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Current salt reduction policies across gradients of inequality-adjusted human development in the WHO European region : minding the gaps
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Rodriguez-Fernandez, Rodrigo, Siopa, Margarida, Simpson, Sarah J., Amiya, Rachel M., Breda, Joao and Cappuccio, Francesco (2014) Current salt reduction policies across gradients of inequality-adjusted human development in the WHO European region : minding the gaps. Public Health Nutrition, 17 (8). pp. 1894-1904. doi:10.1017/S136898001300195X ISSN 1368-9800.
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Official URL: http://dx.doi.org/10.1017/S136898001300195X
Abstract
OBJECTIVE:
To assess current salt reduction policies in countries of the WHO European Region against the backdrop of varying levels of human development adjusted for income, education and health (longevity) inequalities.
DESIGN:
Population-based, cross-sectional study, with data gathered through systematic review of relevant databases and supplementary information provided by WHO Nutrition Counterparts.
SETTING:
Member States of the WHO European Region.
SUBJECTS:
Inequality-adjusted Human Development Index scores were analysed against assessed levels of development and implementation of national nutrition policies and initiatives targeting population-level salt reduction.
RESULTS:
Within the WHO European Region, Inequality-adjusted Human Development Index values among countries with no existing salt reduction initiatives (mean 0·643 (se 0·022)) were significantly lower than among those with either partially implemented/planned salt initiatives (mean 0·766 (se 0·017), P < 0·001) or fully implemented salt initiatives (mean 0·780 (se 0·021), P < 0·001).
CONCLUSIONS:
Where salt reduction strategies are implemented as an integral part of national policy, outcomes have been promising. However, low- and middle-income countries may face severe resource constraints that keep them from emulating more comprehensive strategies pursued in high-income countries. Care must be taken to ensure that gaps are not inadvertently widened by monitoring differential policy impacts of salt policies, particularly regarding trade flows.
Item Type: | Journal Article | ||||||
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Subjects: | T Technology > TX Home economics | ||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Food -- Sodium content -- Europe, Food -- Sodium content -- Government policy -- Europe, Sodium in the body -- Europe, Nutrition policy -- Europe, Salt -- Health aspects, Sodium, Dietary -- Europe, Chronic diseases | ||||||
Journal or Publication Title: | Public Health Nutrition | ||||||
Publisher: | Cambridge University Press | ||||||
ISSN: | 1368-9800 | ||||||
Official Date: | August 2014 | ||||||
Dates: |
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Volume: | 17 | ||||||
Number: | 8 | ||||||
Page Range: | pp. 1894-1904 | ||||||
DOI: | 10.1017/S136898001300195X | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||
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