Martin White | University of Cambridge (original) (raw)
Papers by Martin White
Canadian journal of public health = Revue canadienne de santé publique
Television is, arguably, the most influential mass medium and "prime time" viewing attr... more Television is, arguably, the most influential mass medium and "prime time" viewing attracts the largest audiences. To assess the type, number and nutritional content of foods advertised on TV, commercial breaks during "prime time" (7:00 to 11:00 p.m.) on five Canadian channels (CBC-English, CBC-French, CTV, CFPL, Much Music) were recorded and analyzed. A similar analysis of Saturday morning children's TV commercials was also performed. Commercials for foods and food products constituted between 24-35% of all commercials, the largest advertising output for any group of products. The combination of food presented in commercials reflected average current consumption patterns. Of special concern was the emphasis on low nutrition beverages, especially beer, as well as snacks and candy on Much Music. While further government intervention to restrict advertising practices may be an impractical option, there is scope for increasing the alternative promotion of health...
This article presents findings from a survey and interviews undertaken as part of a study whose p... more This article presents findings from a survey and interviews undertaken as part of a study whose purpose was to explore the appropriateness and accessibility of activities intended to alleviate social isolation and loneliness among older people. The findings suggest that access to services and activities targeting social isolation and loneliness among older people is variable. Activities were often not tailored
Journal of Substance Use, 2004
Aim To obtain a consensus of expert views on how best to implement screening and brief interventi... more Aim To obtain a consensus of expert views on how best to implement screening and brief intervention (SBI) for excessive drinkers in a routine and enduring fashion in primary health care throughout England. Method A Delphi survey of expert opinion in the UK. Participants Seventy-nine experts in SBI, of whom 53 (67%) remained in round 3 of the survey. The expert panel included primary health-care professionals, alcohol-service workers and researchers/academics. Measurements In round 3, 53 panel members (67% of an initial ...
Internet Journal of Public Health Education, 1999
Http Dx Doi Org 10 1080 13557850500159973, Jan 19, 2007
Jobs with high levels of demand and low levels of control have been linked to the risk of coronar... more Jobs with high levels of demand and low levels of control have been linked to the risk of coronary heart disease (CHD). Limited evidence is available about the contribution of job characteristics to the increased risk of CHD in UK South Asian people. We aimed to describe psychosocial work characteristics in South Asian compared with European people. Cross-sectional study in Newcastle upon Tyne, UK, using self-reported measures of job demand, decision latitude, skill utilisation and social support at work in an age and sex stratified representative population sample of 652 adults of European (391) and South Asian (261) ethnic origin. Compared to European people, fewer South Asian men (57% vs 47%) but more South Asian women (22% vs 48%) were employed. South Asian people were more likely than European people to be self-employed (33% vs 7% among men). Employed South Asian people were better educated and had higher income than European people. Compared to European men, more South Asian men had high job control (42% vs 35%) but similar proportions had high job demand (42% vs 41%). Fewer South Asian men had jobs that allowed a high use of skill, but more had high decision latitude. These differences were partly explained by higher rates of self-employment among South Asian people. South Asian people were more likely to be in low demand/high control jobs, while European people occupied a wider range of jobs, in low control and in high demand/high control occupations. More detailed sub-group analyses were not reliable because of small numbers. In a representative population sample the overall balance of job demand and control was similar in South Asian and European people, though South Asian people tended to be in jobs characterised by low skill and high decision latitude. These findings do not support the suggestion that increased work strain contributes to the increased risk of CHD in UK South Asian people.
Journal of Epidemiology and Community Health 2010 Vol 64 Pp A57 Peer Reviewed Journal, 2010
Background: Television advertisements for less healthy foods are thought to contribute to overwei... more Background: Television advertisements for less healthy foods are thought to contribute to overweight and obesity in children. In the UK, new regulations on television food advertising to children came into effect in April 2007. These prohibit advertisements for ''less healthy'' foods during or around programmes ''of particular appeal to'' (OPAT) children. In Canada, self-regulated codes of practice on television food advertising to children were recently strengthened. Objective: To document the nutritional content of food advertised and number of advertisements OPAT children broadcast in the UK and central Canada before the introduction of the new UK regulations. Design: All food advertisements broadcast on four popular channels in Canada and the three terrestrial commercial channels in the UK during 1 week in 2006 were identified and linked to relevant nutritional data. Food advertisements OPAT children and for ''less healthy'' products were identified using the criteria in the UK regulations. Results: 2315 food related advertisements broadcast in Canada and 1365 broadcast in the UK were included. 52-61% were for ''less healthy'' products; 5-11% were OPAT children. Around 5% of food advertisements would have been prohibited under the new UK regulations. There were few differences in the nutritional content of food described in advertisements that were and were not OPAT children. Conclusion: There was little evidence that food described in advertisements OPAT children were any less healthy than those that were not. Few food advertisements are likely to be prohibited by the new UK regulations.
