Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/98249
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Type: Journal article
Title: Health outcomes of a subsidised fruit and vegetable program for Aboriginal children in northern New South Wales
Author: Black, A.
Vally, H.
Morris, P.
Daniel, M.
Esterman, A.
Smith, F.
O'Dea, K.
Citation: Medical Journal of Australia, 2013; 199(1):46-50
Publisher: Australasian Medical Publishing Company
Issue Date: 2013
ISSN: 0025-729X
1326-5377
Statement of
Responsibility: 
Andrew P Black, Hassan Vally, Peter S Morris, Mark Daniel, Adrian J Esterman, Fiona E Smith, Kerin O'Dea
Abstract: OBJECTIVE: To evaluate the impact of a fruit and vegetable subsidy program on short-term health outcomes of disadvantaged Aboriginal children. DESIGN, SETTING AND PARTICIPANTS: A before-and-after study involving clinical assessments, health record audits and blood testing of all children aged 0-17 2013s (n = 167) from 55 participating families at baseline and after 12 months at three Aboriginal community-controlled health services in New South Wales. All assessments were completed between December 2008 and September 2010. INTERVENTION: A weekly box of subsidised fruit and vegetables linked to preventive health services and nutrition promotion at an Aboriginal Medical Service. MAIN OUTCOME MEASURES: Change in episodes of illness, health service and emergency department attendances, antibiotic prescriptions and anthropometry. RESULTS: There was a significant decrease in oral antibiotics prescribed (- 0.5 prescriptions/2013; 95% CI, - 0.8 to - 0.2) during 12 months of participation in the program compared with the 12 months before the program. The proportion of children classified as overweight or obese at baseline was 28.3% (38/134) and the proportion in each weight category did not change (P = 0.721) after 12 months. A small but significant increase in mean haemoglobin level (3.1 g/L; 95% CI, 1.4-4.8 g/L) was shown, although the proportion with iron deficiency (baseline, 41%; follow-up, 37%; P = 0.440) and anaemia (baseline, 8%; follow-up, 5%; P = 0.453) did not change significantly. CONCLUSION: it and vegetable subsidy program was associated with improvements in some indicators of short-term health status among disadvantaged Aboriginal children. A controlled trial is warranted to investigate the sustainability and feasibility of healthy food subsidy programs in Australia.
Keywords: Humans
Rights: Copyright status unknown
RMID: 0030042558
DOI: 10.5694/mja13.10445
Grant ID: http://purl.org/au-research/grants/nhmrc/520681
http://purl.org/au-research/grants/nhmrc/320860
Appears in Collections:Medicine publications

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