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Growing Up in Scotland dataset, has been undertaken   The impact of minimum unit pricing (MUP) for alcohol
                  to examine which parental and household influences   is an area of long-standing research interest within
                  can be causally linked to children’s discretionary food   the theme. Going forward, HERU will continue to
                  choices. A particular focus has been on potentially   contribute this area of research through the award of
                  modifiable factors, such as parents’ health behaviours.   a new grant from the CSO entitled ‘Does minimum unit
                  In a different part of the programme, a project using   pricing for alcohol have unintended consequences for diet
                  Q-methodology looked at how people think about   and health? A natural experiment comparing Scotland
                  food choices. This identified four different profiles in   and England’. The project will commence in April 2020
                  terms of attitudes towards nutritional information,   and run for two years. Additional work on MUP for
                  which can potentially be used to inform future policy.   alcohol is also being conducted in collaboration with
                                                                 the University of Glasgow and NHS Health Scotland
                  The Arthritis Research UK/Versus Arthritis funded ‘Walk
                                                                 through separate NIHR Public Health funding.
                  with ease’ project was completed in 2019. This feasibility
                  study was conducted with people experiencing one   Finally, turning to our PhD students, Uma Thomas
                  or more forms of arthritis or other musculoskeletal   started her recruitment to a randomised controlled
                  conditions. The project adapted an existing physical   trial examining a physical activity intervention that
                  activity walking intervention to a UK setting; conducted   attempts to motivate forward thinking by encouraging
                  a pilot trial to test recruitment, randomisation and   individuals to consider their future selves after the
                  adherence to inform the design of a future RCT; and   consequences of physical inactivity. We were also
                  explored the perceptions and experiences of study   delighted to welcome Huixuan Gao as a new PhD
                  participants. Our findings have been widely shared   student. Huixuan is assessing ‘The value and costs
                  with patients, patient representatives and the wider   of unpaid care for older people in China’ which will
                  scientific community, and they indicate that the   include an assessment of the importance of individual
                  intervention offers important improvements in health   and household characteristics in addition to health
                  and wellbeing, and that a larger trial to establish more   behaviours in explaining differences in life satisfaction
                  definitively the cost-effectiveness of the programme   amongst unpaid care providers.
                  would be acceptable and feasible to conduct within the
                                                                 Further detail on the theme’s research can be found at:
                  UK.
                                                                 www.abdn.ac.uk/heru/research/hbi/


                     Minimum unit pricing for
                     alcohol – a natural experiment
                     to assess potential unintended
                     consequences for diet and health

                     Minimum unit pricing (MUP) for alcohol
                     was introduced in Scotland in May 2018.
                     It is intended to increase the cost of cheap
                     off sales alcohol and reduce the amount of
                     alcohol consumed. However, it is possible that
                     households will spend more on alcohol and this
                     will reduce the amount of money they have to
                     spend on other things. This project, led by Anne Ludbrook and Paul McNamee, together with other HERU
                     staff including Lynda McKenzie, will measure whether household food spending is reduced, the effect that
                     this has on diet quality and the consequences for health.
                     We will compare the change in food spending in Scotland before and after the introduction of MUP with
                     the North of England, where MUP does not apply. This comparison takes account of any effects which are
                     common to both areas. We will also look at the change in volume and type of food purchased to see if this
                     becomes less healthy as households might buy less fruit and vegetables, for example.
                     During the project we will also develop interactive events to communicate our work to the public in a non-
                     technical way to allow informed discussion of our plans, gain understanding of how the public view MUP
                     and how it impacts their budget and gauge potential public reaction to the emerging results (e.g. how do
                     the public view different health gains and losses being traded off?).





            HERU ANNUAL REPORT 2019                                                                             13
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