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Logo of jepicomhInstructions for authorsCurrent TOCJournal of Epidemiology and Community Health
J Epidemiol Community Health. Dec 2005; 59(12): 1035–1040.
PMCID: PMC1732985

Large scale food retailing as an intervention for diet and health: quasi-experimental evaluation of a natural experiment

Abstract

Design: Prospective quasi-experimental design comparing baseline and follow up data in an "intervention" community with a matched "comparison" community in Glasgow, UK.

Participants: 412 men and women aged 16 or over for whom follow up data on fruit and vegetable consumption and GHQ-12 were available.

Main outcome measures: Fruit and vegetable consumption in portions per day, poor self reported health, and poor psychological health (GHQ-12).

Main results: Adjusting for age, sex, educational attainment, and employment status there was no population impact on daily fruit and vegetable consumption, self reported, and psychological health. There was some evidence for a net reduction in the prevalence of poor psychological health for residents who directly engaged with the intervention.

Conclusions: Government policy has advocated using large scale food retailing as a social intervention to improve diet and health in poor communities. In contrast with a previous uncontrolled study this study did not find evidence for a net intervention effect on fruit and vegetable consumption, although there was evidence for an improvement in psychological health for those who directly engaged with the intervention. Although definitive conclusions about the effect of large scale retailing on diet and health in deprived communities cannot be drawn from non-randomised controlled study designs, evaluations of the impacts of natural experiments may offer the best opportunity to generate evidence about the health impacts of retail interventions in poor communities.

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Selected References

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  • Diez-Roux AV, Nieto FJ, Caulfield L, Tyroler HA, Watson RL, Szklo M. Neighbourhood differences in diet: the Atherosclerosis Risk in Communities (ARIC) Study. J Epidemiol Community Health. 1999 Jan;53(1):55–63. [PMC free article] [PubMed]
  • Ellaway A, Macintyre S. Does where you live predict health related behaviours?: a case study in Glasgow. Health Bull (Edinb) 1996 Nov;54(6):443–446. [PubMed]
  • Shohaimi Shamarina, Welch Ailsa, Bingham Sheila, Luben Robert, Day Nicholas, Wareham Nicholas, Khaw Kay-Tee. Residential area deprivation predicts fruit and vegetable consumption independently of individual educational level and occupational social class: a cross sectional population study in the Norfolk cohort of the European Prospective Investigation into Cancer (EPIC-Norfolk). J Epidemiol Community Health. 2004 Aug;58(8):686–691. [PMC free article] [PubMed]
  • Sloane David C, Diamant Allison L, Lewis LaVonna B, Yancey Antronette K, Flynn Gwendolyn, Nascimento Lori Miller, McCarthy William J, Guinyard Joyce Jones, Cousineau Michael R. Improving the nutritional resource environment for healthy living through community-based participatory research. J Gen Intern Med. 2003 Jul;18(7):568–575. [PMC free article] [PubMed]
  • Sooman A, Macintyre S, Anderson A. Scotland's health--a more difficult challenge for some? The price and availability of healthy foods in socially contrasting localities in the west of Scotland. Health Bull (Edinb) 1993 Sep;51(5):276–284. [PubMed]
  • Wechsler H, Basch CE, Zybert P, Lantigua R, Shea S. The availability of low-fat milk in an inner-city Latino community: implications for nutrition education. Am J Public Health. 1995 Dec;85(12):1690–1692. [PMC free article] [PubMed]
  • Cummins Steven, Macintyre Sally. "Food deserts"--evidence and assumption in health policy making. BMJ. 2002 Aug 24;325(7361):436–438. [PMC free article] [PubMed]
  • Dalgard OS, Tambs K. Urban environment and mental health. A longitudinal study. Br J Psychiatry. 1997 Dec;171:530–536. [PubMed]
  • Petticrew M, Cummins S, Ferrell C, Findlay A, Higgins C, Hoy C, Kearns A, Sparks L. Natural experiments: an underused tool for public health? Public Health. 2005 Sep;119(9):751–757. [PubMed]
  • Cummins Steven, Petticrew Mark, Sparks Leigh, Findlay Anne. Large scale food retail interventions and diet. BMJ. 2005 Mar 26;330(7493):683–684. [PMC free article] [PubMed]

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