scholarly journals A qualitative study of stakeholder views on the effects of a sugar-sweetened beverages tax on the budgets, dietary intake, and health of lower and higher socioeconomic groups in the Netherlands

2020 ◽  
Author(s):  
Sanne Djojosoeparto ◽  
Michelle Eykelenboom ◽  
Maartje Poelman ◽  
Maartje van Stralen ◽  
Carry Renders ◽  
...  
Keyword(s):  
The Netherlands ◽  
Dietary Intake ◽  
Socioeconomic Inequalities ◽  
Consumer Organization ◽  
Trade Associations ◽  
Socioeconomic Groups ◽  
Adverse Health Effects ◽  
Stakeholder Groups ◽  
Sweetened Beverages ◽  
Lower Socioeconomic

Abstract BackgroundThere are socioeconomic inequalities in overweight and obesity in many European countries. The introduction of a sugar-sweetened beverages (SSB) tax may contribute to a reduction of these inequalities. However, little is known about the views of various stakeholder groups, involved in the decision-making process of implementing an SSB tax, on the potentially different effects of an SSB tax on lower and higher socioeconomic groups. This study aims to gain insight into the perceptions of stakeholder groups in the Netherlands on (1) the effects of an SSB tax on the budgets of lower and higher socioeconomic groups and (2) the impact of an SSB tax on socioeconomic inequalities in dietary intake and health.MethodsA qualitative semi-structured interview study was conducted between March and May 2019 with 27 participants from various stakeholder groups (i.e. health and consumer organizations, health professional associations, trade associations, science, advisory bodies, ministries and parliamentary parties) in the Netherlands. Data were analyzed using a thematic content approach.ResultsParticipants, from all stakeholder groups, indicated that an SSB tax would have a larger impact on the budgets of lower socioeconomic groups. Participants, from all stakeholder groups (except trade associations), mentioned an SSB tax could have greater health benefits among lower socioeconomic groups as they often have a higher SSB consumption and are more likely to be overweight or obese. Some participants (from science, a health and consumer organization, and a health professional association) mentioned that an SSB tax may have no or adverse health effects among lower socioeconomic groups (e.g. compensation of lower SSB consumption with other unhealthy behaviours). Some participants (from science and a health and consumer organization) emphasised an SSB tax should only be introduced when accompanied by other interventions (e.g. educational efforts, offering healthy alternatives), to make it easier for lower socioeconomic groups to lower their SSB consumption in response to an SSB tax, and to prevent adverse health effects.ConclusionsParticipants believed an SSB tax could contribute to a reduction in socioeconomic inequalities in dietary intake and health. However, additional interventions facilitating the reduction of SSB consumption in lower socioeconomic groups were recommended.

scholarly journals Stakeholder views on the potential impact of a sugar-sweetened beverages tax on the budgets, dietary intake, and health of lower and higher socioeconomic groups in the Netherlands

2020 ◽  
Vol 78 (1) ◽  
Author(s):  
Sanne K. Djojosoeparto ◽  
◽  
Michelle Eykelenboom ◽  
Maartje P. Poelman ◽  
Maartje M. van Stralen ◽  
...  
Keyword(s):  
The Netherlands ◽  
Dietary Intake ◽  
Socioeconomic Inequalities ◽  
Trade Associations ◽  
Socioeconomic Groups ◽  
Adverse Health Effects ◽  
Stakeholder Groups ◽  
Sweetened Beverages ◽  
Lower Socioeconomic ◽  
The Government

Abstract Background Socioeconomic inequalities in overweight and obesity exist in many European countries. A sugar-sweetened beverages (SSB) tax may contribute to a reduction of these inequalities. However, in the Netherlands, the government decided to not (yet) introduce an SSB tax, although the government has acknowledged its potential to be pro-equity. Understanding how various stakeholder groups perceive the potential effects of an SSB tax on different socioeconomic groups may provide useful insights into equity-related considerations in the debate whether or not to implement an SSB tax. This study aims to gain insight into the perceptions of stakeholder groups in the Netherlands on (1) the effects of an SSB tax on the budgets of lower and higher socioeconomic groups and (2) the impact of an SSB tax on socioeconomic inequalities in dietary intake and health. Methods Semi-structured interviews were conducted in 2019 with 27 participants from various stakeholder groups in the Netherlands (i.e. health and consumer organizations, health professional associations, trade associations, academia, advisory bodies, ministries and parliamentary parties). Data were analyzed using a thematic content approach. Results Participants from all stakeholder groups indicated that an SSB tax would have a larger impact on the budgets of lower socioeconomic groups. Participants from nearly all stakeholder groups (except trade associations) mentioned that an SSB tax could have greater health benefits among lower socioeconomic groups as these often have a higher SSB consumption and are more likely to be overweight or obese. Some participants mentioned that an SSB tax may have no or adverse health effects among lower socioeconomic groups (e.g. compensation of lower SSB consumption with other unhealthy behaviours). Some participants emphasised that an SSB tax should only be introduced when accompanied by other interventions (e.g. offering healthy alternatives), to make it easier for lower socioeconomic groups to lower their SSB consumption in response to an SSB tax, and to prevent adverse health effects. Conclusions Participants believed an SSB tax could contribute to a reduction in socioeconomic inequalities in dietary intake and health. However, additional interventions facilitating the reduction of SSB consumption in lower socioeconomic groups were recommended.