BMC public health, Jan 15, 2015
The international journal of behavioral nutrition and physical activity, Jan 5, 2015
Poor cooking skills may be a barrier to healthy eating and a contributor to overweight and obesit... more Poor cooking skills may be a barrier to healthy eating and a contributor to overweight and obesity. Little population-representative data on adult cooking skills has been published. We explored prevalence and socio-demographic correlates of cooking skills among adult respondents to wave 1 of the UK National Diet and Nutrition Survey (2008-9). Socio-demographic variables of interest were sex, age group, occupational socio-economic group and whether or not respondents had the main responsibility for food in their households. Cooking skills were assessed as self-reported confidence in using eight cooking techniques, confidence in cooking ten foods, and ability to prepare four types of dish (convenience foods, a complete meal from ready-made ingredients, a main meal from basic ingredients, and cake or biscuits from basic ingredients). Frequency of preparation of main meals was also reported. Of 509 respondents, almost two-thirds reported cooking a main meal at least five times per week....
PLOS ONE, 2015
Lifespan and the proportion of older people in the population are increasing, with far reaching c... more Lifespan and the proportion of older people in the population are increasing, with far reaching consequences for the social, political and economic landscape. Unless accompanied by an increase in health span, increases in age-related diseases will increase the burden on health care resources. Intervention studies to enhance healthy ageing need appropriate outcome measures, such as blood-borne biomarkers, which are easily obtainable, cost-effective, and widely accepted. To date there have been no systematic reviews of blood-borne biomarkers of mortality. To conduct a systematic review to identify available blood-borne biomarkers of mortality that can be used to predict healthy ageing post-retirement. Four databases (Medline, Embase, Scopus, Web of Science) were searched. We included prospective cohort studies with a minimum of two years follow up and data available for participants with a mean age of 50 to 75 years at baseline. From a total of 11,555 studies identified in initial searches, 23 fulfilled the inclusion criteria. Fifty-one blood borne biomarkers potentially predictive of mortality risk were identified. In total, 20 biomarkers were associated with mortality risk. Meta-analyses of mortality risk showed significant associations with C-reactive protein (Hazard ratios for all-cause mortality 1.42, p<0.001; Cancer-mortality 1.62, p<0.009; CVD-mortality 1.31, p = 0.033), N Terminal-pro brain natriuretic peptide (Hazard ratios for all-cause mortality 1.43, p<0.001; CHD-mortality 1.58, p<0.001; CVD-mortality 1.67, p<0.001) and white blood cell count (Hazard ratios for all-cause mortality 1.36, p = 0.001). There was also evidence that brain natriuretic peptide, cholesterol fractions, erythrocyte sedimentation rate, fibrinogen, granulocytes, homocysteine, intercellular adhesion molecule-1, neutrophils, osteoprotegerin, procollagen type III aminoterminal peptide, serum uric acid, soluble urokinase plasminogen activator receptor, tissue inhibitor of metalloproteinases 1 and tumour necrosis factor receptor II may predict mortality risk. There was equivocal evidence for the utility of 14 biomarkers and no association with mortality risk for CD40 ligand, cortisol, dehydroepiandrosterone, ferritin, haemoglobin, interleukin-12, monocyte…
Social inequality and public health, 2009
Health inequalities between groups within populations defined by place of residence, race, ethnic... more Health inequalities between groups within populations defined by place of residence, race, ethnicity or culture, occupation, gender, religion, age, education, income or other measure of socioeconomic position (SEP) are widely observed (Marmot et al, 1978; Townsend and Davidson, 1982; Charlton and White, 1995) and, in many contexts, growing (Adams et al, 2006). Reducing health inequalities has become an important objective of governments worldwide (US Department of Health and Human Services, 2000; Department of Health, ...
