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Policy initiatives to address low-income households’ nutritional needs in the UK

By Elizabeth Dowler


Members of low-income households in the UK are more likely to have patterns of food and nutrient intakes that are less inclined to lead to good health outcomes in the short and long term. Health inequalities, including the likelihood of child and adulthood obesity, have long been documented in the UK and show little sign of improving so far, despite 10 years of attention from a government that has committed itself to addressing them. Following the Acheson Inquiry into Inequalities in Health (1998) in England a number of initiatives to tackle inequalities in food and diet were established, both nationally and within the devolved nations of Scotland, Wales and Northern Ireland. Nevertheless, until recently, there has been no overall strategic policy addressing the food and nutritional needs of low-income households. The present paper reviews how the problems have been constructed and understood and how they have been addressed, briefly drawing on recent evaluations of food and nutrition policies in Scotland and Wales. The contemporary challenge is to frame cross-cutting policy initiatives that move beyond simple targeting and local actions, encompass a life-course approach and recognise both the diversity of households that fall into ‘low-income’ categories and the need for ‘upstream’ intervention

Topics: HN, RA0421
Publisher: Cambridge University Press
Year: 2008
OAI identifier: oai:wrap.warwick.ac.uk:2299

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  1. (1999). A & Mackenbach JP (2006) Welfare state regimes and health inequalities. doi
  2. (2007). A comparison of four dietary assessment methods in materially deprived households in England. Public Health Nutr (Epublication ahead of print version). doi
  3. (2000). A minimum income for healthy living.
  4. (2000). A Recipe for Success? An Evaluation of a Community Food Project.
  5. (2006). A Review of Food Consumption and Nutrient Intakes from National Surveys in Scotland: Comparison to the Scottish Dietary Targets. Aberdeen: Food Standards Agency Scotland.
  6. (1998). Are geographic regions with high income inequality associated with risk of abdominal weight gain? doi
  7. (2002). Assessing the impact of improved retail access on diet in a ‘food desert’: A preliminary report. doi
  8. (2003). Attitudes Towards Buying Local Produce – UK –
  9. (1997). Budgeting for food on a low income: the case of lone parents. Food Policy 22, 405–417. 296 E. Dowler P r o c e e d i n g s o f t h e N u t r i t i o n S o c i e t y22. doi
  10. (2008). Cabinet Office Social Exclusion Task Force
  11. (2008). Campaign for free school meals.
  12. (2007). Challenging Health Inequalities: from Acheson to ‘Choosing Health’. doi
  13. (2007). Challenging health inequalities: introduction. doi
  14. (2003). Childhood social class and adulthood obesity: findings from the Glasgow Alumni Cohort. doi
  15. (2008). Children, Schools and Family doi
  16. (2008). Choice of low income thresholds. doi
  17. (2005). Choosing a Better Diet: A Food and Health Action Plan. London: Department of Health.
  18. (2008). Choosing the Right Ingredients: The Future for Food in Scotland. Discussion Paper. Edinburgh: The Scottish Government; available at http://www. scotland.gov.uk/Resource/Doc/209658/0055448.pdf
  19. (2000). Deprivation and childhood obesity: a cross sectional study of 20,973 children in Plymouth, United Kingdom. doi
  20. (1997). Developments in the UK: work of the Low Income Project Team. doi
  21. (2004). Do ‘Food Deserts’ Exist? A Multilevel, Geographical Analysis of the Relationship Between Retail Food Access, Socio-Economic Position and Dietary Intake. London: Food Standards Agency.
  22. (1997). Does area of residence affect body size and shape? doi
  23. (2007). Does the school fruit and vegetable scheme improve children’s diet? A non-randomised controlled trial. doi
  24. (2005). Early growth and childhood obesity: a historical cohort study. doi
  25. (2007). Ethical Shoppers: Keen to be Green; Consumer Attitudes to Animal Welfare.
  26. (2005). Evaluation of free fruit in schools initiative.
  27. (2006). Evaluation of the 5 A Day Programme: Final Report. London: Big Lottery Fund.
  28. Expert Panel on School Meals (2002) Hungry for Success: A Whole School Approach to School Meals in Scotland. Edinburgh: The Stationery Office.
  29. (2002). Food Access and Social Exclusion in London: A Research Report, Framework and Action Plan for London. Report to the Greater London Authority.
  30. (2004). Food and class.
