scholarly journals Impact of cuts to local government spending on Sure Start children’s centres on childhood obesity in England: a longitudinal ecological study

2021 ◽  
pp. jech-2020-216064
Author(s):  
Kate E Mason ◽  
Alexandros Alexiou ◽  
Davara Lee Bennett ◽  
Carolyn Summerbell ◽  
Ben Barr ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Fixed Effects ◽  
Ecological Study ◽  
Relative Increase ◽  
Healthy Weight ◽  
Obesity Prevalence ◽  
Education Data ◽  
Fixed Effects Panel Regression ◽  
Spending Cuts ◽  
Children’S Centres

BackgroundChildhood obesity is rising in disadvantaged areas in England. Sure Start children’s centres provide community-based services for children <5 years and their parents, including many services that can support healthy weight, directly or indirectly. Since 2010, austerity-driven cuts to local authority (LA) budgets have led to substantially reduced public expenditure on Sure Start services. We assessed whether childhood obesity prevalence has increased more since 2010 in those areas in England that experienced greater cuts to spending on Sure Start.MethodsThis longitudinal ecological study covers the period 2010/2011–2017/2018. Our exposure was LA expenditure on Sure Start, using Department for Education data. Our main outcome was LA obesity prevalence at age 4–5 years, using National Child Measurement Programme data. We used fixed-effects panel regression to quantify the association between change in spending and change in the prevalence of childhood obesity.ResultsSpending on Sure Start children’s centres decreased on average 53% over the study period, with deeper cuts in more deprived LAs. Each 10% spending cut was associated with a 0.34% relative increase in obesity prevalence the following year (95% CI 0.15% to 0.53%). We estimated there were an additional 4575 children with obesity (95% CI 1751 to 7399) and 9174 overweight or obese (95% CI 2689 to 15 660) compared with expected numbers had funding levels been maintained.ConclusionsCuts to spending on Sure Start children’s centres were associated with increased childhood obesity. With deprived areas experiencing bigger spending cuts, reinvesting in these services may, alongside wider benefits for child development, contribute to reducing inequalities in childhood obesity.

Prevalence of Childhood Obesity In Northeastern Ontario: A Cross-sectional Study

2006 ◽  
Vol 67 (3) ◽  
pp. 143-147 ◽  
Author(s):  
Foyez Haque ◽  
Alberto G. de la Rocha ◽  
Betty Ann Horbul ◽  
Patricia Desroches ◽  
Craig Orrell
Keyword(s):  
Childhood Obesity ◽  
Program Planning ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
Obesity Prevalence ◽  
Chi Square ◽  
Cross Sectional ◽  
Northern Ontario ◽  
Control And Prevention ◽  
Chi Square Test

Purpose: In Canada, the incidence of childhood obesity has tripled within the past 20 years. The prevalence of obesity in the Timmins, Ontario, student population was studied to gain knowledge for program planning and resource allocation, and to compare Centers for Disease Control and Prevention (CDC) criteria with Cole’s international criteria for childhood obesity. Methods: Anthropometric measurements of 801 students were taken. Students were chosen from randomly selected schools for each grade. Data were analyzed according to age, gender, and ethnicity. Data were also compared with other studies. Intragroup comparisons were performed using hypothesis testing for significance with the z table and chi-square test. Results: Overweight and obesity prevalence was 28% according to CDC criteria. No statistical difference was found between genders or among ethnic groups, or between this study and other Canadian studies. In comparison with the CDC criteria, Cole’s international criteria indicated less obesity and increased overweight prevalence. These differences were not statistically significant. Conclusions: The findings suggest that in the northern Ontario community of Timmins, the prevalence of childhood obesity is of epidemic proportions. When the findings are shared with different agencies, this study will help the health unit to take necessary public health measures to curb the epidemic.

scholarly journals German forecasters’ narratives: How informative are German business cycle forecast reports?

