Alexis Peeters
Dados Biográficos
| ID | 143180 |
|---|---|
| NOME | Alexis Peeters |
| PRENOMES | Alexis |
| SOBRENOME | Peeters |
| ASSINATURA | PEETERS A |
| AFILIAÇÕES | Deakin University |
| ORCID | 0000-0003-4340-9132 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 66 |
| TOTAL DE CITAÇÕES | 33 |
| TOTAL COMO AUTOR | 66 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2003 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 3 |
Understanding food choices and promoting healthier food options among online food delivery service users in Australia
Individual and social circumstances, together with online marketing techniques, drive consumers' food purchasing decisions on OFDS. Actions are needed to enhance the accessibility, availability and desirability (through increased visibility and price promotions) of healthy food options on OFDS to promote healthy food choices
Equalising power imbalances or a trail of broken promises? A qualitative study on engaging people with diverse lived experience of marginalisation in food policymaking in Australia
We provide a list of practical recommendations to guide more inclusive, equitable and fit-for-purpose food policymaking into the future. These recommendations seek to challenge dominant systems of discrimination by demonstrating how we can tangibly shift to ways of working that value and elevate the power of people who are often excluded from many decision-making systems, specifically when it comes to food and nutrition
Exploring value co-creation in public health
Exploring value co-creation in public health: factors influencing collaborative development of a food retailers’ toolkit from multi-stakeholder perspectives
Consumers acceptability of using screen capture methods to capture marketing strategies on online food delivery platforms
Objective: The use of online food delivery (OFD) platforms is on the rise, and currently, there are no public health policies that regulate what and how food is sold on these platforms. Research quantifying and describing the marketing strategies on OFD platforms is limited. Our study aimed to test the consumers’ acceptability of using two screen capture methods to record their food purchasing behaviour on OFD platforms and describe consumers’ ex…
Industry responses to unhealthy food retail promotion restrictions
Objective: Governments are increasingly implementing policies to improve population diets, despite food industry resistance to regulation that may reduce their profits from sales of unhealthy foods. However, retail food environments remain an important target for policy action. This study analysed publicly available responses of industry actors to two public consultations on regulatory options for restricting unhealthy food price and placement pr…
Evaluating the Nourish Network
Objectives: To evaluate the current state of the Nourish Network (NN) – a healthy food retail network, to inform future planning and improvement opportunities. Design: A qualitative study was conducted using semi-structured interviews conducted between January and April 2024, open-ended survey questions from six online surveys applied between 2019 and 2022 and a focus group with the NN Advisory Committee (NNAC) in June 2024. Thematic analysis was…
Strategic Design of Public Food Procurement to Leverage Positive Food Systems Outcomes
There is substantial potential for the procurement of food by public institutions to contribute to Sustainable Development across multiple environmental, social, and economic outcomes. In this study we used theories of policy instrumentation and learning to analyse global guidance for designing public food procurement instruments to leverage positive food systems outcomes, with the aim of informing strategic policy design. We identified 15 discre…
Marketing strategies used in retail food environments in Azerbaijan, Kazakhstan, and North Macedonia
Online food retail environments are in various stages of development and growth across Europe and Central Asia. • Unhealthy foods frequently promoted through online marketing strategies. • Food retailers expressed some willingness and capacity to modify food retail marketing strategies. Food retail environments are an important influence over dietary behaviours. Food retail marketing strategies that promote less healthy foods endanger the rights …
A realist impact evaluation of a tool to strengthen equity in local government policy-making
Our study supports wider uptake of health equity impact assessments in local government policies and programs. Legislation, leadership and resources from upper-tiers of government can help increase the adoption of equity tools to reduce disparities in population health
A systems framework for implementing healthy food retail in grocery settings
Several differences were found when implementing healthy food retail in grocery compared to health promotion settings. The START-G map offers preliminary guidance for identifying and addressing commercial interests in grocery settings that currently promote less healthy foods and beverages, including by starting to address business outcomes and supplier relationships
Healthier options tend to get lost in the noise of online’ – Australian shoppers’ experiences with online grocery platforms
Objective: We aimed to understand what influences parents’ purchasing behaviours when shopping for groceries online and potential ways to improve the healthiness of online grocery platforms. Design: We conducted semi-structured interviews, guided by the Marketing Mix framework. Reflexive thematic analysis was used to analyse data. Setting: Online interviews were conducted with primary grocery shoppers. Participants: Parents ( n 14) or caregivers …