scholarly journals Potential effects of a sugar-sweetened beverages tax on socioeconomic inequalities in health

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S K Djojosoeparto ◽  
M Eykelenboom ◽  
C Renders ◽  
M R Olthof ◽  
M M van Stralen ◽  
...  
Keyword(s):  
The Netherlands ◽  
Health Professional ◽  
Socioeconomic Inequalities ◽  
Sugar Sweetened Beverages ◽  
Inequalities In Health ◽  
Socioeconomic Groups ◽  
Behavioural Changes ◽  
Stakeholder Groups ◽  
Sweetened Beverages ◽  
Lower Socioeconomic

Abstract Background Sugar-Sweetened Beverages (SSBs) taxes have been implemented in several countries, however, little is known on how an SSBs tax may impact on low and high socioeconomic groups differently. Therefore, the aim of this study was to gain insight into the perceptions of different stakeholder groups in the Netherlands on (1) the contribution of an SSBs tax to socioeconomic inequalities in diet and health and (2) the mechanisms via which an SSBs tax may influence these inequalities. Methods Semi-structured interviews were held in the Netherlands in March-May 2019 with 27 participants from the following stakeholder groups: health and consumer organisations, health professional associations, advisory bodies, scientists, trade organisations, policy makers, and politicians. Interview transcripts were analysed following a thematic content approach. Results Participants from all stakeholder groups indicated that an SSBs tax would have a larger impact on the budget and SSB consumption of lower socioeconomic groups. With that, an SSBs tax could have larger health benefits among lower socioeconomic groups as a result of cutting down on SSBs. A few participants - from science and a health professional association - discussed possible unwanted effects of an SSBs tax (e.g. lower socioeconomic groups may compensate their lower SSB consumption with other unhealthy behaviour). Some participants emphasised that an SSB tax should only be introduced when accompanied by other measures (e.g. educational efforts, offering healthy alternatives). Conclusions Our results imply that most stakeholders agree that an SSBs tax could contribute to a reduction of socioeconomic inequalities in diet and health. However, in order to be effective and to prevent that an SSBs tax leads to a widening of inequalities, it is important to carefully monitor behavioural changes of socioeconomic groups in response to an SSBs tax, and to implement an SSBs tax as part of a comprehensive policy approach. Key messages An SSBs tax could contribute to a reduction of socioeconomic inequalities in health, according to Dutch stakeholders. It is important to carefully monitor behavioural changes of socioeconomic groups in response to an SSBs tax, and to implement an SSBs tax as part of a comprehensive policy approach.

scholarly journals A qualitative study of stakeholder views on the effects of a sugar-sweetened beverages tax on the budgets, dietary intake, and health of lower and higher socioeconomic groups in the Netherlands

2020 ◽  
Author(s):  
Sanne Djojosoeparto ◽  
Michelle Eykelenboom ◽  
Maartje Poelman ◽  
Maartje van Stralen ◽  
Carry Renders ◽  
...  
Keyword(s):  
Qualitative Study ◽  
The Netherlands ◽  
Dietary Intake ◽  
Sugar Sweetened Beverages ◽  
Socioeconomic Groups ◽  
Stakeholder Views ◽  
Sweetened Beverages

Abstract The authors have withdrawn this preprint due to author disagreement.

scholarly journals Physical inactivity and health inequality during coronavirus: a novel opportunity or total lockdown?

2020 ◽  
Vol 6 (1) ◽  
pp. e000903
Author(s):  
Natalie F Shur ◽  
David Johns ◽  
Stefan Kluzek ◽  
Nicholas Peirce
Keyword(s):  
Public Health ◽  
Health Inequality ◽  
Physical Inactivity ◽  
The Elderly ◽  
Restricted Movement ◽  
Socioeconomic Groups ◽  
Lower Socioeconomic ◽  
The World ◽  
Additional Burden ◽  
Public Health Promotion

Government-restricted movement during the coronavirus pandemic in various countries around the world has led to rapid and fundamental changes in our health behaviour. As well as being at a higher risk of contracting and being hospitalised with COVID-19, the elderly, those with chronic disease and lower socioeconomic groups are also disproportionately affected by restriction of movement, further widening the physical activity health inequality. In this viewpoint we discuss the physiological sequelae of physical inactivity, and the additional burden of ageing and inflammation. We provide recommendations for public health promotion and interventions to try to mitigate the detrimental effects of physical inactivity and rebalance the health inequality.

scholarly journals Socioeconomic Inequalities in Dietary Intake in Chile: A Systematic Review

