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Has the UK Healthy Start voucher scheme been associated with an increased fruit and vegetable intake among target families? Analysis of Health Survey for England data, 2001–2014
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Scantlebury, Rachel Jane, Moody, Alison, Oyebode, Oyinlola and Mindell, Jennifer Susan (2018) Has the UK Healthy Start voucher scheme been associated with an increased fruit and vegetable intake among target families? Analysis of Health Survey for England data, 2001–2014. Journal of Epidemiology and Community Health . doi:10.1136/jech-2017-209954 ISSN 0143-005X.
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WRAP-UK-healthy-start-voucher-scheme-increased-fruit-vegetable-intake-Oyebode-2018.pdf - Accepted Version - Requires a PDF viewer. Download (847Kb) | Preview |
Official URL: http://dx.doi.org/10.1136/jech-2017-209954
Abstract
Background: Healthy Start (HS) is a UK government programme, introduced in 2006, providing vouchers to pregnant women or families with children aged <4 who are in receipt of certain benefits. Vouchers can be exchanged for fruit and vegetables (F&V), milk or infant formula. We sought to identify any association between HS and F&V intake.
Methods: We analysed repeated cross-sectional data from the Health Survey for England. Study participants were classified into one of four groups: one HS-eligible group and three control groups, meeting only the income or demographic or no eligibility criterion. Outcome measures were mean F&V intake and the proportions of participants consuming ≥3 and ≥1 portion/day. Outcomes were compared across the four groups over four time periods: 2001–2003, 2004–2006, 2007–2009 and 2010–2014. Regression analyses examined whether F&V intake among HS-eligible participants had a significantly different rate of change from those in the control groups.
Results: The change in mean F&V consumption over time was similar in HS-eligible adults and children to that of the control groups. Likewise, the change in odds of consuming ≥3 or ≥1 portion of F&V/day over time was similar among HS-eligible participants and control groups.
Conclusion: This study found that during the period 2001–2003 to 2010–2014, F&V consumption among adults and children in households deemed eligible for HS changed similarly to that of other adults and children. Potential explanations include that vouchers may have been spent on milk or infant formula, or that vouchers helped protect F&V consumption in low-income households.
| Item Type: | Journal Article | ||||||||||||
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| Subjects: | H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RG Gynecology and obstetrics |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Aid to families with dependent children programs -- Great Britain, Pregnancy -- Nutritional aspects -- Great Britain | ||||||||||||
| Journal or Publication Title: | Journal of Epidemiology and Community Health | ||||||||||||
| Publisher: | B M J Group | ||||||||||||
| ISSN: | 0143-005X | ||||||||||||
| Official Date: | 7 March 2018 | ||||||||||||
| Dates: |
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| DOI: | 10.1136/jech-2017-209954 | ||||||||||||
| Status: | Peer Reviewed | ||||||||||||
| Publication Status: | Published | ||||||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||||||
| Date of first compliant deposit: | 29 March 2018 | ||||||||||||
| Date of first compliant Open Access: | 3 April 2018 | ||||||||||||
| RIOXX Funder/Project Grant: |
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