Placing community in the driver's seat
Addressing health inequities requires both national and local-level action. In the case of COVID-19, locally-led place-based programs were instrumental in addressing vaccination inequities that resulted from implementation gaps in national and state-level universal COVID-19 vaccination programs. To prepare for future pandemics, understanding which local strategies are effective and the conditions that enable their effectiveness is crucial. We con…
Moving minds
Understanding the corporate political activity of the ultra - processed food industry in East Asia
BACKGROUND: Evidence is mounting that the ultra - processed food industry seeks to influence food and nutrition policies in ways that support market growth and protect against regulatory threats, often at the expense of public health. However, few studies have explored how this occurs in lower - middle income countries. We aimed to explore if and how the ultra - processed food industry seeks to influence food- and nutrition - related policy proce…
Identifying Public Healthcare Priorities in Virtual Care for Older Adults
Stakeholders prioritised public health virtual care initiatives that are easy to adopt and address needs that are perceived to be more immediate (acute more so than chronic care). Virtual care initiatives that incorporate more technology and integrated elements are valued, but more information is needed to inform their potential scale-up
Strengthening local government policies to address health inequities
Local governments have a responsibility to implement policies and programs that improve health and reduce health inequities. Local government's capacity to leverage resources, structures, processes and relationships, internally and across sectors and community, will be key to strengthening equity-oriented local government health policies and programs
The Health Literacy in Pregnancy (HeLP) Program Study Protocol
A pregnant woman needs adequate knowledge, motivation, and skills to access, understand, appraise, and apply health information to make decisions related to the health of herself and her unborn baby. These skills are defined as health literacy: an important factor in relation to the woman's ability to engage and navigate antenatal care services. Evidence shows variation in levels of health literacy among pregnant women, but more knowledge is need…
Costing recommended (healthy) and current (unhealthy) diets in urban and inner regional areas of Australia using remote price collection methods
Objective: To compare the cost and affordability of two fortnightly diets (representing the national guidelines and current consumption) across areas containing Australia’s major supermarkets. Design: The Healthy Diets Australian Standardised Affordability and Pricing protocol was used. Setting: Price data were collected online and via phone calls in fifty-one urban and inner regional locations across Australia. Participants: Not applicable. Resu…
Championing Health Promoting Schools
Objective: School-based prevention interventions informed by the World Health Organization Health Promoting School (HPS) framework aim to improve the health and wellbeing of school-aged children, yet few studies describe factors influencing the successful implementation of this framework in secondary schools. This study sought to explore why and how secondary schools might implement the HPS framework and factors contributing to success. Design: Q…
Implementing a healthy food retail policy
Objectives: To investigate (i) changes in stakeholder commitment and (ii) perceptions of the purpose, challenges and benefits of healthy food and beverage provision in community sports settings during the stepwise implementation of a healthy beverage policy. Design: Convergent, parallel, mixed-methods design complemented (i) repeat semi-structured interviews with council stakeholders ( n 17 interviews, n 6 interviewees), with (ii) repeat quantita…
Evaluating the implementation and customer acceptability of a sugar-sweetened beverage reduction initiative in thirty Australian aquatic and recreation centres
Objective: To assess the feasibility of implementation and customer perspectives of a sugar-sweetened beverage (SSB) reduction initiative across YMCA Victoria aquatic and recreation centres. Design: Two data sources were used to assess implementation and customer acceptability. Photo audits were used to assess the type of drinks available for purchase 6 months prior to initiative implementation and 6 months after, in thirty centres. Change in the…
Barriers and facilitators to implementing a healthier food outlet initiative
Objective: Local governments have integral roles in contributing to public health. One recent focus has been on how local governments can impact community nutrition by engaging food service outlets to improve their food offer. The Healthier Catering Commitment (HCC) is an initiative where London local governments support takeaways and restaurants to meet centrally defined nutrition criteria on their food options. Using the case of HCC, the curren…
Streamlined data-gathering techniques to estimate the price and affordability of healthy and unhealthy diets under different pricing scenarios
Objective: To determine the reliability of streamlined data-gathering techniques for examining the price and affordability of a healthy (recommended) and unhealthy (current) diet. We additionally estimated the price and affordability of diets across socio-economic areas and quantified the influence of different pricing scenarios. Design: Following the Healthy Diets Australian Standardised Affordability and Pricing (ASAP) protocol, we compared a c…
