Food consumption has become the subject of many prescriptions that aim to improve consumers' health and protect the environment. This study examined recent changes in food practices that occurred in response to prescriptions. Based on practice theories, we assume that links that connect practices with prescriptions result from evolving social interactions. Consistent with the life-course perspective, we focus on distinctions between public prescriptions and standards that individuals consider relevant to their lives. We rely on quantitative data and the results of qualitative fieldwork conducted in France. Our results suggest that consumers may change food practices when they reach turning points in their lives. They may reconsider resources, skills and standards. Middle-and upper-class individuals are more likely to adopt standards consistent with public prescriptions. Possible explanations are that they trust expert knowledge sources, their social networks are less stable and smaller gaps exist between their standards and prescriptions.
The aim of this study was to describe the change in vegetable consumption with ageing and the transition to retirement. Study subjects were the participants of the GAZEL prospective cohort (Gaz and Électricité de France) aged 40-49 years at inclusion in 1989 who retired between 1991 and 2008 (12 942 men and 2739 women). Four FFQ were completed from 1990 to 2009. We used multiple imputation by chained equations in order to avoid dropping incomplete cases. The OR for eating vegetables everyday was estimated as a function of ageing, retirement status and the place of lunch before retirement through generalised estimating equations. Analyses were stratified by sex, and models were adjusted for confounders, including current spousal status. In 1990, 17·7 % of men and 31 % of women reported eating vegetables daily. The odds of consuming vegetables everyday increased with ageing for both men and women. The usual place of lunch was home for less than half the sample before retirement and for almost every respondent after retirement. For those who changed their place of lunch, the association between being retired and the odds of eating vegetables daily was positive and significant. We found that, in this cohort, vegetable consumption increased with ageing. Retirement had an indirect effect on vegetable consumption mediated by changes in the place of lunch.Key words: Ageing: Vegetable consumption: Retirement: Multiple imputations: Meal place: GAZEL prospective cohort Vegetables are a major focus of current nutritional guidelines in developed countries because higher intakes can help protect from a wide range of non-communicable diseases (1) . Recent findings suggest that only 12 % of the Americans meet the official dietary guidelines for vegetable intake (2) and that the British consumed on average 135 g/d of vegetables, 100 g/d below the UK guidelines (3) . In France, vegetable intakes appear to be higher, close to the levels reported in Southern European countries (4) , with 55 % of the population eating more than two servings (160 g) daily (5) . Barriers to vegetable consumption include cost, poor nutritional knowledge and limited cooking time and skills (6)(7)(8) . Although people spend more time in food preparation in France than in many other European countries (9) , these factors are also associated with lower vegetable consumption (5,10,11) .Cross-sectional surveys suggest a strong association between age and vegetable consumption in France and elsewhere (5,(12)(13)(14)(15) . However, it remains unclear whether age reflects the process of ageing, differences across birth cohorts or the impact of specific life-course transitions (16)(17)(18)(19) such as retirement. Studies on the transition to retirement have shown its positive impact on health outcomes such as self-rated health (20) and sleep (21) , but results are unclear regarding physical activity (22,23) or alcohol consumption (24) . In a cohort of 1200 Finnish civil servants, Helldán et al. (25) found an increase in healthy food habits in retired wom...
BackgroundSubstance use is more prevalent among unemployed subjects compared to employed ones. However, quantifying the risk subsequent of job loss at short-term according to substance use remains underexplored as well as examining if this association persist across various sociodemographic and occupational positions previously linked to job loss. We examined this issue prospectively for alcohol, tobacco, cannabis use and their combination, among a large population-based sample of men and women, while taking into account age, gender, overall health status and depressive symptoms.MethodsFrom the French population-based CONSTANCES cohort, 18,879 working participants were included between 2012 and 2016. At baseline, alcohol use disorder risk according to the Alcohol Use Disorders Identification Test (mild, dangerous, problematic or dependence), tobacco (non-smoker, former smoker, 1–9, 10–19, >19 cigarettes/day) and cannabis use (never, not in past year, less than once a month, once a month or more) were assessed. Employment status at one-year (working versus not working) was the dependent variable. Logistic regressions provided Odds Ratios(OR(95%CI)) of job loss at one-year, adjusting for age, gender, self-reported health and depressive state (measured with the Center of Epidemiologic Studies Depression scale). Stratified analyses were performed for education, occupational grade, household income, job stress (measured with the Effort-Reward Imbalance), type of job contract, type of work time and history of unemployment. In sensitivity analyses, employment status over a three-year follow-up was used as dependent variable.ResultsAlcohol, tobacco and cannabis use were associated with job loss, from the second to the highest category: 1.46(95%CI:1.23–1.73) to 1.92(95%CI:1.34–2.75), 1.26(95%CI:1.09–1.46) to 1.78(95%CI:1.26–2.54) and 1.45(95%CI:1.27–1.66) to 2.68(95%CI:2.10–3.42), respectively, and with dose-dependent relationships (all p for trend <0.001). When introduced simultaneously, associations remained significant for the three substances without any between-substance interactions. Associations remained significant across almost all stratifications and over a three-year follow-up as well as after adjustment for all the sociodemographic and occupational factors.ConclusionsAlcohol, tobacco and cannabis use were independently associated with job loss at short-term, with dose-dependent relationships. This knowledge will help refining information and prevention strategies. Importantly, even moderate levels of alcohol, tobacco or cannabis use are associated with job loss at short-term and all sociodemographic and occupational positions are potentially concerned.
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