Is altering the availability of healthier vs. less-healthy options effective across socioeconomic groups? A mega-analysis

Autor: Rachel Pechey, Gareth J. Hollands, James P. Reynolds, Susan A. Jebb, Theresa M. Marteau
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: International Journal of Behavioral Nutrition and Physical Activity, Vol 19, Iss 1, Pp 1-10 (2022)
Druh dokumentu: article
ISSN: 1479-5868
DOI: 10.1186/s12966-022-01315-y
Popis: Abstract Background Availability interventions have been hypothesised to make limited demands on conscious processes and, as a result, to be less likely to generate health inequalities than cognitively-oriented interventions. Here we synthesise existing evidence to examine whether the impact of altering the availability of healthier vs. less-healthy options differs by socioeconomic position. Methods Individual-level data (21,360 observations from 7,375 participants) from six studies (conducted online (n = 4) and in laboratories (n = 2)) were pooled for mega-analysis. Multilevel logistic regressions analysed the impact of altering the availability of healthier options on selection of a healthier (rather than a less-healthy) option by socioeconomic position, assessed by (a) education and (b) income. Results Participants had over threefold higher odds of selecting a healthier option when the available range was predominantly healthier compared to selections when the range offered was predominantly less-healthy (odds ratio (OR): 3.8; 95%CIs: 3.5, 4.1). Less educated participants were less likely to select healthier options in each availability condition (ORs: 0.75–0.85; all p
Databáze: Directory of Open Access Journals
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