Pattern and correlates of public support for public health interventions to reduce the consumption of sugar-sweetened beverages

2019 ◽  
Vol 22 (17) ◽  
pp. 3270-3280 ◽  
Author(s):  
Ariane Bélanger-Gravel ◽  
Sophie Desroches ◽  
Isidora Janezic ◽  
Marie-Claude Paquette ◽  
Philippe De Wals

AbstractObjective:To examine the pattern and correlates of public support for twelve public health interventions aimed at reducing sugar-sweetened beverage (SSB) consumption.Design:Cross-sectional population-based survey. Respondents were recruited using a random digit dialling procedure (landline telephone) and a random selection of telephone numbers (mobile telephone). Sampling quotas were applied for age, and the sample was stratified according to administrative regions.Setting:The province of Québec, Canada.Subjects:One thousand adults aged between 18 and 64 years and able to answer the survey questionnaire in French or English.Results:Support was observed for a number of public health interventions, but the more intrusive approaches were less supported. Support for taxation as well as for sale and access restriction was positively associated with the perceived relevance of the government intervention, perceived effectiveness, and perceived associations between SSB consumption and chronic diseases. Believing that SSB consumption is a personal choice and daily consumption were generally negatively associated with strong support and positively associated with strong opposition. Sparse associations between sociodemographic and socio-economic characteristics were observed, with the exception of sex and age: women were generally more likely to support the examined public health strategies, while younger respondents were less likely to express support.Conclusions:Increasing perceived effectiveness and government responsibility for addressing the issue of SSB consumption could lead to increased support for SSB interventions. Increasing the belief that SSB consumption could be associated with chronic diseases would increase support, but SSB consumers and younger individuals are expected to be resistant.

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256113
Author(s):  
Juliane Scholz ◽  
Wibke Wetzker ◽  
Annika Licht ◽  
Rainer Heintzmann ◽  
André Scherag ◽  
...  

Background Separating ill or possibly infectious people from their healthy community is one of the core principles of non-pharmaceutical interventions. However, there is scarce evidence on how to successfully implement quarantine orders. We investigated a community quarantine for an entire village in Germany (Neustadt am Rennsteig, March 2020) with the aim of better understanding the successful implementation of quarantine measures. Methods This cross-sectional survey was conducted in Neustadt am Rennsteig six weeks after the end of a 14-day mandatory community quarantine. The sample size consisted of 562 adults (64% of the community), and the response rate was 295 adults, or 52% (33% of the community). Findings National television was reported as the most important channel of information. Contact with local authorities was very limited, and partners or spouses played a more important role in sharing information. Generally, the self-reported information level was judged to be good (211/289 [73.0%]). The majority of participants (212/289 [73.4%]) approved of the quarantine, and the reported compliance was 217/289 (75.1%). A self-reported higher level of concern as well as a higher level of information correlated positively with both a greater acceptance of quarantine and self-reported compliant behaviour. Interpretation The community quarantine presented a rare opportunity to investigate a public health intervention for an entire community. In order to improve the implementation of public health interventions, public health risk communication activities should be intensified to increase both the information level (potentially leading to better compliance with community quarantine) and the communication level (to facilitate rapport and trust between public health authorities and their communities).


2021 ◽  
Vol 9 ◽  
Author(s):  
Markus Wübbeler ◽  
Sebastian Geis ◽  
Jovana Stojanovic ◽  
Lise Elliott ◽  
Iñaki Gutierrez-Ibarluzea ◽  
...  

Introduction: An important requirement for successful public health interventions is a standardized classification in order to make these health technologies comparable in all contexts and recognized by all parties. The WHO International Classification of Health Interventions (ICHI), including an integrated public health component, has been developed to propose such an international standard.Methods: To test (a) the translation of public health interventions to ICHI codes and (b) the technical handling and general coding in public health, we used a set of public health interventions from a recent cross-sectional survey among Health Technology Assessment professionals.Results: Our study showed that handling of the ICHI interface is stable, that there is a need for specificity and adequate detail of intervention descriptions and desired outcomes to code adequately with ICHI and that the professional background of the coder, as well as his/her sex might influence the selection of codes.Conclusion: International Classification of Health Interventions provides a good coverage of public health interventions. However, the broader character of system wide interventions, often involving a variety of institutions and stakeholders, may present a challenge to the application of ICHI coding. Based on this experience, we would tailor future surveys more specifically to the needs of the classification and we advise training for health professionals before coding with ICHI. Standards of reporting will likely strengthen insights about the efficiency of primary prevention interventions and thus benefit long-term health of populations and structured HTA reporting process.


