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Positive effect of a targeted intervention to improve access and availability of fruit and vegetables in an area of deprivation
Increasing fruit and vegetable intake has the potential to prevent chronic disease risk but substantial inequalities in intake exist between advantaged and disadvantaged communities. Access and availability of fruit and vegetables have been shown to be important determinants of intake. The current s...
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Published in: | Health & place 2012-09, Vol.18 (5), p.1074-1078 |
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container_issue | 5 |
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container_title | Health & place |
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creator | Jennings, Amy Cassidy, Aedín Winters, Tim Barnes, Sarah Lipp, Alistair Holland, Richard Welch, Ailsa |
description | Increasing fruit and vegetable intake has the potential to prevent chronic disease risk but substantial inequalities in intake exist between advantaged and disadvantaged communities. Access and availability of fruit and vegetables have been shown to be important determinants of intake. The current study aimed to evaluate the effectiveness of a Mobile Food Store intervention to improve access to fruit and vegetables by making cost-price produce available to targeted communities. Postcode mapping identified communities with low fruit and vegetable intake and high chronic disease risk. The Mobile Food Store travelled to these communities each week. Evaluation of self-reported fruit and vegetable intake was collected by validated questionnaire for 255 users (62% response rate). Store use resulted in a significant increase in intake (1.2 portions per day, 95%CI 0.83–1.48; p |
doi_str_mv | 10.1016/j.healthplace.2012.05.001 |
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► Access and availability of fruit and vegetables are important determinants of intake. ► A targeted intervention was developed to improve access and availability of fruit and vegetables. ► Intake of fruit and vegetables increased by 1.2 portions per day post-intervention. ► This type of intervention has potential to reduce chronic disease and inequalities in health.</description><identifier>ISSN: 1353-8292</identifier><identifier>EISSN: 1873-2054</identifier><identifier>DOI: 10.1016/j.healthplace.2012.05.001</identifier><identifier>PMID: 22705164</identifier><identifier>CODEN: HEPLFG</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Access ; Adolescent ; Adult ; Aged ; Chronic sickness ; Community ; Deprivation ; Female ; Food ; Food prices ; Fruit - supply & distribution ; Fruit and vegetables ; Fruits and vegetables ; Health Promotion ; Health technology assessment ; Healthy food ; Humans ; Inequalities ; Local communities ; Male ; Middle Aged ; Poverty Areas ; Public health ; Response rate ; Self Report ; Social inequality ; Targeted intervention ; Vegetables - supply & distribution ; Young Adult</subject><ispartof>Health & place, 2012-09, Vol.18 (5), p.1074-1078</ispartof><rights>2012 Elsevier Ltd</rights><rights>Copyright © 2012 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c443t-fdcd07bf952faeebe8334ab8e302c5172856fc6b420b95d759ae41868279bc033</citedby><cites>FETCH-LOGICAL-c443t-fdcd07bf952faeebe8334ab8e302c5172856fc6b420b95d759ae41868279bc033</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925,31000,33224</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22705164$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jennings, Amy</creatorcontrib><creatorcontrib>Cassidy, Aedín</creatorcontrib><creatorcontrib>Winters, Tim</creatorcontrib><creatorcontrib>Barnes, Sarah</creatorcontrib><creatorcontrib>Lipp, Alistair</creatorcontrib><creatorcontrib>Holland, Richard</creatorcontrib><creatorcontrib>Welch, Ailsa</creatorcontrib><title>Positive effect of a targeted intervention to improve access and availability of fruit and vegetables in an area of deprivation</title><title>Health & place</title><addtitle>Health Place</addtitle><description>Increasing fruit and vegetable intake has the potential to prevent chronic disease risk but substantial inequalities in intake exist between advantaged and disadvantaged communities. Access and availability of fruit and vegetables have been shown to be important determinants of intake. The current study aimed to evaluate the effectiveness of a Mobile Food Store intervention to improve access to fruit and vegetables by making cost-price produce available to targeted communities. Postcode mapping identified communities with low fruit and vegetable intake and high chronic disease risk. The Mobile Food Store travelled to these communities each week. Evaluation of self-reported fruit and vegetable intake was collected by validated questionnaire for 255 users (62% response rate). Store use resulted in a significant increase in intake (1.2 portions per day, 95%CI 0.83–1.48; p<0.001) which was greater than all but one previous intervention in the UK. The targeted model of improving access to fruit and vegetables was effective in increasing intake; however future controlled trials are required to objectively examine potential effects on fruit and vegetable intake and health outcomes.
