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Evaluation of Population-Based Sodium Reduction Strategies in China: Protocol for a Study Using a Combined Quantitative and Qualitative Approach

Title: Evaluation of Population-Based Sodium Reduction Strategies in China: Protocol for a Study Using a Combined Quantitative and Qualitative Approach
Authors: Xin, Y; Xu, J; Li, Z; Yin, X; Wang, T; Wu, B; Peng, S; Ge, A; Liu, X; Liu, M; Liu, H; Si, L; Jan, S; Ma, J; Wu, Y; Wu, J; Cobb, L; Neal, B; Kissock, K; Tian, M
Source: urn:ISSN:1524-6175 ; urn:ISSN:1751-7176 ; Journal of Clinical Hypertension, 27, 8, e70123
Publisher Information: Wiley
Publication Year: 2025
Collection: UNSW Sydney (The University of New South Wales): UNSWorks
Subject Terms: 3205 Medical Biochemistry and Metabolomics; 32 Biomedical and Clinical Sciences; 3201 Cardiovascular Medicine and Haematology; 3202 Clinical Sciences; Behavioral and Social Science; Health Disparities; Health Disparities and Racial or Ethnic Minority Health Research; Rural Health; Social Determinants of Health; Stroke; Cancer; Cardiovascular; Humans; China; Sodium; Dietary; Rural Population; Diet; Sodium-Restricted; COVID-19; Hypertension; rural China; sodium intake; sodium reduction; anzsrc-for: 3205 Medical Biochemistry and Metabolomics; anzsrc-for: 32 Biomedical and Clinical Sciences; anzsrc-for: 3201 Cardiovascular Medicine and Haematology; anzsrc-for: 3202 Clinical Sciences; anzsrc-for: 1101 Medical Biochemistry and Metabolomics; anzsrc-for: 1102 Cardiorespiratory Medicine and Haematology
Description: Sodium intake in China is among the highest in the world, particularly in rural areas. A government-led national sodium reduction program has been implemented but evaluations of its implementation and effectiveness remain limited. The study will use a combined qualitative and quantitative approach and a before-after design, to monitor and evaluate the implementation and effectiveness of the sodium reduction program in the rural areas of four provinces geographically distributed throughout China: Heilongjiang, Shanxi, Guizhou, and Guangdong. Baseline data collected in 2021–2023 will be compared to follow-up data collected in 2024–2025. Population surveys will quantify changes in community knowledge, behaviors, dietary patterns, and sodium intake. Food retail surveys will assess changes in the sodium content of packaged food products, while stakeholder interviews will assess the extent to which the program has been implemented as planned across government, industry, health, and community organizations. The study has received funding and ethics committee approvals though timelines and study processes were significantly delayed by COVID-19. Baseline surveys of 2790 community members have now been completed, food composition data for 20 240 products has been collected, and there have been 37 stakeholders interviewed to date. This project will provide a robust evaluation of progress with implementation of China's national sodium reduction program in rural areas of the country. It will quantify impact to date and provide insight into what has worked, as well as what has not, and inform future sodium reduction strategies.
Document Type: article in journal/newspaper
Language: unknown
Relation: https://hdl.handle.net/1959.4/106104; https://doi.org/10.1111/jch.70123
DOI: 10.1111/jch.70123
Availability: https://hdl.handle.net/1959.4/106104; https://doi.org/10.1111/jch.70123
Rights: open access ; https://purl.org/coar/access_right/c_abf2 ; CC BY-NC-ND ; https://creativecommons.org/licenses/by-nc-nd/4.0/
Accession Number: edsbas.A1F7B151
Database: BASE