Does socioeconomic status affect fruit and vegetable intake? Evidence from a cross-sectional analysis of the RaNCD Cohort

Amini, Mahin; Najafi, Farid; Karyani, Ali Kazemi; Pasdar, Yahya; Samadi, Mehnoosh; Moradinazar, Mehdi

doi:10.1080/15538362.2021.1932692

Cited by 8 publications

(9 citation statements)

References 38 publications

(35 reference statements)

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“…Our results are also consistent with previous studies that showed strong relationships of fruit and vegetable intake with socioeconomic factors or other lifestyle habits (Amini et al, 2021;De Irala-Estévez et al, 2000;Estaquio et al, 2008) which may confound the association with SRH. Low education or unemployment, for example, can lead to lower fruit and vegetable intake due to financial constraints, while these factors are also often predictors of low SRH (Lindholm et al, 2001).…”

Section: Interpretation Of Findingssupporting

confidence: 93%

Low fruit and vegetable intake is associated with poor self-rated health in the Czech part of the HAPIEE study

et al. 2021

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Background: Although fruits and vegetables are considered a pillar of healthy eating, previous evidence suggests that their consumption in Eastern European countries is low, and their association with health outcomes has rarely been researched in this region. Aim: To examine the effect of fruit and vegetable intake on self-rated health (SRH) in the Czech arm of the Health, Alcohol and Psychosocial factors in Eastern Europe prospective cohort study. Methods: Dietary data on fruit and vegetable intake was measured at baseline using food frequency questionnaires, and SRH from the second wave was chosen as the main outcome. The relationship between fruit and vegetable intake and SRH was analysed using multivariable ordinal regression. Results: A total of 4255 persons aged 45–69, in good and very good SRH at baseline were included in the longitudinal analysis, with a median follow-up time of 3.7 years. In the second wave, 218 (5.1%) individuals reported poor or very poor SRH. In the fully adjusted model, individuals in the lowest fruit and vegetable intake quartile had higher odds of poor SRH compared to those in the highest quartile (OR = 1.24, 95% CI: 1.01–1.52). When examined separately, the results were similar: for vegetables (OR = 1.25, 95% CI: 1.03–1.51) and fruit (OR = 1.18, 95% CI: 0.97–1.44). Conclusion: The observed longitudinal association suggests that low fruit and vegetable intake is associated with poor SRH in the Czech Republic. Considering almost half of our sample reported less than the daily recommended intake of 400 grams of fruits and vegetables, higher consumption should be supported.

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Section: Interpretation Of Findingssupporting

confidence: 93%

Low fruit and vegetable intake is associated with poor self-rated health in the Czech part of the HAPIEE study

et al. 2021

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“…In the present study, no third-order interactions were found, indicating that the effect of ending the program did not differ according to sex or parental education, which means that there was no difference between boys and girls, or between socioeconomic groups (based on parental education) in this sample. Thus, the findings do not confirm the results of studies showing that free school meals equalize social inequality [15][16][17], but also do not support the studies that show higher FV intake in high socioeconomic groups [12,13].…”

Section: Discussioncontrasting

confidence: 95%

“…Several studies have indicated socioeconomic differences in dietary habits, including FV intake, as people with higher education usually eat more FV than those with lower education [12,13]. In addition, health promotion measures are often more effective among families with a high socioeconomic background, which may contribute to an increase rather than a decrease in health disparities among different socioeconomic groups [14].…”

Section: Introductionmentioning

confidence: 99%

Effect of Ending the Nationwide Free School Fruit Scheme on the Intake of Fruits, Vegetables, and Unhealthy Snacks in Norwegian School Children Aged 10–12 Years

Richardsen

Bere

Stea

et al. 2023

IJERPH

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The Norwegian authorities started a nationwide free school fruit program in 2007, implemented in all secondary schools (grades 8–10) and combined schools (grades 1–10) in Norway. The program ended in 2014. This study evaluates the effect of ending the nationwide free school fruit program on the consumption of fruit, vegetables, and unhealthy snacks among Norwegian sixth and seventh graders. The study sample consists of pupils at 18 schools that participated in all data collections in the Fruits and Vegetables Make the Marks project (FVMM), initiated in 2001, with new data collections in 2008 and 2018. Four of the schools were combined schools, therefore children in sixth and seventh grade at these schools received free fruit in 2008 (intervention schools), and fourteen schools did not (control schools). Between 2008 and 2018, pupils at the intervention schools ate a lower proportion of fruits and vegetables per school week, and the consumption of unhealthy snacks increased compared to the control schools. Completion of the free fruit program was not significantly different for boys and girls, or low and high parental education. The results indicate that the end of the free school fruit program resulted in less healthy eating habits among children.

