The European Common Agricultural Policy on fruits and vegetables: exploring potential health gain from reform

Veerman, J. Lennert, Barendregt, Jan J. and Mackenbach, Johan P. (2006) The European Common Agricultural Policy on fruits and vegetables: exploring potential health gain from reform. European Journal of Public Health, 16 1: 31-35. doi:10.1093/eurpub/cki166


Author Veerman, J. Lennert
Barendregt, Jan J.
Mackenbach, Johan P.
Title The European Common Agricultural Policy on fruits and vegetables: exploring potential health gain from reform
Journal name European Journal of Public Health   Check publisher's open access policy
ISSN 1101-1262
1464-360X
Publication date 2006-02-01
Sub-type Article (original research)
DOI 10.1093/eurpub/cki166
Open Access Status
Volume 16
Issue 1
Start page 31
End page 35
Total pages 5
Place of publication Oxford, United Kingdom
Publisher Oxford University Press
Language eng
Subject 1117 Public Health and Health Services
Abstract Background: Consumption of fruits and vegetables is associated with a reduced risk of cardiovascular disease and cancer. The European Union Common Agricultural Policy keeps prices high by limiting the availability of fruits and vegetables. This policy is at odds with public health interests. We assess the potential health gain for the Dutch population of discontinuing EU withdrawal support for fruits and vegetables. Methods: The maximum effect of the reform was estimated by assuming that a quantity equivalent to the amount of produce withdrawn in recent years would be brought onto the market. For the calculation of the effect of consumption change on health we constructed a multi-state life table model in which consumption of fruits and vegetables is linked to ischaemic heart disease, stroke, and cancer of the oesophagus, stomach, colorectum, lung and breast. Uncertainty is quantified using Monte Carlo simulation. Results: The reform would maximally increase the average consumption of fruits and vegetables by 1.80% (95% uncertainty interval 1.12–2.73), with an ensuing increase in life expectancy of 3.8 (2.2–5.9) days for men and 2.6 (1.5–4.2) days for women. The reform is also likely to decrease socio-economic inequalities in health. Conclusion: Ending EU withdrawal support for fruits and vegetables could result in a modest health gain for the Dutch population, though uncertainty in the estimates is high. A more comprehensive examination of the health effects of the EU agricultural policy could help to ensure health is duly considered in decision-making. Keywords: , , , ,
Keyword Fruits
Health impact assessment
Modelling
Quantitative method
Vegetables
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Public Health Publications
 
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Created: Tue, 24 Mar 2009, 21:13:38 EST by Maryanne Watson on behalf of Faculty Of Health Sciences