2021 ◽  
Author(s):  
Karsten Müller
Keyword(s):  
Business Cycle ◽  
Fixed Effects ◽  
Predictive Power ◽  
Recursive Estimation ◽  
Regression Methods ◽  
Inflation Forecasts ◽  
Fixed Effects Panel Regression ◽  
Weak Evidence ◽  
Out Of Sample ◽  
Different Characteristics

AbstractBased on German business cycle forecast reports covering 10 German institutions for the period 1993–2017, the paper analyses the information content of German forecasters’ narratives for German business cycle forecasts. The paper applies textual analysis to convert qualitative text data into quantitative sentiment indices. First, a sentiment analysis utilizes dictionary methods and text regression methods, using recursive estimation. Next, the paper analyses the different characteristics of sentiments. In a third step, sentiment indices are used to test the efficiency of numerical forecasts. Using 12-month-ahead fixed horizon forecasts, fixed-effects panel regression results suggest some informational content of sentiment indices for growth and inflation forecasts. Finally, a forecasting exercise analyses the predictive power of sentiment indices for GDP growth and inflation. The results suggest weak evidence, at best, for in-sample and out-of-sample predictive power of the sentiment indices.

scholarly journals Sugar-Sweetened Beverage Consumption Status and Its Association with Childhood Obesity among Chinese Children Aged 6–17 Years

Nutrients ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 2211
Author(s):  
Qian Gan ◽  
Peipei Xu ◽  
Titi Yang ◽  
Wei Cao ◽  
Juan Xu ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Urban Areas ◽  
Study Data ◽  
Chinese Children ◽  
Obesity Prevalence ◽  
Older Children ◽  
Sugar Sweetened Beverage ◽  
School Aged Children ◽  
Chinese School ◽  
And Control

Objective: There is a remarkable growth in sugar-sweetened (SSB) production and obesity prevalence among school-aged children in China. This paper describes SSB consumption and its association with obesity among Chinese children aged 6–17 years in 2012. Methods: in total, 25,553 children aged 6~17 years enrolled in the China Nutrition and Health Surveillance 2010–2013 were included in this study. Data of SSB consumption frequency and quantity were obtained from a food frequency questionnaire, and the children’s nutritional status was assessed. Multivariate logistic regression was used to evaluate the association between SSB consumption and obesity status. Results: SSB intake was estimated as 181.0 g/day, occurring 2.2 times/week. Older children, males, children from urban areas, and children with higher socioeconomic status were more likely to consume SSBs. Children who consumed SSBs 1~<5 times/week (11.7%) and >5 times/week (12.9%) were more likely to be overweight/obesity than those who consumed SSBs less than once/week. Conclusion: SSB consumption was common among Chinese school-aged children, especially among males, older children, and children from urban areas. High consumption of SSBs was associated with a higher prevalence of overweight/obesity. Actions and plans are required to reduce SSB consumption and control childhood obesity in China.

scholarly journals From Micro to Macro: Exploring Preference-Based Person Centered Care from Multiple Perspectives

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 836-836
Author(s):  
Katherine Abbott ◽  
Kristine Williams
Keyword(s):  
Nursing Home ◽  
Assisted Living ◽  
Fixed Effects ◽  
Nursing Home Residents ◽  
Direct Care ◽  
Multiple Perspectives ◽  
Person Centered Care ◽  
Fixed Effects Panel Regression ◽  
Centered Care ◽  
The Impact

Abstract Advancing our knowledge related to honoring nursing home resident preferences is a cornerstone of person-centered care (PCC). While there are multiple approaches to providing PCC, we focus on resident preferences as assessed via the Preferences for Everyday Living Inventory (PELI). The PELI is an evidenced-based, validated instrument that can be used to enhance the delivery of PCC. In this symposium, we explore the perspectives of a variety of stakeholders including nursing home residents, staff, and the impact of preference-based care on provider level regulatory outcomes. First, we present a comparative study of preference importance among n=317 African America and White nursing home residents that found more similarities than differences between the two groups. Second, a content analysis of the responses from n=196 interviews with nursing home residents details the barriers and facilitators connected to their levels of satisfaction with their preferences being fulfilled. Third, perspectives from n=27 direct care workers explore the concept of pervasive risk avoidance to the delivery of PCC. Fourth, systems-level practices, such as shift assignments and provider schedules are identified as barriers to successfully fulfilling resident preferences from the perspectives of n=19 staff within assisted living. Our final presentation utilizes a fixed-effects panel regression analysis with n=551 Ohio nursing home providers to explore the impact of PELI use on regulatory outcomes such as substantiated complaints and deficiency scores reported in the CMS Nursing Home Compare data. Discussant Dr. Kristi Williams will integrate findings, highlighting implications for policy, practice, and future directions. Research in Quality of Care Interest Group Sponsored Symposium.

