scholarly journals Healthy dietary habits in relation to social determinants and lifestyle factors

1999 ◽  
Vol 81 (3) ◽  
pp. 211-220 ◽  
Author(s):  
Lars Johansson ◽  
Dag S. Thelle ◽  
Kari Solvoll ◽  
Gunn-Elin Aa. Bjørneboe ◽  
Christian A. Drevon

The aim of the present study was to evaluate the importance of social status and lifestyle for dietary habits, since these factors may influence life expectancy. We studied the association of four indicators for healthy dietary habits (fruits and vegetables, fibre, fat and Hegsted score) with sex, age, socio-economic status, education, physical leisure exercise, smoking and personal attention paid to keeping a healthy diet. Data were gathered with a self-administered quantitative food-frequency questionnaire distributed to a representative sample of Norwegian men and women aged 16–79 years in a national dietary survey, of whom 3144 subjects (63%) responded. Age and female sex were positively associated with indicators for healthy dietary habits. By separate evaluation length of education, regular physical leisure exercise and degree of attention paid to keeping a healthy diet were positively associated with all four indicators for healthy dietary habits in both sexes. Socio-economic status, location of residence and smoking habits were associated with from one to three indicators for healthy dietary habits. In a multiple regression model, age, education and location of residence together explained from 1 to 9% of the variation (R2) in the four dietary indicators. Length of education was significantly associated with three of four dietary indicators both among men and women. By including the variable ‘attention paid to keeping a healthy diet’ in the model, R2 increased to between 4 and 15% for the four dietary indicators. Length of education remained correlated to three dietary indicators among women, and one indicator among men, after adjusting for attention to healthy diet, age and location of residence. Residence in cities remained correlated to two indicators among men, but none among women, after adjusting for age, education and attention to healthy diet. In conclusion, education was associated with indicators of a healthy diet. Attention to healthy diet showed the strongest and most consistent association with all four indicators for healthy dietary habits in both sexes. This suggests that personal preferences may be just as important for having a healthy diet as social status determinants.

Author(s):  
Demosthenes B. Panagiotakos ◽  
Christos Pitsavos ◽  
Yannis Manios ◽  
Evangelos Polychronopoulos ◽  
Christina A. Chrysohoou ◽  
...  

Background Social status has been related with the prevalence and incidence of cardiovascular disease. The aim of this study is to investigate the relationships between socio-economic status (SES) and clinical and biochemical factors related to coronary heart disease, in a sample of cardiovascular disease-free men and women. Design Cross-sectional survey. Methods During 2001-2002, 1514 men (20-87 years old) and 1528 women (20-89 years old) from the Attica region (Greece) were randomly enrolled into the study. Trends in established and emerging cardiovascular risk factors were examined across the participants' socio-economic status. A special index was developed (years of school by annual income) and three socio-economic classes were created. Results An inverse relationship was found regarding all lipids and glucose levels across the tertiles of the SES index. An inverse association was observed between body mass index, waist-to-hip ratio and SES in men, but not in women. Furthermore, compared to the lowest tertile, individuals who were classified in the highest SES tertile had lower levels of C-reactive protein, fibrinogen, homocysteine, tumour necrosis factor-α, interleukin-6 levels and white blood cell counts, even after adjusting for various potential confounders. Finally, a considerable proportion of men and women reported lack of health knowledge and education. Conclusions An inverse association between SES and factors related to cardiovascular risk exists, but the causal pathway itself requires more detailed explanation before the social status can have explanatory power.


2010 ◽  
Vol 14 (7) ◽  
pp. 1279-1284 ◽  
Author(s):  
David S Brennan ◽  
Kiran A Singh

AbstractObjectivesNutrition plays a central role in health, with poor dietary habits and nutritional intake being associated with a range of chronic diseases. The aim was to examine grocery purchasing behaviour in relation to chewing ability, dietary knowledge and socio-economic status (SES) among older adults.DesignData were collected by mailed survey in 2008. Grocery purchasing was measured using a sixteen-item index of compliance of food purchasing with dietary guidelines. Self-reported number of teeth was classified as an inadequate dentition if less than twenty-one teeth were present. Chewing ability was based on a five-item chewing index. Dietary knowledge was collected using twenty true/false items. SES was assessed using a subjective social status rating representing where people stand in society.SettingPopulation survey in Adelaide, South Australia.SubjectsAdults aged 60–71 years.ResultsResponses were collected from 444 persons (response rate = 68·8 %). Among dentate persons, 24·4 % had an inadequate dentition with 10·3 % defined as ‘chewing deficient’. Multivariate regression coefficients adjusted for age, sex and income showed chewing deficiency (−5·8) and low SES (−3·6) was associated (P < 0·05) with lower grocery purchasing scores, but dietary knowledge was not statistically significant.ConclusionsFor older adults, chewing deficiency and lower social status were associated with lower compliance with dietary guidelines, independent of dietary knowledge.


