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Salmi LR, Barsanti S, Bourgueil Y, Daponte A, Piznal E, Ménival S, Ménival S, Piznal E, Salmi LR, Leleu H, Jusot F, Bourgueil Y, Saton MO, Piznal E, Kovacs Z, Novakovic A, Codina AD, Bolivar J, Mateo I, Pérez IR, Georgiou V, Janzyk V, Salfield N, Ismail Z, Giannoni M, D'Urzo E, Ferialla L, Barsanti S, Heijmans S, Pucci T, Di Loreto P, Cleanthous P, Salmi LR, Mouillet E, Barsanti S, Iacovina N, Nuti S, de Saint Pol E, Piznal E, Salfield N, Szabo Z, Kovacs Z, Novakovic A, Mratovic MC, Boban AD, Daponte A, Bolivar J, Mateo I, Pérez IR, Barnhoorn F, Berghmans L, Harlet J, Bourgueil Y, Bederski K, Theren G, Caleja N, Almeida M, Heijmans S, Marquez S, Carriazo A, Gonzalez-Seco I, Salmi LR, Hofmeister A, Cleanthous P, Daponte A, Bolivar J, Mateo I, Pérez IR, Solano MB, Marquez S, González-Seco I, de Saint Pol E, Piznal E, Godwin A, Mratovic MC, Mourtou E, Berghmans L, Bourgueil Y, Theren G, Hering T, Heijmans S, Barsanti S, Salmi LR, Ménival S, Piznal E, Mouillet E, Berghmans L, Harlet J, Bizel P, Pensis G, Szabo Z, Kovacs Z, Bourgueil Y, Jusot F, Leleu H, Barsanti S, Iacovina N, Daponte A, Bolivar J, Bernal Solano M, Mateo I, Ruis Pérez I, Salfield N, Godwin A, Rajaratnam G, Jobarteh J, Cleanthous P, Heijmans S, Novakovic A, Mratovic MC, Dzona-Boban A, Ismail Z, Giannoni M, D'Urzo E, Ferialla L, Cassucci P, Ammannati B, Tanini D, Bottai R, Berti A, Georgiou V, Hultgren E, Barnhoorn F, de Saint Pol E, Mc Shane M, Gonzalez-Seco I, Guérin D, Wardle M, Sandor J, Theren G, Hofmeister A, Carriazo A, Marquez S, Loizou C, Bederski K, Caleja N, Almeida M. Interventions addressing health inequalities in European regions: the AIR project. Health Promot Int 2015; 32:430-441. [DOI: 10.1093/heapro/dav101] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Louis-Rachid Salmi
- Univ. Bordeaux, ISPED, Centre INSERM U897-Epidemiologie-Biostatistique, Bordeaux F-33000, France
- INSERM, ISPED, Centre INSERM U897-Epidemiologie-Biostatistique, Bordeaux F-33000, France
- CHU de Bordeaux, Pole de sante publique, Service d'information medicale, Bordeaux F-33000, France
| | - Sara Barsanti
- Scuola Superiore Sant'Anna di Pisa, Laboratorio Management e Sanità, Pisa, Italy
| | - Yann Bourgueil
- Institut de Recherche et de Documentation en Economie de la Santé, Paris, France
| | - Antonio Daponte
- Escuela Andaluza de Salud Pública, Granada, Andalucia, Spain
- CIBER Epidemiología y Salud Pública (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain
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Fogarty AW, Antoniak M, Venn AJ, Davies L, Goodwin A, Salfield N, Britton JR, Lewis SA. A natural experiment on the impact of fruit supplementation on asthma symptoms in children. Eur Respir J 2009; 33:481-5. [PMID: 19213783 DOI: 10.1183/09031936.00162907] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
A high fruit intake may reduce the risk of asthma. The English National School Fruit Scheme was introduced in the East Midlands region of the UK in June 2003 and in the Eastern region in September 2004. Questionnaires were distributed to children aged 4-6 yrs in schools in May 2003. This was repeated in May 2004 when those in the East Midlands had received free fruit for 1 yr and those in the Eastern region had not. Responses were obtained in 2004 for 4,971 (53%) and 5,770 (54%) children in the intervention and control regions, respectively. Despite an increase in fruit consumption in the intervention compared with the control region between 2003 and 2004, there was no difference between the two regions in the prevalence or severity of asthma symptoms after 1 yr of fruit supplementation (odds ratio for wheeze in the past 12 months in intervention compared with control region 1.00, 95% confidence interval 0.88-1.14). Providing free fruit at school for 1 yr does not have any immediate effect on prevalence or severity of asthma in young children, although these data do not refute the hypothesis that a higher increase in fruit intake improves measures of asthma control.
