1
|
Meyer C, Goffe L, Antonopoulou V, Graham F, Tang MY, Lecouturier J, Grimani A, Chadwick P, Sniehotta FF. Using the precaution adoption process model to understand decision-making about the COVID-19 booster vaccine in England. Vaccine 2023; 41:2466-2475. [PMID: 36933983 PMCID: PMC9935297 DOI: 10.1016/j.vaccine.2023.02.047] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Revised: 12/21/2022] [Accepted: 02/13/2023] [Indexed: 02/19/2023]
Abstract
BACKGROUND COVID-19 continues to pose a threat to public health. Booster vaccine programmes are critical to maintain population-level immunity. Stage theory models of health behaviour can help our understanding of vaccine decision-making in the context of perceived threats of COVID-19. PURPOSE To use the Precaution Adoption Process Model (PAPM) to understand decision-making about the COVID-19 booster vaccine (CBV) in England. METHODS An online, cross-sectional survey informed by the PAPM, the extended Theory of Planned Behaviour and Health Belief Model administered to people over the age of 50 residing in England, UK in October 2021. A multivariate, multinomial logistic regression model was used to examine associations with the different stages of CBV decision-making. RESULTS Of the total 2,004 participants: 135 (6.7%) were unengaged with the CBV programme; 262 (13.1%) were undecided as to whether to have a CBV; 31 (1.5%) had decided not to have a CBV; 1,415 (70.6%) had decided to have a CBV; and 161 (8.0%) had already had their CBV. Being unengaged was positively associated with beliefs in their immune system to protect against COVID-19, being employed, and low household income; and negatively associated with CBV knowledge, a positive COVID-19 vaccine experience, subjective norms, anticipated regret of not having a CBV, and higher academic qualifications. Being undecided was positively associated with beliefs in their immune system and having previously received the Oxford/AstraZeneca (as opposed to Pfizer/BioNTech) vaccine; and negatively associated with CBV knowledge, positive attitudes regarding CBV, a positive COVID-19 vaccine experience, anticipated regret of not having a CBV, white British ethnicity, and living in East Midlands (vs London). CONCLUSIONS Public health interventions promoting CBV may improve uptake through tailored messaging directed towards the specific decision stage relating to having a COVID-19 booster.
Collapse
Affiliation(s)
- Carly Meyer
- NIHR Policy Research Unit in Behavioural Science - Health Psychology Research Group, Department of Clinical, Education and Health Psychology, University College London, UK.
| | - Louis Goffe
- NIHR Policy Research Unit in Behavioural Science - Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, UK
| | - Vivi Antonopoulou
- NIHR Policy Research Unit in Behavioural Science - Health Psychology Research Group, Department of Clinical, Education and Health Psychology, University College London, UK
| | - Fiona Graham
- NIHR Policy Research Unit in Behavioural Science - Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, UK
| | - Mei Yee Tang
- NIHR Policy Research Unit in Behavioural Science - Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, UK
| | - Jan Lecouturier
- NIHR Policy Research Unit in Behavioural Science - Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, UK
| | - Aikaterini Grimani
- NIHR Policy Research Unit in Behavioural Science - Behavioural Science Group, Warwick Business School, University of Warwick, UK
| | - Paul Chadwick
- NIHR Policy Research Unit in Behavioural Science - Health Psychology Research Group, Department of Clinical, Education and Health Psychology, University College London, UK
| | - Falko F Sniehotta
- NIHR Policy Research Unit in Behavioural Science - Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, UK; Department of Public Health, Preventive and Social Medicine, Center for Preventive Medicine and Digital Health Baden-Wuerttemberg, Heidelberg University, Germany
| |
Collapse
|
2
|
Antonopoulou V, Goffe L, Meyer CJ, Grimani A, Graham F, Lecouturier J, Tang MY, Chadwick P, Sniehotta FF. A comparison of seasonal influenza and novel Covid-19 vaccine intentions: A cross-sectional survey of vaccine hesitant adults in England during the 2020 pandemic. Hum Vaccin Immunother 2022; 18:2085461. [PMID: 35816683 PMCID: PMC9621000 DOI: 10.1080/21645515.2022.2085461] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Revised: 05/17/2022] [Accepted: 05/27/2022] [Indexed: 12/26/2022] Open
Abstract
We compared intention to receive the seasonal influenza vaccine with a prospective coronavirus (COVID-19) vaccine among undecided or COVID-19 vaccine hesitant individuals to better understand the underlying differences and similarities in factors associated with vaccine intention. We delivered a cross-sectional online survey in October-November 2020. We included psychological constructs and sociodemographic variables informed by theory. We conducted pairwise comparisons and multiple linear regression models to explore associations between vaccine intention and psychological constructs. We recruited 1,660 participants, where 47.6% responded that they would likely receive the influenza vaccine, 31.0% that they would probably not accept the vaccination and 21.4% were unsure. In relation to the prospective COVID-19 vaccine, 39.0% responded that they would likely receive the vaccination, 23.7% that they would probably not accept the vaccination and 37.3% were unsure. Unique factors positively associated with COVID-19 vaccine intention were: perceived knowledge sufficiency about vaccine safety, beliefs about vaccine safety, and living in an area of low deprivation. The only unique factor positively associated with influenza intention was past influenza behavior. The strongest common predictors positively associated with intention were: favorable vaccine attitudes, the anticipated regret they may feel following infection if they were not to receive a vaccine, and the expectation from family or friends to accept the vaccine. Despite overall similarities in those factors associated with vaccination intention, we identified unique influences on intention. This additional insight will help support the planning and tailoring of future immunizations programmes for the respective viruses.
