scholarly journals Grocery purchasing among older adults by chewing ability, dietary knowledge and socio-economic status

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.

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.


2014 ◽  
Vol 18 (5) ◽  
pp. 797-808 ◽  
Author(s):  
S Coosje Dijkstra ◽  
Judith E Neter ◽  
Maartje M van Stralen ◽  
Dirk L Knol ◽  
Ingeborg A Brouwer ◽  
...  

AbstractObjectiveWe aimed to identify barriers for meeting the fruit, vegetable and fish guidelines in older Dutch adults and to investigate socio-economic status (SES) differences in these barriers. Furthermore, we examined the mediating role of these barriers in the association between SES and adherence to these guidelines.DesignCross-sectional.SettingLongitudinal Aging Study Amsterdam (LASA), the Netherlands.SubjectsWe used data from 1057 community-dwelling adults, aged 55–85 years. SES was measured by level of education and household income. An FFQ was used to assess dietary intake and barriers were measured with a self-reported lifestyle questionnaire.ResultsOverall, 48·9 % of the respondents perceived a barrier to adhere to the fruit guideline, 40·0 % for the vegetable and 51·1 % for the fish guideline. The most frequently perceived barriers to meet the guidelines were the high price of fruit and fish and a poor appetite for vegetables. Lower-SES groups met the guidelines less often and perceived more barriers. The association between income and adherence to the fruit guideline was mediated by ‘perceiving any barrier to meet the fruit guideline’ and the barrier ‘dislike fruit’. The association between income and adherence to the fish guideline was mediated by ‘perceiving any barrier to meet the fish guideline’ and the barrier ‘fish is expensive’.ConclusionsPerceived barriers for meeting the dietary guidelines are common in older adults, especially in lower-SES groups. These barriers and in particular disliking and cost concerns explained the lower adherence to the guidelines for fruit and fish in lower-income groups in older adults.


2021 ◽  
pp. 1-13
Author(s):  
Anna-Kristin Brettschneider ◽  
Clarissa Lage Barbosa ◽  
Marjolein Haftenberger ◽  
Franziska Lehmann ◽  
Gert BM Mensink

Abstract Objective: Dietary habits developed during childhood and adolescence are likely to continue into adulthood. An unbalanced diet may cause nutrient deficiencies and excessive energy intake; these enhance the risk for developing overweight and obesity and their co-morbidities. In the present analysis, food consumption of adolescents is described and evaluated against German food-based dietary guidelines with special focus on socio-economic status (SES) and region of residence. Design: Within the ‘German Health Interview and Examination Survey for Children and Adolescents’ (KiGGS Wave 2), the cross-sectional ‘Eating Study as a KiGGS Module’ (EsKiMo II) was conducted from 2015 until 2017 to provide data about dietary behaviour. Setting: Germany. Participants: 1353 adolescents aged 12–17 years from a nationwide representative sample with food consumption data from computer-assisted dietary history interviews. Results: The median consumption of fruits, vegetables, starchy foods and milk/dairy products among adolescents in Germany was below the recommendation. The median consumption of both meat/meat products and unfavourable foods, like confectionery, which should be consumed sparingly, was about 1·5 times the recommended amount. The total amount of beverages consumed by most adolescents was above the minimum amount recommended. Soft drink consumption of adolescents with a low SES was three to five times higher than soft drink consumption of adolescents with a high SES. Conclusions: The results indicate the need for an improvement of dietary habits among adolescents in Germany. Further approaches to promote healthy diets in Germany should be continued, and the focus on social inequalities should be strengthened.


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.


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.


2003 ◽  
Vol 23 (5) ◽  
pp. 625-645 ◽  
Author(s):  
MARJOLEIN I. BROESE VAN GROENOU ◽  
THEO VAN TILBURG

This paper examines the impact of childhood and adulthood socio-economic status (SES) on personal network characteristics in later life. Data are derived from 2,285 married older adults (born between 1903 and 1937) who participated in face-to-face interviews for the Dutch survey on ‘Living arrangements and social networks of older adults’ conducted in 1992. Childhood and adulthood SES were indicated by the father's and own level of education and occupation. Multivariate analyses showed that SES in adulthood has more impact on network features in old age than father's SES. People with low lifetime SES or with downward SES mobility had small networks, low instrumental and emotional support from non-kin, but high instrumental support from kin, when compared with the upwardly mobile or those with high lifetime SES. The level of education was a better indicator of network differences than occupational prestige. It is concluded that obtaining a high SES during life pays off in terms of having more supportive non-kin relationships in old age. The small networks and less supportive non-kin relationships of low-status older adults make them more vulnerable to situations in which kin are unavailable or less willing to provide support. This study underscores the distinction between types of support and types of relationships in the SES–network association. Further research on the social pathways of socio-economic inequality in health and wellbeing should take these distinctions into account.


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.


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