► Access and availability of fruit and vegetables are important determinants of intake. ► A targeted intervention was developed to improve access and availability of fruit and vegetables. ► Intake of fruit and vegetables increased by 1.2 portions per day post-intervention. ► This type of intervention has potential to reduce chronic disease and inequalities in health.</description><subject>Access</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Chronic sickness</subject><subject>Community</subject><subject>Deprivation</subject><subject>Female</subject><subject>Food</subject><subject>Food prices</subject><subject>Fruit - supply & distribution</subject><subject>Fruit and vegetables</subject><subject>Fruits and vegetables</subject><subject>Health Promotion</subject><subject>Health technology assessment</subject><subject>Healthy food</subject><subject>Humans</subject><subject>Inequalities</subject><subject>Local communities</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Poverty Areas</subject><subject>Public health</subject><subject>Response rate</subject><subject>Self Report</subject><subject>Social inequality</subject><subject>Targeted intervention</subject><subject>Vegetables - supply & distribution</subject><subject>Young Adult</subject><issn>1353-8292</issn><issn>1873-2054</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>8BJ</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkUuP1DAQhCMEYh_wF5C5cUlovxLniEY8VloJDnC2Ok6b9SiTDLYn0p746zjMgrixJ1v2V9Wtqqp6zaHhwNu3--aOcMp3xwkdNQK4aEA3APxJdclNJ2sBWj0td6llbUQvLqqrlPYA0BrFn1cXQnSgeasuq59flhRyWImR9-QyWzxDljF-p0wjC3OmuNKcwzKzvLBwOMalwOgcpcRwHhmuGCYcwhTy_ab28RTy75-VigkOE6XiU14YRsINGekYw4qb6Yvqmccp0cuH87r69uH9192n-vbzx5vdu9vaKSVz7Uc3Qjf4XguPRAMZKRUOhiQIp3knjG69awclYOj12OkeSXHTGtH1gwMpr6s3Z9-y_48TpWwPITmaJpxpOSXLudDCSFD8_yh0qu1aAeYRaFlTl6zbgvZn1MUlpUjelgwOGO8LZLdW7d7-06rdWrWgbWm1aF89jDkNBxr_Kv_UWIDdGaAS4Roo2uQCzY7GEEupdlzCI8b8AmGgujk</recordid><startdate>20120901</startdate><enddate>20120901</enddate><creator>Jennings, Amy</creator><creator>Cassidy, Aedín</creator><creator>Winters, Tim</creator><creator>Barnes, Sarah</creator><creator>Lipp, Alistair</creator><creator>Holland, Richard</creator><creator>Welch, Ailsa</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7QJ</scope></search><sort><creationdate>20120901</creationdate><title>Positive effect of a targeted intervention to improve access and availability of fruit and vegetables in an area of deprivation</title><author>Jennings, Amy ; Cassidy, Aedín ; Winters, Tim ; Barnes, Sarah ; Lipp, Alistair ; Holland, Richard ; Welch, Ailsa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c443t-fdcd07bf952faeebe8334ab8e302c5172856fc6b420b95d759ae41868279bc033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Access</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Chronic sickness</topic><topic>Community</topic><topic>Deprivation</topic><topic>Female</topic><topic>Food</topic><topic>Food prices</topic><topic>Fruit - supply & distribution</topic><topic>Fruit and vegetables</topic><topic>Fruits and vegetables</topic><topic>Health Promotion</topic><topic>Health technology assessment</topic><topic>Healthy food</topic><topic>Humans</topic><topic>Inequalities</topic><topic>Local communities</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Poverty Areas</topic><topic>Public health</topic><topic>Response rate</topic><topic>Self Report</topic><topic>Social inequality</topic><topic>Targeted intervention</topic><topic>Vegetables - supply & distribution</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jennings, Amy</creatorcontrib><creatorcontrib>Cassidy, Aedín</creatorcontrib><creatorcontrib>Winters, Tim</creatorcontrib><creatorcontrib>Barnes, Sarah</creatorcontrib><creatorcontrib>Lipp, Alistair</creatorcontrib><creatorcontrib>Holland, Richard</creatorcontrib><creatorcontrib>Welch, Ailsa</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><jtitle>Health & place</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jennings, Amy</au><au>Cassidy, Aedín</au><au>Winters, Tim</au><au>Barnes, Sarah</au><au>Lipp, Alistair</au><au>Holland, Richard</au><au>Welch, Ailsa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Positive effect of a targeted intervention to improve access and availability of fruit and vegetables in an area of deprivation</atitle><jtitle>Health & place</jtitle><addtitle>Health Place</addtitle><date>2012-09-01</date><risdate>2012</risdate><volume>18</volume><issue>5</issue><spage>1074</spage><epage>1078</epage><pages>1074-1078</pages><issn>1353-8292</issn><eissn>1873-2054</eissn><coden>HEPLFG</coden><abstract>Increasing fruit and vegetable intake has the potential to prevent chronic disease risk but substantial inequalities in intake exist between advantaged and disadvantaged communities. Access and availability of fruit and vegetables have been shown to be important determinants of intake. The current study aimed to evaluate the effectiveness of a Mobile Food Store intervention to improve access to fruit and vegetables by making cost-price produce available to targeted communities. Postcode mapping identified communities with low fruit and vegetable intake and high chronic disease risk. The Mobile Food Store travelled to these communities each week. Evaluation of self-reported fruit and vegetable intake was collected by validated questionnaire for 255 users (62% response rate). Store use resulted in a significant increase in intake (1.2 portions per day, 95%CI 0.83–1.48; p<0.001) which was greater than all but one previous intervention in the UK. The targeted model of improving access to fruit and vegetables was effective in increasing intake; however future controlled trials are required to objectively examine potential effects on fruit and vegetable intake and health outcomes.
► Access and availability of fruit and vegetables are important determinants of intake. ► A targeted intervention was developed to improve access and availability of fruit and vegetables. ► Intake of fruit and vegetables increased by 1.2 portions per day post-intervention. ► This type of intervention has potential to reduce chronic disease and inequalities in health.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>22705164</pmid><doi>10.1016/j.healthplace.2012.05.001</doi><tpages>5</tpages></addata></record> |
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source | Applied Social Sciences Index & Abstracts (ASSIA); International Bibliography of the Social Sciences (IBSS); ScienceDirect Freedom Collection |
subjects | Access Adolescent Adult Aged Chronic sickness Community Deprivation Female Food Food prices Fruit - supply & distribution Fruit and vegetables Fruits and vegetables Health Promotion Health technology assessment Healthy food Humans Inequalities Local communities Male Middle Aged Poverty Areas Public health Response rate Self Report Social inequality Targeted intervention Vegetables - supply & distribution Young Adult |
title | Positive effect of a targeted intervention to improve access and availability of fruit and vegetables in an area of deprivation |
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