Collapse
Affiliation(s)
- Vivi Antonopoulou
- NIHR Policy Research Unit in Behavioural Science, Centre for Behaviour Change, Department of Clinical, Educational, and Health Psychology, University College London, London, UK
| | - Louis Goffe
- NIHR Policy Research Unit in Behavioural Science – Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK
| | - Carly J Meyer
- NIHR Policy Research Unit in Behavioural Science, Centre for Behaviour Change, Department of Clinical, Educational, and Health Psychology, University College London, London, UK
| | - Aikaterini Grimani
- NIHR Policy Research Unit in Behavioural Science – Behavioural Science Group, Warwick Business School, University of Warwick, Coventry, UK
| | - Fiona Graham
- NIHR Policy Research Unit in Behavioural Science – Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK
| | - Jan Lecouturier
- NIHR Policy Research Unit in Behavioural Science – Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK
| | - Mei Yee Tang
- NIHR Policy Research Unit in Behavioural Science – Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK
| | - Paul Chadwick
- NIHR Policy Research Unit in Behavioural Science, Centre for Behaviour Change, Department of Clinical, Educational, and Health Psychology, University College London, London, UK
| | - Falko F Sniehotta
- NIHR Policy Research Unit in Behavioural Science – Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK
- Department of Public Health, Preventive and Social Medicine, Center for Preventive Medicine and Digital Health Baden-Wuerttemberg, Heidelberg University, Germany
| |
Collapse
|
3
|
Brown H, Xiang H, Albani V, Goffe L, Akhter N, Lake A, Sorrell S, Gibson E, Wildman J. No new fast-food outlets allowed! Evaluating the effect of planning policy on the local food environment in the North East of England. Soc Sci Med 2022; 306:115126. [PMID: 35724588 DOI: 10.1016/j.socscimed.2022.115126] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 05/31/2022] [Accepted: 06/09/2022] [Indexed: 11/28/2022]
Abstract
The environment in which we live impacts on our health. The food available to us in our environment is likely to influence what we eat and subsequently our weight. The use of planning policy can be one way for both local and national government to help shape a healthy environment. In England there are three main types of planning policy used to promote a healthy food environment: 1) restricting new fast-food outlets near schools; 2) restricting new fast-food outlets if the density of existing outlets has surpassed a certain threshold of all retail outlets, 3) restricting new fast-food outlets if childhood obesity rates are above a certain threshold. In 2015, Gateshead council, a local authority in the North East of England implemented all three types of guidance. We utilise a longitudinal administrative dataset, the Food Standards Agency Food Hygiene Rating Scheme Data, covering the period 2012-2019 on all premises selling or preparing food in Great Britain. To analyse the impact of employing all three types of planning guidance on the density, proportion, and number of fast-food outlets in Gateshead, we employ a propensity score matching difference-in-difference approach. We match small geographical areas in Gateshead (lower super output areas) to other local authorities in the North East with similar demographic characteristics that did not implement planning guidance. Results show a reduction in density of fast-food outlets by 12.45 per 100,000 of the population and a 13.88% decrease in the proportion of fast-food outlets in Gateshead compared to other similar local authorities in the North East. There was a marginally significant reduction in the number of restaurants which became insignificant after controlling for population density. These results suggest that a multi-pronged planning approach significantly changed the proportion and density of fast-food outlets in the food environment in the short term (4 years).
Collapse
Affiliation(s)
- Heather Brown
- Newcastle University, Population Health Sciences Institute, Baddiley Clark Building, Newcastle Upon Tyne, NE2 4BN, UK.
| | - Huasheng Xiang
- Newcastle University, Population Health Sciences Institute, Baddiley Clark Building, Newcastle Upon Tyne, NE2 4BN, UK.
| | - Viviana Albani
- Newcastle University, Population Health Sciences Institute, Baddiley Clark Building, Newcastle Upon Tyne, NE2 4BN, UK.
| | - Louis Goffe
- Newcastle University, Population Health Sciences Institute, Baddiley Clark Building, Newcastle Upon Tyne, NE2 4BN, UK.
| | - Nasima Akhter
- Durham University Department of Anthropology, Durham, UK.
| | - Amelia Lake
- Teesside University SHLS Allied Health Professions Centre for Public Health, Middlesbrough, UK.
| | - Stewart Sorrell
- Environmental Health Planning Policy, Climate Change and Strategic Transport Gateshead Council, UK.
| | - Emma Gibson
- Health Promotion, Public Health, Gateshead Council, UK.
| | - John Wildman
- Newcastle University, Population Health Sciences Institute, Baddiley Clark Building, Newcastle Upon Tyne, NE2 4BN, UK.
| |
Collapse
|
4
|
Basterfield L, Burn NL, Galna B, Batten H, Goffe L, Karoblyte G, Lawn M, Weston KL. Changes in children's physical fitness, BMI and health-related quality of life after the first 2020 COVID-19 lockdown in England: A longitudinal study. J Sports Sci 2022; 40:1088-1096. [PMID: 35262450 DOI: 10.1080/02640414.2022.2047504] [Citation(s) in RCA: 25] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
We aimed to assess one-year changes in physical fitness, health-related quality of life (HRQoL) and body mass index (BMI), encompassing the 2020 COVID-19 UK lockdowns. Data were collected (October 2019, November 2020) from 178 8-10-year-olds in Newcastle-upon-Tyne, England, 85% from England's most deprived quintile. Twenty-metre shuttle run test performance (20mSRT), handgrip strength (HGS), standing broad jump (SBJ), sit-and-reach, height, body mass, HRQoL (Kidscreen-27 questionnaire) and sports club participation were measured. BMI z-scores and overweight/obesity were calculated (≥85th centile). Paired t-tests and linear regression assessed change, adjusting for baseline BMI. Significant (p<0.001) changes were observed: increases in mean BMI (+1.5kg·m-2), overweight/obesity (33% to 47%), SBJ (+6.8cm) and HGS (+1.5kg); decreases in 20mSRT performance (-3 shuttles), sit-and-reach (-1.8cm). More children at follow-up were categorized "very low" for 20mSRT performance (35% baseline v 51%). Increased BMI z-score was associated with decreased "Physical Wellbeing" HRQoL. Follow-up sports club participation was associated with better 20mSRT performance (p=0.032), and "Autonomy & Parents" (p=0.011), "Social Support & Peers" (p=0.038) HRQoL. Children's 20mSRT performance and BMI changed adversely over one year; national lockdowns potentially made negative contributions. Physical fitness, physical activity and sports programmes should be part of children's physical and mental recovery from the pandemic.
Collapse
Affiliation(s)
- Laura Basterfield
- Human Nutrition Research Centre, Newcastle University, Newcastle upon Tyne, UK.,Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK
| | - Naomi L Burn
- UniSA Onlin, University of South Australia, Adelaide, Australia
| | - Brook Galna
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.,Health Futures Institute, Murdoch University, Perth, Australia
| | - Hannah Batten
- Human Nutrition Research Centre, Newcastle University, Newcastle upon Tyne, UK
| | - Louis Goffe
- Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK
| | - Guoda Karoblyte
- Human Nutrition Research Centre, Newcastle University, Newcastle upon Tyne, UK
| | - Matt Lawn
- Walkergate Community School, Newcastle upon Tyne, UK
| | - Kathryn L Weston
- School of Applied Sciences, Edinburgh Napier University, Edinburgh, UK
| |
Collapse
|
5
|
Goffe L, Antonopoulou V, Meyer CJ, Graham F, Tang MY, Lecouturier J, Grimani A, Bambra C, Kelly MP, Sniehotta FF. Factors associated with vaccine intention in adults living in England who either did not want or had not yet decided to be vaccinated against COVID-19. Hum Vaccin Immunother 2021; 17:5242-5254. [PMID: 34919492 PMCID: PMC8903974 DOI: 10.1080/21645515.2021.2002084] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Abstract
Early studies showed that 28-36% of UK adults were unsure or unwilling to be vaccinated against COVID-19. We wanted to identify which socio-demographic, socio-economic, personal health and psychological factors were associated with COVID-19 vaccine intentions (CVI) in adults living in England who did not want, yet to consider, or not sure whether to vaccinate. In October/November 2020, prior to vaccine availability, we surveyed adults stratified by gender, region, and deprivation, with additional purposive sampling of those aged 50 and over and those from an ethnic minority. Two hundred and ten did not want; 407 had yet to consider; and 1,043 were not sure whether to be vaccinated. Factors positively associated with CVI were: favorable vaccine views, trust in institutions associated with vaccine approval, vaccine subjective norms, anticipated regret of not having a vaccine, perceived vaccine benefits, perceived safety knowledge sufficiency, and a history of having an influenza vaccine. Factors negatively associated were: anti-lockdown views, and being a health or social care worker. Whilst showing significant relationships with CVI when analyzed in isolation, neighborhood deprivation and ethnicity did show an independent relationship to intention when all study measures were controlled for. Our findings suggest vaccine promotion focusing on the anticipated regret of not having a vaccine, the benefits of a mass COVID-19 immunization program, and the safety of a vaccine whilst ensuring or engendering trust in those bodies that brand a campaign may be most supportive of COVID-19 vaccine uptake.