The Gerontologist, 2015
Purpose of the Study: Good health and well-being in later life are central issues for public heal... more Purpose of the Study: Good health and well-being in later life are central issues for public health. Retirement presents an opportunity to intervene to improve health and well-being, as individuals may adjust associated lifestyle behaviors. However, there is little evidence about how well-being is experienced in the context of increasingly diverse retirement transitions. Our objectives were to explore (a) views on health and well-being through retirement transitions and (b) acceptability of intervening in this period. Design and Methods: Qualitative study involving 48 workers/retirees, aged 53-77 years of diverse socioeconomic status, were recruited from urban and rural areas in North East England. Data were collected iteratively through focus groups (n = 6), individual interviews (n = 13), interviews with couples (n = 4), using the constant comparative method. Analysis was informed by theories of the Third Age and Sen's capabilities approach. Results: Diverse retirement transitions were shaped by unanticipated events. Central to well-being was the "capability" to utilize resources to achieve desirable outcomes. Participants rejected a "later life" identity, associating it with decline, and an uncertain future. Implications: Lifestyle interventions that address challenges within the retirement transition may be acceptable. Inducements to change behavior based on possible long-term outcomes may be less appealing. Providing assistance to use resources to address personal goals may be central to effective interventions.
BMC Public Health, 2015
Background: Interventions to promote healthy eating make a potentially powerful contribution to t... more Background: Interventions to promote healthy eating make a potentially powerful contribution to the primary prevention of non communicable diseases. It is not known whether healthy eating interventions are equally effective among all sections of the population, nor whether they narrow or widen the health gap between rich and poor. We undertook a systematic review of interventions to promote healthy eating to identify whether impacts differ by socioeconomic position (SEP). Methods: We searched five bibliographic databases using a pre-piloted search strategy. Retrieved articles were screened independently by two reviewers. Healthier diets were defined as the reduced intake of salt, sugar, trans-fats, saturated fat, total fat, or total calories, or increased consumption of fruit, vegetables and wholegrain. Studies were only included if quantitative results were presented by a measure of SEP. Extracted data were categorised with a modified version of the "4Ps" marketing mix, expanded to 6 "Ps": "Price, Place, Product, Prescriptive, Promotion, and Person". Results: Our search identified 31,887 articles. Following screening, 36 studies were included: 18 "Price" interventions, 6 "Place" interventions, 1 "Product" intervention, zero "Prescriptive" interventions, 4 "Promotion" interventions, and 18 "Person" interventions. "Price" interventions were most effective in groups with lower SEP, and may therefore appear likely to reduce inequalities. All interventions that combined taxes and subsidies consistently decreased inequalities. Conversely, interventions categorised as "Person" had a greater impact with increasing SEP, and may therefore appear likely to reduce inequalities. All four dietary counselling interventions appear likely to widen inequalities. We did not find any "Prescriptive" interventions and only one "Product" intervention that presented differential results and had no impact by SEP. More "Place" interventions were identified and none of these interventions were judged as likely to widen inequalities.
International Journal of Behavioral Nutrition and Physical Activity, 2015
Background: Food prepared out-of-home tends to be less healthful than food prepared at home, with... more Background: Food prepared out-of-home tends to be less healthful than food prepared at home, with a positive association between frequency of consumption and both fat intake and body fatness. There is little current data on who eats out-of-home food. We explored frequency and socio-demographic correlates of eating meals out and take-away meals at home, using data from a large, UK, population representative study. Methods: Data were from waves 1-4 of the UK National Diet and Nutrition Survey . Socio-demographic variables of interest were gender, age group, and socio-economic position. Self-reported frequency of consuming meals out and take-away meals at home was categorised as: less than once per week and once per week or more. Analyses were performed separately for adults (aged 18 years or older) and children.
Journal of Epidemiology & Community Health, 2014
BMJ open, Jan 8, 2014
Type 2 diabetes (T2D) is a debilitating disease, highly prevalent in UK South Asians, and prevent... more Type 2 diabetes (T2D) is a debilitating disease, highly prevalent in UK South Asians, and preventable by lifestyle intervention. The 'New life, New you' (NLNY) physical activity (PA) and dietary intervention for T2D prevention was culturally adapted to better engage minority ethnic populations and tested for feasibility. To investigate Pakistani female participants' perspectives of their behaviour change and of salient intervention features. A community-based 8-week programme of group delivered PA sessions with behavioural counselling and dietary advice, culturally adapted for ethnic minority populations, in an area of socioeconomic deprivation. Participants to NLNY were recruited through screening events in community venues across the town. Interviews were conducted with 20 Pakistani female NLNY participants, aged 26-45 (mean 33.5) years, from different parts of town. Within the a priori Theoretical Domains Framework (intentions and goals, reinforcement, knowledge, natu...
