The role of the workplace food environment in eating behaviours of employees at small and medium-sized enterprises: a qualitative study in the Netherlands.

Lisanne Geboers, Sanne K Djojosoeparto, Frédérique C Rongen, Maartje P Poelman
Author Information
  1. Lisanne Geboers: Chair group Consumption and Healthy Lifestyles, Wageningen University & Research, Wageningen, The Netherlands. lisanne.geboers@wur.nl.
  2. Sanne K Djojosoeparto: Chair group Consumption and Healthy Lifestyles, Wageningen University & Research, Wageningen, The Netherlands.
  3. Frédérique C Rongen: Chair group Consumption and Healthy Lifestyles, Wageningen University & Research, Wageningen, The Netherlands.
  4. Maartje P Poelman: Chair group Consumption and Healthy Lifestyles, Wageningen University & Research, Wageningen, The Netherlands.

Abstract

BACKGROUND: Workplace food environments play a pivotal role in encouraging healthy and sustainable food choices. However, research on food environments in small and medium-sized enterprises (SMEs) without a workplace cafeteria is scarce, with much of the existing research concentrating on larger or specific types of companies. This qualitative study primarily aims to explore how employers and employees perceive the workplace food environment across different types of SMEs in the Netherlands, including desk-based, mobile workforce, and on-site manual labour settings. Second, it aims to gain insight into the perceived opportunities and barriers in SMEs to promote a healthy and sustainable diet.
METHODS: This qualitative study involved 27 interviews conducted between May 2021 and February 2022, engaging both employers and employees across different types of SMEs: 10 desk-based, 8 on-site manual labour, and 9 mobile workforce SMEs. The data was analysed via a hybrid coding process, including deductive coding based on themes included in the interview guide and allowing for further codes to emerge from the data inductively.
RESULTS: The results showed noticeable differences in the perceived workplace food environment between the three SME types. Although structural food offerings (such as those offered through a workplace cafeteria) were mostly lacking among all SMEs, most desk-based SMEs offered a daily facilitated lunch, whilst employees of mobile workforce SMEs typically received a daily allowance. However, similarities were also observed across the three SME types as there was a noticeable absence of financial incentives, or food policies regarding healthy and sustainable food. Barriers to promoting a healthy and sustainable diet among employees were that SMEs did not identify healthy and sustainable consumption at the workplace as their responsibility, or as a 'problem' that needed to be solved. Both employers and employees found it difficult to identify opportunities to promote healthy and sustainable diets in the workplace.
CONCLUSIONS: Across all three types of SMEs, both employers and employees described a food environment that was limited in actively encouraging healthy and sustainable food choices at the workplace. Future research should focus on developing tailored workplace policies and interventions addressing the unique food environment characteristics of different types of SMEs to improve employee eating behaviour.