Collapse
Affiliation(s)
- Louis Goffe
- NIHR Policy Research Unit in Behavioural Science - Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK
| | - Vivi Antonopoulou
- NIHR Policy Research Unit in Behavioural Science - Health Psychology Research Group, Department of Clinical, Education and Health Psychology, University College London, London, UK
| | - Carly J Meyer
- NIHR Policy Research Unit in Behavioural Science - Health Psychology Research Group, Department of Clinical, Education and Health Psychology, University College London, London, UK
| | - Fiona Graham
- NIHR Policy Research Unit in Behavioural Science - Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK
| | - Mei Yee Tang
- NIHR Policy Research Unit in Behavioural Science - Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK
| | - Jan Lecouturier
- NIHR Policy Research Unit in Behavioural Science - Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK
| | - Aikaterini Grimani
- NIHR Policy Research Unit in Behavioural Science - Behavioural Science Group, Warwick Business School, University of Warwick, Coventry, UK
| | - Clare Bambra
- NIHR Policy Research Unit in Behavioural Science - Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK
| | - Michael P Kelly
- NIHR Policy Research Unit in Behavioural Science - Primary Care Unit, East Forvie Building, Cambridge Biomedical Campus, Cambridge, UK
| | - Falko F Sniehotta
- NIHR Policy Research Unit in Behavioural Science - Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.,Faculty of Behavioural, Management and Social Sciences - University of Twente, Enschede, The Netherlands
| |
Collapse
|
6
|
Brown H, Kirkman S, Albani V, Goffe L, Akhter N, Hollingsworth B, von Hinke S, Lake A. The impact of school exclusion zone planning guidance on the number and type of food outlets in an English local authority: A longitudinal analysis. Health Place 2021; 70:102600. [PMID: 34118573 PMCID: PMC8361782 DOI: 10.1016/j.healthplace.2021.102600] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Revised: 05/27/2021] [Accepted: 06/01/2021] [Indexed: 10/29/2022]
Abstract
The use of planning policy to manage and create a healthy food environment has become a popular policy tool for local governments in England. To date there has been no evaluation of their short-term impact on the built environment. We assess if planning guidance restricting new fast food outlets within 400 m of a secondary school, influences the food environment in the local authority of Newcastle Upon Tyne, UK. We have administrative data on all food outlets in Newcastle 3 years pre-intervention 2012-2015, the intervention year 2016, and three years' post-intervention 2016-2019. We employ a difference-in-difference approach comparing postcodes within the school fast food outlet exclusion zone to those outside the fast-food exclusion zones. In the short term (3 years), planning guidance to limit the number of new fast-food outlets in a school exclusion zone did not have a statistically significant impact on the food environment when compared with a control zone.
Collapse
Affiliation(s)
- Heather Brown
- Senior Lecturer in Health Economics, Newcastle University Population Health Sciences Institute, UK.
| | - Scott Kirkman
- Newcastle University Population Health Sciences Institute, UK.
| | - Viviana Albani
- Newcastle University Population Health Sciences Institute, UK.
| | - Louis Goffe
- Newcastle University Population Health Sciences Institute, UK.
| | | | - Bruce Hollingsworth
- Professor of Health Economics, Lancaster University Health Economics at Lancaster, UK.
| | | | - Amelia Lake
- Professor of Public Health Nutrition, Teesside University SHLS Allied Health Professions, Centre for Public Health, UK.
| |
Collapse
|
7
|
Grimani A, Goffe L, Tang MY, Beyer F, Sniehotta FF, Vlaev I. Effectiveness of personal letters to healthcare professionals in changing professional behaviours: a systematic review protocol. Syst Rev 2021; 10:94. [PMID: 33794987 PMCID: PMC8017654 DOI: 10.1186/s13643-021-01650-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/07/2020] [Accepted: 03/26/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Letters are regularly sent by healthcare organisations to healthcare professionals to encourage them to take action, change practice or implement guidance. However, whether letters are an effective tool in delivering a change in healthcare professional behaviour is currently uncertain. In addition, there are currently no evidence-based guidelines to support health providers and authorities with advice on how to formulate the communication, what information and behaviour change techniques to include in order to optimise the potential effect on the behaviour of the receivers. To address this research gap, we seek to inform such guidance through this systematic review, which aims to provide comprehensive evidence of the effectiveness of personal letters to healthcare professionals in changing their professional behaviours. METHODS/DESIGN A comprehensive literature search of published and unpublished studies (the grey literature) in electronic databases will be conducted to identify randomised controlled trials (RCTs) that meet our inclusion criteria. We will include RCTs evaluating the effectiveness of personal letters to healthcare professionals in changing professional behaviours. The primary outcome will be behavioural change. The search will be conducted in five electronic databases (from their inception onwards): MEDLINE, Embase, PsycINFO, the Cochrane Library and CINAHL. We will also conduct supplementary searches in Google Scholar, hand search relevant journals, and conduct backward and forward citation searching for included studies and relevant reviews. A systematic approach to searching, screening, reviewing and data extraction will be applied in accordance with the process recommended by the Cochrane Collaboration. Two researchers will examine titles, abstracts, full-texts for eligibility independently. Risk of bias will be assessed using the Cochrane Risk of Bias 2 (RoB 2) tool for randomised controlled trials. Disagreements will be resolved by a consensus procedure. DISCUSSION Health policy makers across government are expected to benefit from being able to increase compliance in clinical settings by applying theories of behaviour to design of policy communications. The synthesised findings will be disseminated through peer-reviewed publication. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42020167674.
