Compliance with dietary guidelines in grocery purchasing among older adults by chewing ability and socio-economic status

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.

Download Full-text

The role of perceived barriers in explaining socio-economic status differences in adherence to the fruit, vegetable and fish guidelines in older adults: a mediation study

Public Health Nutrition ◽

10.1017/s1368980014001487 ◽

2014 ◽

Vol 18 (5) ◽

pp. 797-808 ◽

Cited By ~ 21

Author(s):

S Coosje Dijkstra ◽

Judith E Neter ◽

Maartje M van Stralen ◽

Dirk L Knol ◽

Ingeborg A Brouwer ◽

...

Keyword(s):

Older Adults ◽

Economic Status ◽

Community Dwelling ◽

Dietary Guidelines ◽

Perceived Barriers ◽

High Price ◽

Cross Sectional ◽

Mediating Role ◽

Socio Economic Status

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.

Download Full-text

Fruit and vegetable consumption among older adults by tooth loss and socio-economic status

Australian Dental Journal ◽

10.1111/j.1834-7819.2010.01217.x ◽

2010 ◽

Vol 55 (2) ◽

pp. 143-149 ◽

Cited By ~ 24

Author(s):

DS Brennan ◽

KA Singh ◽

P Liu ◽

AJ Spencer

Keyword(s):

Older Adults ◽

Tooth Loss ◽

Vegetable Consumption ◽

Economic Status ◽

Fruit And Vegetable Consumption ◽

Fruit And Vegetable ◽

Socio Economic Status

Download Full-text

Comparative validation of standard, picture-sort and meal-based food-frequency questionnaires adapted for an elderly population of low socio-economic status

Public Health Nutrition ◽

10.1017/s1368980007246713 ◽

2007 ◽

Vol 10 (5) ◽

pp. 524-532 ◽

Cited By ~ 16

Author(s):

Sara A Quandt ◽

Mara Z Vitolins ◽

Shannon L Smith ◽

Janet A Tooze ◽

Ronny A Bell ◽

...

Keyword(s):

Older Adults ◽

Native American ◽

Economic Status ◽

Dietary Assessment ◽

Random Order ◽

Assessment Instruments ◽

Poverty Level ◽

Food Frequency ◽

Socio Economic Status ◽

Highly Correlated

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.

Download Full-text

Network size and support in old age: differentials by socio-economic status in childhood and adulthood

Ageing and Society ◽

10.1017/s0144686x0300134x ◽

2003 ◽

Vol 23 (5) ◽

pp. 625-645 ◽

Cited By ~ 41

Author(s):

MARJOLEIN I. BROESE VAN GROENOU ◽

THEO VAN TILBURG

Keyword(s):

Older Adults ◽

Old Age ◽

Living Arrangements ◽

Economic Status ◽

Later Life ◽

Occupational Prestige ◽

Personal Network ◽

Level Of Education ◽

Socio Economic Status ◽

The Impact

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.

Download Full-text

Socio-economic status, self-rated health and mental health: the mediation effect of social participation on early-late midlife and older adults

Israel Journal of Health Policy Research ◽

10.1186/s13584-019-0359-8 ◽

2020 ◽

Vol 9 (1) ◽

Cited By ~ 3

Author(s):

Netta Achdut ◽

Orly Sarid

Keyword(s):

Mental Health ◽

Older Adults ◽

Social Participation ◽

Economic Status ◽

Mediation Effect ◽

Self Rated Health ◽

Socio Economic Status ◽

Early Late ◽

Late Midlife

Download Full-text

The Effect of Socio-Economic Status on Health Information Literacy among Urban Older Adults: Evidence from Western China

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18073501 ◽

2021 ◽

Vol 18 (7) ◽

pp. 3501

Author(s):

Chengbo Li ◽

Yanqi Guo

Keyword(s):