South Africa’s increasing climate variability and its effect on food production

2021 ◽  
pp. 003072702110049
Author(s):  
Mashudu Tshikovhi ◽  
Roscoe Bertrum van Wyk
Keyword(s):  
South Africa ◽  
Climate Variability ◽  
Food Production ◽  
Fixed Effects ◽  
Crop Yields ◽  
Negative Impact ◽  
Secondary Data ◽  
Mean Annual Temperature ◽  
Fixed Effects Panel Regression ◽  
The Impact

This study examines the impact of increasing climate variability on food production in South Africa, focusing on maize and wheat yields. A two-way fixed effects panel regression model was used to assess the climate variability impacts, analysing secondary data for the period 2000 to 2019 for nine provinces in South Africa. The study found that increasing climate variability has a negative impact on maize and wheat production in South Africa. Specifically, the results indicated a negative correlation between mean annual temperature with both maize and wheat yields. A decrease in precipitation affected maize yields negatively, while the impact on wheat yields was positive, although insignificant. This analysis, therefore, depicted that crop yields generally increase with more annual precipitation and decrease with higher temperatures. The study recommends that funding initiatives to educate farmers on increasing climate variability and its effects on farming activities in South Africa should be prioritised.

scholarly journals EPODE – A Model for Reducing the Incidence of Obesity and Weight-related Comorbidities

2010 ◽  
Vol 9 (2) ◽  
pp. 116 ◽  
Author(s):  
J-M Borys ◽  
L Valdeyron ◽  
E Levy ◽  
J Vinck ◽  
D Edell ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Large Scale ◽  
Political Commitment ◽  
Obesity Prevalence ◽  
Public And Private ◽  
Global Epidemic ◽  
Critical Components ◽  
Multi Stakeholder ◽  
Lifestyle Related Diseases ◽  
Public And Private Partnerships

Obesity is a global epidemic: it is estimated that the majority of the world’s adults will be overweight or obese by 2030. It is therefore important to reverse trends towards increasing childhood obesity by interventions at the community level. Ensemble Prévenons l’Obésité Des Enfants (EPODE, Together Let’s Prevent Childhood Obesity) is a large-scale, coordinated, capacity-building approach for communities to implement effective and sustainable strategies to address this challenge. EPODE comprises four critical components: political commitment, public and private partnerships, community-based actions, and evaluation. The multi-stakeholder approach promoted through the EPODE methodology has already shown encouraging results in preventing childhood obesity in France and Belgium and has reduced the socioeconomic gap in obesity prevalence in France. The EPODE methodology has now been implemented in a number of countries worldwide, and provides a valuable model that may be applicable to other lifestyle-related diseases.

scholarly journals A cluster RCT and process evaluation evaluating the effectiveness of an optimisation intervention to promote parental engagement in a childhood obesity prevention programme: Results of the Optimising Family Engagement in HENRY (OFTEN) trial

2021 ◽  
Author(s):  
Maria Bryant ◽  
Wendy Burton ◽  
Michelle Collinson ◽  
Amanda Farrin ◽  
Jane Nixon ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Process Evaluation ◽  
Obesity Prevention ◽  
Controlled Trial ◽  
Cluster Randomised Controlled Trial ◽  
Parental Engagement ◽  
Childhood Obesity Prevention ◽  
Prevention Intervention ◽  
The Impact ◽  
Children’S Centres

