scholarly journals The effect of the Winter Fuel Payment on household temperature and health: a regression discontinuity design study

2019 ◽  
Vol 7 (1) ◽  
pp. 1-60 ◽  
Author(s):  
Viola Angelini ◽  
Michael Daly ◽  
Mirko Moro ◽  
Maria Navarro Paniagua ◽  
Elanor Sidman ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Longitudinal Study ◽  
Health Research ◽  
Fixed Effects ◽  
Regression Models ◽  
Regression Discontinuity ◽  
Well Being ◽  
Indoor Temperature ◽  
Health And Well Being ◽  
English Longitudinal Study

BackgroundThe Winter Fuel Payment (WFP) is a non-NHS population-level policy intervention that aims to reduce cold exposure and enhance the health and well-being of older adults. Labelling this cash transfer as ‘winter fuel’ has been shown to lead to increased household energy expenditure, but it is not known if this expenditure produces warmer homes or health benefits.ObjectivesFirst, the association between indoor temperature and health was established to identify the outcome measures most likely to be affected by the WFP. Then, whether or not receiving the WFP is associated with raised household temperature levels and/or improved health was assessed.DesignRandom and fixed effects regression models were used to estimate the link between ambient indoor temperature and health. A regression discontinuity (RD) design analysis exploiting the sharp eligibility criteria for the WFP was employed to estimate the potential impact of the payment.SettingThe sample was drawn from the English Longitudinal Study of Ageing (ELSA), an observational study of community-dwelling individuals aged ≥ 50 years in England.ParticipantsAnalyses examining the association between household temperature and health had a maximum sample of 12,210 adults aged 50–90 years. The RD analyses drew on a maximum of 5902 observations.InterventionThe WFP provides households with a member who is aged > 60 years (up to 2010, from which point the minimum age increased) in the qualifying week with a lump sum annual payment, typically in November or December.Main outcome measuresDifferences in indoor temperature were examined, and, following an extensive literature review of relevant participant-reported health indicators and objectively recorded biomarkers likely to be affected by indoor temperature, a series of key measures were selected: blood pressure, inflammation, lung function, the presence of chest infections, subjective health and depressive symptom ratings.Data sourcesThe first six waves of the ELSA were drawn from, accessible through the UK Data Service (SN:5050 English Longitudinal Study of Ageing: Waves 0–7, 1998–2015).ResultsResults from both random and fixed-effects multilevel regression models showed that low levels of indoor temperature were associated with raised systolic and diastolic blood pressure levels and raised fibrinogen levels. However, across the RD models, no evidence was found that the WFP was consistently associated with differences in either household temperature or the health of qualifying (vs. non-qualifying) households.LimitationsThe presence of small effects cannot be ruled out, not detectable because of the sample size in the current study.ConclusionsThis study capitalised on the sharp assignment rules regarding WFP eligibility to estimate the potential effect of the WFP on household temperature and health in a national sample of English adults. The RD design employed did not identify evidence linking the WFP to warmer homes or potential health and well-being effects.Future workFurther research should utilise larger samples of participants close to the WFP eligibility cut-off point examined during particularly cold weather in order to identify whether or not the WFP is linked to health benefits not detected in the current study, which may have implications for population health and the evaluation of the effectiveness of the WFP.FundingThe National Institute for Health Research Public Health Research programme.

Est modus in rebus: a longitudinal study of intergenerational solidarity and Locus of Control

2014 ◽  
Vol 35 (6) ◽  
pp. 1242-1277 ◽  
Author(s):  
VALERIA BORDONE
Keyword(s):  
Longitudinal Study ◽  
Fixed Effects ◽  
Regression Models ◽  
Intergenerational Relationships ◽  
Intergenerational Solidarity ◽  
Older Parents ◽  
Multiple Dimensions ◽  
Fixed Effects Regression ◽  
English Longitudinal Study ◽  
Insight Into

ABSTRACTThis study challenges the persistent assumption behind research on intergenerational relationships, wondering: ‘can there be too much of a good thing’? The guiding hypothesis states that intergenerational solidarity, although beneficial for older parents' wellbeing at moderate levels, may be negatively associated with their individual sense of control at high levels. In contrast to previous studies, fixed-effects regression models on panel data from the English Longitudinal Study of Ageing control for selection in solidarity and changes in health. The analysis of 4,811 women and 3,847 men above the age of 50 also accounts for intergenerational conflict. Using multiple dimensions of intergenerational solidarity, our findings offer insight into the different roles of the various types of solidarity and can aid the design of formal and informal social support interventions.

