Outcomes

Health inequalities are defined as “differences in health status between individuals or groups, as measured by for example life expectancy, mortality or disease”. Both individual behaviour as environmental determinants are important factors, and indicative for the health gap.

What are the differences in behaviour between the low and the high education group, and how do the indicators of that behaviour evolve after targeted interventions?

Belgium

  • Baseline
  • Impact
  • Sustainability
Indicators of the gap in health-related behaviours between low and high socio-economic groups.  

Drinks

Physical
activity

Bulgaria

  • Baseline
  • Impact
  • Sustainability
Indicators of the gap in health-related behaviours between low and high socio-economic groups.  

Drinks

Physical
activity

France

  • Baseline
  • Impact
  • Sustainability
Indicators of the gap in health-related behaviours between low and high socio-economic groups.  

Drinks

Physical
activity

Greece

  • Baseline
  • Impact
  • Sustainability
Indicators of the gap in health-related behaviours between low and high socio-economic groups.  

Physical
activity

Netherlands

  • Baseline
  • Impact
  • Sustainability
Indicators of the gap in health-related behaviours between low and high socio-economic groups.  

Fruits &
vegetables

Drinks

Sleep

Portugal

  • Baseline
  • Impact
  • Sustainability
Indicators of the gap in health-related behaviours between low and high socio-economic groups.  

Fruits &
vegetables

Drinks

Physical
activity

Romania

  • Baseline
  • Impact
  • Sustainability
Indicators of the gap in health-related behaviours between low and high socio-economic groups.  

Fruits &
vegetables

Drinks

Physical
activity
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Outcomes - Facts

Why is there a difference in behaviour between the low and the high education group, and how do these determinants of the social and physical environment of the child evolve after targeted interventions?

Belgium

  Determinants of the inequity gap per behaviour.  
  Baseline Impact: evolution Sustainability

Dietery
intake
Fruit consumption
  • Availability of fruit at home
   

Fluid
intake
Fruit juices consumption
  • Parental allowing for consuming fruit juices
 

Screen
exposure
TV exposure
  • TV available in child’s bedroom
  • Having TV on during mealtime
  • Monitoring the time the child watches
  • TV Parents watching TV together with the child
PC exposure
  • Child nagging when computer playing is forbidden
  • Parents playing computer games/using computer together with the child
   

Bulgaria

  Determinants of the inequity gap per behaviour.  
  Baseline Impact: evolution Sustainability

Dietery
intake
Fruit consumption
  • Allowing fruit consumption
   

Fluid
intake
Soft drinks consumption
  • Availability of softdrinks at home
   

Screen
exposure
TV exposure
  • TV available in child’s bedroom
   
PC exposure
  • Child nagging when computer playing is forbidden
  • Parents playing computer games/using computer together with the child
   

France

  Determinants of the inequity gap per behaviour.  
  Baseline Impact: evolution Sustainability

Fluid
intake
Fruit juices consumption
  • Child nagging when drinking fruit juices is forbidden
  • Parental efficacy to retain rules related to child’s intake
   
Soft drinks consumption
  • Child nagging when drinking soft drinks is forbidden
 

Screen
exposure
TV exposure
  • Negotiate for allowed time to watch TV
  • Parents watching TV together with the child
 
PC exposure
  • Child nagging when computer playing is forbidden
   

Greece

  Determinants of the inequity gap per behaviour.  
  Baseline Impact: evolution Sustainability

Dietery
intake
Fruit consumption
  • Habit to eat fruit every day
   
Vegetable consumption
  • Parental knowledge on vegetable recommendations
   

Fluid
intake
Fruit juices consumption
  • Negotiating about the amount of fruit juices the child is allowed to drink
 

Screen
exposure
TV exposure
  • Having TV on during mealtime
  • Parental efficacy to forbid TV watching

Netherlands

  Determinants of the inequity gap per behaviour.  
  Baseline Impact: evolution Sustainability

Dietery
intake
Fruit consumption
  • Parental demand for fruit consumption
   
Vegetable consumption
  • Facilitating vegetable consumption
  • Habit to eat vegetables every day
   

Fluid
intake
Fruit juices consumption
  • Parental efficacy to forbid fruit juices consumption
  • Giving fruit juices as reward or to comfort the child
  • Child nagging when fruit juices consumption is forbidden
   

Screen
exposure
TV exposure
  • TV available in child’s bedroom
  • Monitoring the time child is watching TV
  • Parental allowance for TV watching
  • Avoid watching TV in presence of the child
   
PC exposure
  • Negotiate about the allowed time of computer playing
  • Parent avoiding to use computer/playing computer games in presence of the child

Portugal

  Determinants of the inequity gap per behaviour.  
  Baseline Impact: evolution Sustainability

Dietery
intake
Fruit consumption
  • Fruit availability at home
  • Eat fruit together with the child
   
Vegetable consumption
  • Parental knowledge on vegetable recommendations
  • Parental allowance to eat vegetables
  • Facilitating vegetable consumption
  • Vegetable availability at home
   

Fluid
intake
Fruit juices consumption
  • Giving fruit juices as reward or to comfort child
Soft drinks consumption
  • Communicating health belief regarding soft drinks consumption
  • Availability of soft drinks at home
  • Drinking soft drinks together with the child
  • Child nagging when drinking soft drinks is forbidden

Screen
exposure
TV exposure
  • Parental allowance for TV watching
  • Reward child by allowing TV watching
  • Child nagging for TV
  • TV available in child’s bedroom
  • Having TV on during mealtime
 

Romania

  Determinants of the inequity gap per behaviour.  
  Baseline Impact: evolution Sustainability

Dietery
intake
Fruit consumption
  • Facilitating fruit consumption
  • Fruit availability at home
   
Vegetable consumption
  • Vegetable facilitation
  • Vegetable availability at home
   

Fluid
intake
Fruit juices consumption
  • Monitoring child’s fruit juice consumption
  • Parental efficacy to forbid fruit juices consumption
   
Soft drinks consumption
  • Parental allowance for soft drinks consumption
  • Avoid drinking soft drinks in presence of child
  • Drinking soft drinks together with child
  • Soft drinks availability at home
 

Screen
exposure
TV exposure
  • Watching TV together with the child
  • TV available in child’s bedroom
  • Parental allowance for TV watching
  • Negotiating for the time allowed to watch TV
 
PC exposure
  • Negotiating for the time allowed to use the computer/play computer games
   
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Still curious?

For the detailed achievements of the EPHE project, read the EPHE Book.

With the first sustainable changes in energy-balance related behaviour, EPHE sends a positive signal for the community-based approach in addressing childhood obesity in all populations.

Dr. Jean-Michel Borys,
founder of the EPODE methodology