Abstract Background Low parental participation reduces the impact and sustainability of public health childhood obesity prevention programmes. Using data from a focused ethnography, we developed a multi-level, theory-based implementation optimisation intervention. The optimisation intervention aimed to support local authorities and children’s centres to adopt behaviours to promote engagement in ‘HENRY (Health Exercise Nutrition for the Really Young)’, a UK community obesity prevention intervention. Methods We evaluated the effectiveness of the optimisation intervention on programme enrolment and completion over a 12 implementation period in a cluster randomised controlled trial. We randomised 20 local government authorities (with 126 children’s centres) to HENRY plus the optimisation intervention or to HENRY alone. Primary outcomes were (1) the proportion of centres enrolling at least eight parents per programme and (2) the proportion of centres with a minimum of 75% of parents attending at least five of eight sessions per programme. Trial analyses adjusted for stratification factors (pre-randomisation implementation of HENRY, local authority size, deprivation) and allowed for cluster design. A parallel mixed-methods process evaluation used qualitative interview data and routine monitoring to explain trial results. Results Neither primary outcome differed significantly between groups; 17.8% of intervention centres and 18.0% of control centres achieved the parent enrolment target (adjusted difference -1.2%; 95%CI: -19.5%, 17.1%); 17.1% of intervention centres and 13.9% of control centres achieved the attendance target (adjusted difference 1.2%; 95%CI: -15.7%, 18.1%). Unexpectedly, the trial coincided with substantial national service restructuring, including centre closures and reduced funds. Some commissioning and management teams stopped or reduced implementation of both HENRY and the optimisation intervention due to competing demands. Thus, at follow up, HENRY programmes were delivered to approximately half the number of parents compared to baseline (n=433 vs. 881). Conclusions During a period in which services were reduced by policies outside the realm of this research, this first definitive trial found no evidence of effectiveness for an implementation optimisation intervention promoting parent engagement in an obesity prevention intervention. Trial registration: ClinicalTrials.gov Identifier: NCT02675699 registered 4th February 2016. https://clinicaltrials.gov/ct2/show/NCT02675699

scholarly journals Spatial income inequality in Toronto: a longitudinal study

2021 ◽  
Author(s):  
Candace Safonovs
Keyword(s):  
Income Inequality ◽  
Fixed Effects ◽  
Spillover Effects ◽  
Spatial Inequality ◽  
Income Segregation ◽  
Inequality Measures ◽  
Housing Characteristics ◽  
Fixed Effects Panel Regression ◽  
Macro Scale ◽  
Housing Regulation

This paper examines the trends and changes in both spatial and non-spatial income inequality in the Toronto CMA between 1985 and 2015 at various geographic scales, including both within and between neighbourhoods. Fixed effects panel regression models are used to uncover which local demographic and housing characteristics are most significant in explaining changes in inequality within neighbourhoods over time. Findings indicate that macro-scale income segregation among neighbourhoods has declined, while micro-scale intra-neighbourhood income segregation has increased since 1985. Further, compared to overall changes in income inequality in the region, neighbourhoods have become more homogenous in terms of their household income distribution. Thus, neighbourhood sorting by households based on income has increased since 1985. Consistent with extant literature, local housing characteristics have spillover effects on income segregation. Specifically, variables associated with greater housing affluence are negatively correlated with intra-neighbourhood inequality measures, and thus positively correlated with income homogenization. This confirms and adds to the literature that local land use regulations impact income spatial inequality. KEYWORDS Spatial Income Inequality; Segregation; Neighbourhoods; Toronto CMA; Fixed Effects Models; Quantitative Analysis; GIS; Housing Regulation

scholarly journals Is X-ray Exposure Related to Dentist Remuneration?

2021 ◽  
Author(s):  
Olivier Kalmus ◽  
Martin Chalkley ◽  
Stefan Listl
Keyword(s):  
Health Care Providers ◽  
Fixed Effects ◽  
Adult Population ◽  
Common Source ◽  
Fee For Service ◽  
X Rays ◽  
Care Providers ◽  
X Ray ◽  
Fixed Effects Panel Regression ◽  
Provider Payment

Abstract Background: In many market settings individuals are encouraged to switch health care providers as a means of ensuring more competition. Switching may have a potentially undesirable side effect of increasing unnecessary treatment. Focusing on the most common source of medical radiation (dental X-rays), the purpose of this study was to assess whether, upon switching dentist, X-ray exposure increases depending on the type of provider payment. Methods: The analysis used longitudinal data from 2005 to 2016 covering a 5% random sample of the Scottish adult population covered by the National Health Service (NHS). Multiple fixed-effects panel regression analyses were employed to determine the correlation of provider remuneration with patients' likelihood of receiving an X-ray upon switching to a new dentist other things equal. A broad set of covariates including a patient’s copayment status was controlled for. Results: Upon switching to a dentist who was paid fee-for-service, patients had a by 9.6 %-points (95% CI: 7.4%-11.8%) higher probability of receiving an X-ray, compared to switching to a salaried dentist. Results were robust when accounting for patient exemption status, as well as unobserved patient and dentist characteristics. Conclusions: In comparison to staying with the same dentist, patients may be exposed to substantially more X-rays upon switching to a dentist who is paid fee-for-service. There may need to be better guidance and regulation to protect the health of those who have to switch provider due to moving and greater caution in advocating voluntary switching.

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