Patan Pragya ◽  
2019 ◽  
Vol 5 (1) ◽  
pp. 154-161
Author(s):  
Bed Prasad Neupane

This study is based on Kamalamai Municipality, Sindhuli District. There are 56 households of Dalit (Damai 29 and Kami 27) in this area. The census method was used in the study where, total population is 365 from 56 households. Among them, 172 were male and 193 were female. The general objectives of this study are to identify demographic and socio-economic status of Dalits and to find out causes of deprivation of Dalits people in the community. They worked as agricultural labour and service work. Their income is less than their expenditure. Most of them are uneducated but nowadays, the level of education has increased so that their children go to school and college. Only 39 percent were literate and only 7 percent Dalits have passed SLC and +2. They give priority on arrange marriage. Youth generation doesn't like the traditional occupation and skills. They use a lot of alcohol (Jaad and Raski) in the festivals and rituals ceremony however the economic condition of Dalit is poor so many children of them are forced to dropout from schools because their parents cannot afford their education fees. The social status of the females in the Dalit community is very low than the males in the society. After the father's death all the properties is transferred to the son. The main causes for degrading status of Dalits are due to poverty, lack of education and lack of social awareness. So far, there have not been any kinds of policies and plans to uplift the Dalit community in this area.


2001 ◽  
Vol 4 (2) ◽  
pp. 173-182 ◽  
Author(s):  
Jacqueline Scali ◽  
Aurélia Richard ◽  
Mariette Gerber

AbstractObjectiveA Mediterranean diet quality index (MDQI) was devised to give an overall assessment of dietary habits and to identify groups at risk.DesignThe MDQI was based on scores given for selected levels of consumption of selected nutrients and foods.SettingMediterranean southern France.SubjectsThe sample included 473 men and 491 women in three age classes recruited at random.ResultsOnly 9.5% of men, 9.0% of women, 4.7% of 20–34 year old subjects, 6.6% of 35–54 year old subjects and 14.0% of 55–76 year old subjects were shown to have a healthy diet. However, 10.1% of men, 8.6% of women, 19.4% of 20–34 year old subjects, 10.2% of 35–54 year old subjects and 4.6% of 55–76 year old subjects were shown to have a poor diet. There were significantly fewer smokers among subjects with a good diet but the distribution of moderate wine drinkers was comparable between those with a good diet and those with a poor diet. Correspondence analysis associated a healthy diet with 55–76 year old men and women living in rural areas, who had received primary schooling only and who were manual workers. Both men and women with a poor MDQI score tended to be young and smokers. In addition, women with a poor MDQI tended to be heavy drinkers and obese.ConclusionsThis study showed that the Mediterranean model, which is generally recognized as a healthy diet, appears restricted to older people and to rural areas, whereas urbanized young people depart from it. A nutritional prevention policy targeted at young adults is required to encourage them to adhere to the Mediterranean model. Smoking and drinking showed different distribution patterns in the sample under study.


2019 ◽  
Vol 23 (5) ◽  
pp. 843-860 ◽  
Author(s):  
Lucille Desbouys ◽  
Caroline Méjean ◽  
Stefaan De Henauw ◽  
Katia Castetbon

AbstractObjective:To explore dietary differences according to socio-economic and sociocultural characteristics of adolescents and young adults.Design:A systematic review was conducted.Setting:The main search source was MEDLINE, consulted between January 2012 and March 2017. Quality of selected studies was assessed based on dietary measurement method, sample selection, socio-economic indicator choice and statistical modelling.Participants:Cross-sectional and longitudinal studies, assessing relationships between socio-economic status and dietary intake (patterns, scores and food groups) in the 10- to 40-year-old general population of high-income countries, were selected.Results:Among the 7250 reports identified, forty were selected, seventeen of which were of high quality; their conclusions, related only to adolescents, were combined and presented. The most favourable dietary patterns, higher dietary scores, greater consumption of fruits, vegetables and dairy products, and lower consumption of sugary sweetened beverages and energy-dense foods, were associated with better parental socio-economic status, particularly in terms of higher education. Migrant status was associated with plant-based patterns, greater consumption of fruits and vegetables and of sugary sweetened beverages and energy-dense foods. For the other food groups, and for young adults, very few high-quality studies were found.Conclusions:The socio-economic gradient in adolescent diets requires confirmation by higher-grade studies of a wider set of food groups and must be extended to young adult populations. Future nutritional interventions should involve the most vulnerable adolescent populations, taking account of socio-economic status and migration.


