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Has the UK Healthy Start voucher scheme been associated with an increased fruit and vegetable intake among target families? Analysis of Health Survey for England data, 2001–2014

Bibliographic Data

ID11180378
AuthorsRachel Jane Scantlebury (0000-0003-0807-0604, Department of Epidemiology and Public Health, Health and Social Surveys Research Group, UCL (University College London), London, UK, corresponding author), Alison Moody (0000-0002-8199-4830, Department of Epidemiology and Public Health, Health and Social Surveys Research Group, UCL (University College London), London, UK), Oyinlola Oyebode (0000-0003-0925-9839, Warwick Medical School, University of Warwick, Coventry, UK), Jennifer S Mindell (0000-0002-7604-6131, University College London)
Year2018
Volume72
Issue7
Pages623-629
Publication date2018-07-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of Epidemiology and Community Health (JOURNAL)
Journal identifiersISSN: 0143-005X • E-ISSN: 1470-2738
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/jech-2017-209954
PMID29514923
OpenAlexW2519443455
LanguageEN
Citations received2
References cited17

BACKGROUND: Healthy Start (HS) is a UK government programme, introduced in 2006, providing vouchers to pregnant women or families with children aged <4 who are in receipt of certain benefits. Vouchers can be exchanged for fruit and vegetables (F&V), milk or infant formula. We sought to identify any association between HS and F&V intake. METHODS: We analysed repeated cross-sectional data from the Health Survey for England. Study participants were classified into one of four groups: one HS-eligible group and three control groups, meeting only the income or demographic or no eligibility criterion. Outcome measures were mean F&V intake and the proportions of participants consuming ≥3 and ≥1 portion/day. Outcomes were compared across the four groups over four time periods: 2001-2003, 2004-2006, 2007-2009 and 2010-2014. Regression analyses examined whether F&V intake among HS-eligible participants had a significantly different rate of change from those in the control groups. RESULTS: The change in mean F&V consumption over time was similar in HS-eligible adults and children to that of the control groups. Likewise, the change in odds of consuming ≥3 or ≥1 portion of F&V/day over time was similar among HS-eligible participants and control groups. CONCLUSION: This study found that during the period 2001-2003 to 2010-2014, F&V consumption among adults and children in households deemed eligible for HS changed similarly to that of other adults and children. Potential explanations include that vouchers may have been spent on milk or infant formula, or that vouchers helped protect F&V consumption in low-income households

Child health · Environmental health · Voucher · demographic modeling and climate adaptation · Health disparities and outcomes · Intergenerational and Educational Inequality Studies · Medicine · Gerontology · Pediatrics

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Unique citing works2
Citations per year0,4
Citation span2021 - 2022 (2)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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