Abstract:
BACKGROUND:A "diet high in sodium" is the second most important dietary risk factor for health loss identified in the Global Burden of Disease Study 2013. We therefore aimed to model health gains and costs (savings) of salt reduction interventions related to salt substitution and maximum levels in bread, including by ethnicity and age. We also ranked these four interventions compared to eight other modelled interventions. METHODS:A Markov macro-simulation model was used to estimate QALYs gained and net health system costs for four dietary sodium reduction interventions, discounted at 3 % per annum. The setting was New Zealand (NZ) (2.3 million adults, aged 35+ years) which has detailed individual-level administrative cost data. RESULTS:The health gain was greatest for an intervention where most (59 %) of the sodium in processed foods was replaced by potassium and magnesium salts. This intervention gained 294,000 QALYs over the remaining lifetime of the cohort (95 % UI: 238,000 to 359,000; 0.13 QALY per 35+ year old). Such salt substitution also produced the highest net cost-savings of NZ$ 1.5 billion (US$ 1.0 billion) (95 % UI: NZ$ 1.1 to 2.0 billion). All interventions generated relatively larger per capita QALYs for men vs women and for the indigenous Māori population vs non-Māori (e.g., 0.16 vs 0.12 QALYs per adult for the 59 % salt substitution intervention). Of relevance to workforce productivity, in the first 10 years post-intervention, 22 % of the QALY gain was among those aged <65 years (and 37 % for those aged <70). CONCLUSIONS:The benefits are consistent with the international literature, with large health gains and cost savings possible from some, but not all, sodium reduction interventions. Health gain appears likely to occur among working-age adults and all interventions contributed to reducing health inequalities.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Nghiem N,Blakely T,Cobiac LJ,Cleghorn CL,Wilson Ndoi
10.1186/s12889-016-3102-1subject
Has Abstractpub_date
2016-05-23 00:00:00pages
423issn
1471-2458pii
10.1186/s12889-016-3102-1journal_volume
16pub_type
杂志文章abstract:BACKGROUND:The history of governmental responses to the accumulation of scientific evidence about the harms of secondhand smoke (SHS) presents an intriguing case study of incremental public health policy development. Australia has long been considered a world-leader in progressive tobacco control policies, but in the l...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-6-192
更新日期:2006-07-21 00:00:00
abstract:BACKGROUND:Bacteria affect oral health, but few studies have systematically examined the role of bacterial communities in oral diseases. We examined this relationship in a large population-based Chinese cancer screening cohort. METHODS:Human Oral Microbe Identification Microarrays were used to test for the presence of...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-1110
更新日期:2014-10-27 00:00:00
abstract:BACKGROUND:Public concerns are commonly expressed about widening health gaps. This cohort study examines variations and trends in cancer survival by socio-economic disadvantage, geographical remoteness and country of birth in an Australian population over a 30-year period. METHODS:Data for cases diagnosed in New South...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4692-y
更新日期:2017-09-14 00:00:00
abstract:BACKGROUND:Recent economic development in China has been accompanied by well-documented health inequalities between regions. The impact of individual factors on child height has been widely studied, but the influence of community-level factors has not yet been fully studied. METHODS:The cross-sectional data of 1606 Ch...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-6921-z
更新日期:2019-05-14 00:00:00
abstract:BACKGROUND:Deciding on an appropriate level for taxes on tobacco products is a critical issue in tobacco control. The aim of the present study was to describe the critical price points for packs for smokers of each pack size, to calculate what this would equate to in terms of price per stick, and to ascertain whether p...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-650
更新日期:2013-07-13 00:00:00
abstract:BACKGROUND:Studies have shown that presenting correct information about group norms to correct misperceptions of norms can influence health behaviours. In two online studies we investigated how different ways of communicating the current uptake of 43% of the English Bowel Scope Screening (BSS) programme affects intenti...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-6997-5
更新日期:2019-05-29 00:00:00
abstract:BACKGROUND:As of May 2016, pictorial health warnings (PHWs) showing the harms of smoking were implemented in the European Union. After one year they had to be fully implemented. We studied changes in awareness of the health risks of smoking after implementation of PHWs among smokers from the Netherlands, whether the tr...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08667-9
