A systematic review of the effectiveness of whole-of-community interventions by socioeconomic position

Boelsen-Robinson, T., Peeters, A., Beauchamp, A., Chung, A., Gearon, E. and Backholer, K. 2015, A systematic review of the effectiveness of whole-of-community interventions by socioeconomic position, Obesity reviews, vol. 16, no. 9, pp. 806-816, doi: 10.1111/obr.12297.

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Title A systematic review of the effectiveness of whole-of-community interventions by socioeconomic position
Author(s) Boelsen-Robinson, T.ORCID iD for Boelsen-Robinson, T. orcid.org/0000-0003-1671-3091
Peeters, A.ORCID iD for Peeters, A. orcid.org/0000-0003-4340-9132
Beauchamp, A.ORCID iD for Beauchamp, A. orcid.org/0000-0001-6555-6200
Chung, A.
Gearon, E.
Backholer, K.ORCID iD for Backholer, K. orcid.org/0000-0002-3323-575X
Journal name Obesity reviews
Volume number 16
Issue number 9
Start page 806
End page 816
Total pages 11
Publisher Wiley
Place of publication Chichester, England
Publication date 2015-09
ISSN 1467-789X
Keyword(s) Equity
obesity
socioeconomic
whole of community
Science & Technology
Life Sciences & Biomedicine
Endocrinology & Metabolism
CARDIOVASCULAR RISK-FACTORS
NORTH KARELIA PROJECT
STANFORD 3 COMMUNITY
HEALTH-EDUCATION
UNITED-STATES
WEIGHT-GAIN
TRENDS
PROGRAM
PREVALENCE
Summary Whole-of-community (WOC) interventions have led to modest reductions in population weight gain. Whether they exhibit differential effectiveness by socioeconomic position (SEP) remains unknown. We aimed to summarize evidence of differential effectiveness of WOC interventions by SEP. Electronic databases and grey literature were searched to identify studies that evaluated the effectiveness of a WOC intervention on behavioural change measures, energy balance behaviours and/or anthropometric outcomes according to any measure of SEP. Interventions were assessed for the following characteristics: structural changes to the environment, number of settings the intervention acted in, presence of community engagement and whether equity was considered in its design. Ten studies were included. Nine reported a greater or equal effect among low SEP groups compared with high SEP groups. These studies commonly featured interventions that incorporated structural changes to the environment, acted across more than three settings and/or employed community engagement. Conclusions did not change when excluding low-quality studies (n = 4). WOC interventions represent an effective and equitable approach for the reduction of population weight. Structural components, a larger number of settings and community engagement were common in equitable WOC interventions and should be considered in the design of future WOC interventions.
Language eng
DOI 10.1111/obr.12297
Field of Research 111716 Preventive Medicine
Socio Economic Objective 920411 Nutrition
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2015, Wiley
Persistent URL http://hdl.handle.net/10536/DRO/DU:30077918

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