Association between the Socioeconomic Status of Households and a More Sustainable Diet

2021 ◽  
pp. 1-25
Author(s):  
Hassan Eini-Zinab ◽  
Nargeskhatoon Shoaibinobarian ◽  
Golnaz Ranjbar ◽  
Andisheh Norouzian Ostad ◽  
Seyyed Reza Sobhani

Abstract Objective: A sustainable diet is an affordable diet with low environmental impact, high food security, and sufficient healthiness. The present study aimed to assess the correlation between the socioeconomic status of households and a sustainable diet. Design: The food basket and socioeconomic data of Iranian households were evaluated during 2016-2018. The households were classified based on the sustainability of their diet by determining the dietary carbon footprint, dietary water footprint, lower dietary costs of the household than the median, and a higher dietary quality index than the median. Logistic regression was used with four models to calculate the odds ratio (OR) of a more sustainable diet as the dependent variable regarding the different quartiles of socioeconomic status (SES) as the independent variable. Setting: Iran. Participants: Iranian households (n 102,303), nationally representative, were studied. Results: Lower SES was associated with the higher OR of a sustainable diet (OR: 0.90; CI: 0.87-0.91). Higher quartiles of SES compared to the lower SES group indicated the higher energy intake and consumption of more dairies, meat, poultry, fish, eggs, legumes, nuts, and fruits, as well as the lower intake of bread, cereal, rice, and pasta. Conclusion: In countries such as Iran, where nutrition transition occurs rapidly, better economic and social levels in the populations with a higher SES are associated with increased energy intake and higher consumption of animal-based foods, which decreases sustainable diets compared to the groups with a lower SES.

2018 ◽  
Vol 21 (18) ◽  
pp. 3296-3306 ◽  
Author(s):  
Tania C Aburto ◽  
Jennifer M Poti ◽  
Barry M Popkin

AbstractObjectiveTo describe trends across the intake distribution of total, manufactured and homemade sugar-sweetened beverages (SSB) from 1999 to 2012, focusing on high SSB consumers and on changes by socio-economic status (SES) subgroup.DesignWe analysed data from one 24 h dietary recall from two nationally representative surveys. Quantile regression models at the 50th, 75th and 90th percentiles of energy intake distribution of SSB were used.Setting1999 Mexican National Nutrition Survey and 2012 Mexican National Health and Nutrition Survey.ParticipantsSchool-aged children (5–11 years) and women (20–49 years) for trend analyses (n7718). Population aged >1 year for 2012 (n10 096).ResultsOver the 1999–2012 period, there were significant increases in the proportion of total and manufactured SSB consumers (5·7 and 10·7 percentage points), along with an increase in per-consumer SSB energy intake, resulting in significant increases in per-capita total SSB energy intake (142, 247 and 397 kJ/d (34, 59 and 95 kcal/d) in school-aged children and 155, 331 and 456 kJ/d (37, 79 and 109 kcal/d) in women at the 50th, 75th and 90th percentile, respectively). Total and manufactured SSB intakes increased sharply among low-SES children but remained similar among high-SES children during this time span.ConclusionsLarge increases in SSB consumption were seen between 1999 and 2012 during this pre-tax SSB period, particularly for the highest consumers. Trends observed in school-aged children are a clear example of the nutrition transition experienced in Mexico. Policies to discourage high intake of manufactured SSB should continue, joined with strategies to encourage water and low-calorie beverage consumption.


2017 ◽  
Vol 3 ◽  
pp. 233372141769667 ◽  
Author(s):  
Minjee Lee ◽  
M. Mahmud Khan ◽  
Brad Wright

Objective: We investigated the association between childhood socioeconomic status (SES) and coronary heart disease (CHD) in older Americans. Method: We used Health and Retirement Study data from 1992 to 2012 to examine a nationally representative sample of Americans aged ≥50 years ( N = 30,623). We modeled CHD as a function of childhood and adult SES using maternal and paternal educational level as a proxy for childhood SES. Results: Respondents reporting low childhood SES were significantly more likely to have CHD than respondents reporting high childhood SES. Respondents reporting both low childhood and adult SES were 2.34 times more likely to have CHD than respondents reporting both high childhood and adult SES. People with low childhood SES and high adult SES were 1.60 times more likely than people with high childhood SES and high adult SES to report CHD in the fully adjusted model. High childhood SES and low adult SES increased the likelihood of CHD by 13%, compared with high SES both as a child and adult. Conclusion: Childhood SES is significantly associated with increased risk of CHD in later life among older adult Americans.


Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1698
Author(s):  
Leandro Teixeira Cacau ◽  
Eduardo De Carli ◽  
Aline Martins de Carvalho ◽  
Paulo Andrade Lotufo ◽  
Luis A. Moreno ◽  
...  

The EAT-Lancet Commission has proposed a planetary health diet. We propose the development of the Planetary Health Diet Index (PHDI) based on this proposed reference diet. We used baseline dietary data obtained through a 114-item FFQ from 14,779 participants of the Longitudinal Study on Adult Health, a multicenter cohort study conducted in Brazil. The PHDI has 16 components and a score from 0 to 150 points. Validation and reliability analyses were performed, including principal component analyses, association with selected nutrients, differences in means between groups (for example, smokers vs. non-smokers), correlations between components and total energy intake, Cronbach’s alpha, item-item correlations, and linear regression analysis between PHDI with carbon footprint and overall dietary quality. The mean PHDI was 60.4 (95% CI 60.2:60.5). The PHDI had six dimensions, was associated in an expected direction with the selected nutrients and was significantly (p < 0.001) lower in smokers (59.0) than in non-smokers (60.6). Cronbach’s alpha value was 0.51. All correlations between components were low, as well as between components and PHDI with total energy intake. After adjustment for age and sex, the PHDI score remained associated (p < 0.001) with a higher overall dietary quality and lower carbon footprint. Thus, we confirmed the PHDI validity and reliability.


