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Mediation of psychosocial determinants in the relation between socio-economic status and adolescents' diet quality.
Michels, Nathalie; Vynckier, Lisa; Moreno, Luis A; Beghin, Laurent; de la O, Alex; Forsner, Maria; Gonzalez-Gross, Marcela; Huybrechts, Inge; Iguacel, Isabel; Kafatos, Antonio; Kersting, Mathilde; Leclercq, Catherine; Manios, Yannis; Marcos, Ascension; Molnar, Denes; Sjöström, Michael; Widhalm, Kurt; De Henauw, Stefaan.
Afiliación
  • Michels N; Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185-4K3, 9000, Ghent, Belgium. Nathalie.michels@ugent.be.
  • Vynckier L; Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185-4K3, 9000, Ghent, Belgium.
  • Moreno LA; GENUD (Growth, Exercise, NUtrition and Development) Research Group, Faculty of Health Sciences, University of Zaragoza, , Edificio del SAI, C/Pedro Cerbuna s/n, 50009, Zaragoza, Spain.
  • Beghin L; Centre d'Investigation Clinique CH&U Inserm, Bd Pr Leclercq, Hôpital Cardiologique, Lille Cedex, France.
  • de la O A; Department of Physiology, Faculty of Medicine, Granada University, Granada, Spain.
  • Forsner M; School of Education, Health and Social Sciences, Dalarna University, Falun, Sweden.
  • Gonzalez-Gross M; Department of Health and Human Performance, Facultad de Ciencias de la Actividad Física y del Deporte, Universidad Politécnica de Madrid, Madrid, Spain.
  • Huybrechts I; Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185-4K3, 9000, Ghent, Belgium.
  • Iguacel I; Nutrition and Metabolism Section, International Agency for Research on Cancer, Lyon, France.
  • Kafatos A; Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185-4K3, 9000, Ghent, Belgium.
  • Kersting M; School of Medicine, University of Crete, Crete, Greece.
  • Leclercq C; Research Institute of Child Nutrition, