Publications by authors named "Joreintje Mackenbach"

Background: Over the past decades, the prevalence of obesity among adults has rapidly increased, particularly in socioeconomically deprived urban neighbourhoods. To better understand the complex mechanisms behind this trend, we created a system map exposing the underlying system driving obesity prevalence in socioeconomically deprived urban neighbourhoods over the last three decades in the Netherlands.

Methods: We conducted Group Model Building (GMB) sessions with a group of thirteen interdisciplinary experts to develop a Causal Loop Diagram (CLD) of the obesogenic system.

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Background: Air pollution is a major risk factor for cardiovascular diseases and contributes to health disparities, particularly among minority ethnic groups, who often face higher exposure levels. Knowledge on whether the effect of air pollution on cardiovascular diseases differs between ethnic groups is crucial for identifying mechanisms underlying health disparities, ultimately informing targeted public health strategies and interventions. We explored differences in associations between air pollution and ischemic stroke and ischemic heart disease (IHD) for the six largest ethnic groups in the Netherlands.

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Article Synopsis
  • Healthy food nudges may be particularly beneficial for individuals from lower socioeconomic backgrounds, prompting a study on their effectiveness in grocery stores across different demographics.
  • Researchers analyzed data from multiple trials, focusing on how characteristics like education, gender, and age impact the success of these nudges in increasing the purchase of fruits and vegetables.
  • Findings revealed that, overall, healthy food nudges did not significantly influence fruit and vegetable purchases among participants, regardless of their sociodemographic profiles, suggesting the need for more effective strategies.
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Background: The use of urban green spaces differs by social characteristics, including gender, ethnicity, and socioeconomic position. We examined motives, means and prerequisites to visit green space of marginalised populations with high cardiometabolic risk in the Netherlands, namely women with a Turkish or South Asian Surinamese background residing in disadvantaged neighbourhoods.

Methods: We conducted six focus group discussions in two Dutch cities.

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There is increasing evidence for the effectiveness of population-based policies to reduce the burden of type 2 diabetes. Yet, there are concerns about the equity effects of some policies, whereby socioeconomically disadvantaged populations are not reached or are adversely affected. There is a lack of knowledge on the effectiveness and equity of policies that are both population based (i.

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Unhealthy lifestyle behaviors such as poor diets and physical inactivity account for most of the cardiometabolic disease (CMD) burden, including type 2 diabetes and cardiovascular diseases. Much of this burden is mediated by the effects of unhealthy lifestyle behaviors on overweight and obesity, and disproportionally impacts certain population groups-including those from disadvantaged socioeconomic backgrounds. Combined lifestyle interventions (CLIs), which target multiple behaviors, have the potential to prevent CMD, but their implementation, reach and effectiveness in routine practice are often limited.

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Co-creation is a participatory design approach that leverages the experiential knowledge of non-academic actors. It is increasingly adopted in public health research to enhance the relevance, acceptability, and impact of interventions. This perspective article provides a practical introduction to co-creation, its application, and benefits and considerations for public health researchers.

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Article Synopsis
  • This study investigates how changes in the food environment affect cardiovascular disease (CVD) risks over time among Dutch adults aged 35 and older.
  • Researchers analyzed data from over 4.6 million individuals between 2004 and 2018, correlating food environment healthiness and the presence of various food retailers with rates of hospitalization and mortality due to different types of CVD.
  • Findings indicate that a healthier food environment correlates with lower hospitalization and death rates from CVD, highlighting the importance of local food availability on health outcomes, especially for younger and urban populations.
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Objectives: The social environment (SE), that is, the social relationships and social context in which groups of people live and interact, is an understudied element of the broader living environment which impacts health. We aim to summarise the available evidence on the associations between SE and cardiometabolic disease (CMD) outcomes.

Design: Systematic review and meta-analysis.

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Background: Healthy food store interventions (HFIs) are an important health-promotion tool, but face implementation and sustainment barriers. This paper aims to explore the underlying factors that produce these barriers using an innovative systems innovation perspective, through the case study of a multi-component HFI. The HFI was implemented in a minor, national, cooperative supermarket chain, in the Netherlands, a competitive market where price-based competition is the norm.

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Background: National food environment policies can contribute to the reduction of diet-related non-communicable diseases. Yet, their implementation in the Netherlands remains low. It has been hypothesized that the media can play a pivotal role in inducing spikes in policy attention, thereby shaping political action.

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Background: Supermarket interventions are promising to promote healthier dietary patterns, but not all individuals may be equally susceptible. We explored whether the effectiveness of nudging and pricing strategies on diet quality differs by psychological and grocery shopping characteristics.

Methods: We used data of the 12-month Supreme Nudge parallel cluster-randomised controlled supermarket trial, testing nudging and pricing strategies to promote healthier diets.