Canadian journal of public health = Revue canadienne de santé publique
Television is, arguably, the most influential mass medium and "prime time" viewing attr... more Television is, arguably, the most influential mass medium and "prime time" viewing attracts the largest audiences. To assess the type, number and nutritional content of foods advertised on TV, commercial breaks during "prime time" (7:00 to 11:00 p.m.) on five Canadian channels (CBC-English, CBC-French, CTV, CFPL, Much Music) were recorded and analyzed. A similar analysis of Saturday morning children's TV commercials was also performed. Commercials for foods and food products constituted between 24-35% of all commercials, the largest advertising output for any group of products. The combination of food presented in commercials reflected average current consumption patterns. Of special concern was the emphasis on low nutrition beverages, especially beer, as well as snacks and candy on Much Music. While further government intervention to restrict advertising practices may be an impractical option, there is scope for increasing the alternative promotion of health...
This article presents findings from a survey and interviews undertaken as part of a study whose p... more This article presents findings from a survey and interviews undertaken as part of a study whose purpose was to explore the appropriateness and accessibility of activities intended to alleviate social isolation and loneliness among older people. The findings suggest that access to services and activities targeting social isolation and loneliness among older people is variable. Activities were often not tailored
Journal of Substance Use, 2004
Aim To obtain a consensus of expert views on how best to implement screening and brief interventi... more Aim To obtain a consensus of expert views on how best to implement screening and brief intervention (SBI) for excessive drinkers in a routine and enduring fashion in primary health care throughout England. Method A Delphi survey of expert opinion in the UK. Participants Seventy-nine experts in SBI, of whom 53 (67%) remained in round 3 of the survey. The expert panel included primary health-care professionals, alcohol-service workers and researchers/academics. Measurements In round 3, 53 panel members (67% of an initial ...
Internet Journal of Public Health Education, 1999
Http Dx Doi Org 10 1080 13557850500159973, Jan 19, 2007
Jobs with high levels of demand and low levels of control have been linked to the risk of coronar... more Jobs with high levels of demand and low levels of control have been linked to the risk of coronary heart disease (CHD). Limited evidence is available about the contribution of job characteristics to the increased risk of CHD in UK South Asian people. We aimed to describe psychosocial work characteristics in South Asian compared with European people. Cross-sectional study in Newcastle upon Tyne, UK, using self-reported measures of job demand, decision latitude, skill utilisation and social support at work in an age and sex stratified representative population sample of 652 adults of European (391) and South Asian (261) ethnic origin. Compared to European people, fewer South Asian men (57% vs 47%) but more South Asian women (22% vs 48%) were employed. South Asian people were more likely than European people to be self-employed (33% vs 7% among men). Employed South Asian people were better educated and had higher income than European people. Compared to European men, more South Asian men had high job control (42% vs 35%) but similar proportions had high job demand (42% vs 41%). Fewer South Asian men had jobs that allowed a high use of skill, but more had high decision latitude. These differences were partly explained by higher rates of self-employment among South Asian people. South Asian people were more likely to be in low demand/high control jobs, while European people occupied a wider range of jobs, in low control and in high demand/high control occupations. More detailed sub-group analyses were not reliable because of small numbers. In a representative population sample the overall balance of job demand and control was similar in South Asian and European people, though South Asian people tended to be in jobs characterised by low skill and high decision latitude. These findings do not support the suggestion that increased work strain contributes to the increased risk of CHD in UK South Asian people.
Journal of Epidemiology and Community Health 2010 Vol 64 Pp A57 Peer Reviewed Journal, 2010
Background: Television advertisements for less healthy foods are thought to contribute to overwei... more Background: Television advertisements for less healthy foods are thought to contribute to overweight and obesity in children. In the UK, new regulations on television food advertising to children came into effect in April 2007. These prohibit advertisements for ''less healthy'' foods during or around programmes ''of particular appeal to'' (OPAT) children. In Canada, self-regulated codes of practice on television food advertising to children were recently strengthened. Objective: To document the nutritional content of food advertised and number of advertisements OPAT children broadcast in the UK and central Canada before the introduction of the new UK regulations. Design: All food advertisements broadcast on four popular channels in Canada and the three terrestrial commercial channels in the UK during 1 week in 2006 were identified and linked to relevant nutritional data. Food advertisements OPAT children and for ''less healthy'' products were identified using the criteria in the UK regulations. Results: 2315 food related advertisements broadcast in Canada and 1365 broadcast in the UK were included. 52-61% were for ''less healthy'' products; 5-11% were OPAT children. Around 5% of food advertisements would have been prohibited under the new UK regulations. There were few differences in the nutritional content of food described in advertisements that were and were not OPAT children. Conclusion: There was little evidence that food described in advertisements OPAT children were any less healthy than those that were not. Few food advertisements are likely to be prohibited by the new UK regulations.
