Evidence map›Paper›PMID 30535272›Full record

ArticleEuropean journal of public health2019

Effects of local authority expenditure on childhood obesity.

Dan Liu, Anne Mason, Linda Marks, Howard Davis, David J Hunter, Llinos Mary Jehu, Joanne Smithson, Shelina Visram

Open access · hybridAbstract read
In one paragraph

Article in European journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Dan LiuCentre for Health Economics, University of York, York, UK.
Anne MasonCentre for Health Economics, University of York, York, UK.
Linda MarksCentre for Public Policy and Health, School of Medicine, Pharmacy and Health, Durham University Queen's Campus, Stockton-on-Tees, UK.
Howard DavisCentre for Communities and Social Justice, Coventry University, Coventry, UK.
David J HunterInstitute of Health & Society, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
Llinos Mary JehuSchool of Social Policy, University of Birmingham, Edgbaston, Birmingham, UK.
Joanne SmithsonVoluntary Organisations' Network North East, MEA House, Ellison Place, Newcastle upon Tyne, UK.
Shelina VisramInstitute of Health & Society, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
Newcastle University · GBUniversity of York · GBCoventry University · GBDurham University · GBUniversity of Birmingham · GB

Funding

Medical Research Council MR/K02325X/1
6 · The paper itself

Abstract

backgroundUnder the 2013 reforms introduced by the Health and Social Care Act (2012), public health responsibilities in England were transferred from the National Health Service to local authorities (LAs). Ring-fenced grants were introduced to support the new responsibilities. The aim of our study was to test whether the level of expenditure in 2013/14 affected the prevalence of childhood obesity in 2016/17.

methodsWe used National Child Measurement Programme definitions of childhood obesity and datasets. We used LA revenue returns data to derive three measures of per capita expenditure: childhood obesity (<19); physical activity (<19) and the Children's 5-19 Public Health Programme. We ran separate negative binomial models for two age groups of children (4-5 year olds; 10-11 year olds) and conducted sensitivity analyses.

resultsWith few exceptions, the level of spend in 2013/14 was not significantly associated with the level of childhood obesity in 2016/17. We identified some positive associations between spend on physical activity and the Children's Public Health Programme at baseline (2013/14) and the level of childhood obesity in children aged 4-5 in 2016/17, but the effect was not evident in children aged 10-11. In both age groups, LA levels of childhood obesity in 2016/17 were significantly and positively associated with obesity levels in 2013/14. As these four cohorts comprise entirely different pupils, this underlines the importance of local drivers of childhood obesity.

conclusionsHigher levels of local expenditure are unlikely to be effective in reducing childhood obesity in the short term.

Indexed as

Local GovernmentChildChild, PreschoolCommunity Health ServicesEnglandFemaleHealth ExpendituresHumansMalePediatric ObesityPrevalence

Identifiers

PMID30535272
PMCPMC6660108
OpenAlexW2905164121

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.