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Background: Although there is growing attention to research translation, dissemination practices remain underdeveloped. This study aimed to gain insights into the dissemination approaches, barriers for dissemination, and needs for dissemination support of public health researchers of the Amsterdam Public Health (APH) research institute.

Methods: A concurrent mixed-methods design was used, collecting quantitative and qualitative data through a survey and qualitative data from interviews.

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Article Synopsis
  • Social jetlag, which is the difference between weekend and weekday sleep patterns, is linked to higher body mass index (BMI) and is affected by stress levels in individuals.
  • In a study involving 1,784 urban adults in the Netherlands, those with high social jetlag had a higher BMI, and this relationship was notably stronger in people experiencing high stress.
  • Factors like smoking, physical inactivity, and poor diet were found to mediate 10-15% of the social jetlag and BMI association, indicating the need for further exploration into these lifestyle influences.
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Objective: Food taxation can improve diets by making unhealthy foods more expensive and by making healthy foods cheaper. In the Netherlands, a political window of opportunity arose in December 2021 to reduce the value-added tax (VAT) on fruits and vegetables to zero percent. The policy is now facing institutional friction along several fronts, however, delaying and potentially averting its implementation.

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Background: Geographic access to food may affect dietary choices and health outcomes, but the strength and direction of associations may depend on the operationalization of exposure measures. We aimed to systematically review the literature on up-to-date evidence on the association between food environment exposures based on Global Positioning System (GPS) and diet-related and cardiometabolic health outcomes.

Methods: The databases PubMed, Embase.

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Background: Context-specific interventions may contribute to sustained behaviour change and improved health outcomes. We evaluated the real-world effects of supermarket nudging and pricing strategies and mobile physical activity coaching on diet quality, food-purchasing behaviour, walking behaviour, and cardiometabolic risk markers.

Methods: This parallel cluster-randomised controlled trial included supermarkets in socially disadvantaged neighbourhoods across the Netherlands with regular shoppers aged 30-80 years.

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Article Synopsis
  • - The study analyzed air pollution exposure across different ethnic and socioeconomic groups in the Netherlands, finding that minority ethnic groups experienced consistently higher levels of pollution compared to the ethnic Dutch population.
  • - Data collected from over 17 million residents showed that exposure to nitrogen oxides (NO) and particulate matter (PM) was significantly higher (3-44% for NO and 1-9% for PM) in minority groups, particularly impacting those in the lowest socioeconomic status.
  • - The findings indicate environmental injustice linked to social characteristics, highlighting a need for further research into the health consequences and underlying factors contributing to these disparities in air pollution exposure.
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Aim: The social environment (SE), including social contacts, norms and support, is an understudied element of the living environment which impacts health. We aim to comprehensively summarize the evidence on the association between the SE and risk factors of cardiometabolic disease (CMD).

Methods: We performed a systematic review and meta-analysis based on studies published in PubMed, Scopus and Web of Science Core Collection from inception to 16 February 2021.

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Objective: We examined whether associations between the food environment, frequency of home cooking, diet quality and BMI were modified by the level of cooking skills.

Design: Cross-sectional study using linear and modified Poisson regression models adjusted for age, sex, energy intake, education, income, household size and urbanisation. The frequency of home cooking was categorised into <6 and 6-7 d.

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This area-level cross-sectional study examined online food outlet availability through the most popular online food delivery service platforms (OFDS) across seven European countries, and explored how this online food outlet availability was socioeconomically distributed. Data collection of online food outlet availability was automated in England, Italy, Luxembourg, the Netherlands, Portugal, Spain and Switzerland. We used a geographic information system to join online food outlet availability to socio-demographic information.

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This study investigated associations between change in the food environment and change in measured body mass index (BMI) and waist circumference (WC) in the Christchurch Health and Development Study (CHDS) birth cohort. Our findings suggest that cohort members who experienced the greatest proportional change towards better access to fast food outlets had the slightly larger increases in BMI and WC. Contrastingly, cohort members who experienced the greatest proportional change towards shorter distance and better access to supermarkets had slightly smaller increases in BMI and WC.

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The evidence of selective daily mobility bias distorting exposure-health associations is limited. Using 7-day smartphone-based global positioning system (GPS) tracking data for 67 Dutch adults aged 25-45, we conducted paired Wilcoxon tests to compare the absolute and relative exposure to food outlets along actual and modelled commuting routes. We fitted Tobit regressions to examine their associations with three daily snack and soft drink intake outcomes.

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We assessed the quality of food-related OpenStreetMap (OSM) data in urban areas of five European countries. We calculated agreement statistics between point-of-interests (POIs) from OSM and from Google Street View (GSV) in five European regions. We furthermore assessed correlations between exposure measures (distance and counts) from OSM data and administrative data from local data sources on food environment data in three European countries.

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