BMC public health, Jan 15, 2015
The international journal of behavioral nutrition and physical activity, Jan 5, 2015
Poor cooking skills may be a barrier to healthy eating and a contributor to overweight and obesit... more Poor cooking skills may be a barrier to healthy eating and a contributor to overweight and obesity. Little population-representative data on adult cooking skills has been published. We explored prevalence and socio-demographic correlates of cooking skills among adult respondents to wave 1 of the UK National Diet and Nutrition Survey (2008-9). Socio-demographic variables of interest were sex, age group, occupational socio-economic group and whether or not respondents had the main responsibility for food in their households. Cooking skills were assessed as self-reported confidence in using eight cooking techniques, confidence in cooking ten foods, and ability to prepare four types of dish (convenience foods, a complete meal from ready-made ingredients, a main meal from basic ingredients, and cake or biscuits from basic ingredients). Frequency of preparation of main meals was also reported. Of 509 respondents, almost two-thirds reported cooking a main meal at least five times per week....
PLOS ONE, 2015
Lifespan and the proportion of older people in the population are increasing, with far reaching c... more Lifespan and the proportion of older people in the population are increasing, with far reaching consequences for the social, political and economic landscape. Unless accompanied by an increase in health span, increases in age-related diseases will increase the burden on health care resources. Intervention studies to enhance healthy ageing need appropriate outcome measures, such as blood-borne biomarkers, which are easily obtainable, cost-effective, and widely accepted. To date there have been no systematic reviews of blood-borne biomarkers of mortality. To conduct a systematic review to identify available blood-borne biomarkers of mortality that can be used to predict healthy ageing post-retirement. Four databases (Medline, Embase, Scopus, Web of Science) were searched. We included prospective cohort studies with a minimum of two years follow up and data available for participants with a mean age of 50 to 75 years at baseline. From a total of 11,555 studies identified in initial searches, 23 fulfilled the inclusion criteria. Fifty-one blood borne biomarkers potentially predictive of mortality risk were identified. In total, 20 biomarkers were associated with mortality risk. Meta-analyses of mortality risk showed significant associations with C-reactive protein (Hazard ratios for all-cause mortality 1.42, p<0.001; Cancer-mortality 1.62, p<0.009; CVD-mortality 1.31, p = 0.033), N Terminal-pro brain natriuretic peptide (Hazard ratios for all-cause mortality 1.43, p<0.001; CHD-mortality 1.58, p<0.001; CVD-mortality 1.67, p<0.001) and white blood cell count (Hazard ratios for all-cause mortality 1.36, p = 0.001). There was also evidence that brain natriuretic peptide, cholesterol fractions, erythrocyte sedimentation rate, fibrinogen, granulocytes, homocysteine, intercellular adhesion molecule-1, neutrophils, osteoprotegerin, procollagen type III aminoterminal peptide, serum uric acid, soluble urokinase plasminogen activator receptor, tissue inhibitor of metalloproteinases 1 and tumour necrosis factor receptor II may predict mortality risk. There was equivocal evidence for the utility of 14 biomarkers and no association with mortality risk for CD40 ligand, cortisol, dehydroepiandrosterone, ferritin, haemoglobin, interleukin-12, monocyte…
Social inequality and public health, 2009
Health inequalities between groups within populations defined by place of residence, race, ethnic... more Health inequalities between groups within populations defined by place of residence, race, ethnicity or culture, occupation, gender, religion, age, education, income or other measure of socioeconomic position (SEP) are widely observed (Marmot et al, 1978; Townsend and Davidson, 1982; Charlton and White, 1995) and, in many contexts, growing (Adams et al, 2006). Reducing health inequalities has become an important objective of governments worldwide (US Department of Health and Human Services, 2000; Department of Health, ...
