Canadian Journal of Public Health

, Volume 107, Supplement 1, pp eS64–eS67 | Cite as

Policy options for healthier retail food environments in city-regions

  • Catherine L. Mah
  • Brian Cook
  • Karen Rideout
  • Leia M. Minaker


Public policy is central to health promotion: it determines the distribution of resources in a society and establishes the structural context for the actions of both corporations and consumers. With this in mind, the purpose of this paper is to begin a discussion on promising policy options for a health-promoting retail food environment. Drawing on specific municipal examples, we examine four groups of policy options for healthier retail food environments in city-regions: planning for health; transforming consumer environments; economic and fiscal instruments; and a culture of transparency and participation. We introduce examples of policy options that are receiving increasing attention in the public health and urban planning literature and that function at the municipal level. We also highlight how public health professionals have an important role to play in policy that shapes retail food environments, especially in making explicit the linkages between health and other policy goals. In doing so, this commentary aims to motivate public health practitioners in a variety of community contexts to consider the policy supports they need to advance their exploration, development, testing and evaluation of interventions for healthier retail food environments.

Key words

Policy social planning environment and public health food supply 


La politique publique est au cœur de la promotion de la santé: elle détermine la répartition des ressources dans une société et établit le contexte structurel des actions des entreprises et des consommateurs. Cela dit, l’objet de cet article est d’amorcer une discussion sur les possibilités d’action prometteuses pour rendre l’environnement alimentaire au détail favorable à la santé. D’après des exemples précis recueillis dans le monde municipal, nous examinons quatre groupes de possibilités d’action visant à créer des environnements alimentaires au détail plus sains dans les villes-régions: la planification pour la santé; la transformation des environnements de consommation; les instruments économiques et financiers; et une culture de transparence et de participation. Nous présentons des exemples de possibilités d’action qui reçoivent une attention accrue dans les articles de santé publique et d’urbanisme et qui fonctionnent à l’échelle municipale. Nous soulignons aussi le rôle important que peuvent jouer les professionnels de la santé publique dans les politiques qui influencent les environnements alimentaires au détail, surtout en explicitant les liens entre la santé et d’autres objectifs stratégiques. Ce faisant, notre commentaire vise à motiver les praticiens de la santé publique dans divers contextes communautaires à examiner les soutiens stratégiques dont ils ont besoin pour faire progresser leur exploration, leur élaboration, leur mise à l’essai et leur évaluation d’interventions pour créer des environnements alimentaires au détail plus sains.

Mots Clés

politique organisation sociale environnement et santé publique approvisionnement en nourriture 