scholarly journals Individual health trainers to support health and well-being for people under community supervision in the criminal justice system: the STRENGTHEN pilot RCT

2019 ◽  
Vol 7 (20) ◽  
pp. 1-136
Author(s):  
Lynne Callaghan ◽  
Tom P Thompson ◽  
Siobhan Creanor ◽  
Cath Quinn ◽  
Jane Senior ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Usual Care ◽  
Health Research ◽  
Pilot Trial ◽  
Well Being ◽  
Public Health Research ◽  
Scale Scores ◽  
Mental Well Being ◽  
Health And Well Being ◽  
Full Trial

Background Little is known about the effectiveness or cost-effectiveness of interventions, such as health trainer support, to improve the health and well-being of people recently released from prison or serving a community sentence, because of the challenges in recruiting participants and following them up. Objectives This pilot trial aimed to assess the acceptability and feasibility of the trial methods and intervention (and associated costs) for a randomised trial to assess the effectiveness and cost-effectiveness of health trainer support versus usual care. Design This trial involved a pilot multicentre, parallel, two-group randomised controlled trial recruiting 120 participants with 1 : 1 individual allocation to receive support from a health trainer and usual care or usual care alone, with a mixed-methods process evaluation, in 2017–18. Setting Participants were identified, screened and recruited in Community Rehabilitation Companies in Plymouth and Manchester or the National Probation Service in Plymouth. The intervention was delivered in the community. Participants Those who had been out of prison for at least 2 months (to allow community stabilisation), with at least 7 months of a community sentence remaining, were invited to participate; those who may have posed an unacceptable risk to the researchers and health trainers and those who were not interested in the trial or intervention support were excluded. Interventions The intervention group received, in addition to usual care, our person-centred health trainer support in one-to-one sessions for up to 14 weeks, either in person or via telephone. Health trainers aimed to empower participants to make healthy lifestyle changes (particularly in alcohol use, smoking, diet and physical activity) and take on the Five Ways to Well-being [Foresight Projects. Mental Capital and Wellbeing: Final Project Report. 2008. URL: www.gov.uk/government/publications/mental-capital-and-wellbeing-making-the-most-of-ourselves-in-the-21st-century (accessed 24 January 2019).], and also signposted to other options for support. The control group received treatment as usual, defined by available community and public service options for improving health and well-being. Main outcome measures The main outcomes included the Warwick–Edinburgh Mental Well-being Scale scores, alcohol use, smoking behaviour, dietary behaviour, physical activity, substance use, resource use, quality of life, intervention costs, intervention engagement and feasibility and acceptability of trial methods and the intervention. Results A great deal about recruitment was learned and the target of 120 participants was achieved. The minimum trial retention target at 6 months (60%) was met. Among those offered health trainer support, 62% had at least two sessions. The mixed-methods process evaluation generally supported the trial methods and intervention acceptability and feasibility. The proposed primary outcome, the Warwick–Edinburgh Mental Well-being Scale scores, provided us with valuable data to estimate the sample size for a full trial in which to test the effectiveness and cost-effectiveness of the intervention. Conclusions Based on the findings from this pilot trial, a full trial (with some modifications) seems justified, with a sample size of around 900 participants to detect between-group differences in the Warwick-Edinburgh Mental Well-being Scale scores at a 6-month follow-up. Future work A number of recruitment, trial retention, intervention engagement and blinding issues were identified in this pilot and recommendations are made in preparation of and within a full trial. Trial registration Current Controlled Trials ISRCTN80475744. Funding This project was funded by the National Institute for Health Research Public Health Research programme and will be published in full in Public Health Research; Vol. 7, No. 20. See the National Institute for Health Research Journals Library website for further project information.

