@article{21899, keywords = {Adult, Female, Humans, Male, Middle Aged, Cross-Sectional Studies, Adolescent, China, Young Adult, Health Knowledge, Attitudes, Practice, Life Style, Health Promotion/ methods, Logistic Models, Dietary Fats, Sodium Chloride, Dietary}, author = {Wang J. and Chen C. and Shi X. and Kong L. and Feng X. and Zhang J. and Li N. and Li Y. and Yu S. and Seo D. and Liang X. and Astell-Burt T. and Zhao W. and Feng G. and Ren D. and Lv Y.}, title = {Multilevel evaluation of 'China Healthy Lifestyles for All', a nationwide initiative to promote lower intakes of salt and edible oil}, abstract = {
OBJECTIVE: To evaluate the impact of 'China Healthy Lifestyle for All' on levels of knowledge, taste and intentions to modify future consumption of salt and edible oil. METHODS: Between May and August 2012, a face-to-face survey carried out in all 31 provinces, autonomous regions, and municipalities in mainland China, achieved a 98.1% response. Intention-To-Treat analysis via multilevel logistic regression was used to examine differences in outcomes between 31,396 non-institutionalised individuals aged > 18 years from 31 'intervention' (i.e. participating) and 26 'control' (i.e. non-participating) counties respectively. RESULTS: Adjusting for socioeconomic confounders, participants in 'intervention' counties were more likely to know the limit of salt (Odds Ratio 3.14, 95% Confidence Interval (95% CI) 1.98, 4.96) and oil consumption (3.67, 95% CI 2.31, 5.82), and were more intent to modify their consumption (salt 1.98, 95% CI 1.41, 2.76; oil OR 1.99, 95% CI 1.41, 2.81) and to report a change in taste (salt 1.90, 95% CI 1.31, 2.75; oil 2.07, 95% CI 1.38, 3.10). 'Intervention' effects were consistent regardless of income or education, but women and older participants benefited disproportionately. Outcomes were 2.8 and 4.7 times more likely among those with better recall. CONCLUSION: Place-based health promotion interventions have an important role to play in addressing non-communicable disease in China.
}, year = {2014}, journal = {Preventive Medicine}, volume = {67}, edition = {2014/08/05}, pages = {210-5}, isbn = {1096-0260 (Electronic)