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“…On the other hand, the highest household welfare quintiles contributed to more than 40 % of the inequalities in fruit and vegetable consumption between 2014 and 2019 (with a decrease of 9•1 percentage points in 2019), while an urban place of residence contributed 10 % of the inequalities in 2014 and 17•3 % in 2019. These results are similar to those reported in previous studies conducted in Iran and India (36) . The contribution of inequalities in the highest welfare quintiles can be attributed to household purchasing power, in which the cost of two servings of fruit and three servings of vegetables per d represents more than 50 % of household income in low-income countries, which may reflect the unaffordability of lower-income households to purchase fruit and vegetables (45) .…”

Section: Discussionsupporting

confidence: 93%

“…We found a concentration of adequate fruit and vegetable consumption per day among people with a higher wealth index. Similar findings have been described in other studies conducted worldwide (24,(34)(35)(36)(37) that report that more people with a high socioeconomic level have an adequate consumption of fruits and vegetables compared to the poorest. An explanation for this could be that people living in lower-income households make less healthy and lower quality food purchases and have less access to fruits and vegetables due to the high cost of this type of food (38) .…”

Section: Discussionsupporting

confidence: 90%

Socio-economic inequalities in the consumption of fruits and vegetables in Peru between 2014 and 2019

Hernández-Vasquéz

Visconti-Lopez

Vargas-Fernández

2022

Public Health Nutr.

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Objective: To estimate the prevalence and socioeconomic inequalities in adequate consumption of fruits and vegetables in Peru between 2014 and 2019. Design: Analytical cross-sectional study. The outcome variable was adequate consumption of fruits and vegetables, defined as the consumption of five or more servings of fruits and vegetables per-day (yes/no). We used concentration curves and Erreygers concentration index (ECI) to describe socioeconomic inequalities and a microeconometric approach to determine the contribution of each variable to inequality. Setting: Peru. Subjects: Data from Peruvians aged 15 years or older collected by the Demographic and Family Health Survey. Results: The prevalence of adequate fruit and vegetable consumption did not change between 2014 (10.7%; 95% CI: 10.0-11.4) and 2019 (11%; 95% CI: 10.4-11.7). We found socioeconomic inequalities in the adequate consumption of fruits and vegetables, with wealthier individuals having a higher prevalence of adequate consumption compared to poorer individuals in 2014 (19.2% vs. 3.5%) and 2019 (18.6% vs. 4.7%). The decomposition analysis found that education, urban areas and being wealthy were the main factors associated with socioeconomic inequality in adequate fruit and vegetable consumption, being structural problems of society. Conclusion: Despite the current regulations on healthy eating in Peru, adequate consumption of fruits and vegetables remains low, and there are socioeconomic inequalities between the poorest and wealthiest individuals. Our findings suggest that more efforts are needed to increase the intake and assess the disparities in adequate fruit and vegetable consumption.

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Does socioeconomic status affect fruit and vegetable intake? Evidence from a cross-sectional analysis of the RaNCD Cohort

Cited by 8 publications

References 38 publications

Low fruit and vegetable intake is associated with poor self-rated health in the Czech part of the HAPIEE study

Low fruit and vegetable intake is associated with poor self-rated health in the Czech part of the HAPIEE study

Effect of Ending the Nationwide Free School Fruit Scheme on the Intake of Fruits, Vegetables, and Unhealthy Snacks in Norwegian School Children Aged 10–12 Years

Socio-economic inequalities in the consumption of fruits and vegetables in Peru between 2014 and 2019

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