Integrating Sodium Reduction Strategies in the Procurement Process and Contracting of Food Venues in the County of Los Angeles Government, 20102012

Cummings, Patricia L. MPH; Kuo, Tony MD, MSHS; Gase, Lauren N. MPH; Mugavero, Kristy MSN, MPH, RN

Journal of Public Health Management & Practice:
doi: 10.1097/PHH.0b013e31829d7f63
Original Articles
Abstract

Since sodium is ubiquitous in the food supply, recent approaches to sodium reduction have focused on increasing the availability of lower-sodium products through system-level and environmental changes. This article reviews integrated efforts by the Los Angeles County Sodium Reduction Initiative to implement these strategies at food venues in the County of Los Angeles government. The review used mixed methods, including a scan of the literature, key informant interviews, and lessons learned during 2010-2012 to assess program progress. Leveraging technical expertise and shared resources, the initiative strategically incorporated sodium reduction strategies into the overall work plan of a multipartnership food procurement program in Los Angeles County. To date, 3 County departments have incorporated new or updated nutrition requirements that included sodium limits and other strategies. The strategic coupling of sodium reduction to food procurement and general health promotion allowed for simultaneous advancement and acceleration of the County's sodium reduction agenda.

In Brief

This article reviews integrated efforts by the Los Angeles County Sodium Reduction Initiative to implement sodium-reduction strategies at food venues in the County of Los Angeles.

Author Information

Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health and University of California, Los Angeles, California (Mss Cummings and Gase, and Dr Kuo); and Division for Heart Disease and Stroke Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia (Ms Mugavero).

Correspondence: Patricia L. Cummings, MPH, Los Angeles County Sodium Reduction Initiative, Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, 3530 Wilshire Blvd, 8th Floor, Los Angeles, CA 90010 (pcummings@ph.lacounty.gov).

This work was supported in part by a cooperative agreement from the Centers for Disease Control and Prevention (U50 DP003061). The findings and conclusions in this article are those of the authors and do not necessarily represent the official position of the Los Angeles County Department of Public Health or the Centers for Disease Control and Prevention. The authors report no conflicts of interest and have no financial disclosures.

The authors thank Michelle Wood and Brenda Robles at the Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, for their contributions to this article.

© 2014 Lippincott Williams & Wilkins, Inc.