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A systematic review of economic evaluations of health-promoting food retail-based interventions

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Version 2 2024-06-06, 10:25
Version 1 2021-02-09, 10:54
journal contribution
posted on 2024-06-19, 01:20 authored by Michelle TranMichelle Tran, E McMahon, Marj MoodieMarj Moodie, Jaithri AnanthapavanJaithri Ananthapavan
Background: While the number of retail interventions with impacts on diet- and/or health-related outcomes is increasing, the economic evaluation literature is limited. This review investigated (i) the cost-effectiveness of health-promoting food retail interventions and (ii) key assumptions adopted in these evaluations. Methods: A systematic review of published academic studies was undertaken (CRD42020153763). Fourteen databases were searched. Eligible studies were identified, analysed, and reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. Results: Eight studies that evaluated 30 retail interventions were included in the review. Common outcomes reported were cost per healthy food item purchased/served or cost per disability-adjusted life year (DALY) averted. Four studies undertook cost-utility analyses and half of these studies concluded that retail interventions were cost-effective in improving health outcomes. Most studies did not state any assumptions regarding compensatory behaviour (i.e., purchases/consumption of non-intervention foods or food purchases/consumption from non-intervention settings) and presumed that sales data were indicative of consumption. Conclusion: The cost-effectiveness of retail-based health-promoting interventions is inconclusive. Future health-promoting retail interventions should regularly include an economic evaluation which addresses key assumptions related to compensatory behaviour and the use of sales data as a proxy for consumption.

History

Journal

International Journal of Environmental Research and Public Health

Volume

18

Article number

ARTN 1356

Pagination

1-23

Location

Switzerland

Open access

  • Yes

ISSN

1661-7827

eISSN

1660-4601

Language

English

Publication classification

C1 Refereed article in a scholarly journal

Issue

3

Publisher

MDPI