Collapse
Affiliation(s)
- Aikaterini Grimani
- NIHR Policy Research Unit in Behavioural Science, Newcastle University, Newcastle, UK
- Warwick Business School, University of Warwick, Coventry, UK
| | - Louis Goffe
- NIHR Policy Research Unit in Behavioural Science, Newcastle University, Newcastle, UK
- Population Health Sciences Institute, Newcastle University, Newcastle, UK
| | - Mei Yee Tang
- NIHR Policy Research Unit in Behavioural Science, Newcastle University, Newcastle, UK
- Population Health Sciences Institute, Newcastle University, Newcastle, UK
| | - Fiona Beyer
- Population Health Sciences Institute, Newcastle University, Newcastle, UK
| | - Falko F. Sniehotta
- NIHR Policy Research Unit in Behavioural Science, Newcastle University, Newcastle, UK
- Population Health Sciences Institute, Newcastle University, Newcastle, UK
| | - Ivo Vlaev
- NIHR Policy Research Unit in Behavioural Science, Newcastle University, Newcastle, UK
- Warwick Business School, University of Warwick, Coventry, UK
| |
Collapse
|
8
|
Goffe L, Uwamahoro NS, Dixon CJ, Blain AP, Danielsen J, Kirk D, Adamson AJ. Supporting a Healthier Takeaway Meal Choice: Creating a Universal Health Rating for Online Takeaway Fast-Food Outlets. Int J Environ Res Public Health 2020; 17:ijerph17249260. [PMID: 33322286 PMCID: PMC7763894 DOI: 10.3390/ijerph17249260] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Revised: 12/08/2020] [Accepted: 12/09/2020] [Indexed: 12/12/2022]
Abstract
Digital food ordering platforms are used by millions across the world and provide easy access to takeaway fast-food that is broadly, though not exclusively, characterised as energy dense and nutrient poor. Outlets are routinely rated for hygiene, but not for their healthiness. Nutritional information is mandatory in pre-packaged foods, with many companies voluntarily using traffic light labels to support making healthier choices. We wanted to identify a feasible universal method to objectively score takeaway fast-food outlets listed on Just Eat that could provide users with an accessible rating that can infer an outlet's 'healthiness'. Using a sample of takeaway outlets listed on Just Eat, we obtained four complete assessments by nutrition researchers of each outlet's healthiness to create a cumulative score that ranged from 4 to 12. We then identified and manually extracted nutritional attributes from each outlet's digital menu, e.g., number of vegetables that have the potential to be numerated. Using generalized linear modelling we identified which attributes were linear predictors of an outlet's healthiness assessment from nutritional researchers. The availability of water, salad, and the diversity of vegetables were positively associated with academic researchers' assessment of an outlet's healthiness, whereas the availability of chips, desserts, and multiple meal sizes were negatively associated. This study shows promise for the feasibility of an objective measure of healthiness that could be applied to all outlet listings on Just Eat and other digital food outlet aggregation platforms. However, further research is required to assess the metric's validity, its desirability and value to users, and ultimately its potential influence on food choice behaviour.
Collapse
Affiliation(s)
- Louis Goffe
- Open Lab., Urban Sciences Building, Newcastle Helix, Newcastle University, Newcastle-Upon-Tyne NE4 5TG, UK; (D.K.); (A.J.A.)
- Population Health Sciences Institute, Newcastle University, Newcastle-Upon-Tyne NE1 7RU, UK; (N.S.U.); (J.D.)
- Correspondence: ; Tel.: +44(0)-191-208-7080
| | - Nadege S. Uwamahoro
- Population Health Sciences Institute, Newcastle University, Newcastle-Upon-Tyne NE1 7RU, UK; (N.S.U.); (J.D.)
| | | | - Alasdair P. Blain
- Faculty of Medical Sciences, Translational and Clinical Research Institute, Newcastle University, Newcastle-Upon-Tyne NE2 4HH, UK;
| | - Jona Danielsen
- Population Health Sciences Institute, Newcastle University, Newcastle-Upon-Tyne NE1 7RU, UK; (N.S.U.); (J.D.)
| | - David Kirk
- Open Lab., Urban Sciences Building, Newcastle Helix, Newcastle University, Newcastle-Upon-Tyne NE4 5TG, UK; (D.K.); (A.J.A.)
| | - Ashley J. Adamson
- Open Lab., Urban Sciences Building, Newcastle Helix, Newcastle University, Newcastle-Upon-Tyne NE4 5TG, UK; (D.K.); (A.J.A.)
- Population Health Sciences Institute, Newcastle University, Newcastle-Upon-Tyne NE1 7RU, UK; (N.S.U.); (J.D.)
| |
Collapse
|
9
|
Goffe L, Hillier-Brown F, Hildred N, Worsnop M, Adams J, Araujo-Soares V, Penn L, Wrieden W, Summerbell CD, Lake AA, White M, Adamson AJ. Feasibility of working with a wholesale supplier to co-design and test acceptability of an intervention to promote smaller portions: an uncontrolled before-and-after study in British Fish & Chip shops. BMJ Open 2019; 9:e023441. [PMID: 30782880 PMCID: PMC6377521 DOI: 10.1136/bmjopen-2018-023441] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2018] [Revised: 11/26/2018] [Accepted: 12/19/2018] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVES To explore the feasibility of working with a wholesale supplier to co-design and deliver, and to assess the acceptability of, an intervention to promote smaller portions in Fish & Chip shops. DESIGN Uncontrolled before-and-after study. SETTING Fish & Chip shops in northern England, 2016. PARTICIPANTS Owners (n=11), a manager and customers (n=46) of Fish & Chip shops; and intervention deliverers (n=3). INTERVENTION Supplier-led, three-hour engagement event with shop owners and managers, highlighting the problem of excessive portion sizes and potential ways to reduce portion sizes; provision of box packaging to serve smaller portions; promotional posters and business incentives. DATA COLLECTION In-store observations and sales data collected at baseline and postintervention. Exit survey with customers. Semistructured interviews with owners/managers and intervention deliverers postintervention. RESULTS Twelve Fish & Chip shops were recruited. Observational data were collected from eight shops: at baseline, six shops did not promote the availability of smaller portion meals; at follow-up, all eight did and five displayed the promotional poster. Seven out of 12 shops provided sales data and all reported increased sales of smaller portion meals postintervention. Of 46 customers surveyed: 28% were unaware of the availability of smaller portion meals; 20% had bought smaller portion meals; and 46% of those who had not bought these meals were interested to try them in the future. Interviews revealed: owners/managers found the intervention acceptable but wanted a clearer definition of a smaller portion meal; the supplier valued the experience of intervention co-production and saw the intervention as being compatible with their responsibility to drive innovation. CONCLUSIONS The co-design of the intervention with a supplier was feasible. The partnership facilitated the delivery of an intervention that was acceptable to owners and customers. Sales of smaller meal packaging suggest that promotion of such meals is viable and may be sustainable.