  1. 1.
    World Health Organization, Health and Welfare Canada, Canadian Public Health Association. Ottawa Charter for Health Promotion. Ottawa, ON: World Health Organization, Health and Welfare Canada, and the Canadian Public Health Association, 1986.Google Scholar
  2. 2.
    Milio N. Making healthy public policy; developing the science by learning the art: An ecological framework for policy studies. Health Promot Int 1987; 2(3):263–74. PMID: 10303001. doi: 10.1093/heapro/2.3.263.CrossRefGoogle Scholar
  3. 3.
    Story M, Kaphingst KM, Robinson-O’Brien R, Glanz K. Creating healthy food and eating environments: Policy and environmental approaches. Annu Rev Public Health 2008;29(1):253–72. PMID: 18031223. doi: 10.1146/annurev. publhealth.29.020907.090926.CrossRefGoogle Scholar
  4. 4.
    Caspi CE, Sorensen G, Subramanian SV, Kawachi I. The local food environment and diet: A systematic review. Health Place 2012;18(5):1172–87. PMID: 22717379. doi: 10.1016/j.healthplace.2012.05.006.CrossRefGoogle Scholar
  5. 5.
    Minaker LM, Shuh A, Olstad DL, Engler-Stringer R, Black JL, Mah CL. Retail food environments research in Canada: A scoping review. Can J Public Health 2016;107(Suppl 1):eS4–eS13.CrossRefGoogle Scholar
  6. 6.
    Glanz K, Sallis JF, Saelens BE, Frank LD. Healthy nutrition environments: Concepts and measures. Am J Health Promot 2005;19(5):330–33. PMID: 15895534. doi: 10.4278/0890-1171-19.5.330.CrossRefGoogle Scholar
  7. 7.
    Ontario Provincial Planners Institute. Planning for Food Systems in Ontario: A Call to Action. Toronto, ON: Ontario Provincial Planners Institute, 2011. Available at: (Accessed April 17, 2016).Google Scholar
  8. 8.
    Pothukuchi K, Kaufman JL. The food system: A stranger to the planning field. J Am Plann Assoc 2000;66(2):113–24. doi: 10.1080/01944360008976093.CrossRefGoogle Scholar
  9. 9.
    City of Victoria Planning and Development Department–Community Planning Division. City of Victoria Official Community Plan. Victoria, BC: City of Victoria, 2015.Google Scholar
  10. 10.
    Minaker LM, Fisher P, Raine KD, Frank LD. Measuring the food environment: From theory to planning practice. J Agric Food Syst Community Dev 2011; 2(1):65–82. doi: 10.5304/jafscd.2011.021.021.CrossRefGoogle Scholar
  11. 11.
    Wegener J, Raine KD, Hanning RM. Insights into the government’s role in food system policy making: Improving access to healthy, local food alongside other priorities. Int J Environ Res Public Health 2012;9(12):4103–21. PMID: 23202834. doi: 10.3390/ijerph9114103.CrossRefGoogle Scholar
  12. 12.
    City of London. The London Plan: Second Draft. London, 2015.Google Scholar
  13. 13.
    Hirschborn JS. Zoning should promote public health. Am J Health Promot 2004;18(3):258–60. PMID: 14748317. doi: 10.4278/0890-1171-18.3.258.CrossRefGoogle Scholar
  14. 14.
    Schilling J, Linton LS. The public health roots of zoning: In search of active living’s legal genealogy. Am J Prev Med 2005;28(2):96–104. PMID: 15694517. doi: 10.1016/j.amepre.2004.10.028.CrossRefGoogle Scholar
  15. 15.
    Ashe M, Graff S, Spector C. Changing places: Policies to make a healthy choice the easy choice. Public Health 2011;125(12):889–95. PMID: 21917279. doi: 10. 1016/j.puhe.2011.04.010.CrossRefGoogle Scholar
  16. 16.
    Association pour la sante publique du Quebec. The School Zone and Nutrition: Courses of Action for the Municipal Sector. Montreal, QC: Association pour la sante publique du Quebec, 2011. Available at: (Accessed April 17, 2016).Google Scholar
  17. 17.
    British Columbia Provincial Health Services Authority. Built Environment Linkages: A Toolkit for Design-Planning-Health. Vancouver, BC, 2014.Google Scholar
  18. 18.
    Sonnino R, Marsden T. Beyond the divide: Rethinking relationships between alternative and conventional food networks in Europe. J Econ Geogr 2006; 6(2):181–99. doi: 10.1093/jeg/lbi006.CrossRefGoogle Scholar
  19. 19.
    Good Food Junction. Core Neighbourhood Grocery Store Closing: Low Sales and Challenging Market Environment Force Good Food Junction to Shut its Doors, 2016. Available at: (Accessed April 17, 2016).Google Scholar
  20. 20.
    Healthy Corner Stores Network. Healthy Corner Stores Network [Website]. Available at: (Accessed April 17, 2016.Google Scholar
  21. 21.
    Mah CL, Cook B, Hoang S, Taylor E. Municipal action on food and beverage marketing to youth. In: Barrett D, Ortmann L, Dawson A, Saenz C, Reis A, Bolan G (Eds.), Public Health Ethics: Cases Spanning the Globe. Madrid: Springer, 2016.Google Scholar
  22. 22.
    Falbe J, Rojas N, Grummon AH, Madsen KA. Higher retail prices of sugar-sweetened beverages 3 months after implementation of an excise tax in Berkeley, California. Am J Public Health 2015;105(11):2194–2201. PMID: 26444622. doi: 10.2105/AJPH.2015.302881.CrossRefGoogle Scholar
  23. 23.
    Mah CL, Timmings C. Equity in public health ethics: The case of menu labelling policy at the local level. Public Health Ethics 2015;8(1):85–89. doi: 10. 1093/phe/phu011.CrossRefGoogle Scholar
  24. 24.
    Harper A, Shattuck A, Holt-Gimenez E, Alkon A, Lambrick F. Food Policy Councils: Lessons Learned. Oakland, CA: Institute for Food and Development Policy, 2011.Google Scholar
  25. 25.
    Food Policy Networks. (Accessed April 17, 2016).
  26. 26.
    Blay-Palmer A. The Canadian pioneer: The genesis of urban food policy in Toronto. Int Plann Stud 2009;14(4):401–16. doi: 10.1080/13563471003642837.CrossRefGoogle Scholar
  27. 27.
    MacRae R, Donohue K. Municipal Food Policy Entrepreneurs: A Preliminary Analysis of how Canadian Cities and Regional Districts are Involved in Food System Change. Toronto, ON: Toronto Food Policy Council, Vancouver Food Policy Council, and Canadian Agri-Food Policy Institute, 2013.Google Scholar
  28. 28.
    Industry Canada. The Consumer Trends Report: Industry Canada Research Paper. Ottawa, ON: Industry Canada, 2005.Google Scholar
  29. 29.
    Nykiforuk CIJ, Atkey K, Niewendyk LM, Raine KD, Reed S, Kyle K. Policy Readiness Tool: Understanding a Municipality’s Readiness for Policy Change and Strategies for Taking Action. Edmonton, AB: School of Public Health, University of Alberta, 2011.Google Scholar
  30. 30.
    Mah CL, Vanderlinden L, Mamatis D, Ansara DL, Levy J, Swimmer L. Ready for policy? Stakeholder attitudes toward menu labelling in Toronto, Canada. Can J Public Health 2013;104(3):e229–34. PMID: 23823887.CrossRefGoogle Scholar

Copyright information

© The Canadian Public Health Association 2016

Authors and Affiliations

  • Catherine L. Mah
    • 1
    • 2
  • Brian Cook
    • 3
  • Karen Rideout
    • 4
  • Leia M. Minaker
    • 5
  1. 1.Division of Community Health and Humanities, Faculty of MedicineMemorial UniversitySt. John’sCanada
  2. 2.Dalla Lana School of Public HealthUniversity of TorontoTorontoCanada
  3. 3.Toronto Food StrategyToronto Public HealthTorontoCanada
  4. 4.BC Centre for Disease Control and National Collaborating Centre for Environmental HealthVancouverCanada
  5. 5.Propel Centre for Population Health ImpactUniversity of WaterlooWaterlooCanada

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