Socio-economic Status, Dietary Habits and Health-Related Outcomes in Various Parts of the World: A Review

Vlismas, Konstantinos; Stavrinos, V.; Panagiotakos, Demosthenes B.

doi:10.21101/cejph.a3475

Cited by 114 publications

(106 citation statements)

References 34 publications

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“…Thus, we were not able to test other food scores, such as the PNNS SG (Estaquio et al, 2009). Third, it has been reported that well-educated people may overestimate their consumption of healthy foods (Vlismas et al, 2009). However, any such bias would have been mitigated by the fact that a registered dietician validated the dietary assessments during a face-to-face interview.…”

Section: Discussionmentioning

confidence: 96%

“…Educational level and socioeconomic factors influence food choices and eating behaviours in general (Johansson et al, 1999;Hulshof et al, 2003;Maynard et al, 2006;Deshmukh-Taskar et al, 2007;Kant and Graubard, 2007;Lallukka et al, 2007;Vlismas et al, 2009) and the intake of certain foods and nutrients (such as fruit and vegetables (F&Vs), fibres and saturated fatty acids) in particular (IralaEstevez et al, 2000;Vereecken et al, 2005;Hart Jr et al, 2006;Estaquio et al, 2008aEstaquio et al, , 2008b. These associations may be related to reasoned food choices by better educated people and budgetary constraints in low-income individuals (Drewnowski and Darmon, 2005;Darmon and Drewnowski, 2008).…”

Section: Introductionmentioning

confidence: 99%

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Regional factors interact with educational and income tax levels to influence food intake in France

et al. 2011

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Background/Objectives: The goal of the present study was to assess whether geographic factors affect the relationship between socioeconomic indicators and adherence to the French National Nutritional Health Programme (Programme National Nutrition Santé (PNNS)) guidelines. Subjects/Methods: The MONA LISA-NUT study (2005)(2006)(2007) is a cross-sectional survey of a representative sample from northern, northeastern and southwestern France. Educational level and household income tax were recorded by trained interviewers. Food intake was assessed with a 3-day food diary in 3188 subjects aged from 35-64 years. Adherence to the PNNS guidelines was assessed with a validated score (the French score of indicators of the PNNS objective (FSIPO)). Multivariate analyses were adjusted for gender, age, marital status, body mass index, energy intake and medically prescribed diets. Results: The FSIPO score was higher in southwestern France than in the two other regions (Po0.0001). The FSIPO score was correlated with the educational level in northern and northeastern France (Po0.0001) but not in southwestern France (region-education interaction: Po0.001). This interaction was accounted for by fruit and vegetable (Po0.0001), calcium (P ¼ 0.03), saturated fatty acid (Po0.0001), and fibre (P ¼ 0.0001) components of the FSIPO score. In contrast, the income tax level and the FSIPO score were positively correlated (Po0.0001) to a similar extent in all three regions (region Â income tax interaction: P ¼ 0.09). Conclusions:The relationship between educational level and adherence to the national nutritional health guidelines differs from one region of France to another, suggesting that nutrition education programmes should perhaps be adapted on a regional basis. In contrast, guideline adherence is correlated with income tax level independently of geographical factors, suggesting that financial constraints on food choices are uniform across France.

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Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Regional factors interact with educational and income tax levels to influence food intake in France

et al. 2011

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“…Two major lifestyle factors contributing to obesity, inadequate physical activity and energy-dense diets, have been investigated extensively (10)(11)(12)(13)(14) and in developed countries these behaviours are found to be inversely related to socioeconomic status (15)(16)(17)(18)(19)(20)(21) . There is some evidence suggesting similar socio-economic patterning of low exercise and dietary behaviours in the Danish context (17,(21)(22)(23) . Within Copenhagen, the tendency to consume fast food is high for residents living in areas of low social class and the propensity for overweight is significant among women living in poorer neighbourhoods (22) .…”

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confidence: 99%

Supermarket and fast-food outlet exposure in Copenhagen: associations with socio-economic and demographic characteristics

Svastisalee

Nordahl

Glümer

et al. 2011

Public Health Nutr.