Physical health and well being

2009 ◽  
pp. 139-212
Keyword(s):  
Public Health ◽  
Blood Pressure ◽  
Health Promotion ◽  
Intellectual Disability ◽  
Physical Health ◽  
Oxygen Saturation ◽  
Health Assessment ◽  
Well Being ◽  
Temperature Pulse ◽  
Health And Well Being

Introduction 140 Health inequalities 142 Principles of health promotion 144 Promoting public health 146 Promoting physical well-being of individuals 148 Physical health assessment of people with intellectual disability 150 Blood pressure, temperature, pulse 152 Respiration and oxygen saturation levels 154 Epilepsy 156 Supporting people with epilepsy ...

scholarly journals Emergence of ethnic differences in blood pressure in adolescence: the determinants of adolescent social well-being and health longitudinal study

2009 ◽  
Vol 63 (Suppl 2) ◽  
pp. 58-58
Author(s):  
E. Lenguerrand ◽  
S. Harding ◽  
M. Whitrow ◽  
M. Maynard ◽  
K. Cruickshank ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Longitudinal Study ◽  
Ethnic Differences ◽  
Well Being

scholarly journals Child food insecurity in the UK: a rapid review

2018 ◽  
Vol 6 (13) ◽  
pp. 1-162 ◽  
Author(s):  
Magaly Aceves-Martins ◽  
Moira Cruickshank ◽  
Cynthia Fraser ◽  
Miriam Brazzelli
Keyword(s):  
Social Science ◽  
Food Insecurity ◽  
Academic Outcomes ◽  
Health Research ◽  
Well Being ◽  
Children's Health ◽  
Children’S Health ◽  
Rapid Review ◽  
The Uk ◽  
Health And Well Being

BackgroundFood insecurity (FI) is a multifaceted, socioeconomic problem involving difficulties accessing sufficient, safe and nutritious food to meet people’s dietary requirements and preferences for a healthy life. For children experiencing FI, there are some potentially negative developmental consequences and it is, therefore, important to understand the links between FI and children’s health and well-being as well as any strategies undertaken to address FI. The overall objective of this assessment was to determine the nature, extent and consequences of FI affecting children (aged ≤ 18 years) in the UK.ObjectiveTo determine the nature, extent and consequences of FI affecting children (aged ≤ 18 years) in the UK.Data sourcesThe databases searched on 4 December 2017 included MEDLINE (including In-Process & Other Non-Indexed Citations and E-pub ahead of print files), EMBASE, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Commonwealth Agricultural Bureaux (CAB) abstracts, The Cochrane Library, Education Resources Information Centre (ERIC), PsycINFO, the Social Science Citation Index and the Applied Social Sciences Index and Abstracts (ASSIA).MethodsA rapid review of the current published and unpublished literature was conducted, including all study designs from specified high-income countries in children aged ≤ 18 years. Searches were conducted of major health-care, nutrition, education and social science databases from 1995 onwards, and websites of relevant UK and international organisations. Final searches were undertaken in December 2017.ResultsIn total, 109 studies were selected. Only five studies were conducted in the UK, four of which provided qualitative data. Possible factors associated with child FI were identified, for example socioeconomic status, material deprivation, living in public housing and having unemployed or poorly educated parents. Children’s health, well-being and academic outcomes were all negatively affected by FI. The mediating effects of family stressors and parenting practices in the relationship between FI and children’s health and well-being outcomes were not clear. Food assistance programmes were generally effective in mitigating FI and improving nutritional outcomes (including hunger) in the short term, but did not eradicate FI, eliminate its effects on children’s health or have an impact on academic outcomes. No reports assessing the prevalence of child FI in the UK or the cost-effectiveness and sustainability of interventions to tackle FI were identified.LimitationsThere was a lack of consistency in how FI was defined and measured across studies. Most of the studies used indirect measurements of child FI through parental reports. The majority of studies were conducted in North America. Only five studies were conducted in the UK. Thirty potentially relevant studies were not included in the review as a result of time and resource constraints. Most studies were observational and caution is advised in interpreting their results.ConclusionsA number of factors that were related to child FI were identified, as were negative associations between child FI and physical, mental and social outcomes. However, these findings should be interpreted with caution because of the correlational nature of the analyses and the fact that it is difficult to determine if some factors are predictors or consequences of FI.Future researchThere is an urgent requirement for the development of a reliable instrument to measure and monitor child FI in the UK and for well-designed interventions or programmes to tackle child FI.Study registrationThis study is registered as PROSPERO CRD42017084818.FundingThe National Institute for Health Research Public Health Research programme. The Health Services Research Unit is core-funded by the Chief Scientist Office of the Scottish Government Health and Social Care Directorates.

Association between sleep and mental health and well-being among older adults in the canadian longitudinal study on aging

2019 ◽  
Vol 64 ◽  
pp. S323-S324
Author(s):  
R. Rodrigues ◽  
K. Nicholson ◽  
P. Wilk ◽  
G. Guaiana ◽  
S. Stranges ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Longitudinal Study ◽  
Well Being ◽  
Health And Well Being
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