The Gerontologist, 2015
Purpose of the Study: Good health and well-being in later life are central issues for public heal... more Purpose of the Study: Good health and well-being in later life are central issues for public health. Retirement presents an opportunity to intervene to improve health and well-being, as individuals may adjust associated lifestyle behaviors. However, there is little evidence about how well-being is experienced in the context of increasingly diverse retirement transitions. Our objectives were to explore (a) views on health and well-being through retirement transitions and (b) acceptability of intervening in this period. Design and Methods: Qualitative study involving 48 workers/retirees, aged 53-77 years of diverse socioeconomic status, were recruited from urban and rural areas in North East England. Data were collected iteratively through focus groups (n = 6), individual interviews (n = 13), interviews with couples (n = 4), using the constant comparative method. Analysis was informed by theories of the Third Age and Sen's capabilities approach. Results: Diverse retirement transitions were shaped by unanticipated events. Central to well-being was the "capability" to utilize resources to achieve desirable outcomes. Participants rejected a "later life" identity, associating it with decline, and an uncertain future. Implications: Lifestyle interventions that address challenges within the retirement transition may be acceptable. Inducements to change behavior based on possible long-term outcomes may be less appealing. Providing assistance to use resources to address personal goals may be central to effective interventions.
BMC Public Health, 2015
Background: Interventions to promote healthy eating make a potentially powerful contribution to t... more Background: Interventions to promote healthy eating make a potentially powerful contribution to the primary prevention of non communicable diseases. It is not known whether healthy eating interventions are equally effective among all sections of the population, nor whether they narrow or widen the health gap between rich and poor. We undertook a systematic review of interventions to promote healthy eating to identify whether impacts differ by socioeconomic position (SEP). Methods: We searched five bibliographic databases using a pre-piloted search strategy. Retrieved articles were screened independently by two reviewers. Healthier diets were defined as the reduced intake of salt, sugar, trans-fats, saturated fat, total fat, or total calories, or increased consumption of fruit, vegetables and wholegrain. Studies were only included if quantitative results were presented by a measure of SEP. Extracted data were categorised with a modified version of the "4Ps" marketing mix, expanded to 6 "Ps": "Price, Place, Product, Prescriptive, Promotion, and Person". Results: Our search identified 31,887 articles. Following screening, 36 studies were included: 18 "Price" interventions, 6 "Place" interventions, 1 "Product" intervention, zero "Prescriptive" interventions, 4 "Promotion" interventions, and 18 "Person" interventions. "Price" interventions were most effective in groups with lower SEP, and may therefore appear likely to reduce inequalities. All interventions that combined taxes and subsidies consistently decreased inequalities. Conversely, interventions categorised as "Person" had a greater impact with increasing SEP, and may therefore appear likely to reduce inequalities. All four dietary counselling interventions appear likely to widen inequalities. We did not find any "Prescriptive" interventions and only one "Product" intervention that presented differential results and had no impact by SEP. More "Place" interventions were identified and none of these interventions were judged as likely to widen inequalities.
International Journal of Behavioral Nutrition and Physical Activity, 2015
Background: Food prepared out-of-home tends to be less healthful than food prepared at home, with... more Background: Food prepared out-of-home tends to be less healthful than food prepared at home, with a positive association between frequency of consumption and both fat intake and body fatness. There is little current data on who eats out-of-home food. We explored frequency and socio-demographic correlates of eating meals out and take-away meals at home, using data from a large, UK, population representative study. Methods: Data were from waves 1-4 of the UK National Diet and Nutrition Survey . Socio-demographic variables of interest were gender, age group, and socio-economic position. Self-reported frequency of consuming meals out and take-away meals at home was categorised as: less than once per week and once per week or more. Analyses were performed separately for adults (aged 18 years or older) and children.
Journal of Epidemiology & Community Health, 2014
BMJ open, Jan 8, 2014
Type 2 diabetes (T2D) is a debilitating disease, highly prevalent in UK South Asians, and prevent... more Type 2 diabetes (T2D) is a debilitating disease, highly prevalent in UK South Asians, and preventable by lifestyle intervention. The 'New life, New you' (NLNY) physical activity (PA) and dietary intervention for T2D prevention was culturally adapted to better engage minority ethnic populations and tested for feasibility. To investigate Pakistani female participants' perspectives of their behaviour change and of salient intervention features. A community-based 8-week programme of group delivered PA sessions with behavioural counselling and dietary advice, culturally adapted for ethnic minority populations, in an area of socioeconomic deprivation. Participants to NLNY were recruited through screening events in community venues across the town. Interviews were conducted with 20 Pakistani female NLNY participants, aged 26-45 (mean 33.5) years, from different parts of town. Within the a priori Theoretical Domains Framework (intentions and goals, reinforcement, knowledge, natu...