Energy-dense, nutrient-poor food and beverage sales in Australia
Objective: To quantify sales trends for key energy-dense, nutrient-poor (EDNP) foods and beverages over 5 years in Australia. Design: The Euromonitor Global Market Information Database and linear regression models were used to estimate average annual change in sales per capita of thirteen EDNP food categories and two EDNP beverage categories (defined using Australian Dietary Guidelines) over 5 years (2012–2017 for foods and 2011–2016 for beverage…
Mapping factors associated with a successful shift towards healthier food retail in community-based organisations
The effect of sugar-sweetened beverage price increases and educational messages on beverage purchasing behavior among adults
Inequalities in cardiovascular disease mortality
BACKGROUND: While the relationship between socio-economic disadvantage and cardiovascular disease (CVD) is well established, the role that traditional cardiovascular risk factors play in this association remains unclear. The authors examined the association between education attainment and CVD mortality and the extent to which behavioural, social and physiological factors explained this relationship. METHODS: Adults (n=38,355) aged 40-69 years li…
Successful aging
Current research of risk factors potentially associated with successful aging faces the difficulty of taking into consideration two distinct outcome measures: survival and functioning. Previous studies either used successful aging measures restricted to survivors or presented more than one outcome measure to handle the dual outcome. This article illustrates the utility of health expectancy measures, based on life tables, to integrate the effects …
The effect of sugar-sweetened beverage front-of-pack labels on drink selection, health knowledge and awareness
Predicting the risk of physical disability in old age using modifiable mid-life risk factors
BACKGROUND: We aimed to investigate the relationship between potentially modifiable risk factors in middle age and disability after 13 years using the Framingham Offspring Study (FOS). We further aimed to develop a disability risk algorithm to estimate the risk of future disability for those aged 45-65 years. METHODS: FOS is a longitudinal study. We used examination 5 (1991-1995; 'baseline') and examination 8 (2005-2008; 'follow-up'). We included…
A Framework for Evaluating the Impact of Obesity Prevention Strategies on Socioeconomic Inequalities in Weight
We developed a theoretical framework to organize obesity prevention interventions by their likely impact on the socioeconomic gradient of weight. The degree to which an intervention involves individual agency versus structural change influences socioeconomic inequalities in weight. Agentic interventions, such as standalone social marketing, increase socioeconomic inequalities. Structural interventions, such as food procurement policies and restri…
Price Promotions by Food Category and Product Healthiness in an Australian Supermarket Chain, 2017–2018
Objectives. To examine the prevalence and magnitude of price promotions in a major Australian supermarket and how they differ between core (healthy) and discretionary (less healthy) food categories. Methods. Weekly online price data (regular retail price, discount price, and promotion type) on 1579 foods were collected for 1 year (April 2017 to April 2018) from the largest Australian supermarket chain. Products audited were classified according t…
Sugar-sweetened beverage price elasticities in a hypothetical convenience store
Setting Population Targets for Measuring Successful Obesity Prevention
In 2008, The Council of Australian Governments set a target to increase by 5% the proportion of Australian adults at a healthy body weight by 2017, over a 2009 baseline. Target setting is a critical component of public health policy for obesity prevention; however, there is currently no context within which to choose such targets. We analyzed the changes in current weight gain that would be required to meet Australian targets. By using transition…
Why Education and Choice Won't Solve the Obesity Problem
Why education and choice won't solve the obesity problem
Mapping factors associated with a successful shift towards healthier food retail in community-based organisations
Do purchases of price promoted and generic branded foods and beverages vary according to food category and income level? Evidence from a consumer research panel
The relation between non-occupational physical activity and years lived with and without disability
OBJECTIVES: The effects of non-occupational physical activity were assessed on the number of years lived with and without disability between age 50 and 80 years. METHODS: Using the GLOBE study and the Longitudinal Study of Aging, multi-state life tables were constructed yielding the number of years with and without disability between age 50 and 80 years. To obtain life tables by level of physical activity (low, moderate, high), hazard ratios were…
Cost effectiveness of statins in coronary heart disease
Introduction: Statin therapy reduces the rate of coronary heart disease, but high costs in combination with a large population eligible for treatment ask for priority setting. Although trials agree on the size of the benefit, economic analyses of statins report contradictory results. This article reviewed cost effectiveness analyses of statins and sought to synthesise cost effectiveness ratios for categories of risk of coronary heart disease and …
Obesity in Adulthood and Its Consequences for Life Expectancy