Keywords

References

  1. Willet W, Rockström J, Loken B, Springmann M, Lang T, Vermeulen S, et al. Food in the anthropocene: the EAT–Lancet commission on healthy diets from sustainable food systems. Lancet. 2019;393(10170):447–92. [DOI: 10.1016/S0140-6736(18)31788-4]
  2. World Health Organization. Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight . Accessed 9 Dec 2021.
  3. PricewaterhouseCoopers BV. The prize of healthy food. healthy-food.pdf (pwc.nl) (2020). Accessed 14 Feb 2024.
  4. OECD. The heavy burden of obesity: the economics of prevention. OECD Health Policy Stud. 2019. https://doi.org/10.1787/67450d67-en . [DOI: 10.1787/67450d67-en]
  5. World Health Organization. Noncommunicable diseases. https://www.emro.who.int/noncommunicable-diseases/causes/unhealthy-diets.html . Accessed 14 Feb 2024.
  6. Hansen KL, Golubovic S, Eriksen CU, Jørgensen T, Toft U. Effectiveness of food environment policies in improving population diets: a review of systematic reviews. Eur J Clin Nutr. 2022;76(5):637–46. [DOI: 10.1038/s41430-021-01008-y]
  7. Pitt E, Gallegos D, Comans T, Cameron C, Thornton L. Exploring the influence of local food environments on food behaviours: A systematic review of qualitative literature. Public Health Nutr. 2017;20(13):2393–405. [DOI: 10.1017/S1368980017001069]
  8. Swinburn B, Friel S, Hawkes C, Kelly B, Lee A, Ma J, et al. INFORMAS (International network for food and Obesity/non-communicable diseases research, monitoring and action Support): overview and key principles. Obes Rev. 2013;14:1–12. [DOI: 10.1111/obr.12087]
  9. Velema E, Vyth EL, Hoekstra T, Steenhuis IHM. Nudging and social marketing techniques encourage employees to make healthier food choices: A randomized controlled trial in 30 worksite cafeterias in the Netherlands. Am J Clin Nutr. 2018;107(2):236–46. [DOI: 10.1093/ajcn/nqx045]
  10. OECD Data Explorer. Average usual weekly hours worked on the main job. https://stats.oecd.org/Index.aspx?DataSetCode=AVE_HRS . Accessed 20 Mar 2024.
  11. Vermeer WM, Steenhuis IHM, Leeuwis FH, Heymans MW, Seidell JC. Small portion sizes in worksite cafeterias: do they help consumers to reduce their food intake? Int J Obes. 2011;35(9):1200–7. [DOI: 10.1038/ijo.2010.271]
  12. Hendren S, Logomarsino J. Impact of worksite cafeteria interventions on fruit and vegetable consumption in adults A systematic review. Int J Workplace Health Manag. 2017;10(2):134–52. [DOI: 10.1108/IJWHM-12-2016-0089]
  13. Viera AJ, Gizlice Z, Tuttle L, Olsson E, Gras-Najjar J, Hales D et al. Effect of calories-only vs physical activity calorie expenditure labeling on lunch calories purchased in worksite cafeterias. BMC Public Health. 2019;19(1).
  14. Reynolds JP, Ventsel M, Kosīte D, Dames BR, Brocklebank L, Masterton S, et al. Impact of decreasing the proportion of higher energy foods and reducing portion sizes on food purchased in worksite cafeterias: A stepped-wedge randomised controlled trial. PLoS Med. 2021;18(9):e1003743. [DOI: 10.1371/journal.pmed.1003743]
  15. French SA, Jeffery RW, Story M, Breitlow KK, Baxter JS, Hannan P, et al. Pricing and promotion effects on Low-Fat vending snack purchases: the CHIPS study. Am J Public Health. 2001;91(1):112. [DOI: 10.2105/AJPH.91.1.112]
  16. Boelsen-Robinson T, Backholer K, Corben K, Blake MR, Palermo C, Peeters A. The effect of a change to healthy vending in a major Australian health service on sales of healthy and unhealthy food and beverages. Appetite. 2017;114:73–81. [DOI: 10.1016/j.appet.2017.03.026]
  17. Niebylski ML, Lu T, Campbell NRC, Arcand J, Schermel A, Hua D, et al. Healthy food procurement policies and their impact. Int J Environ Res Public Health. 2014;11(3):2608–27. [DOI: 10.3390/ijerph110302608]
  18. Hoolohan C, McLachlan C, Jones C, Larkin A, Birch C, Mander S, et al. Responding to the climate emergency: how are UK universities Establishing sustainable workplace routines for flying and food? Clim Policy. 2021;21(7):853–67. [DOI: 10.1080/14693062.2021.1881426]
  19. European Commission. SME definition. https://ec.europa.eu/growth/smes/sme-definition_nl . Accessed 18 Feb 2022.
  20. Statistics Netherlands. Het Nederlandse midden- en kleinbedrijf Europees vergeleken. (2021). https://www.cbs.nl/nl-nl/longread/diversen/2021/het-nederlandse-midden-en-kleinbedrijf-europees-vergeleken?onepage=true . Accessed 21 Jun 2023.
  21. Jilcott Pitts SB, Graham J, Mojica A, Stewart L, Walter M, Schille C, et al. Implementing healthier foodservice guidelines in hospital and federal worksite cafeterias: barriers, facilitators and keys to success. J Hum Nutr Diet. 2016;29(6):677–86. [DOI: 10.1111/jhn.12380]
  22. Rosin M, Mackay S, Gerritsen S, Te Morenga L, Terry G, Ni Mhurchu C. Barriers and facilitators to implementation of healthy food and drink policies in public sector workplaces: a systematic literature review. Nutr Rev. 2024;82(4):503–35. [DOI: 10.1093/nutrit/nuad062]
  23. Geboers L, De Vet E, Rongen FC, Poelman MP. More than the worksite cafeteria: the workplace food environment of small and medium-sized enterprises in the Netherlands. Public Health Nutr. 2024;27(1).
