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

• Published in: European journal of public health Vol. 16; no. 1; pp. 31 - 35
• Main Authors: Veerman, J. Lennert, Barendregt, Jan J., Mackenbach, Johan P.
• Format: Journal Article
• Language: English
• Published: Karlstad Oxford University Press 01.02.2006; Centre for Public Health Research; Oxford Publishing Limited (England)
• Subjects: Agricultural policy; Agriculture - economics; Agriculture - legislation & jurisprudence; Biological and medical sciences; Cancer; Cardiovascular disease; Cardiovascular Diseases - prevention & control; Common Agricultural Policy; Diet; Economic aspects; Estimates; Europe; European Union; Female; Food consumption; Fruit - supply & distribution; Fruit industry; Fruits; health impact assessment; Health Status; Heart; Humans; Ischemia; Life expectancy; Life Tables; Male; Medical sciences; Miscellaneous; modelling; Monte Carlo simulation; Neoplasms - prevention & control; Netherlands; Policy Making; Population; Prices; Public Health; Public health. Hygiene; Public health. Hygiene-occupational medicine; quantitative method; Stroke; Vegetables; Vegetables - supply & distribution; Womens health; Europe; Netherlands; Standard of living; Prevention; Evaluation; Feeding behavior; Vegetables; Fruit; Health; Purchasing power; Impact study
• ISSN: 1101-1262; 1464-360X
• DOI: 10.1093/eurpub/cki166

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Methods: The maximum effect of the reform was estimated by assuming that a quantity equivalent to the amount of produce withdrawn in recent years would be brought onto the market.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.