Effects of a community-based salt reduction program in a regional Australian population Land, Mary-Anne, Wu, Jason H. Y., Selwyn, Adriana, Crino, Michelle, Woodward, Mark, Chalmers, John, Webster, Jacqui, Nowson, Caryl, Jeffery, Paul, Smith, Wayne, Flood, Victoria and Neal, Bruce 2016, Effects of a community-based salt reduction program in a regional Australian population, BMC public health, vol. 16, Article number: 388, pp. 1-11, doi: 10.1186/s12889-016-3064-3. Attached Files Name Description MIMEType Size Downloads nowson-effectsofa-2016.pdf Published version application/pdf 675.69KB 89 Title Effects of a community-based salt reduction program in a regional Australian population Author(s) Land, Mary-Anne Wu, Jason H. Y. Selwyn, Adriana Crino, Michelle Woodward, Mark Chalmers, John Webster, Jacqui Nowson, Caryl orcid.org/0000-0001-6586-7965 Jeffery, Paul Smith, Wayne Flood, Victoria Neal, Bruce Journal name BMC public health Volume number 16 Season Article number: 388 Start page 1 End page 11 Total pages 11 Publisher BioMed Central Place of publication London, Eng. Publication date 2016-05 ISSN 1471-2458 Keyword(s) 24-hour urine Cardiovascular disease prevention Salt Sodium Science & Technology Life Sciences & Biomedicine Public, Environmental & Occupational Health Summary BACKGROUND: Salt reduction is a public health priority but there are few studies testing the efficacy of plausible salt reduction programs. METHODS: A multi-faceted, community-based salt reduction program using the Communication for Behavioral Impact framework was implemented in Lithgow, Australia. Single 24-h urine samples were obtained from 419 individuals at baseline (2011) and from 572 at follow-up (2014). Information about knowledge and behaviors relating to salt was also collected. RESULTS: Survey participants were on average 56 years old and 58 % female. Mean salt intake estimated from 24-h urine samples fell from 8.8 g/day (SD = 3.6 g/day) in 2011 to 8.0 (3.6) g/day in 2014 (-0.80, 95 % confidence interval -1.2 to -0.3;p < 0.001). There were significant increases in the proportion of participants that knew the recommended upper limit of salt intake (18 % vs. 29 %; p < 0.001), knew the importance of salt reduction (64 % vs. 78 %; p < 0.001) and reported changing their behaviors to reduce their salt intake by using spices (5 % vs. 28 %; p < 0.001) and avoiding eating out (21 % vs. 34 %; p < 0.001). However, the proportions that checked food labels (30 % vs. 25 %; p = 0.02) fell, as did the numbers avoiding processed foods (44 % vs. 35 %; p = 0.006). Twenty-six percent reported using salt substitute at the end of the intervention period and 90 % had heard about the program. Findings were robust to multivariable adjustment. CONCLUSIONS: Implementation of this multi-faceted community-based program was associated with a ~10 % reduction in salt consumption in an Australian regional town. These findings highlight the potential of well-designed health promotion programs to compliment other population-based strategies to bring about much-needed reductions in salt consumption. Language eng DOI 10.1186/s12889-016-3064-3 Field of Research 111799 Public Health and Health Services not elsewhere classified 1117 Public Health And Health Services Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified HERDC Research category C1 Refereed article in a scholarly journal ERA Research output type C Journal article Copyright notice ©2016, Land et al. Free to Read? Yes Use Rights Persistent URL http://hdl.handle.net/10536/DRO/DU:30083611 Document type: Journal Article Collections: Faculty of Health Institute for Physical Activity and Nutrition Open Access Collection Related Links Link Description Connect to published version Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au. Versions Version Filter Type Mon, 23 May 2016, 12:32:48 EST Tue, 24 May 2016, 05:00:26 EST Tue, 24 May 2016, 08:09:17 EST Mon, 18 Jul 2016, 16:07:41 EST Thu, 28 Jul 2016, 06:10:09 EST Mon, 26 Sep 2016, 12:55:50 EST Mon, 26 Sep 2016, 12:59:57 EST Mon, 26 Sep 2016, 13:00:41 EST Mon, 09 Jan 2017, 10:01:12 EST Fri, 07 Sep 2018, 12:16:27 EST Filtered Full Citation counts:   Cited 19 times in TR Web of Science Cited 19 times in Scopus Search Google Scholar Access Statistics: 376 Abstract Views, 89 File Downloads  -  Detailed Statistics Created: Mon, 23 May 2016, 12:32:48 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.