2013 ◽  
Vol 111 (7) ◽  
pp. 1292-1302 ◽  
Author(s):  
Isabelle Berta Vanrullen ◽  
Jean-Luc Volatier ◽  
Aurélie Bertaut ◽  
Ariane Dufour ◽  
Jean Dallongeville

Energy intake under-reporting (UR) is a concern in nutritional epidemiological studies, as it may distort the relationships between dietary habits and health. Although UR is known to be associated with certain characteristics, few studies have investigated them in France. Therefore, the goal of the present study was to assess the prevalence and characteristics of UR in French adults. UR was defined according to Goldberg's classification. A sample of 1567 adults was drawn from the nationally representative French dietary survey (Individuelle Nationale des Consommations Alimentaires 2 2006–7). Food intake (7 d record), dietary habits, socio-economic status, region of residence, sedentary behaviour and weight perception variables were assessed. Multivariate logistic regression was used to investigate the associations between UR and a number of covariates. The overall prevalence of UR was 22·5 %, similar in men and women. In both sexes, UR was positively associated with overweight and protein intake and inversely associated with age. In women, UR was associated with eating lunch in the office, poor perception of diet quality and sedentary behaviour and was inversely associated with educational level, residence in the Paris region, cereal product intake and eating lunch in a friend's or family member's home. In men, UR was positively associated with a history of slimming and inversely associated with dairy product intake and eating lunch at a staff canteen. In conclusion, UR is prevalent in French adults and is associated with several different characteristics. It is important to take account of UR when investigating diet–disease associations in adults.


2021 ◽  
Vol 12 (2) ◽  
pp. 79-89
Author(s):  
Leideliane Kilian ◽  
Rozane Marcia Triches ◽  
Eliziane Nicolodi Francescato Ruiz

Objective: Analyze comparatively the sustainability of menus developed by two university restaurants (UR) in the State of Paraná using the water footprint (WF) and the opinion of diners as parameters. Methods: WF was calculated based on 46 menus in each unit and data on diners through questionnaires for 750 people analyzed with Mann Whitney and Pearson’s chi-square. Results: The highest WF averages were from omnivorous menus compared to vegetarians and UR2 had averages higher than UR1. As for the opinion of diners about UR1, there is greater satisfaction with prices, vegetarian options, and greater knowledge about organic and purchases of family farming (FF) products. Conclusions: Therefore, RU1 is closer to the assumptions of a sustainable diet than UR2, but both should review their menus concerning WF and carry out work with diners on food and sustainability.


2016 ◽  
Vol 51 (3) ◽  
pp. 278-286 ◽  
Author(s):  
Yuko Kachi ◽  
Aya Abe ◽  
Emiko Ando ◽  
Tomoyuki Kawada

Objective: Socioeconomic status as a determinant of mental health problems has received scant attention in Japan, which has long been considered an egalitarian society. This study examined the association between socioeconomic status and psychological distress and its trends over 6 years among Japanese adolescents. Methods: We used data from a nationally representative sample of 9491 adolescents aged 12–18 years who participated in three repeated cross-sectional surveys between 2007 and 2013. The K6 scale was used to assess psychological distress. Socioeconomic status indicators included household income, parental education, parental working status and household structure. Results: Psychological distress prevalence decreased significantly from 2007 (10.7%) to 2013 (7.6%). However, the socioeconomic status patterns of psychological distress were consistent through the study period. Adolescents living in both lower (odds ratio = 1.61; 95% confidence interval = [1.27, 2.05]) and higher income households (odds ratio = 1.30; 95% confidence interval = [1.03, 1.62]) were more likely to report psychological distress than their middle-income counterparts. Adolescents with low household income were more likely to feel stress from interpersonal relationships and less likely to have help-seeking behaviors, while those with high household income were more likely to feel stress about school achievement. Psychological distress was also associated with parental poor education and single parenthood. Conclusions: Socioeconomic status disparities in adolescent psychological distress were evident and consistent during the 6-year period. There is a unique U-shaped relationship between household income and psychological distress among adolescents in Japan, unlike those from other countries. However, the underlying mechanisms may differ by income status. Future prevention efforts should consider socioeconomic status as a determinant of adolescent mental health problems.


Author(s):  
Deborah Schlichting ◽  
Ladan Hashemi ◽  
Cameron Grant

Food security (FS) during infancy is associated with lifelong outcomes. New Zealand is a developed economy that reports poor childhood nutrition-related health statistics, particularly among minority children, yet has no measure of FS applicable to infancy. The objective was to develop an FS index for New Zealand infants and examine its association with demographic covariates and health outcomes. Within a large (n = 6853) nationally representative cohort, variables describing infant food consumption, breastfeeding, and maternal food-related coping methods were collected from mothers during late infancy. An FS index was derived using confirmatory factor analysis. Associations were assessed by logistic regressions and described using odds ratios (OR) and ≥95% confidence intervals (CI). Fifteen percent of the cohort was highly FS, 43% tenuously food insecure (FIS), and 16% highly food insecure (FIS). Infants from minority ethnic groups had lower odds of being food secure, as did those born to the youngest mothers, mothers who smoked, or those who lived in low-income households. FIS infants had higher odds of morbidity. Interventions to improve infant FS should focus on improving dietary quality, and should give particular consideration to minority infants. We identified that FIS shows wide ethnic and socioeconomic inequity, and is associated with poorer health. The most important driving factors of FIS included poor quality weaning diets, as well as poverty and its proxies. Any interventions to improve infant FS should focus on increasing fruit and vegetable consumption to recommended intake levels, and should give particular consideration to minority infants.


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