Collapse
Affiliation(s)
- Louis Goffe
- Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK
- Human Nutrition Research Centre, Newcastle University, Newcastle upon Tyne, UK
- Fuse – UKCRC Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
| | - Frances Hillier-Brown
- Fuse – UKCRC Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
- Department of Sport and Exercise Sciences, Durham University, Durham City, UK
| | - Natalie Hildred
- Fuse – UKCRC Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
| | - Matthew Worsnop
- Newcastle Business School, Northumbria University, Newcastle upon Tyne, UK
- Henry Colbeck Limited, Gateshead, UK
| | - Jean Adams
- MRC Epidemiology Unit, Centre for Diet and Activity Research (CEDAR), University of Cambridge, Cambridge, UK
| | - Vera Araujo-Soares
- Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK
- Fuse – UKCRC Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
| | - Linda Penn
- Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK
- Fuse – UKCRC Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
| | - Wendy Wrieden
- Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK
- Human Nutrition Research Centre, Newcastle University, Newcastle upon Tyne, UK
- Fuse – UKCRC Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
| | - Carolyn D Summerbell
- Fuse – UKCRC Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
- Department of Sport and Exercise Sciences, Durham University, Durham City, UK
| | - Amelia A Lake
- Fuse – UKCRC Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
- Department of Science, School of Science, Engineering and Design, Teesside University, Middlesbrough, UK
| | - Martin White
- Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK
- MRC Epidemiology Unit, Centre for Diet and Activity Research (CEDAR), University of Cambridge, Cambridge, UK
| | - Ashley J Adamson
- Institute of Health and Society, Newcastle University, Newcastle upon Tyne, UK
- Human Nutrition Research Centre, Newcastle University, Newcastle upon Tyne, UK
- Fuse – UKCRC Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
| |
Collapse
|
10
|
Penn L, Goffe L, Haste A, Moffatt S. Management information systems for community based interventions to improve health: qualitative study of stakeholder perspectives. BMC Public Health 2019; 19:105. [PMID: 30674289 PMCID: PMC6343312 DOI: 10.1186/s12889-018-6363-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2018] [Accepted: 12/21/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Community based providers are well place to deliver behavioural interventions to improve health. Good project management and reliable outcome data are needed to efficiently deliver and evaluate such interventions, and Management information systems (MIS) can facilitate these processes. We explored stakeholders perspectives on the use of MIS in community based behavioural interventions. METHODS Stakeholders, purposively selected to provide a range of MIS experience in the delivery of community based behavioural interventions to improve health (public health commissioners, intervention service managers, project officers, health researchers and MIS designers), were invited to participate in individual semi-structured interviews. We used a topic guide and encouraged stakeholders to reflect on their experiences.: Interviews were recorded, transcribed and analysed using five steps of Framework analysis. We applied an agreed coding framework and completed the interviews when no new themes emerged. RESULTS We interviewed 15 stakeholders. Key themes identified were: (i) MIS access; (ii) data and its function; (iii) MIS development and updating. Within these themes the different experiences, needs, use, training and expertise of stakeholders and the variation and potential of MIS were evidenced. Interviews advised the need to involve stakeholders in MIS design and development, build-in flexibility to accommodate MIS refinement and build on effective MIS. CONCLUSIONS Findings advised involving stakeholders, early in the design process. Designs should build on existing MIS of proven utility and ensure flexibility in the design, to incorporate adaptations and ongoing system development in response to early MIS use and evolving stakeholder needs.
Collapse
Affiliation(s)
- Linda Penn
- Institute of Health and Society, Newcastle University, Baddiley Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK. .,Fuse, UKCRC Centre for Translational Research in Public Health, Newcastle upon Tyne, UK.
| | - Louis Goffe
- Institute of Health and Society, Newcastle University, Baddiley Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK.,Fuse, UKCRC Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
| | - Anna Haste
- Institute of Health and Society, Newcastle University, Baddiley Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK.,Fuse, UKCRC Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
| | - Suzanne Moffatt
- Institute of Health and Society, Newcastle University, Baddiley Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK.,Fuse, UKCRC Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
| |
Collapse
|
11
|
Goffe L, Penn L, Adams J, Araujo-Soares V, Summerbell CD, Abraham C, White M, Adamson A, Lake AA. The challenges of interventions to promote healthier food in independent takeaways in England: qualitative study of intervention deliverers' views. BMC Public Health 2018; 18:184. [PMID: 29374480 PMCID: PMC5787327 DOI: 10.1186/s12889-018-5096-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2017] [Accepted: 01/17/2018] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND Much of the food available from takeaways, pubs and restaurants particularly that sold by independent outlets, is unhealthy and its consumption is increasing. These food outlets are therefore important potential targets for interventions to improve diet and thus prevent diet related chronic diseases. Local authorities in England have been charged with delivering interventions to increase the provision of healthy food choices in independent outlets, but prior research shows that few such interventions have been rigorously developed or evaluated. We aimed to learn from the experiences of professionals delivering interventions in independent food outlets in England to identify the operational challenges and their suggestions for best practice. METHODS We used one-to-one semi-structured qualitative interviews to explore the views and experiences of professionals who were either employees of, or contracted by, a local authority to deliver interventions to increase the provision of healthier food choices in independent food outlets. Purposive sampling was used to recruit a sample which included men and women, from a range of professional roles, across different areas of England. Interviews were informed by a topic guide, and proceeded until no new themes emerged. Interviews were recorded, transcribed verbatim and analysed using the Framework method. RESULTS We conducted 11 individual interviews. Participants focussed on independent takeaways and their unhealthy food offerings, and highlighted the advantages and disadvantages of intervention delivery methods, their evaluation and impact. The main barriers to implementation of interventions in independent takeaways were identified as limited funding and the difficulties of engaging the food outlet owner/manager. Engagement was thought to be facilitated by delivering intensive, interactive and tailored interventions, clear and specific information, and incentives, whilst accounting for practical, primarily financial, constraints of food businesses. Alternative intervention approaches, targeting suppliers or customers, were suggested. CONCLUSIONS Participants emphasised independent takeaways as particularly challenging, but worthwhile intervention targets. Participants perceived that interventions need to take account of the potentially challenging operating environment, particularly the primacy of the profit motive. Upstream interventions, engaging suppliers, as well as those that drive consumer demand, may be worth exploring. Rigorous, evidence-informed development and evaluation of such interventions is needed.
