{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:03:57Z","timestamp":1791295437133,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,9,18]],"date-time":"2023-09-18T00:00:00Z","timestamp":1694995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001275","name":"Coeliac UK","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001275","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100013373","name":"NIHR Oxford Biomedical Research Centre","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100013373","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Changes to prescribing policies in England have restricted or stopped access to gluten\u2010free food on prescription for people with coeliac disease in some geographical areas. The present study aimed to explore the impact of these changes on the affordability and obtainability of gluten\u2010free foods for adults with coeliac disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Semi\u2010structured qualitative interviews (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200924) were conducted with people with coeliac disease living in areas where prescriptions for gluten\u2010free foods were no longer available, were restricted or followed national guidelines. Interviews explored the impact of gluten\u2010free prescribing changes on the affordability and obtainability of gluten\u2010free food, as well as dietary adherence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All participants considered gluten\u2010free substitute foods to be expensive. Participants felt the availability of gluten\u2010free foods has improved over time, also acknowledging some challenges remain, such as limited local availability. For most, the withdrawal of prescriptions had minimal impact requiring small adjustments such as reducing the quantity of foods obtained. However, greater challenges were faced by those less mobile, permanently sick or disabled and\/or on lower incomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The majority of participants affected by the withdrawal of prescriptions were able to adapt to cope with these changes. However, participants with mobility issues, who are permanently sick or disabled and\/or on lower incomes were struggling to afford and obtain gluten\u2010free substitute foods from elsewhere. The withdrawal of prescriptions may further widen health inequalities. Further research should focus on the long\u2010term impacts of prescription withdrawal for the vulnerable groups identified.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.13231","type":"journal-article","created":{"date-parts":[[2023,9,19]],"date-time":"2023-09-19T01:01:44Z","timestamp":1695085304000},"page":"47-56","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["The affordability and obtainability of gluten\u2010free foods for adults with coeliac disease following their withdrawal on prescription in England: A qualitative study"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9786-0749","authenticated-orcid":false,"given":"Helen","family":"Crocker","sequence":"first","affiliation":[{"name":"Nuffield Department of Population Health University of Oxford Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Lewis","sequence":"additional","affiliation":[{"name":"Myeloma UK Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mara","family":"Violato","sequence":"additional","affiliation":[{"name":"Nuffield Department of Population Health University of Oxford Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0076-5981","authenticated-orcid":false,"given":"Michele","family":"Peters","sequence":"additional","affiliation":[{"name":"Nuffield Department of Population Health University of Oxford Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,9,18]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2014.29"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-277X.2005.00591.x"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.2147\/PROM.S149238"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/postgradmedj-2015-133395"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/fdz034"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/ejcn.2016.139"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1108\/BFJ-09-2018-0607"},{"key":"e_1_2_12_9_1","unstructured":"Celiac Disease Foundation. Policies around the world.https:\/\/celiac.org\/gluten-free-living\/global-associations-and-policies\/policies-around-the-world\/. Accessed April 2022."},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu11091997"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp18X698045"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/508156"},{"key":"e_1_2_12_13_1","unstructured":"PrescQipp. (2015).Guidance on the prescribing of gluten\u2010free foods.https:\/\/www.prescqipp.info\/umbraco\/surface\/authorisedmediasurface\/index?url=%2fmedia%2f1324%2fb69-gluten-free-42.pdf. Accessed April 2022."},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2016-312388.303"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-021312"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-018-1106-7"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12728"},{"key":"e_1_2_12_18_1","unstructured":"Ministry of Housing Communities & Local Government. (2019).The English Indices of Deprivation 2019 (IoD2019).https:\/\/www.gov.uk\/government\/statistics\/english-indices-of-deprivation-2019. Accessed August 2022."},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.j119"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu9070705"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.2337\/ds16-0022"},{"key":"e_1_2_12_22_1","unstructured":"National Institute for Health and Care Excellence. (2016).Coeliac disease: quality standard [QS134].https:\/\/www.nice.org.uk\/guidance\/qs134. Accessed April 2022."},{"key":"e_1_2_12_23_1","unstructured":"Department of Health. (2017).The availability of gluten free foods on prescription in primary care: consultation on the availability of gluten free foods on prescription in primary care.https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/604842\/Gluten_free_foods_cons.pdf. Accessed April 2022)."},{"key":"e_1_2_12_24_1","unstructured":"Department of Health and Social Care. (2018).Report of responses following the public consultation on gluten free prescribing: availability of gluten free food on prescription in primary care.https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/678181\/report_of_responses_-_gluten_free_food_prescribing_consultation.pdf. Accessed April 2022)."},{"key":"e_1_2_12_25_1","unstructured":"Coeliac UK.Prescription policies.https:\/\/www.coeliac.org.uk\/information-and-support\/coeliac-disease\/once-diagnosed\/prescriptions\/prescription-policies\/. Accessed April 2022)."},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.1239"},{"key":"e_1_2_12_27_1","unstructured":"The British Dietetic Association. (2021).Policy statement: gluten free food on prescription.https:\/\/www.bda.uk.com\/uploads\/assets\/c59bd230-6e97-49ec-a051b8e6051f7df8\/471f822a-21f6-4ead-9fea086a193a3457\/glutenfreefoodonprescriptionpolicystatement.pdf. Accessed April 2022)."},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp17X691829"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i6810"},{"key":"e_1_2_12_30_1","unstructured":"Dr Sch\u04d3r. (2023).Cost of living survey: Glutafin UK 2023.Personal Communications. Received April 2023."}],"container-title":["Journal of Human Nutrition and Dietetics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jhn.13231","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T08:37:36Z","timestamp":1705912656000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jhn.13231"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,18]]},"references-count":29,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1111\/jhn.13231"],"URL":"https:\/\/doi.org\/10.1111\/jhn.13231","archive":["Portico"],"relation":{},"ISSN":["0952-3871","1365-277X"],"issn-type":[{"value":"0952-3871","type":"print"},{"value":"1365-277X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,18]]},"assertion":[{"value":"2023-02-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}