Drivers of Healthy Start uptake across England and Liverpool

英格兰和利物浦推行“健康起步”的推动因素

• 批准号: 2886063
• 金额: --
• 依托单位: University of Liverpool
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2023
• 资助国家: 英国
• 起止时间: 2023 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2886063
• 关键词: Drivers; Healthy; Start; uptake; across

Recent data in the UK reveal a concerning increase in food insecurity, affecting 25% of households with children in September 2022, up from 10% in January 2021. This surge has disproportionately impacted households with children and may affect their access to fresh fruits and vegetables, as many low-income families struggle to afford these nutritious options. The Healthy Start (HS) program in England, offering financial assistance for the purchase of fruit, vegetables, and milk may be crucial for low-income families. However, its uptake remains relatively low. Lack of awareness of the programme and barriers to uptake have been identified. Feeding Liverpool conducted a pilot study in 2021 to understand the perspectives of HS beneficiaries, which suggested that families struggled to make applications. In response to low HS uptake rates, many local authorities and local food alliances have made the promotion of HS a central pillar of their public health and food strategies. However, the extent to which these promotion strategies have had an impact remains unexamined. Potential disparities in uptake have not been explored either, and significant variations in uptake rates can exist within city regions. A more comprehensive understanding of the local factors contributing to these variations is crucial.This project, in collaboration with Feeding Liverpool, seeks to investigate the drivers of HS uptake at the individual, area, and within-area levels. The methodology for this project takes a mixed methods approach, addressing four main research objectives:1. Investigate household and individual factors associated with HS voucher receipt, including food insecurity, English as a Second Language (ESL), time constraints and disability. 2. Analyse area-level factors affecting HS uptake across England, such as local spending, retail accessibility, and policy strategies.3. Examine ward-level uptake rates in Liverpool, linking quantitative data to qualitative case studies in selected areas.4. Explore facilitators and barriers to HS uptake through interviews with stakeholders and potential beneficiaries.The project's findings will be disseminated through three journal articles and a student-led report in collaboration with Feeding Liverpool. These insights are anticipated to inform local area strategies to promote the HS program, enabling them to target specific factors associated with lower uptake rates. This research will benefit not only Feeding Liverpool but also various local authorities focusing on HS uptake, with potential for wider dissemination through Feeding Liverpool's membership in the Feeding Britain network. Moreover, the project has the potential to enhance the quality of life for low-income families and their young children by facilitating better promotion and uptake of the HS program and improving access to nutritious foods.In summary, this project addresses the pressing issue of rising food insecurity in the UK, with a specific focus on Healthy Start program uptake. Its comprehensive approach, combining quantitative and qualitative methods, has the potential to drive evidence-based strategies to improve the uptake of this programme.

英国最近的数据显示，粮食不安全问题的加剧令人担忧，2022年9月，有孩子的家庭中有25%受到影响，高于2021年1月的10%。这种激增对有孩子的家庭造成了不成比例的影响，并可能影响他们获得新鲜水果和蔬菜的机会，因为许多低收入家庭难以负担这些有营养的选择。英国的健康开始(HS)计划，为购买水果、蔬菜和牛奶提供经济援助，可能对低收入家庭至关重要。然而，它的吸纳量仍然相对较低。人们对该方案缺乏认识，并发现了采用该方案的障碍。2021年，Flowing利物浦进行了一项试点研究，以了解HS受益者的观点，这表明家庭很难提出申请。针对HS使用率低的问题，许多地方当局和地方食品联盟已将推广HS作为其公共卫生和食品战略的中心支柱。然而，这些促进战略产生了多大程度的影响仍未得到检验。吸收方面的潜在差异也没有得到探索，城市地区之间的吸收速度可能存在显著差异。更全面地了解导致这些变化的当地因素至关重要。该项目与Feating利物浦合作，试图在个人、地区和区域层面上调查HS感染的驱动因素。本项目的方法采用混合方法方法，涉及四个主要研究目标：1.调查家庭和个人因素，包括粮食不安全、英语作为第二语言、时间限制和残疾。2.分析影响整个英格兰卫生服务采用率的地区因素，如当地支出、零售可及性和政策战略。检查利物浦的病房水平摄取率，将定量数据与选定地区的定性案例研究联系起来。通过与利益相关者和潜在受益者的访谈，探索促进者和阻碍HS应用的障碍。该项目的发现将通过三篇期刊文章和一份由学生主导的报告与Feed利物浦合作进行传播。这些洞察力预计将为促进HS计划的当地战略提供参考，使他们能够针对与较低接受率相关的特定因素。这项研究不仅将有益于为利物浦提供食物，而且还将有利于专注于HS吸收的各个地方当局，并有可能通过为利物浦的成员提供英国食物网络来进行更广泛的传播。此外，该项目有可能通过促进更好地推广和接受HS计划以及改善获得营养食品的机会来提高低收入家庭及其年幼子女的生活质量。总而言之，该项目解决了英国日益加剧的粮食不安全的紧迫问题，特别关注健康开始计划的吸收。它的综合方法，结合了定量和定性方法，有可能推动基于证据的战略，以改进对这一方案的理解。