Collapse
Affiliation(s)
- Louis Goffe
- Institute of Health & Society, Newcastle University, Newcastle upon Tyne, UK
- Human Nutrition Research Centre, Newcastle University, Newcastle upon Tyne, UK
- Fuse – UKCRC Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
| | - Linda Penn
- Institute of Health & Society, Newcastle University, Newcastle upon Tyne, UK
- Human Nutrition Research Centre, Newcastle University, Newcastle upon Tyne, UK
- Fuse – UKCRC Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
| | - Jean Adams
- Centre for Diet and Activity Research (CEDAR), MRC Epidemiology Unit, University of Cambridge, Cambridge, UK
| | - Vera Araujo-Soares
- Institute of Health & Society, Newcastle University, Newcastle upon Tyne, UK
- Fuse – UKCRC Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
| | - Carolyn D. Summerbell
- Fuse – UKCRC Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
- School of Applied Social Sciences, Durham University, Durham, UK
| | - Charles Abraham
- Psychology Applied to Health, Medical School, University of Exeter, Exeter, UK
| | - Martin White
- Institute of Health & Society, Newcastle University, Newcastle upon Tyne, UK
- Centre for Diet and Activity Research (CEDAR), MRC Epidemiology Unit, University of Cambridge, Cambridge, UK
| | - Ashley Adamson
- Institute of Health & Society, Newcastle University, Newcastle upon Tyne, UK
- Human Nutrition Research Centre, Newcastle University, Newcastle upon Tyne, UK
- Fuse – UKCRC Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
| | - Amelia A. Lake
- Fuse – UKCRC Centre for Translational Research in Public Health, Newcastle upon Tyne, UK
- Department of Science, School of Science, Engineering and Design, Teesside University, Middlesbrough, UK
| |
Collapse
|
12
|
Goffe L, Rushton S, White M, Adamson A, Adams J. Relationship between mean daily energy intake and frequency of consumption of out-of-home meals in the UK National Diet and Nutrition Survey. Int J Behav Nutr Phys Act 2017; 14:131. [PMID: 28938893 PMCID: PMC5610411 DOI: 10.1186/s12966-017-0589-5] [Citation(s) in RCA: 50] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2017] [Accepted: 09/19/2017] [Indexed: 12/02/2022] Open
Abstract
Background Out-of-home meals have been characterised as delivering excessively large portions that can lead to high energy intake. Regular consumption is linked to weight gain and diet related diseases. Consumption of out-of-home meals is associated with socio-demographic and anthropometric factors, but the relationship between habitual consumption of such meals and mean daily energy intake has not been studied in both adults and children in the UK. Methods We analysed adult and child data from waves 1–4 of the UK National Diet and Nutrition Survey using generalized linear modelling. We investigated whether individuals who report a higher habitual consumption of meals out in a restaurant or café, or takeaway meals at home had a higher mean daily energy intake, as estimated by a four-day food diary, whilst adjusting for key socio-demographic and anthropometric variables. Results Adults who ate meals out at least weekly had a higher mean daily energy intake consuming 75–104 kcal more per day than those who ate these meals rarely. The equivalent figures for takeaway meals at home were 63–87 kcal. There was no association between energy intake and frequency of consumption of meals out in children. Children who ate takeaway meals at home at least weekly consumed 55–168 kcal more per day than those who ate these meals rarely. Additionally, in children, there was an interaction with socio-economic position, where greater frequency of consumption of takeaway meals was associated with higher mean daily energy intake in those from less affluent households than those from more affluent households. Conclusions Higher habitual consumption of out-of-home meals is associated with greater mean daily energy intake in the UK. More frequent takeaway meal consumption in adults and children is associated with greater daily energy intake and this effect is greater in children from less affluent households. Interventions seeking to reduce energy content through reformulation or reduction of portion sizes in restaurants, cafés and takeaways could potentially lead to reductions in mean daily energy intake, and may reduce inequalities in health in children.
Collapse
Affiliation(s)
- Louis Goffe
- Institute of Health & Society, Newcastle University, Newcastle, UK. .,Human Nutrition Research Centre, Newcastle University, Newcastle, UK. .,Fuse - UKCRC Centre for Translational Research in Public Health, Newcastle, UK.
| | - Stephen Rushton
- School of Natural and Environmental Sciences, Newcastle University, Newcastle, UK
| | - Martin White
- Institute of Health & Society, Newcastle University, Newcastle, UK.,Centre for Diet and Activity Research, (CEDAR), MRC Epidemiology Unit, University of Cambridge, Cambridge, UK
| | - Ashley Adamson
- Institute of Health & Society, Newcastle University, Newcastle, UK.,Human Nutrition Research Centre, Newcastle University, Newcastle, UK.,Fuse - UKCRC Centre for Translational Research in Public Health, Newcastle, UK
| | - Jean Adams
- Centre for Diet and Activity Research, (CEDAR), MRC Epidemiology Unit, University of Cambridge, Cambridge, UK
| |
Collapse
|
13
|
Goffe L, Wrieden W, Penn L, Hillier-Brown F, Lake AA, Araujo-Soares V, Summerbell C, White M, Adamson AJ, Adams J. Reducing the Salt Added to Takeaway Food: Within-Subjects Comparison of Salt Delivered by Five and 17 Holed Salt Shakers in Controlled Conditions. PLoS One 2016; 11:e0163093. [PMID: 27668747 PMCID: PMC5036815 DOI: 10.1371/journal.pone.0163093] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2015] [Accepted: 09/02/2016] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVES To determine if the amount of salt delivered by standard salt shakers commonly used in English independent takeaways varies between those with five and 17 holes; and to determine if any differences are robust to variations in: the amount of salt in the shaker, the length of time spent shaking, and the person serving. DESIGN Four laboratory experiments comparing the amount of salt delivered by shakers. Independent variables considered were: type of shaker used (five or 17 holes), amount of salt in the shaker before shaking commences (shaker full, half full or nearly empty), time spent shaking (3s, 5s or 10s), and individual serving. SETTING Controlled, laboratory, conditions. PARTICIPANTS A quota-based convenience sample of 10 participants (five women) aged 18-59 years. MAIN OUTCOME MEASURES Amount of salt delivered by salt shakers. RESULTS Across all trials, the 17 holed shaker delivered a mean (SD) of 7.86g (4.54) per trial, whilst the five holed shaker delivered 2.65g (1.22). The five holed shaker delivered a mean of 33.7% of the salt of the 17 holed shaker. There was a significant difference in salt delivered between the five and 17 holed salt shakers when time spent shaking, amount of salt in the shaker and participant were all kept constant (p<0.001). This difference was robust to variations in the starting weight of shakers, time spent shaking and participant shaking (ps = 0.001). CONCLUSIONS Five holed salt shakers have the potential to reduce the salt content of takeaway food, and particularly food from Fish & Chip shops, where these shakers are particularly used. Further research will be required to determine the effects of this intervention on customers' salt intake with takeaway food and on total dietary salt intake.