2021 ◽  
pp. 1-33
Author(s):  
María Jesús Vega-Salas ◽  
Paola Caro ◽  
Laura Johnson ◽  
Angeliki Papadaki
Keyword(s):  
Dietary Intake ◽  
Grey Literature ◽  
Included Study ◽  
Socioeconomic Inequalities ◽  
Study Quality ◽  
Unequal Distribution ◽  
Factors Affecting ◽  
Socioeconomic Gradient ◽  
New Policies ◽  
Chilean Population

Objective: Understanding the socioeconomic inequalities in dietary intake is crucial when addressing the socioeconomic gradient in obesity rates and non-communicable diseases. We aimed to systematically assess the association between socioeconomic position (SEP) and dietary intake in Chile. Design: We searched for peer-reviewed and grey literature from inception until 31st December 2019 in PubMed, Scopus, PsycINFO, Web of Sciences and LILACS databases. Observational studies published in English and Spanish, reporting the comparison of at least one dietary factor between at least two groups of different SEP in the general Chilean population, were selected. Two researchers independently conducted data searches, screening, extraction and assessed study quality using an adaptation of the Newcastle Ottawa Quality Assessment Scale. Results: Twenty-one articles (from 18 studies) were included. Study quality was considered low, medium, and high for 24, 52 and 24% of articles, respectively. Moderate-to-large associations indicated lower intake of fruit and vegetables, dairy products and fish/seafood and higher pulses consumption among adults of lower SEP. Variable evidence of association was found for energy intake and macronutrients, in both children and adults. Conclusions: Our findings highlight some socioeconomic inequalities in diets in Chile, evidencing an overall less healthy food consumption among the lower SEP groups. New policies to reduce these inequalities should tackle the unequal distribution of factors affecting healthy eating among the lower SEP groups. These findings also provide important insights for developing strategies to reduce dietary inequalities in Chile and other countries that have undergone similar nutritional transitions.

A Program to Increase Health Care for Children: The Pediatric Nurse Practitioner Program, by Henry K. Silver, MD, Loretta C. Ford, EdD, and Susan G. Stearly, MS, Pediatrics, 1967;39:756–760

PEDIATRICS ◽  
1998 ◽  
Vol 102 (Supplement_1) ◽  
pp. 245-247
Author(s):  
Robert A. Hoekelman
Keyword(s):  
Health Care ◽  
Nurse Practitioner ◽  
Rural Areas ◽  
The United States ◽  
Optimum Level ◽  
Socioeconomic Groups ◽  
Pediatric Nurse ◽  
Lower Socioeconomic ◽  
Urban And Rural Areas ◽  
Pediatric Nurse Practitioner

The increase in population of the United States is occurring at a much more rapid rate than the increase in medical and nursing personnel available to maintain health services at an optimum level. Unless the pattern of furnishing health care, particularly to lower socioeconomic groups in both urban and rural areas, is drastically improved, these groups will suffer from increasingly inadequate health supervision. This paper describes an educational and training program in pediatrics for professional nurses (the “pediatric nurse practitioner” program), which prepares them to assume an expanded role in providing increased health care for children in areas where there are limited facilities for such care.

Who Are Public Bicycle Share Programs Serving? An Evaluation of the Equity of Spatial Access to Bicycle Share Service Areas in Canadian Cities

2018 ◽  
Vol 2672 (36) ◽  
pp. 42-50 ◽  
Author(s):  
Kate Hosford ◽  
Meghan Winters
Keyword(s):  
Service Area ◽  
Spatial Access ◽  
Major Barrier ◽  
Socioeconomic Groups ◽  
Lower Socioeconomic ◽  
Material Component ◽  
Dissemination Area ◽  
Service Areas ◽  
Education Levels ◽  
Substantial Effort

Public bicycle share users are predominantly Caucasian, employed, and have higher incomes and education levels, as compared to the general population. This has prompted bicycle share operators and researchers to increasingly consider equity in bicycle share program access and uptake. The location of bicycle share docking stations has been cited as a major barrier to uptake among lower socioeconomic groups. This study aimed to assess spatial access to bicycle share programs in Canadian cities by comparing the socioeconomic characteristics of dissemination areas inside and outside the bicycle share service areas. We obtained locations of bicycle share stations for the five existing programs in Canada: Vancouver, Hamilton, Toronto, Ottawa-Gatineau, and Montréal. We used the material component of the Pampalon Deprivation Index (2011) as a measure of socioeconomic status for each dissemination area, calculating city-specific quintiles. We compared the distribution of deprivation for dissemination areas inside the bicycle share service area, compared with outside the service area. We found that advantaged areas have better access to bicycle share infrastructure in Vancouver, Toronto, Ottawa-Gatineau, and Montréal, and conversely, that disadvantaged areas have better access in Hamilton. This analysis indicates that in most cities, substantial effort is needed to expand service areas to disadvantaged areas in order to increase spatial access for lower socioeconomic populations.

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