Changes in Australian community perceptions of non-communicable disease prevention: a greater role for government?

Abstract Background Monitoring trends in community opinion can identify critical opportunities to implement upstream health policies or interventions. Our study examines change and demographic modifiers of change in community perceptions of government intervention for prevention of lifestyle-related...

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Autores principales: Anne C. Grunseit, Eloise Howse, Erika Bohn-Goldbaum, Jo Mitchell, Adrian E. Bauman
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Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/0638868c5cfd4ded91e715086a2b5a5b
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spelling oai:doaj.org-article:0638868c5cfd4ded91e715086a2b5a5b2021-11-21T12:11:30ZChanges in Australian community perceptions of non-communicable disease prevention: a greater role for government?10.1186/s12889-021-12159-91471-2458https://doaj.org/article/0638868c5cfd4ded91e715086a2b5a5b2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12159-9https://doaj.org/toc/1471-2458Abstract Background Monitoring trends in community opinion can identify critical opportunities to implement upstream health policies or interventions. Our study examines change and demographic modifiers of change in community perceptions of government intervention for prevention of lifestyle-related chronic disease across two time points in Australia. Methods Data were drawn from the 2016 (n = 2052) and 2018 (n = 2601) waves of a nationally representative cross-sectional telephone survey, ‘AUSPOPS’. Survey questions gauged perceptions of government intervention for health in general, peoples’/organizations’ role in maintaining health (e.g., parents, government) and support for specific health interventions (e.g., taxing soft drink). Bivariate and multivariate regression models tested for change between the two surveys, adjusted for demographic characteristics. Models with interactions between survey wave and demographic variables tested for differential change. One-tailed variance ratio tests examined whether opinions had become more polarized in 2018 compared with 2016. Results The large, significant increase observed in the perceived size of the role that government has in maintaining people’s health was uniform across demographic subpopulations. The role for employers and private health insurers was also perceived to be larger in 2018 compared with 2016, but the degree of change varied by gender, age and/or socioeconomic status. Support for some government interventions (e.g., taxing soft drinks) increased among specific demographic subgroups whilst exhibiting no overall change. Opinion was more polarized on general attitudes to government intervention for population health in 2018 compared to 2016, despite little change in central tendency. Conclusions Opportunities may exist to implement government health-promoting policies (e.g., taxing soft drinks), although advocacy may be needed to address the concerns of less supportive subpopulations. Attitudes on government intervention in general may be becoming more polarized; future research examining the association of such changes with exposure to different information sources could inform communication strategies for future health policy change.Anne C. GrunseitEloise HowseErika Bohn-GoldbaumJo MitchellAdrian E. BaumanBMCarticleAustraliaPublic opinionAttitudesPreventionNon-communicable diseasesPolicyPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic Australia
Public opinion
Attitudes
Prevention
Non-communicable diseases
Policy
Public aspects of medicine
RA1-1270
spellingShingle Australia
Public opinion
Attitudes
Prevention
Non-communicable diseases
Policy
Public aspects of medicine
RA1-1270
Anne C. Grunseit
Eloise Howse
Erika Bohn-Goldbaum
Jo Mitchell
Adrian E. Bauman
Changes in Australian community perceptions of non-communicable disease prevention: a greater role for government?
description Abstract Background Monitoring trends in community opinion can identify critical opportunities to implement upstream health policies or interventions. Our study examines change and demographic modifiers of change in community perceptions of government intervention for prevention of lifestyle-related chronic disease across two time points in Australia. Methods Data were drawn from the 2016 (n = 2052) and 2018 (n = 2601) waves of a nationally representative cross-sectional telephone survey, ‘AUSPOPS’. Survey questions gauged perceptions of government intervention for health in general, peoples’/organizations’ role in maintaining health (e.g., parents, government) and support for specific health interventions (e.g., taxing soft drink). Bivariate and multivariate regression models tested for change between the two surveys, adjusted for demographic characteristics. Models with interactions between survey wave and demographic variables tested for differential change. One-tailed variance ratio tests examined whether opinions had become more polarized in 2018 compared with 2016. Results The large, significant increase observed in the perceived size of the role that government has in maintaining people’s health was uniform across demographic subpopulations. The role for employers and private health insurers was also perceived to be larger in 2018 compared with 2016, but the degree of change varied by gender, age and/or socioeconomic status. Support for some government interventions (e.g., taxing soft drinks) increased among specific demographic subgroups whilst exhibiting no overall change. Opinion was more polarized on general attitudes to government intervention for population health in 2018 compared to 2016, despite little change in central tendency. Conclusions Opportunities may exist to implement government health-promoting policies (e.g., taxing soft drinks), although advocacy may be needed to address the concerns of less supportive subpopulations. Attitudes on government intervention in general may be becoming more polarized; future research examining the association of such changes with exposure to different information sources could inform communication strategies for future health policy change.
format article
author Anne C. Grunseit
Eloise Howse
Erika Bohn-Goldbaum
Jo Mitchell
Adrian E. Bauman
author_facet Anne C. Grunseit
Eloise Howse
Erika Bohn-Goldbaum
Jo Mitchell
Adrian E. Bauman
author_sort Anne C. Grunseit
title Changes in Australian community perceptions of non-communicable disease prevention: a greater role for government?
title_short Changes in Australian community perceptions of non-communicable disease prevention: a greater role for government?
title_full Changes in Australian community perceptions of non-communicable disease prevention: a greater role for government?
title_fullStr Changes in Australian community perceptions of non-communicable disease prevention: a greater role for government?
title_full_unstemmed Changes in Australian community perceptions of non-communicable disease prevention: a greater role for government?
title_sort changes in australian community perceptions of non-communicable disease prevention: a greater role for government?
publisher BMC
publishDate 2021
url https://doaj.org/article/0638868c5cfd4ded91e715086a2b5a5b
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AT erikabohngoldbaum changesinaustraliancommunityperceptionsofnoncommunicablediseasepreventionagreaterroleforgovernment
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