TABLE 3. Illustrations of proportionate unversalism and targeted universalism regarding achievement of SDG 3.4 (Specific example: reduction of overweight and obesity).
|
Richmond Health in all policies programme (65) |
PRALIMAP-INES study (64) |
---|---|---|
Level of application |
Local policy |
Health intervention with a national vocation |
Global description of the policy/intervention |
Implementation of six final HiAP intervention areas - Governance and Leadership, - Economic Development and Education, - Full Service and Safe Communities, - Neighborhood Built Environments, - Environmental Health and Justice, and - Quality and Accessible Health Homes and Social Services. |
1) Identification of social category through a deprivation score 2) Composition of three groups: - one control group (standard care management) for socially advantaged group - two randomized intervention groups among less-advantaged adolescents: one control group and one standard and strengthened care management |
Lever of action |
Upstream determinants |
Downstream determinants |
Objective pursued by authors |
“promoting healthy food store development ?through land-use zoning” (One specific objective ?of the 3rd axis) |
“Evaluate school-based intervention to address social inequalities in adolescents who are overweight and the impact of the interventions on adopting healthy behaviors, quality of life, anxiety and depression.” |
Targeted population |
Population of Richmond and especially from ?less-advantaged areas |
Adolescents from 35 state-run high and middle schools (North-Eastern of France) |
Universal part of the policy/intervention |
“General health equity goals for the city” |
Standard-care management (5 collective educational sessions) |
Targeted part of the policy/intervention |
Populations and places to help specific, currently vulnerable groups and neighbourhoods get healthier |
Strengthened-care management intending to address barriers was proposed for only socially less-advantaged adolescents: - 3 multidisciplinary (school medical doctors and nurses; dieticians, psychologists etc.) meetings; - combination of different targeted activities: food workshops, peer health promotion, sporting good coupon (40€), hospital specialized management of obesity, physical activity motivational interviewing and motivational interviewing. |
Evaluation of the level of disadvantage |
Through identification of key-drivers of ?inequalities |
Family affluence Scale (5 social categories) |
Evaluation criteria(on) of health improvement |
% Report eating fruit/veggies 3+ day last week ?% Adults engaged in regular physical activity in ?last week ?% Reporting poor health (self-reported health) |
Comparison of the BMI after intervention among three groups constituted according to Family Affluence Scale score |
HiAP, Health in all policies; BMI, body mass index