BACKGROUND: Overweight and obesity in adulthood are linked to an increased risk for death and disease. Their potential effect on life expectancy and premature death has not yet been described. OBJECTIVE: To analyze reductions in life expectancy and increases in premature death associated with overweight and obesity at 40 years of age. DESIGN: Prospective cohort study. SETTING: The Framingham Heart Study with follow-up from 1948 to 1990. PARTICIPA…
Cost effectiveness of statins in coronary heart disease
Introduction: Statin therapy reduces the rate of coronary heart disease, but high costs in combination with a large population eligible for treatment ask for priority setting. Although trials agree on the size of the benefit, economic analyses of statins report contradictory results. This article reviewed cost effectiveness analyses of statins and sought to synthesise cost effectiveness ratios for categories of risk of coronary heart disease and …
Successful aging
Current research of risk factors potentially associated with successful aging faces the difficulty of taking into consideration two distinct outcome measures: survival and functioning. Previous studies either used successful aging measures restricted to survivors or presented more than one outcome measure to handle the dual outcome. This article illustrates the utility of health expectancy measures, based on life tables, to integrate the effects …
Effectiveness calculation in economic analysis
Objectives: This report aimed to evaluate the calculation of estimates of effectiveness in cost effectiveness analyses of statins for cardiovascular disease prevention. Methods: Methodological aspects were reviewed of seven primary studies (based on trial results) and 12 secondary modelling studies (extrapolated) on the cost effectiveness of statin treatment, published between 1995 and 2002. Estimates of life years gained were extracted and compa…
Predicting the Effectiveness of Prevention
The relation between non-occupational physical activity and years lived with and without disability
OBJECTIVES: The effects of non-occupational physical activity were assessed on the number of years lived with and without disability between age 50 and 80 years. METHODS: Using the GLOBE study and the Longitudinal Study of Aging, multi-state life tables were constructed yielding the number of years with and without disability between age 50 and 80 years. To obtain life tables by level of physical activity (low, moderate, high), hazard ratios were…
Living healthier for longer
Achieving high levels of physical activity, normal weight, and never smoking, are effective ways to prevent cardiovascular disease and to extend total life expectancy and the number of years lived free of CVD. Increasing the prevalence of normal weight could further reduce the time spent with CVD in the population
Why Education and Choice Won't Solve the Obesity Problem
Why education and choice won't solve the obesity problem
Trends in BMI of urban Australian adults, 1980–2000
Objective To analyse changes in the distribution of BMI in Australia between 1980 and 2000. Design Data were from the 1980, 1983 and 1989 National Heart Foundation Risk Factor Prevalence Study, the 1995 National Nutrition Survey and the 1999/2000 Australian Diabetes, Obesity and Lifestyle Study. Survey participants were aged 25–64 years and resident in Australian capital cities. BMI was calculated as weight divided by height squared (kg/m 2 ), wh…
Inequalities in cardiovascular disease mortality
BACKGROUND: While the relationship between socio-economic disadvantage and cardiovascular disease (CVD) is well established, the role that traditional cardiovascular risk factors play in this association remains unclear. The authors examined the association between education attainment and CVD mortality and the extent to which behavioural, social and physiological factors explained this relationship. METHODS: Adults (n=38,355) aged 40-69 years li…
Setting Population Targets for Measuring Successful Obesity Prevention
In 2008, The Council of Australian Governments set a target to increase by 5% the proportion of Australian adults at a healthy body weight by 2017, over a 2009 baseline. Target setting is a critical component of public health policy for obesity prevention; however, there is currently no context within which to choose such targets. We analyzed the changes in current weight gain that would be required to meet Australian targets. By using transition…
Public health campaigns and obesity - a critique
A more appropriate strategy would be to enact high-level policy and legislative changes to alter the obesogenic environments in which we live by providing incentives for healthy eating and increased levels of physical activity. Research is also needed to improve treatments available for individuals already obese
Participant characteristics associated with greater reductions in waist circumference during a four-month, pedometer-based, workplace health program
While employees with 'high-risk' WC at baseline experienced the greatest improvements in WC, the other variables associated with greater WC improvement were generally indicators of better baseline health. These results indicate that employees who started with better health, potentially due to lifestyle or recent behavioural changes, were more likely to respond positively to the program. Future health program initiators should think innovatively t…
Predictors of increasing waist circumference in an Australian population
