concur with other stakeholders interviewed, as all emphasised the importance of educational initiatives in combating obesity, followed by policies to improve community sports facilities, introduce mandatory food labelling and controlling food and drink advertising. Further analyses revealed several significant differences. The non-PHS froth the private sector ranked institutional reforms favourably; the PI-IS froth non-Mediterranean countries supported the option of medicines to prevent obesity; and those PHS from Mediterranean countries endorsed the use of activity monitoring devices such as pedometers. As far as appraisal criteria were concerned, PHS considered efficacy and the economic impact on the public sector to be the most important. Conclusion: There is clear consensus among PHS and other stakeholders concerning the need for a package of policy options, which suggests that European-wide implementation could be successful. However, it would be advisable to avoid more contentious policy options such as taxation until future changes in public opinion. specialized Obesity Public policy Public health nutrition Food and nutrition policy 054 12 7 896-908 2009 1368-9800 https://www.documentation.ird.fr/hor/fdi:010046171 10.1017/s136898000800308x 1368-9800 [F B010046171] https://www.documentation.ird.fr/hor/fdi:010046171 https://www.documentation.ird.fr/intranet/publi/2009/07/010046171.pdf Accès réservé (Intranet de l'IRD) IRD - Base Horizon / Pleins textes 2009-07-24 2017-08-23 fdi:010046171 fre