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Affiliation(s)
- A W Fogarty
- Division of Epidemiology and Public Health, Univerisity of Nottingham, NG5 1PB, UK.
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Fogarty AW, Antoniak M, Venn AJ, Davies L, Goodwin A, Salfield N, Stocks J, Britton J, Lewis SA. Does participation in a population-based dietary intervention scheme have a lasting impact on fruit intake in young children? Int J Epidemiol 2007; 36:1080-5. [PMID: 17602183 DOI: 10.1093/ije/dym133] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND The National Schools Fruit Scheme (NSFS) is intended to improve fruit intake in young children by providing free daily fruit at school. METHODS We used a parentally completed questionnaire for three consecutive years to study fruit intake in young children before, during and after participation in the NSFS compared with a control region. RESULTS In 2003, 2004 and 2005, a total of 224, 220 and 179 schools, respectively, were studied with responses from 5,606, 5,111 and 3,382 children for each survey. Between 2003 and 2004, individual fruit consumption in the intervention region increased by more (from a median of 7.5 to 14.0 pieces/week) than in the control region (from a median of 9.2-11.0 pieces/week), resulting in a difference (P < 0.001) between the two regions in 2004. However, after ceasing to be eligible for the NSFS, fruit intake in children in the intervention region fell to a median of 12 pieces per week, lower than that in the control region (median value of 14 pieces per week, P = 0.02). CONCLUSIONS School-based fruit distribution schemes providing free fruit at school appear to be an effective means of increasing dietary fruit intake in young children, including those who live in relatively socio-economically deprived areas. However, this approach does not influence fruit intake after the provision of free fruit ends, so schemes may need to be sustained to provide the maximum benefit to young children.
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Affiliation(s)
- A W Fogarty
- Division of Epidemiology and Public Health, University of Nottingham.
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Lewis SA, Antoniak M, Venn AJ, Davies L, Goodwin A, Salfield N, Britton J, Fogarty AW. Secondhand smoke, dietary fruit intake, road traffic exposures, and the prevalence of asthma: a cross-sectional study in young children. Am J Epidemiol 2005; 161:406-11. [PMID: 15718476 DOI: 10.1093/aje/kwi059] [Citation(s) in RCA: 67] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
The authors have investigated the independent effects of exposure to secondhand smoke, road vehicle traffic, and dietary fruit intake in a cross-sectional study of asthma in young children. They surveyed all children aged 4-6 years in 235 schools in the East Midlands and East of England regions of the United Kingdom in 2003. Data on respiratory symptoms, diagnoses and treatment, smoking in the home, and dietary fruit intake were collected by parental questionnaire. A geographic information system was used to map postcodes and determine the distance of the home from the nearest main road. Responses were obtained from 11,562 children. Wheeze in the past year and physician-diagnosed asthma were reported by 14.1% and 18.2%, respectively. Both of these outcomes were more common in children who lived with a smoker, and the prevalence of asthma increased with the number of smokers in the home. Asthma prevalence was not associated with proximity of the home to a main road or with dietary fruit intake. The authors conclude that, of the potential risk factors considered in this study, preventing secondhand smoke exposure may be the most effective way of preventing asthma.
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Affiliation(s)
- S A Lewis
- Division of Respiratory Medicine, University of Nottingham, Nottinghan, United Kingdom.
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Salfield N. Primary care. Ending in tiers. Health Serv J 1997; 107:24-5. [PMID: 10173457] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
Although there are many examples of fundholders' patients enjoying better access than those of non-fundholders, systematic studies comparing access between the two groups are lacking. An early end to two-tierism while the internal market exists, could have serious implications for the quality of existing services and the stability of trusts. Locality commissioning may be a way to ensure equity, while avoiding an over-centralised approach.
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