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Objective: To investigate whether exposure to fast-food outlets and supermarkets is socio-economically patterned in the city of Copenhagen. Design: The study was based on a cross-sectional multivariate approach to examine the association between the number of fast-food outlets and supermarkets and neighbourhood-level socio-economic indicators. Food business addresses were obtained from commercial and public business locators and geocoded using a geographic information system for all neighbourhoods in the city of Copenhagen (n 400). The regression of counts of fast-food outlets and supermarkets v. indicators of socio-economic status (percentage of recent immigrants, percentage without a high-school diploma, percentage of the population under 35 years of age and average household income in Euros) was performed using negative binomial analysis. Setting: Copenhagen, Denmark. Subjects: The unit of analysis was neighbourhood (n 400). Results: In the fully adjusted models, income was not a significant predictor for supermarket exposure. However, neighbourhoods with low and mid-low income were associated with significantly fewer fast-food outlets. Using backwise deletion from the fully adjusted models, low income remained significantly associated with fast-food outlet exposure (rate ratio 5 0?66-0?80) in the final model. Conclusions: In the city of Copenhagen, there was no evidence of spatial patterning of supermarkets by income. However, we detected a trend in the exposure to fast-food outlets, such that neighbourhoods in the lowest income quartile had fewer fast-food outlets than higher-income neighbourhoods. These findings have similarities with studies conducted in the UK, but not in the USA. The results suggest there may be socio-economic factors other than income associated with food exposure in Europe.

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“…In addition, a greater adherence to a plantbased diet among the elderly is found to be associated with lower all-cause mortality (20) , whereas it has been shown that the adoption of healthy diets reduces risk factors for CVD and certain types of cancer, and increases quality of life (21) . Several studies have shown that diet quality seems to depend on socio-economic variables, such as occupation, income and education (21)(22)(23)(24)(25)(26) . In developed countries, there is plenty of literature suggesting that, traditionally, lower socio-economic levels are characterised by unhealthier dietary habits, compared to upper socio-economic levels (24)(25)(26) .…”

mentioning

confidence: 99%

“…Moreover, some studies in the Mediterranean area have shown that people in low SES groups showed lower adherence to the Mediterranean diet (24) , whereas other studies showed the opposite (23) . According to current evidence, higher SES groups are characterised by higher consumption of non-refined grains, lean meat, fish, dairy products, fruit and vegetables compared to lower SES groups (25) , but there is still a considerable lack of evidence regarding this issue in various parts of the world, and particularly in the elderly (27,28) . Elderly men and women from various Eastern Mediterranean islands (28) were thus enrolled in the Mediterranean islands (MEDIS) study, which investigated whether diet quality, as measured by adherence to the traditional Mediterranean diet, was associated with SES of the participants.…”

mentioning

confidence: 99%

Socio-economic status, place of residence and dietary habits among the elderly: the Mediterranean islands study

Katsarou

Tyrovolas

Ψαλτοπούλου

et al. 2010

Public Health Nutr.

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Objective: To investigate whether the socio-economic status (SES) of elderly eastern Mediterranean islanders is associated with their dietary habits, particularly with adherence to the traditional Mediterranean diet. Design: Cross-sectional. Setting: Adherence to the Mediterranean diet was measured by the MedDietScore (range: 0-55), whereas SES was estimated using education and financial status. Subjects: During 2005-2007, 300 men and women from Cyprus, 100 from Samothraki, 142 from Mitilini, 114 from Kefalonia, 131 from Crete, 150 from Lemnos, 150 from Corfu and 103 from Zakynthos (aged 65-100 years), free of known chronic diseases, participated in the survey. Results: Multiple linear regression analysis revealed that belonging to the highest SES was associated with a higher MedDietScore (P , 0?01), after adjusting for potential sociodemographic, lifestyle, dietary and clinical confounders. A significant positive association was also found between MedDietScore and years of school (P 5 0?004), as well as financial status (P 5 0?001). Conclusions: Older Greek people of higher SES seem to follow a relatively healthier diet. Both education and income seem to play a role in this issue. Thus, public health policy makers should focus on people with low SES in order to improve their quality of diet and, consequently, their health status.

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Socio-economic Status, Dietary Habits and Health-Related Outcomes in Various Parts of the World: A Review

Cited by 114 publications

References 34 publications

Regional factors interact with educational and income tax levels to influence food intake in France

Regional factors interact with educational and income tax levels to influence food intake in France

Supermarket and fast-food outlet exposure in Copenhagen: associations with socio-economic and demographic characteristics

Socio-economic status, place of residence and dietary habits among the elderly: the Mediterranean islands study

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