更新日期:2020-05-08 00:00:00
abstract:BACKGROUND:Attempted or non-fatal self-poisoning is common in Sri Lanka. To date, most preventive strategies have focused on limitation of access to toxic pesticides, which has reduced the rates of fatal self-poisoning. However the ongoing phenomenon of non-fatal self-poisoning indicates the need for exploration of alt...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-2435-5
更新日期:2015-11-24 00:00:00
abstract:BACKGROUND:Low participation in population-based follow-up studies addressing psychosocial risk factors may cause biased estimation of health risk but the issue has seldom been examined. We compared risk estimates for selected health outcomes among respondents and the entire source population. METHODS:In a Danish coho...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-539
更新日期:2011-07-08 00:00:00
abstract:BACKGROUND:The practice of using medical service claims in epidemiologic research on hypertension is becoming increasingly common, and several published studies have attempted to validate the diagnostic data contained therein. However, very few of those studies have had the benefit of using actual measured blood pressu...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-13-51
更新日期:2013-01-18 00:00:00
abstract:BACKGROUND:Websites that address national public health issues provide an important mechanism to improve health education and services in resource limited countries. This article describes the development, promotion and initial evaluation of a national website to increase access to information and resources about preve...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-2422-x
更新日期:2015-10-22 00:00:00
abstract:BACKGROUND:Understanding people's social lived experiences of chronic illness is fundamental to improving health service delivery and health outcomes, particularly in relation to self-management activity. In explorations of social lived experiences this paper uncovers the ways in which Aboriginal and Torres Strait Isla...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-686
更新日期:2011-09-04 00:00:00
abstract:BACKGROUND:To evaluate the association between weight misperception and psychological symptoms in the Determinants of young Adults Social well-being and Health (DASH) longitudinal study. METHODS:A longitudinal sample of 3227 adolescents, in 49 secondary schools in London, aged 11-16 years participated in 2002/2003 and...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08823-1
更新日期:2020-05-18 00:00:00
abstract:BACKGROUND:As the world's largest developing country, China has entered into the epidemiological phase characterized by high life expectancy and high morbidity and mortality from chronic diseases. Cardiovascular diseases, chronic obstructive pulmonary diseases, and malignant tumors have become the leading causes of dea...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-988
更新日期:2012-11-16 00:00:00
abstract:BACKGROUND:Little is known about patterns in the transition from healthy weight to overweight or obesity during the elementary school years. This study examined whether there were distinct body mass index (BMI) trajectory groups among elementary school children, and predictors of trajectory group membership. METHODS:T...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-016-3159-x
更新日期:2016-07-07 00:00:00
abstract:BACKGROUND:Men are at greater risk than women of dying by suicide. One in eight will experience depression--a leading contributor to suicide--in their lifetime and men often delay seeking treatment. Previous research has focused on men's use of unhelpful coping strategies, with little emphasis on men's productive respo...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-2478-7
更新日期:2015-11-16 00:00:00
abstract:BACKGROUND:Both smoking and obesity are separately associated with sickness absence. Unhealthy lifestyle habits and health conditions may occur concurrently yet studies focusing on their joint association are few. This study examined the joint associations of smoking and obesity with sickness absence (SA). METHODS:A m...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4997-x
更新日期:2017-12-28 00:00:00
abstract:BACKGROUND:It is widely recognized and accepted that job strain adversely impacts the workforce. Individual responses to stressful situations can vary greatly and it has been shown that certain people are more likely to experience high levels of stress in their job than others. Studies highlighted that there can be age...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-4-59
更新日期:2004-12-07 00:00:00