2020 ◽  
Author(s):  
Hayley Braun ◽  
Colin H Adler ◽  
Michael Goodman ◽  
Howa Yeung

BACKGROUND Primary prevention of skin cancer is at the forefront of public health as morbidity and economic burden of this malignancy continue to grow. There are limited data on effective interventions to reduce sunburn frequency and modifiable risk factors. OBJECTIVE To determine an association between (1) demographic characteristics and outdoor sunburn frequency and (2) sunburn frequency and sun-related behaviors. METHODS Of the 23,430 surveys sent out, 4,883 participants reported sunburn-related data in the National Cancer Institute Health Information National Trends Survey (HINTS) 5 Cycle 3, a nationally representative, cross-sectional household survey. Association between frequency of sunburns within the last 12 months and demographic, risk, and protective factors were examined using Rao-Scott chi-square test. When assessing demographic factors, potential confounding was addressed using multivariable analysis. RESULTS In multivariable models, respondents more likely to report any sunburn were younger than 35 (ages 35-64 Odds Ratio (OR) (95% Confidence Interval CI): 0.43 (0.30-0.61); ages 65+ OR (95% CI): 0.12 (0.07-0.16)) and non-Hispanic white ethnicity (Non-Hispanic Black or Other OR (95% CI): 0.19 (0.13-0.30); Hispanic OR (95% CI): 0.48 (0.32-0.72)). Respondents with higher income were more likely to report any sunburn (OR (95% CI): 2.58 (1.78-3.76)), but less likely to sunburn frequently (OR (95% CI): 0.26 (0.12-0.56)). Females were less likely to report frequent sunburns than males (OR (95% CI): 0.56 (0.34-0.94)). Engagement in sporting events (P =.04), outdoor events (P=.04), and day-to-day activities (P<.001) during the most recent sunburn was more commonly reported by those with frequent sunburns as compared with those with infrequent sunburns while no difference was found in protective factors or alcohol use. CONCLUSIONS Public health interventions to prevent sunburns should target specific higher risk demographics during time spent outdoors, sporting events, and other day-to-day activities. Further insight into risk and protective behaviors for those who did not burn for comparison could be useful to further guide public health interventions.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R Ferreira ◽  
C Rodrigues ◽  
P Correia-Santos ◽  
M Moreira ◽  
S Silva

Abstract Background Individual preparedness is critical in mitigating the adverse effect of natural disasters (ND). Factors influencing preparedness are complex and multifaceted, with certain groups having different needs and vulnerabilities. We aimed to explore the factors associated with individual ND preparedness in residents from Vila Nova Gaia (VNG), Portugal. Methods A cross-sectional study was conducted in VNG, Portugal, in January 2020 (N = 192; ≥18 years). Data on sociodemographic characteristics, risk perception, and preparedness were collected using a structured questionnaire, in parishes randomly selected. Crude and adjusted odds ratio (OR) and respective 95% confidence intervals (CI) were estimated using logistic regression models. Results About 33% of participants aged ≥65 years and 66% had low education. Results show that 20% had a survival kit. In univariate comparisons, older (11% vs. 24%, p=.029) and lower educated participants (≤12th grade: 13% vs. &gt;12th grade: 32%, p=.002) were less likely to have a survival kit; only education remained associated after adjustment for age (OR = 2.61, 95%CI:1.22-5.58). About 21% had a family plan for disaster and only education level is associated (≤12th grade: 17% vs. &gt;12th grade: 29%, p=.040). Almost 35% had a family member with basic life support training; older age, lower education and higher risk perception were negatively associated and these remained after adjustment (≥65 vs. &lt;65 years OR = 0.36, 95%CI:0.16-0.77; ≤12th vs. &gt;12th grade OR = 0.40, 95%CI:0.21-0.78; risk perception OR = 0.66, 95%CI:0.45-0.95). Only 22% participated in community drills; older people (6% vs. 31%, p&lt;.001) and less educated (14% vs. 39%, p&lt;.001) were less likely to have ever participated, which persisted in multivariate model. Conclusions Our findings revealed a low-level of ND preparedness, and older and less educated people seem to present worse preparedness. This highlights the need to design specific public health interventions among these groups. Key messages We found a low-level of individual preparedness for natural disasters in VNG, Portugal. Community-based public health interventions are needed to improve individual preparedness for natural disasters. Specific interventions targeting older and less educated people should be designed to decrease their vulnerability facing a natural disaster.


