PT - JOURNAL ARTICLE AU - Tony Blakely AU - Cliona Ni Mhurchu AU - Yannan Jiang AU - Leonie Matoe AU - Mafi Funaki-Tahifote AU - Helen C Eyles AU - Rachel H Foster AU - Sarah McKenzie AU - Anthony Rodgers TI - Do effects of price discounts and nutrition education on food purchases vary by ethnicity, income and education? Results from a randomised, controlled trial AID - 10.1136/jech.2010.118588 DP - 2011 Oct 01 TA - Journal of Epidemiology and Community Health PG - 902--908 VI - 65 IP - 10 4099 - http://jech.bmj.com/content/65/10/902.short 4100 - http://jech.bmj.com/content/65/10/902.full SO - J Epidemiol Community Health2011 Oct 01; 65 AB - Background Reducing health inequalities requires interventions that work as well, if not better, among disadvantaged populations. The aim of this study was to determine if the effects of price discounts and tailored nutrition education on supermarket food purchases (percentage energy from saturated fat and healthy foods purchased) vary by ethnicity, household income and education.Method A 2×2 factorial trial of 1104 New Zealand shoppers randomised to receive a 12.5% discount on healthier foods and/or tailored nutrition education (or no intervention) for 6 months.Results There was no overall association of price discounts or nutrition education with percentage energy from saturated fat, or nutrition education with healthy food purchasing. There was an association of price discounts with healthy food purchasing (0.79 kg/week increase; 95% CI 0.43 to 1.16) that varied by ethnicity (p=0.04): European/other 1.02 kg/week (n=755; 95% CI 0.60 to 1.43); Pacific 1.20 kg/week (n=101; 95% CI 0.06 to 2.34); Māori −0.15 kg/week (n=248; 95% CI −1.10 to 0.80). This association of price discounts with healthy food purchasing did not vary by household income or education.Conclusions While a statistically significant variation by ethnicity in the effect of price discounts on food purchasing was found, the authors caution against a causal interpretation due to likely biases (eg, attrition) that differentially affected Māori and Pacific people. The study highlights the challenges in generating valid evidence by social groups for public health interventions. The null findings for tailored nutritional education across all social groups suggest that structural interventions (such as price) may be more effective.