2020 ◽  
Vol 32 (11) ◽  
pp. 2319-2327 ◽  
Author(s):  
Per Wändell ◽  
Axel C. Carlsson ◽  
Xinjun Li ◽  
Danijela Gasevic ◽  
Jan Sundquist ◽  
...  

Abstract Objectives Association between socio-demographic factors and dementia risk is studied in general but not for atrial fibrillation (AF) patients. Methods We studied AF patients ≥ 45 years in Sweden 1998–2012 (n = 537,513) using the Total Population Register for socio-demographic factors, the Swedish Cause of Death Register, and the National Patient Register (NPR) for incident dementia. Cox regression with hazard ratios (HR) and 95% confidence intervals (CI) was used for the association between exposure and outcome, adjusting for age and comorbidities. Results Totally 30,332 patients (5.6%) were diagnosed with dementia during the follow-up (mean 5.4 years). Of these, 14,097 were men (4.9%) and 16,235 were women (6.5%). Lower educational levels (reference: highest level) were associated with increased dementia, HRs (95% CI) for basic school for men 1.23 (1.18–1.29) and women 1.36 (1.30–1.42), and middle-level school for men 1.17 (1.11–1.22) and women 1.28 (1.22–1.34). Divorced men and women (reference: married) showed increased risk of dementia, HR 1.07 (1.01–1.13) and 1.12 (1.06–1.18), respectively, while widowed men showed lower risk, HR 0.84 (0.80–0.88). High deprivation neighborhood socio-economic status (NSES; reference: medium level) was associated with increased dementia in men, HR 1.11 (1.05–1.17), and low deprivation neighborhood socio-economic status (NSES) with increased dementia in men and women, HR 1.12 (1.06–1.18) and 1.18 (1.12–1.24), respectively. Conclusions Some results were expected, i.e. association between lower educational level and dementia. The higher risk of dementia in low deprivation NSES-areas could be due to a higher awareness about dementia, and subsequent earlier diagnosis and treatment of dementia.


2007 ◽  
Vol 10 (5) ◽  
pp. 524-532 ◽  
Author(s):  
Sara A Quandt ◽  
Mara Z Vitolins ◽  
Shannon L Smith ◽  
Janet A Tooze ◽  
Ronny A Bell ◽  
...  

AbstractObjectiveTo compare the validity of a modified Block food-frequency questionnaire (FFQ), a picture-sort administration of the FFQ (PSFFQ) and a meal pattern-based questionnaire (MPQ) in a multi-ethnic population of low socio-economic status (SES).DesignParticipants completed six 24-hour dietary recalls (24HR) over six months; the FFQ, PSFFQ and MPQ were completed in random order in the subsequent month. Instruments were interviewer-administered. The PSFFQ and MPQ were developed in formative research concerning difficulties for older adults in responding to standard food-frequency instruments.SettingRural North Carolina, USA.SubjectsOne hundred and twenty-two African American, Native American and white adults aged ≥ 65 years, with approximately one-third in each ethnic group. Inclusion criteria included education ≤ 12 years and income ≤ 150% of national poverty level or Medicaid recipient.ResultsComparing median intakes from the average of the 24HR with the three diet assessment instruments, the MPQ tended to overestimate intakes compared with the FFQ and PSFFQ. Correlations among nutrients obtained by the 24HR and the other three instruments were generally statistically significant and positive. Across nutrients, the PSFFQ was most highly correlated with the 24HR for women, while the FFQ was most highly correlated with the 24HR for men.ConclusionsDietary assessments using 24HR and FFQ were similar to results reported elsewhere, although correlations between 24HR and FFQ were somewhat lower. Interviewer-administered dietary assessments should be used with caution to evaluate dietary intake among older adults with low SES. Gender differences and the lower correlations should be investigated more thoroughly to assist in choosing dietary assessment instruments for this population.


PERSPEKTIF ◽  
2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Yovita Sabarina Sitepu Fransiska Desiana Setyaningsih

Focus of this research is to describe how the member of Persija FC’s supporter constructing their identities before and after they become the member of The Jakmania. Case study method is used with multi case-single level analysis design. It is found that, in each of three informants’ self, the changing of identities are really happened. One of the changing identities about for example is their social status after they have joined with The Jakmania. In the beginning, before they join with The Jakmania, people did not pay attention to them. It was because their low socio-economic status. Now, after joined The Jakmania, they have their own ingroup that strengthen their individual identity.


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