Objective To identify predictors of increasing waist circumference (WC) over a 5-year period in a contemporary population of Australian adults. Design Longitudinal national cohort of adults participating in the Australian Diabetes, Obesity and Lifestyle Study (AusDiab). Settings Australian adults in 2000 and 2005. Subjects A total of 2521 men and 2726 women aged ≥25 years at baseline who participated in AusDiab and provided anthropometric measure…
The duration of obesity and the risk of type 2 diabetes
Objective The evidence for the association between obesity and the risk of type 2 diabetes has been derived mainly from the analysis of the degree of obesity. The role of the duration of obesity as an independent risk has not been fully explored. The objective of the present study was to investigate the association between the duration of obesity and the risk of type 2 diabetes. Design Prospective cohort study. Setting The Framingham Heart Study …
Policy change to create supportive environments for physical activity and healthy eating
The objective is to identify and test regulatory options for creating supportive environments for physical activity and healthy eating among local governments in Victoria, Australia. A literature review identified nine potential areas for policy intervention at local government level, including the walking environment and food policy. Discussion documents were drafted which summarized the public health evidence and legal framework for change in e…
The effect of modifiable risk factors on geographic mortality differentials
These results suggest that health intervention programs aimed at smoking, blood pressure and total cholesterol could have a substantial impact on mortality inequities for Outer Regional/Remote areas
An analysis of potential barriers and enablers to regulating the television marketing of unhealthy foods to children at the state government level in Australia
The regulation of unhealthy food marketing to children is perceived to be a feasible strategy for obesity prevention however barriers to implementation at the state level exist. Those involved in state-level policy making generally indicated a preference for Commonwealth-led regulation. This research suggests that implementation of regulation of the television marketing of unhealthy food to children should ideally occur under the direction of the…
The mediating role of dietary factors and leisure time physical activity on socioeconomic inequalities in body mass index among Australian adults
Diet and LTPA are potentially modifiable behavioural risk factors for the development of obesity that contribute substantially to inequalities in BMI. Our findings highlight the importance of specific behaviours which may be useful to the implementation of effective, targeted public policy to reduce socioeconomic inequalities in obesity
Change in well-being amongst participants in a four-month pedometer-based workplace health program
Clinically relevant immediate and sustained improvements in well-being were observed after participation in the health program. These results suggest that participation in workplace programs, such as the one evaluated here, also has the potential to improve well-being
Predictors of increased body weight and waist circumference for middle-aged adults
Objective To identify predictors of increased adiposity for different measures of adiposity. Design Prospective cohort study, the Melbourne Collaborative Cohort Study (MCCS), with data at baseline (1990–1994) and wave 2 (2003–2007). Setting Participants recruited from the community. Subjects Australian-born participants ( n 5879) aged 40 to 69 years who were not current smokers and who were free from common chronic diseases at recruitment. At bas…
A Framework for Evaluating the Impact of Obesity Prevention Strategies on Socioeconomic Inequalities in Weight
We developed a theoretical framework to organize obesity prevention interventions by their likely impact on the socioeconomic gradient of weight. The degree to which an intervention involves individual agency versus structural change influences socioeconomic inequalities in weight. Agentic interventions, such as standalone social marketing, increase socioeconomic inequalities. Structural interventions, such as food procurement policies and restri…
Noncommunicable Disease Prevention and Control in Mongolia
The Mongolian Government response to the emerging burden of NCDs is a population-based public health approach that includes a national multisectoral framework and integration of NCD prevention and control policies into national health policies. Our findings suggest gaps in addressing chronic respiratory disease, physical activity guidelines, specific food policy actions restricting sales advertising of food products, and a lack of funding specifi…
Noncommunicable Disease Prevention and Control in Mongolia
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
Predicting the risk of physical disability in old age using modifiable mid-life risk factors
BACKGROUND: We aimed to investigate the relationship between potentially modifiable risk factors in middle age and disability after 13 years using the Framingham Offspring Study (FOS). We further aimed to develop a disability risk algorithm to estimate the risk of future disability for those aged 45-65 years. METHODS: FOS is a longitudinal study. We used examination 5 (1991-1995; 'baseline') and examination 8 (2005-2008; 'follow-up'). We included…
Medicine (53 obras) · Environmental health (34 obras) · Obesity, Physical Activity, Diet (33 obras) · Business (27 obras) · Population (21 obras) · Public health (19 obras) · Demography (18 obras) · Marketing (18 obras) · Global Public Health Policies and Epidemiology (17 obras) · Internal Medicine (17 obras)