  24. Swinburn B, Egger G, Raza F. Dissecting obesogenic environments: the development and application of a framework for identifying and prioritizing environmental interventions for obesity. Prev Med. 1999;29(6):563–70. [DOI: 10.1006/pmed.1999.0585]
  25. the Netherlands Nutrition Centre. Gezond en duurzaam eten met de Schijf van Vijf. https://www.voedingscentrum.nl/nl/gezond-eten-met-de-schijf-van-vijf.aspx . Accessed 12 Jan 2024.
  26. The Netherlands Trade Union Confederation. Verblijfkostenvergoeding. https://www.fnv.nl/cao-sector/vervoer/transport-logistiek/cao-transport-uitgelegd/toeslagen-en-vergoedingen/verblijfskostenvergoeding . Accessed 26 Jan 2024.
  27. Rantala E, Vanhatalo S, Tilles-Tirkkonen T, Kanerva M, Hansen PG, Kolehmainen M et al. Choice architecture cueing to healthier dietary choices and physical activity at the workplace: implementation and feasibility evaluation. Nutrients. 2021;13(10).
  28. European Commission. Directive. 1989, https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A31989L0391%26qid=161598589841889/391/391/EEC on the introduction of measures to encourage improvements in the safety and health of workers at work.
  29. Verra SE, Benzerga A, Jiao B, Ruggeri K. Health promotion at work: A comparison of policy and practice across Europe. Saf Health Work. 2019;10(1):21–9. [DOI: 10.1016/j.shaw.2018.07.003]
  30. Ministry of Health, Welfare and Sport: Nationaal Preventieakkoord: Naar een gezonder Nederland. 2018. https://open.overheid.nl/repository/ronl-1f7b7558-4628-477d-8542-9508d913ab2c/1/pdf/nationaal-preventieakkoord.pdf . Accessed 16 Jan 2023.
  31. Saito J, Odawara M, Takahashi H, Fujimori M, Yaguchi-Saito A, Inoue M, et al. Barriers and facilitative factors in the implementation of workplace health promotion activities in small and medium-sized enterprises: a qualitative study. Implement Sci Commun. 2022;3(1):23. [DOI: 10.1186/s43058-022-00268-4]
  32. Klasen SH, van Amelsvoort LGPM, Houkes I, Jansen NWH, Kant IJ. Exploring expected and perceived facilitators and barriers of an indicated prevention strategy to prevent future long-term sickness absence; a qualitative study among employers and employees. BMC Public Health. 2021;21:1–5.
  33. Campmans JMD, Smit DJM, van Oostrom SH, Engels JA, Proper KI. Barriers and facilitators to the implementation of workplace health promotion programs: employers’ perceptions. Front Public Health. 2023;10:4933. [DOI: 10.3389/fpubh.2022.1035064]
  34. Pridgeon A, Whitehead K. A qualitative study to investigate the drivers and barriers to healthy eating in two public sector workplaces. J Hum Nutr Diet. 2013;26(1):85–95. [DOI: 10.1111/j.1365-277X.2012.01281.x]
  35. Bayer S, Drabsch T, Schauberger G, Hauner H, Holzapfel C. Responsibility of individuals and stakeholders for obesity and a healthy diet: results from a German survey. Front Psychiatry. 2020;11:527546. [DOI: 10.3389/fpsyt.2020.00616]
  36. Michielsen YJE, van der Horst HM. Backlash against meat curtailment policies in online discourse: populism as a missing link. Appetite. 2022;171:105931. [DOI: 10.1016/j.appet.2022.105931]
  37. Wierda JJ, de Vet E, Troost E, Poelman MP. Characterizing food environments of hospitals and long-term care facilities in the Netherlands: a mixed methods approach. BMC Health Serv Res. 2024;24(1):31. [DOI: 10.1186/s12913-023-10399-6]
  38. Burgoine T, Forouhi NG, Griffin SJ, Wareham NJ, Monsivais P. Associations between exposure to takeaway food outlets, takeaway food consumption, and body weight in Cambridgeshire, UK: population based, cross sectional study. BMJ. 2014;348.
  39. Geboers L. Gezond Onderweg: samen naar een beter voedselaanbod. https://www.wur.nl/nl/project/gezond-onderweg-1.htm (2023). Accessed 11 Mar 2024.
  40. Levi A, Chan KK, Pence D. Real men do not read labels: the effects of masculinity and involvement on college students’ food decisions. J ACH. 2006;55(2):91–8.
  41. Chambers S, Lobb A, Butler LT, Traill WB. The influence of age and gender on food choice: A focus group exploration. Int J Consum Stud. 2008;32(4):356–65. [DOI: 10.1111/j.1470-6431.2007.00642.x]
  42. Damen MAW, Detaille SI, Robroek SJW, Engels JA, de Lange AH. Factors associated with blue-collar workers’ participation in worksite health promotion programs: a scoping literature review. Health Promot Int. 2023;38(3).
  43. Tullis P. Nitrogen wars: the Dutch farmers’ revolt that turned a nation upside-down, the Guardian. https://www.theguardian.com/environment/2023/nov/16/nitrogen-wars-the-dutch-farmers-revolt-that-turned-a-nation-upside-down (2023). Accessed 16 Nov 2024.
  44. Regiodeal Foodvalley. Regiodeal Foodvalley; Over ons. https://www.regiofoodvalley.nl/over-ons . Accessed 20 Sep 2022.

Grants

  1. 162135/Regio Deal Foodvalley
  2. 162135/Regio Deal Foodvalley

MeSH Term

Humans
Netherlands
Workplace
Qualitative Research
Adult
Female
Male
Feeding Behavior
Middle Aged
Food Services
Diet, Healthy
Interviews as Topic

Word Cloud

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