abstract:BACKGROUND:Obesity and caries are common conditions in childhood and can have significant implications on children's wellbeing. Evidence into their association remains conflicting. Furthermore, studies examining the ssociation between obesity and caries commonly focus on individual-level determinants. The present study...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5156-8
更新日期:2018-02-17 00:00:00
abstract:BACKGROUND:The slogan "Suicide prevention is everyone's business" has been used in a number of campaigns worldwide in recent years, but most research into suicide prevention has focused on the role of medical professionals in identifying and managing risk. Little consideration has been given to the role that lay people...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-9-308
更新日期:2009-08-23 00:00:00
abstract:BACKGROUND:Mass screening for celiac disease (CD) as a public health intervention is controversial. Prior to implementation, acceptability to the targeted population should be addressed. We aimed at exploring adolescents' and parents' experiences of having the adolescents' CD detected through mass screening, and their ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-822
更新日期:2011-10-21 00:00:00
abstract:BACKGROUND:Pedometers provide a simple, cost effective means of motivating individuals to increase walking yet few studies have considered if short term changes in walking behaviour can be maintained in the long-term. The role of physical activity consultations in such interventions is unclear. The purpose of this stud...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-12-206
更新日期:2012-03-19 00:00:00
abstract:BACKGROUND:Obesity is a major public health issue; however, only limited evidence is available about effective ways to prevent obesity, particularly in early childhood. Romp & Chomp was a community-wide obesity prevention intervention conducted in Geelong Australia with a target group of 12,000 children aged 0-5 years....
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-522
更新日期:2010-08-31 00:00:00
abstract:BACKGROUND:Africans immigrants in the United States are the least-studied immigrant group, despite the research and policy efforts to address health disparities within immigrant communities. Although their healthcare experiences and needs are unique, they are often included in the "black" category, along with other phe...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/s12889-019-8127-9
更新日期:2020-01-08 00:00:00
abstract:BACKGROUND:An earlier attempt to adapt the REALM (Rapid Estimate of Adult Literacy in Medicine) word recognition test to Dutch was not entirely successful due to ceiling effects. In contrast to REALM, the Short Assessment of Health Literacy (SAHL) assesses both word recognition and comprehension in the health domain. T...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-990
更新日期:2014-09-23 00:00:00
abstract:INTRODUCTION:Application of emollients is a widespread traditional newborn care practice in many low and middle-income countries (LMICs) and may have the potential to decrease infection and consequent mortality in preterm neonates. METHODS:We systematically reviewed literature published up to December 2012 to identify...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/1471-2458-13-S3-S31
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Household help is a community intervention in the Netherlands. Its primary goal is to provide professional help in doing domestic work. A secondary goal of the intervention is to alleviate loneliness. In 2007, a major health care reform and budget cut changed household help. After the reform alleviating lone...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-6004-6
更新日期:2018-09-10 00:00:00
abstract:BACKGROUND:This study aims to explore associations of individual- and provincial-level socioeconomic status (SES) and the combined interaction among these SES with individual physical activity (PA). METHOD:This analyze used data of 3068 Vietnamese people aged 18-65 years from the national representative STEPS survey i...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-08695-5
更新日期:2020-04-25 00:00:00
abstract:BACKGROUND:Owing to migration, female genital mutilation or cutting (FGM/C) has become a growing concern in host countries in which FGM/C is not familiar. There is a need for reliable estimates of FGM/C prevalence to inform medical and public health policy. We aimed to advance methodology for estimating the prevalence ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09151-0
更新日期:2020-06-29 00:00:00
abstract:BACKGROUND:Cardiovascular disease is the leading cause of death worldwide. Like many countries, Australia is currently changing its guidelines for cardiovascular disease prevention from drug treatment for everyone with 'high blood pressure' or 'high cholesterol', to prevention based on a patient's absolute risk. In thi...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-398
更新日期:2012-06-01 00:00:00