Dan Liu
Effects of local authority expenditure on childhood obesity
Liu, Dan; Mason, Anne; Marks, Linda; Davis, Howard; Hunter, David J; Jehu, Llinos Mary; Smithson, Joanne; Visram, Shelina
Authors
Anne Mason
Linda Marks
Howard Davis
David J Hunter
Llinos Mary Jehu
Joanne Smithson
Shelina Visram
Abstract
Background: Under 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. Methods: We 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. Results: With 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. Conclusions: Higher levels of local expenditure are unlikely to be effective in reducing childhood obesity in the short term.
Citation
Liu, D., Mason, A., Marks, L., Davis, H., Hunter, D. J., Jehu, L. M., …Visram, S. (2019). Effects of local authority expenditure on childhood obesity. European Journal of Public Health, 29(4), 785-790. https://doi.org/10.1093/eurpub/cky252
Journal Article Type | Article |
---|---|
Online Publication Date | Dec 7, 2018 |
Publication Date | Aug 31, 2019 |
Deposit Date | Aug 29, 2019 |
Publicly Available Date | Aug 29, 2019 |
Journal | European Journal of Public Health |
Print ISSN | 1101-1262 |
Electronic ISSN | 1464-360X |
Publisher | Oxford University Press |
Peer Reviewed | Peer Reviewed |
Volume | 29 |
Issue | 4 |
Pages | 785-790 |
DOI | https://doi.org/10.1093/eurpub/cky252 |
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Copyright Statement
© The Author(s) 2018. Published by Oxford University Press on behalf of the European Public Health Association.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
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