Availability of junk food should be reduced

Tammam, Jonathan; Gillam, Louise; Gesch, Bernard; Stein, John D.

doi:10.1136/bmj.e7070

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…The qualitative data analysis software (NVivo) was used to code and organize the data using thematic analysis. Data were subsequently analyzed thematically using the following steps: "becoming familiar with the data;" generating initial codes; applying, editing and consolidating codes; organizing and reviewing themes to generate findings [40,46]. Alternative interpretations were discussed before deciding how to report the findings.…”

Section: Participantsmentioning

confidence: 99%

Understanding Weight Change while Incarcerated: Qualitative Groundwork for a Collaborative Health Intervention

Clarke¹

2017

OCTOA

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Addressing obesity behind bars has increasingly attracted attention from public health researchers and correctional administrators, while still remaining an often elusive goal. Certainly, obesity prevention in any current context has proven challenging [15][16][17][18]. In some ways, addressing obesity within the correctional setting offers opportunities, for example, the benefit of the "captive audience" who may not otherwise access healthcare [19]. Finally, the burgeoning costs of managing chronic conditions associated with obesity in the incarcerated setting further engage otherwise unlikely partners for public health interventions [20,21]. For example, the expense of diabetes-related health care has been estimated at $25,675 per inmate annually [22].A health intervention to address obesity within the incarcerated setting could focus on individual behaviorthrough education, one-on-one or group counseling or other tailored programming-or could focus on facility level change such as impacting the foodscape within prison, or other systemic restructuring. Interpersonal counseling, which has been shown to be an effective means to dietary change [23][24][25], plays a limited role in correctional settings due its high cost. Targeted health education interventions, tailored to the needs of their specific target population, are a promising strategy for addressing obesity in incarcerated populations [26][27][28][29][30][31][32][33]. However, few of these tailored interventions have been developed for low income, ethnically diverse audiences and those adapted for use in correctional settings have not yet been documented to effectively deliver on outcomes [32][33][34]. One possible reason for the lack of effectiveness of these tailored intervention is a lack of understanding of the specific barriers and facilitators to healthy weight maintenance while incarcerated. Indeed, new participatory based research has offered more successful interventions [35]. Island, 111 Brewster Street, Pawtucket, RI 02860, Tel: 401-729-3400; Fax: 401-729-2494; E-mail: Jennifer_Clarke@brown.edu AbstractIn the context of the ever-increasing incarcerated population in the U.S. and our "obesity epidemic," recent work has investigated whether incarcerated individuals are at higher risk for obesity and related diseases. We build on this scholarship by interviewing incarcerated men and women, as well as correctional facility staff to parse the barriers and facilitators to maintaining a healthy weight on the inside. This qualitative analysis forms the groundwork for a collaborative health intervention to address weight gain and weight maintenance in a U.S. correctional facility.

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Section: Participantsmentioning

confidence: 99%

Understanding Weight Change while Incarcerated: Qualitative Groundwork for a Collaborative Health Intervention

Clarke¹

2017

OCTOA

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“…2 The relevance of diet to health and well-being is clear, and its role in prisoner health should not be overlooked. 3 There is a recognised need to improve diets, 4 with food specifically, playing a critical role in the health of a prison population. 5 Further, the importance of food and meals within a prison setting has been emphasised, in terms of social interaction and an event to look forward to, as well as nutrition.…”

Section: Introductionmentioning

confidence: 99%

“…Prisons offer a potential opportunity to address health inequalities and break the cycle of disadvantage and poor health 2 . The relevance of diet to health and well‐being is clear, and its role in prisoner health should not be overlooked 3 . There is a recognised need to improve diets, 4 with food specifically, playing a critical role in the health of a prison population 5 .…”

Section: Introductionmentioning

confidence: 99%

Nudging food choice in a prison setting: an investigation using food choice data

Fennessy,

Homer,

Ensaff

2023

J Human Nutrition Diet

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BackgroundThe prison population presents complex health needs and is disproportionately affected by poor health, compared to the general population. Diet has a clear role in prisoner health, and the prison food environment within which food choices are made is relatively under–researched. The aim of this study was to examine whether food choices in a women's prison changed after the introduction of a new menu design by the catering team.MethodsThe adjusted menu design incorporated an emoticon (a smiley face) placed next to designated ‘Healthy Choice’ foods on the menu sheets, which were used to preselect meals. Data comprised all women's (n = 865) food choices (more than 115,000 selections) for a period of 8 weeks (with the new menu) as well as 8 weeks prior (baseline period). The study design was a pre‐post intervention study, and food selection was examined using chi‐square tests and binary logistic regression models.ResultsThe selection of promoted foods overall significantly increased under the new menu design (with the emoticon nudge strategy) compared to baseline; the effect size, however, was small according to the usual guidelines (21.4% compared to 20% at baseline; χ2(1) = 32.6, p < 0.001, φ = 0.02). Individuals were 11% more likely (p < 0.001) to select the promoted ‘Healthy Choice’ foods under the adjusted food choice architecture. A significant effect was found for lunch and evening meal – but not for desserts. A minority of individual food items that were promoted had significant positive changes in selection, and were 1.3–4 times as likely to be selected when emoticons had been introduced, compared to baseline.ConclusionsFurther research is needed to examine the potential added benefit of multiple complementary nudge strategies, and the relevance of the preselection of foods in advance of consumption.

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A Systematic Review of Interventions to Improve Health Factors or Behaviors of the Cardiovascular Health of Prisoners During Incarceration

et al. 2018

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Availability of junk food should be reduced

Cited by 3 publications

References 6 publications

Understanding Weight Change while Incarcerated: Qualitative Groundwork for a Collaborative Health Intervention

Understanding Weight Change while Incarcerated: Qualitative Groundwork for a Collaborative Health Intervention

Nudging food choice in a prison setting: an investigation using food choice data

A Systematic Review of Interventions to Improve Health Factors or Behaviors of the Cardiovascular Health of Prisoners During Incarceration

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