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

Version 2 2024-06-02, 13:23
Version 1 2015-09-04, 14:16
journal contribution
posted on 2024-06-02, 13:23 authored by Tara Boelsen-RobinsonTara Boelsen-Robinson, Anna PeetersAnna Peeters, A Beauchamp, A Chung, E Gearon, Kathryn BackholerKathryn Backholer
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.

History

Journal

Obesity reviews

Volume

16

Pagination

806-816

Location

Chichester, England

ISSN

1467-789X

Language

eng

Publication classification

C Journal article, C1 Refereed article in a scholarly journal

Copyright notice

2015, Wiley

Issue

9

Publisher

Wiley

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