2020 ◽  
Vol 9 (4) ◽  
pp. 156-163
Author(s):  
Getahun Fentaw Mulaw ◽  
Bizunesh Fantahun Kase ◽  
Adebabay Dessie Manchilo ◽  
Bereket Lopiso Lombebo ◽  
Begna Melkamu Tollosa

Background: Severe acute malnutrition remains one of the most common causes of morbidity and mortality among children in developing countries, including Ethiopia. Knowing the local burden of SAM has huge importance for public health interventions. Therefore this study aimed to assess the level of severe acute malnutrition and feeding practice of children aged 6–59 months in Abaa’la district, Afar, Northeast, Ethiopia. Methods: Community-based descriptive cross-sectional study was conducted on 422 mother-child pairs of children aged 6–59 months. Kebeles were selected randomly after stratifying the district in to urban and rural, and study participants were selected using a cluster sampling technique. Data were collected using an interviewer-administered questionnaire, and child nutritional status was measured using WHO Mid upper arm circumference measuring tape. Data were entered into Epi data version 3.1 and exported to SPSS version 22 for analysis. The result was presented using Descriptive statistics. Results: The prevalence of severe acute malnutrition (SAM) was found to be 4.3% (95% CI, 2.3-6.1%) and that of moderate acute malnutrition (MAM) was 21.1 %. Almost all (98.8%) of children were ever breastfed. Prelacteal feeding and bottle feeding was practiced by 31% and 33.9% of children, respectively. Only 68.5% of children were feed colostrum. Around 45.5% of children were exclusively breastfed for the first six months, and 70.4% of children wean breastfeeding before the age of two years. Conclusion: The prevalence of severe acute malnutrition in the study area was lower than the regional figures, but still, it is a public health priority. There are improper child care and feeding practices. Therefore, public health interventions that can improve those practices should be strengthened.


2019 ◽  
Vol 19 (1) ◽  
pp. 167-171
Author(s):  
Mary Jane Botabara-Yap ◽  
Miriam R. Estrada ◽  
Edwin Balila

The epidemic of overweight is encroaching in the world today, irrespective of economic and social status and regions. It is now seen as a public health threat and one that must be taken seriously in all aspects of public health interventions. There is a need to deeper understand the relationship of lifestyle behaviors and the epidemic of overweight and obesity. This cross-sectional study investigates the lifestyle predictors (smoking, physical activity, diet, and sleeping) of overweight as measured by body mass index (BMI) and waist-to-hip ratio (WHR). A questionnaire survey was conducted among 459 samples (18 years old and above) from those who attended a health screening drive, conducted in three major regions in Peninsular Malaysia. Data were analyzed using descriptive statistics as well as regression model, with p<0.05 considered significant. The overall Body Mass Index (BMI) of the population was overweight at 24.69 while the Waist-to-Hip ratio (WHR) for female was 0.86, classified as high and for male, 0.94 which was borderline. Predictor model revealed that smoking (P<0.05, R2 - 0.38) and physical activity (P=0.02, R2 - 0.11) were predictors for body mass index while smoking P<0.05, R2 - 0.50) was a predictor of Waist-to-hip ratio. Findings showed that the problem of overweight in Malaysia is real and smoking and physical activity play a strong role and need to be considered in any public health interventions.


Sign in / Sign up

Export Citation Format

Share Document