Selected Health Characteristics are Associated with Urban Canadians' Acceptability of Policies Promoting Healthier Restaurant Food Environments.

Objective: Adoption of policies promoting healthier restaurant food environments (RFEs) is contingent on their acceptability. Limited evidence exists regarding individual characteristics associated with RFE policy acceptability, especially health-related characteristics. This study examined associations between health characteristics and RFE policy acceptability among urban Canadians.

Design: Links between health characteristics and complete agreement levels with selected policies were examined using data in the cross-sectional (THEPA) survey study, i.e., a large pan-Canadian study on policy acceptability. For each policy, several logistic multilevel regression analyses were conducted.

Setting: Canada's 17 most populated census metropolitan areas (CMAs).

Participants: Urban Canadian adults responded to the survey (N=27,162).

Results: Body mass index (BMI) was not associated with acceptability after adjustments for other health and sociodemographic characteristics were made. Across all policies and analyses, those reporting excellent or very good health statuses were more likely to be in complete agreement with targeted policies than those with good health statuses. For selected policies and analyses, those reporting poor health statuses were also more likely to be in complete agreement than those describing their health status as good. For all policies and analyses, both those consuming restaurant prepared foods daily and those never consuming these foods were more likely to be in complete agreement than those consuming these foods once per week.

Conclusions: More research is needed to explain discrepancies in acceptability according to health characteristics. Bringing this study's findings to the attention of policy makers may help build momentum for policy enactment.