Exploring subgroup effects by socioeconomic position of three effective school-based dietary interventions: the European TEENAGE project

Int J Public Health. 2014 Jun;59(3):493-502. doi: 10.1007/s00038-013-0524-8. Epub 2013 Nov 9.

Abstract

Objectives: The aim of this study was to explore subgroup effects by high and low socioeconomic position (SEP) of three previously conducted, effective European interventions.

Methods: Reanalyses stratified by SEP were conducted by the research groups of each study. All studies were school-based: two multi-component interventions targeting intake of fat or fruit and vegetables (FV), and a free breakfast initiative.

Results: Computer-tailored advice affected fat intake among low, but not high SEP girls after 1 year. A multi-component intervention affected the total FV intake in both SEP groups, vegetable intake in low SEP and fruit intake in high SEP across three countries after 1 year, whereas free fruit affected total FV and fruit intake equally in both SEP groups in one country after 2 years. Providing a free healthy breakfast increased consumption of healthy food items only in the low SEP group.

Conclusions: Reanalysing intervention studies by SEP is a quick and easy way to explore patterns in effects by SEP across interventions. Providing healthy food might be a promising strategy for decreasing social inequalities.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Diet*
  • Europe
  • Feeding Behavior*
  • Female
  • Fruit
  • Health Education
  • Health Promotion / organization & administration*
  • Humans
  • Male
  • Schools / organization & administration*
  • Sex Factors
  • Socioeconomic Factors
  • Vegetables