Collapse
Affiliation(s)
- Louis Goffe
- Institute of Health & Society, Newcastle University, William Leech Building, Medical School, Newcastle upon Tyne, NE2 4HH, United Kingdom
- Fuse–the Centre for Translational Research in Public Health, Newcastle upon Tyne, United Kingdom
| | - Wendy Wrieden
- Institute of Health & Society, Newcastle University, William Leech Building, Medical School, Newcastle upon Tyne, NE2 4HH, United Kingdom
- Fuse–the Centre for Translational Research in Public Health, Newcastle upon Tyne, United Kingdom
| | - Linda Penn
- Institute of Health & Society, Newcastle University, William Leech Building, Medical School, Newcastle upon Tyne, NE2 4HH, United Kingdom
- Fuse–the Centre for Translational Research in Public Health, Newcastle upon Tyne, United Kingdom
| | - Frances Hillier-Brown
- Fuse–the Centre for Translational Research in Public Health, Newcastle upon Tyne, United Kingdom
- Obesity Research Group, School of Medicine, Pharmacy & Health, Wolfson Research Institute, Durham University, Queen’s Campus, Stockton on Tees, TS17 6BH, United Kingdom
| | - Amelia A. Lake
- Fuse–the Centre for Translational Research in Public Health, Newcastle upon Tyne, United Kingdom
- Centre for Public Policy & Health, School of Medicine, Pharmacy & Health, Wolfson Research Institute, Durham University, Queen’s Campus, Stockton on Tees, TS17 6BH, United Kingdom
| | - Vera Araujo-Soares
- Institute of Health & Society, Newcastle University, William Leech Building, Medical School, Newcastle upon Tyne, NE2 4HH, United Kingdom
- Fuse–the Centre for Translational Research in Public Health, Newcastle upon Tyne, United Kingdom
| | - Carolyn Summerbell
- Fuse–the Centre for Translational Research in Public Health, Newcastle upon Tyne, United Kingdom
- Obesity Research Group, School of Medicine, Pharmacy & Health, Wolfson Research Institute, Durham University, Queen’s Campus, Stockton on Tees, TS17 6BH, United Kingdom
| | - Martin White
- Centre for Diet and Activity Research, MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Box 285, Institute of Metabolic Science, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, United Kingdom
| | - Ashley J. Adamson
- Institute of Health & Society, Newcastle University, William Leech Building, Medical School, Newcastle upon Tyne, NE2 4HH, United Kingdom
- Fuse–the Centre for Translational Research in Public Health, Newcastle upon Tyne, United Kingdom
| | - Jean Adams
- Centre for Diet and Activity Research, MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, Box 285, Institute of Metabolic Science, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, United Kingdom
| |
Collapse
|
14
|
Adams J, Doherty A, Wrieden W, Goffe L, Hillier-Brown F, Lake AA, Araujo-Soares V, Summerbell C, White M, Adamson AJ. P55 The efficacy and effectiveness of 5-holed salt shakers for reducing salt dispensed by fish and chip shops. Br J Soc Med 2016. [DOI: 10.1136/jech-2016-208064.154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
|
15
|
Adams J, Goffe L, Adamson AJ, Halligan J, O'Brien N, Purves R, Stead M, Stocken D, White M. Prevalence and socio-demographic correlates of cooking skills in UK adults: cross-sectional analysis of data from the UK National Diet and Nutrition Survey. Int J Behav Nutr Phys Act 2015; 12:99. [PMID: 26242297 PMCID: PMC4524366 DOI: 10.1186/s12966-015-0261-x] [Citation(s) in RCA: 55] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2015] [Accepted: 07/27/2015] [Indexed: 11/17/2022] Open
Abstract
Background Poor cooking skills may be a barrier to healthy eating and a contributor to overweight and obesity. Little population-representative data on adult cooking skills has been published. We explored prevalence and socio-demographic correlates of cooking skills among adult respondents to wave 1 of the UK National Diet and Nutrition Survey (2008–9). Methods Socio-demographic variables of interest were sex, age group, occupational socio-economic group and whether or not respondents had the main responsibility for food in their households. Cooking skills were assessed as self-reported confidence in using eight cooking techniques, confidence in cooking ten foods, and ability to prepare four types of dish (convenience foods, a complete meal from ready-made ingredients, a main meal from basic ingredients, and cake or biscuits from basic ingredients). Frequency of preparation of main meals was also reported. Results Of 509 respondents, almost two-thirds reported cooking a main meal at least five times per week. Around 90 % reported being able to cook convenience foods, a complete meal from ready-made ingredient, and a main dish from basic ingredients without help. Socio-demographic differences in all markers of cooking skills were scattered and inconsistent. Where these were found, women and main food providers were most likely to report confidence with foods, techniques or dishes, and respondents in the youngest age (19–34 years) and lowest socio-economic group least likely. Conclusions This is the only exploration of the prevalence and socio-demographic correlates of adult cooking skills using recent and population-representative UK data and adds to the international literature on cooking skills in developed countries. Reported confidence with using most cooking techniques and preparing most foods was high. There were few socio-demographic differences in reported cooking skills. Adult cooking skills interventions are unlikely to have a large population impact, but may have important individual effects if clearly targeted at: men, younger adults, and those in the least affluent social groups. Electronic supplementary material The online version of this article (doi:10.1186/s12966-015-0261-x) contains supplementary material, which is available to authorized users.
Collapse
Affiliation(s)
- Jean Adams
- Centre for Diet & Activity Research, MRC Epidemiology Unit, University of Cambridge, Box 285 Institute of Metabolic Science, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK. .,Institute of Health & Society, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK.
| | - Louis Goffe
- Institute of Health & Society, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK. .,Human Nutrition Research Centre, Newcastle University, William Leech Building, Newcastle upon Tyne, NE2 4HH, UK.
| | - Ashley J Adamson
- Institute of Health & Society, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK. .,Human Nutrition Research Centre, Newcastle University, William Leech Building, Newcastle upon Tyne, NE2 4HH, UK.
| | - Joel Halligan
- Institute of Health & Society, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK. .,Human Nutrition Research Centre, Newcastle University, William Leech Building, Newcastle upon Tyne, NE2 4HH, UK.
| | - Nicola O'Brien
- Institute of Health & Society, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK. nicki.o'
| | - Richard Purves
- Institute for Social Marketing, Stirling University, Stirling, FK9 4LA, UK.
| | - Martine Stead
- Institute for Social Marketing, Stirling University, Stirling, FK9 4LA, UK.
| | - Deborah Stocken
- Institute of Health & Society, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK.
| | - Martin White
- Centre for Diet & Activity Research, MRC Epidemiology Unit, University of Cambridge, Box 285 Institute of Metabolic Science, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK. .,Institute of Health & Society, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK.
| |
Collapse
|
16
|
Adams J, Goffe L, Brown T, Lake AA, Summerbell C, White M, Wrieden W, Adamson AJ. Frequency and socio-demographic correlates of eating meals out and take-away meals at home: cross-sectional analysis of the UK national diet and nutrition survey, waves 1-4 (2008-12). Int J Behav Nutr Phys Act 2015; 12:51. [PMID: 25889159 PMCID: PMC4404110 DOI: 10.1186/s12966-015-0210-8] [Citation(s) in RCA: 116] [Impact Index Per Article: 12.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2014] [Accepted: 03/30/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Food prepared out-of-home tends to be less healthful than food prepared at home, with a positive association between frequency of consumption and both fat intake and body fatness. There is little current data on who eats out-of-home food. We explored frequency and socio-demographic correlates of eating meals out and take-away meals at home, using data from a large, UK, population representative study. METHODS Data were from waves 1-4 of the UK National Diet and Nutrition Survey (2008-12). Socio-demographic variables of interest were gender, age group, and socio-economic position. Self-reported frequency of consuming meals out and take-away meals at home was categorised as: less than once per week and once per week or more. Analyses were performed separately for adults (aged 18 years or older) and children. RESULTS Data from 2001 adults and 1963 children were included. More than one quarter (27.1%) of adults and one fifth (19.0%) of children ate meals out once per week or more. One fifth of adults (21.1%) and children (21.0%) ate take-away meals at home once per week or more. There were no gender differences in consumption of meals out, but more boys than girls ate take-away meals at home at least weekly. The proportion of participants eating both meals out and take-away meals at home at least weekly peaked in young adults aged 19-29 years. Adults living in more affluent households were more likely to eat meals out at least once per week, but children living in less affluent households were more likely to eat take-away meals at home at least once per week. There was no relationship between socio-economic position and consumption of take-away meals at home in adults. CONCLUSIONS One-fifth to one-quarter of individuals eat meals prepared out-of-home weekly. Interventions seeking to improve dietary intake by reducing consumption of out-of-home food may be more effective if tailored to and targeted at adults aged less than 30 years. It may also be important to develop interventions to help children and adolescents avoid becoming frequent consumers of out-of-home food.