  31. (2006). Food and Fitness: Promoting Healthy Eating and Physical Activity for Children and Young People. Cardiff: Welsh Assembly Government.
  32. (2004). Food and Health in Europe: A New Basis for Action. WHO Regional doi
  33. (2003). Food and poverty in Britain: Rights and responsibilities. doi
  34. (2002). Food deserts in British cities: policy context and research priorities. doi
  35. (2002). Food deserts’: evidence and assumption in health policy making. doi
  36. (2002). Food insecurity among refugee families in East London: results of a pilot assessment. doi
  37. (2003). Food insecurity and low income in an English inner city. doi
  38. (2005). Food policy and regeneration: food for thought. Local Work: Voice,
  39. (2007). Food projects in London: Lessons for policy and practice. doi
  40. (2008). Food Standards Agency doi
  41. (2003). Food Standards Agency and Welsh Assembly Government
  42. (2007). Food, Environment and Rural Affairs doi
  43. (1999). Food, health and eating among single homeless and marginalized people in London. doi
  44. (2007). Foresight. Tackling Obesities: Future Choices – Summary of Key Messages. London: Department for Innovation, Universities and Skills; available at http://www.foresight.gov.uk/Obesity/obesity_ final/20.pdf
  45. (2008). Foundation doi
  46. (2006). Greening Supermarkets: How Supermarkets Can Help Make Green Shopping Easier. London: National Consumer Council.
  47. (2005). Health Action Zones: Partnerships for Equity. doi
  48. (2004). Health Inequalities: Concepts, Frameworks and Policy. London: Health Development Agency.
  49. (2004). Health Inequality: An Introduction to Theories, Concepts and Methods. doi
  50. (2005). Health Promotion Agency doi
  51. (2008). Healthy Food for All doi
  52. (2008). Homeless mothers and their children: The experience of two generations at nutritional risk in the UK.
  53. (1999). Households below average income.
  54. (2007). Hwang V & members of the Nutrition Group, School Meals Review Panel, Department for Education and Skills doi
  55. (1999). Improving Shopping Access. Policy Action Team Report 13. London: Department of Health.
  56. (2000). Income inequality and mortality: importance to health of individual income, psychosocial environment and material conditions. doi
  57. (2004). Income.
  58. (2004). Inconvenience Food: The Struggle to Eat Well on a Low Income. London: Demos; available at http://www.demos. co.uk/publications/inconveniencefood
  59. (1998). Independent Inquiry into Inequalities in Health. London: Department of Health. doi
  60. (2001). Inequalities in diet and physical activity in Europe. doi
  61. (2007). Inequalities in food and nutrition: challenging ‘lifestyles’. doi
  62. (2007). Inequalities in pregnancy and early years and the impact across the lifecourse: progress and future challenges. doi
  63. (2008). Institute and Joseph Rowntree Foundation doi
  64. (2006). Interventions for promoting the initiation of breastfeeding. The Cochrane Database of Systematic Reviews doi
  65. (2005). Large scale food retailing as an intervention for diet and health: quasi-experimental evaluation of a natural experiment. doi
  66. (2003). Life in Low Income Families in
  67. (2003). Local food projects – the new philanthropy? doi
  68. (1997). Local Living Costs, London: Policy Studies Institute; summary available at http://www. jrf.org.uk/knowledge/findings/socialpolicy/pdf/sp123.pdf
  69. (1998). Low Cost but Acceptable: A Minimum Income Standard for the UK.
  70. (2003). Low income consumers’ attitudes and behaviours towards access, affordability and motivation to eat fruit and vegetables. doi
  71. (2007). Low Income Diet and Nutrition Survey.
  72. (2007). Low Income Diet and Nutrition Survey. Summary of Key Findings. London: The Stationery Office.
  73. (1996). Low Income, Food, Nutrition and Health: Strategies for Improvement. A Report from the Low Income Project Team to the Nutrition Task Force. London: Department of Health.
  74. (2000). Mapping access to food in a deprived area: the development of price and availability indices. doi
  75. (2007). Mid-term Evaluation of Food and Wellbeing Wales. Cardiff: Food Standards Agency Wales; available at http://www.food.gov.uk/multimedia/pdfs/fwbsummaryenglish. pdf
  76. (2005). Minimum Income for Health Living: Older People. London: Age Concern England. doi
  77. (2007). Monitoring poverty and social exclusion doi
  78. (1998). National Diet and Nutrition Survey People Aged 65 Years and Over. doi
  79. (1995). National Diet and Nutrition Survey: Children Aged 1.5 to 4.5 Years.
  80. (2000). National Diet and Nutrition Survey: Young People Aged 4–18 Years. doi