Older Adults ◽

Health Information ◽

Information Literacy ◽

Economic Status ◽

Social Gradient ◽

Financial Strain ◽

Western China ◽

Binary Logistic Regression Analysis ◽

Cross Sectional ◽

Socio Economic Status

The present study aimed to observe the effect of socio-economic status on health information literacy and to identify whether there is a social gradient for health information literacy among urban older adults in Western China. This study employed a cross-sectional research design, and 812 urban participants aged 60 and older were enrolled in Western China. In the current study, only 16.7% of urban older adults reported having adequate health information literacy. Binary logistic regression analysis showed that socio-economic status factors including educational attainment, ethnicity, and financial strain were significantly and tightly associated with health information literacy. Additionally, other factors including suffering from chronic diseases, information-seeking activity, reading magazines and books, and watching television were also significantly linked to health information literacy. Consistent with existing studies, the findings indicate the health information literacy deficit and demonstrate the crucial impact of socio-economic status on health information literacy, which implies a social gradient in health information literacy. The importance of other factors related to health information literacy are discussed as well. The results suggest that reducing the health information literacy deficit and social gradient in health information literacy must be considered as an important priority when developing public health and health education strategies, programs, and actions among urban older adults in Western China.

Download Full-text

Adherence to food-based dietary guidelines among adolescents in Germany according to socio-economic status and region: results from Eating Study as a KiGGS Module (EsKiMo) II

Public Health Nutrition ◽

10.1017/s136898002100001x ◽

2021 ◽

pp. 1-13

Author(s):

Anna-Kristin Brettschneider ◽

Clarissa Lage Barbosa ◽

Marjolein Haftenberger ◽

Franziska Lehmann ◽

Gert BM Mensink

Keyword(s):

Food Consumption ◽

Dietary Habits ◽

Soft Drink ◽

Economic Status ◽

Overweight And Obesity ◽

Dietary Guidelines ◽

Dietary Behaviour ◽

Computer Assisted ◽

Soft Drink Consumption ◽

Socio Economic Status

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.

Download Full-text

Socio-economic inequality in the prevalence of violence against older adults – findings from India

BMC Geriatrics ◽

10.1186/s12877-021-02234-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Debashree Sinha ◽

Prem Shankar Mishra ◽

Shobhit Srivastava ◽

Pradeep Kumar

Keyword(s):

Older Adults ◽

Economic Status ◽

Living Arrangement ◽

Public Health Problem ◽

Wealth Quintile ◽

Substantial Contribution ◽

Outcome Variable ◽

Bivariate Analysis ◽

Socio Economic Status ◽

Related Inequality

Abstract Background Violence against older adults is a well-recognised socio-psychological and public health problem. It is uncared-for, undiagnosed, and an untreated problem that is widespread across both developed and developing countries. The present paper aims to understand the extent of the socio-economic status related inequality in violence against older adults in India. Methods The study uses data from Building a Knowledge Base on Population Aging in India (BKPAI). Violence against older adults is the outcome variable for the study and is defined as older adults who faced any abuse or violence or neglect or disrespect by any person. Bivariate analysis and regression-based decomposition technique is used to understand the relative contribution of various socio-economic factors to violence against older adults (N = 9541). Results The prevalence of violence faced by older adults was 11.2%. Older adults aged 80+ years [OR: 1.49; CI: 1.14–1.93] and working [OR: 1.26; CI: 1.02–1.56] had higher likelihood to face violence than their counterparts. On the other hand, older adults who were currently in union [OR: 0.79; CI: 0.65–0.95], lived with children [OR: 0.53; CI: 0.40–0.72] and who belonged to richer wealth quintile [OR: 0.35; CI:0.24–0.51] had lower likelihood to suffer from violence than their counterparts. The decomposition results revealed that poor older adults were more prone to violence (Concentration index: − 0.20). Household’s wealth status was responsible for explaining 93.7% of the socio-economic status related inequality whereas living arrangement of older adults explained 13.7% of the socio-economic related inequality. Education and working status of older adults made a substantial contribution to the inequalities in reported violence, explaining 3.7% and 3.3% of the total inequality, respectively. Conclusion Though interpretation of the results requires a cautious understanding of the data used, the present study highlights some of the relevant issues faced by the country’s older adults. With no or meagre income of their own, older adults belonging to the poorest wealth quintile have little or no bargaining power to secure a violent free environment for themselves. Therefore, special attention in terms of social and economic support should be given to the economically vulnerable older population.

Download Full-text