Abstract:
OBJECTIVES:Universal interventions may widen or narrow inequalities if disproportionately effective among higher or lower socio-economic groups. The present paper examines impacts of the Primary School Free Breakfast Initiative in Wales on inequalities in children's dietary behaviours and cognitive functioning. DESIGN:Cluster-randomised controlled trial. Responses were linked to free school meal (FSM) entitlement via the Secure Anonymised Information Linkage databank. Impacts on inequalities were evaluated using weighted school-level regression models with interaction terms for intervention × whole-school percentage FSM entitlement and intervention × aggregated individual FSM entitlement. Individual-level regression models included interaction terms for intervention × individual FSM entitlement. SETTING:Fifty-five intervention and fifty-six wait-list control primary schools. SUBJECTS:Approximately 4500 children completed measures of dietary behaviours and cognitive tests at baseline and 12-month follow-up. RESULTS:School-level models indicated that children in intervention schools ate a greater number of healthy items for breakfast than children in control schools (b = 0·25; 95 % CI 0·07, 0·44), with larger increases observed in more deprived schools (interaction term b = 1·76; 95 % CI 0·36, 3·16). An interaction between intervention and household-level deprivation was not significant. Despite no main effects on breakfast skipping, a significant interaction was observed, indicating declines in breakfast skipping in more deprived schools (interaction term b = -0·07; 95 % CI -0·15, -0·00) and households (OR = 0·67; 95 % CI 0·46, 0·98). No significant influence on inequality was observed for the remaining outcomes. CONCLUSIONS:Universal breakfast provision may reduce socio-economic inequalities in consumption of healthy breakfast items and breakfast skipping. There was no evidence of intervention-generated inequalities in any outcomes.
journal_name
Public Health Nutrjournal_title
Public health nutritionauthors
Moore GF,Murphy S,Chaplin K,Lyons RA,Atkinson M,Moore Ldoi
10.1017/S1368980013003133subject
Has Abstractpub_date
2014-06-01 00:00:00pages
1280-9issue
6eissn
1368-9800issn
1475-2727pii
S1368980013003133journal_volume
17pub_type
杂志文章,随机对照试验abstract:OBJECTIVE:To investigate the level of public acceptability of a sugar-sweetened beverage (SSB) tax and its associated factors. DESIGN:Participants completed an online self-administered questionnaire. Acceptability of an SSB tax was measured on a seven-point Likert scale (strongly disagree to strongly agree). Associati...
journal_title:Public health nutrition
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doi:10.1017/S1368980020001500
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abstract:OBJECTIVE:To explore how an Australian rural food policy coalition acts to influence a local food environment, focusing specifically on its composition, functions and processes as well as its food-related strategies and policy outputs. DESIGN:A qualitative case study approach was undertaken. Three sources were used to...
journal_title:Public health nutrition
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doi:10.1017/S1368980016003001
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journal_title:Public health nutrition
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abstract:OBJECTIVE:The present study aimed to determine the relationship among food insecurity, social support and mental well-being in sub-Saharan Africa, a region presenting the highest prevalence of severe food insecurity and a critical scarcity of mental health care. DESIGN:Food insecurity was measured using the Food Insec...
journal_title:Public health nutrition
pub_type: 杂志文章
doi:10.1017/S136898001800277X
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVE:Higher intakes of red and processed meat are associated with poorer health outcomes and negative environmental impacts. Drawing upon a population survey the present paper investigates meat consumption behaviours, exploring perceived impacts for human health, animal welfare and the environment. DESIGN:Structu...
journal_title:Public health nutrition
pub_type: 杂志文章,评审
doi:10.1017/S1368980015000567
更新日期:2015-09-01 00:00:00
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journal_title:Public health nutrition
pub_type: 杂志文章,评审
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journal_title:Public health nutrition
pub_type: 杂志文章
doi:10.1079/phn2004611
更新日期:2004-09-01 00:00:00
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journal_title:Public health nutrition
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doi:10.1017/s1368980000000045
更新日期:2000-03-01 00:00:00
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更新日期:2020-05-21 00:00:00
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更新日期:2014-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1017/S1368980011000826
更新日期:2012-02-01 00:00:00
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journal_title:Public health nutrition
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更新日期:2014-02-01 00:00:00
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journal_title:Public health nutrition
pub_type: 杂志文章,多中心研究
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更新日期:2015-05-01 00:00:00
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journal_title:Public health nutrition
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更新日期:2004-12-01 00:00:00
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journal_title:Public health nutrition
pub_type: 杂志文章
doi:10.1017/S1368980018000976
更新日期:2018-09-01 00:00:00
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journal_title:Public health nutrition
pub_type: 杂志文章
doi:10.1079/phn2003517
更新日期:2003-09-01 00:00:00
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doi:10.1017/S1368980011000371
更新日期:2011-07-01 00:00:00
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journal_title:Public health nutrition
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journal_title:Public health nutrition
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更新日期:2018-02-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2016-10-01 00:00:00
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更新日期:2018-04-01 00:00:00
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journal_title:Public health nutrition
pub_type: 杂志文章,多中心研究
doi:10.1017/S1368980018000757
更新日期:2018-08-01 00:00:00
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journal_title:Public health nutrition
pub_type: 杂志文章
doi:10.1017/S1368980018002057
更新日期:2018-12-01 00:00:00
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journal_title:Public health nutrition
pub_type: 杂志文章
doi:10.1017/S1368980019005032
更新日期:2020-07-01 00:00:00
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journal_title:Public health nutrition
pub_type: 杂志文章
doi:10.1017/S1368980013001183
更新日期:2014-06-01 00:00:00
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journal_title:Public health nutrition
pub_type: 杂志文章
doi:10.1017/S1368980013003418
更新日期:2014-11-01 00:00:00