Public acceptability of government intervention to change health-related behaviours: a systematic review and narrative synthesis

Diepeveen, Stephanie, Ling, Tom, Suhrcke, Marc, Roland, Martin and Marteau, Theresa M. (2013) Public acceptability of government intervention to change health-related behaviours: a systematic review and narrative synthesis. BMC Public Health, 13. ISSN 1471-2458

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Background: Governments can intervene to change health-related behaviours using various measures but are sensitive to public attitudes towards such interventions. This review describes public attitudes towards a range of policy interventions aimed at changing tobacco and alcohol use, diet, and physical activity, and the extent to which these attitudes vary with characteristics of (a) the targeted behaviour (b) the intervention and (c) the respondents. Methods: We searched electronic databases and conducted a narrative synthesis of empirical studies that reported public attitudes in Europe, North America, Australia and New Zealand towards interventions relating to tobacco, alcohol, diet and physical activity. Two hundred studies met the inclusion criteria. Results: Over half the studies (105/200, 53%) were conducted in North America, with the most common interventions relating to tobacco control (110/200, 55%), followed by alcohol (42/200, 21%), diet-related interventions (18/200, 9%), interventions targeting both diet and physical activity (18/200, 9%), and physical activity alone (3/200, 2%). Most studies used survey-based methods (160/200, 80%), and only ten used experimental designs. Acceptability varied as a function of: (a) the targeted behaviour, with more support observed for smoking-related interventions; (b) the type of intervention, with less intrusive interventions, those already implemented, and those targeting children and young people attracting most support; and (c) the characteristics of respondents, with support being highest in those not engaging in the targeted behaviour, and with women and older respondents being more likely to endorse more restrictive measures. Conclusions: Public acceptability of government interventions to change behaviour is greatest for the least intrusive interventions, which are often the least effective, and for interventions targeting the behaviour of others, rather than the respondent him or herself. Experimental studies are needed to assess how the presentation of the problem and the benefits of intervention might increase acceptability for those interventions which are more effective but currently less acceptable.

Item Type: Article
Additional Information: This review was funded by the Department of Health (England) Policy Research Programme as part of the funding for the Policy Research Unit in Behaviour and Health (PR-UN-0409-10109). The views expressed in this paper are those of the authors and not necessarily those of the Department of Health. The authors would also like to acknowledge support provided by Sam Drabble, Christine Tiefensee, Eleanor Winpenny, Janice Pedersen, Sue Guthrie and Sunil Patil in administering the search strategy, as well as the helpful comments on the methods provided by Emma Disley, in her capacity as RAND Europe quality assurance reviewer.
Uncontrolled Keywords: health behaviour,attitude,public opinion,policy,sdg 3 - good health and well-being ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Groups > Health Economics
Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research
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Depositing User: Pure Connector
Date Deposited: 18 Dec 2013 10:56
Last Modified: 31 Oct 2022 16:31
DOI: 10.1186/1471-2458-13-756

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