  81. (2004). Nutrition and Health Toolkit, London: National Heart Forum; available at www.heartforum.org.uk/Publications_NHFreports_Nutrition Toolkit.aspx
  82. (1997). Nutrition and poverty in Europe: an overview. doi
  83. (2007). Nutrition interventions in women in low-income groups in the UK. doi
  84. (2004). Obesity.
  85. (2008). of Health and Clinical Excellence doi
  86. (2005). On Track. doi
  87. (2005). Overweight and obesity trends from 1974–2003 in English children: what is the role of socio-economic factors? doi
  88. (2006). Peer support for breastfeeding in the UK.
  89. (2003). Persistent income poverty and deprivation in the European Union: An analysis of the first three waves of the European Community Household Panel. doi
  90. (2008). Persistent low income. doi
  91. (2007). Planning for health: generation, regeneration and food in Sandwell. doi
  92. (2006). Policy Options for Responding to Obesity: Evaluation the Options. doi
  93. (2004). Poverty and obesity: the role of energy density and energy costs.
  94. (2000). Poverty and Social Exclusion in Britain. York: Joseph Rowntree Foundation; available at http://www.jrf.org.uk/bookshop/ eBooks/185935128X.pdf
  95. (2001). Poverty Bites: Food, Health and Poor Families. London: Child Poverty Action Group. doi
  96. (1999). Poverty First Hand: Poor People Speak for Themselves. London: Child Poverty Action Group.
  97. (2007). Poverty: the facts. doi
  98. (1998). Purse or Wallet? Gender Inequalities and Income Distribution within Families on Benefits. London: Policy Studies Institute; summary findings available at http://www.jrf.org.uk/knowledge/findings/socialpolicy/spr468.asp
  99. (2005). Putting Food Access on the Radar: How to Target and Prioritise Communities at Risk. London: National Consumer Council.
  100. (2004). Recipe for Change: A Good Practice Guide to School Meals. London: Child Poverty Action Group.
  101. (2008). Reconnecting Consumers, Producers andFood:ExploringAlternatives.Oxford:Berg(InthePress).
  102. (2006). Research into Food Poverty and Homelessness in Northern Ireland: Final Report. Belfast: Food Standards Agency.
  103. (2006). Review of the Scottish Diet Action Plan: Progress and Impacts 1996–2005. Edinburgh: NHS Health Scotland; available at www. healthscotland.com/understanding/evaluation/policyreviews/review-diet-action.aspx
  104. Save the Children (2007) Robbing Peter to Pay Paul: How Limited Access to Affordable Credit Hurts Children Living in Poverty. Briefing. London: Save the Children; available at http://www.savethechildren.org.uk/en/docs/robbing-peter.
  105. (1999). Saving Lives: Our Healthier Nation. London: The Stationery Office. doi
  106. (2006). School food and the public domain: The politics of the public plate. doi
  107. (2008). School Food Trust: doi
  108. (1998). Scoping Study for a Proposed Survey of Diet and Nutritional Status in Low-income Households. Report to Ministry of Agriculture, Fisheries and Food, Joint Food Standards and Safety Group.
  109. (2002). Sex differences in the association of socioeconomic status with obesity. doi
  110. (2004). Social capital is associated with decreased risk of hunger. doi
  111. (1997). Social capital, income inequality and mortality. doi
  112. (2003). Social capital.
  113. (1997). Socio-economic differentials in health: the role of nutrition. doi
  114. (1997). Socioeconomic determinants of health: Health inequalities: relative or absolute material standards? doi
  115. (2004). Summary Report. London: The Stationery Office.
  116. (2000). Survey of the Health and Well-being of Homeless People in Glasgow. London: Office of National Statistics. doi
  117. (1997). The contribution of nutrition to inequalities in health. doi
  118. (2005). The links between women’s and children’s poverty, doi
  119. (2005). The National School Fruit Scheme produces short-term but not longer-term increases in fruit consumption in primary school children. doi
  120. (2008). The poverty site. doi
  121. (1994). The Scottish Office doi
  122. (2007). The transformation of food consumption.
  123. (2007). Unequal Lives: Health and Socioceonomic Inequalities.
  124. (2003). Unjust des(s)erts: food retailing and neighbourhood health in Sandwell. doi
  125. (2003). Water rates to ‘rise regionally’.
  126. (1996). What do homeless people eat and can Crisis FareShare help improve their diet? doi
  127. (2006). What Will it Take to End Child Poverty?
  128. (2005). Wider income gaps, wider waistbands? An ecological study of obesity and income inequality. doi
  129. (2008). Winners and losers in the energy bill lottery.

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