Collapse
Affiliation(s)
- Jean Adams
- Centre for Diet & Activity Research, MRC Epidemiology Unit, University of Cambridge, School of Clinical Medicine, Box 285 Institute of Metabolic Science, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK. .,Institute of Health & Society, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK.
| | - Louis Goffe
- Institute of Health & Society, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK. .,Human Nutrition Research Centre, Newcastle University, William Leech Building, Claremont Place, Newcastle upon Tyne, NE2 4AH, UK.
| | - Tamara Brown
- Wolfson Research Institute, Durham University, Queen's Campus, University Boulevard, Stockton on Tees, Thornaby, TS17 6BH, UK.
| | - Amelia A Lake
- Wolfson Research Institute, Durham University, Queen's Campus, University Boulevard, Stockton on Tees, Thornaby, TS17 6BH, UK.
| | - Carolyn Summerbell
- Wolfson Research Institute, Durham University, Queen's Campus, University Boulevard, Stockton on Tees, Thornaby, TS17 6BH, UK.
| | - Martin White
- Centre for Diet & Activity Research, MRC Epidemiology Unit, University of Cambridge, School of Clinical Medicine, Box 285 Institute of Metabolic Science, Cambridge Biomedical Campus, Cambridge, CB2 0QQ, UK. .,Institute of Health & Society, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK.
| | - Wendy Wrieden
- Institute of Health & Society, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK. .,Human Nutrition Research Centre, Newcastle University, William Leech Building, Claremont Place, Newcastle upon Tyne, NE2 4AH, UK.
| | - Ashley J Adamson
- Institute of Health & Society, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne, NE2 4AX, UK. .,Human Nutrition Research Centre, Newcastle University, William Leech Building, Claremont Place, Newcastle upon Tyne, NE2 4AH, UK.
| |
Collapse
|
17
|
Goulson D, Lepais O, O’Connor S, Osborne JL, Sanderson RA, Cussans J, Goffe L, Darvill B. Effects of land use at a landscape scale on bumblebee nest density and survival. J Appl Ecol 2010. [DOI: 10.1111/j.1365-2664.2010.01872.x] [Citation(s) in RCA: 153] [Impact Index Per Article: 10.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
18
|
Cussans J, Goulson D, Sanderson R, Goffe L, Darvill B, Osborne JL. Two bee-pollinated plant species show higher seed production when grown in gardens compared to arable farmland. PLoS One 2010; 5:e11753. [PMID: 20668704 PMCID: PMC2909262 DOI: 10.1371/journal.pone.0011753] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2010] [Accepted: 06/30/2010] [Indexed: 11/18/2022] Open
Abstract
Background Insect pollinator abundance, in particular that of bees, has been shown to be high where there is a super-abundance of floral resources; for example in association with mass-flowering crops and also in gardens where flowering plants are often densely planted. Since land management affects pollinator numbers, it is also likely to affect the resultant pollination of plants growing in these habitats. We hypothesised that the seed or fruit set of two plant species, typically pollinated by bumblebees and/or honeybees might respond in one of two ways: 1) pollination success could be reduced when growing in a floriferous environment, via competition for pollinators, or 2) pollination success could be enhanced because of increased pollinator abundance in the vicinity. Methodology/Principal Findings We compared the pollination success of experimental plants of Glechoma hederacea L. and Lotus corniculatus L. growing in gardens and arable farmland. On the farms, the plants were placed either next to a mass-flowering crop (oilseed rape, Brassica napus L. or field beans, Vicia faba L.) or next to a cereal crop (wheat, Triticum spp.). Seed set of G. hederacea and fruit set of L. corniculatus were significantly higher in gardens compared to arable farmland. There was no significant difference in pollination success of G. hederacea when grown next to different crops, but for L. corniculatus, fruit set was higher in the plants growing next to oilseed rape when the crop was in flower. Conclusions/Significance The results show that pollination services can limit fruit set of wild plants in arable farmland, but there is some evidence that the presence of a flowering crop can facilitate their pollination (depending on species and season). We have also demonstrated that gardens are not only beneficial to pollinators, but also to the process of pollination.
Collapse
Affiliation(s)
- John Cussans
- Plant and Invertebrate Ecology Department, Rothamsted Research, Harpenden, United Kingdom
| | - David Goulson
- School of Biological and Environmental Sciences, University of Stirling, Stirling, United Kingdom
| | - Roy Sanderson
- School of Biology, Newcastle University, Newcastle upon Tyne, United Kingdom
| | - Louis Goffe
- School of Biology, Newcastle University, Newcastle upon Tyne, United Kingdom
| | - Ben Darvill
- School of Biological and Environmental Sciences, University of Stirling, Stirling, United Kingdom
| | - Juliet L. Osborne
- Plant and Invertebrate Ecology Department, Rothamsted Research, Harpenden, United Kingdom
- * E-mail:
| |
Collapse
|
19
|
Lepais O, Darvill B, O'Connor S, Osborne JL, Sanderson RA, Cussans J, Goffe L, Goulson D. Estimation of bumblebee queen dispersal distances using sibship reconstruction method. Mol Ecol 2010; 19:819-31. [PMID: 20089127 DOI: 10.1111/j.1365-294x.2009.04500.x] [Citation(s) in RCA: 128] [Impact Index Per Article: 9.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Dispersal ability is a key determinant of the propensity of an organism to cope with habitat fragmentation and climate change. Here we quantify queen dispersal in two common bumblebee species in an arable landscape. Dispersal was measured by taking DNA samples from workers in the spring and summer, and from queens in the following spring, at 14 sites across a landscape. The queens captured in the spring must be full sisters of workers that were foraging in the previous year. A range of sibship reconstruction methods were compared using simulated data sets including or no genotyping errors. The program Colony gave the most accurate reconstruction and was used for our analysis of queen dispersal. Comparison of queen dispersion with worker foraging distances was used to take into account an expected low level of false identification of sister pairs which might otherwise lead to overestimates of dispersal. Our data show that Bombus pascuorum and B. lapidarius queens can disperse by at least 3 and 5 km, respectively. These estimates are consistent with inferences drawn from studies of population structuring in common and rare bumblebee species, and suggest that regular gene flow over several kilometres due to queen dispersal are likely to be sufficient to maintain genetic cohesion of ubiquitous species over large spatial scales whereas rare bumblebee species appear unable to regularly disperse over distances greater than 10 km. Our results have clear implications for conservation strategies for this important pollinator group, particularly when attempting to conserve fragmented populations.
Collapse
Affiliation(s)
- Olivier Lepais
- School of Biological & Environmental Sciences, University of Stirling, Stirling FK9 4LA, UK
| | | | | | | | | | | | | | | |
Collapse
|
20
|
Goffe L. Imperforate Anus. Proc R Soc Med 1931; 24:995. [PMID: 19988159 PMCID: PMC2182904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
|
21
|
Goffe L. Whooping-cough. A Discussion. Proc R Soc Med 1909; 2:84-85. [PMID: 19974038 PMCID: PMC2047179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
|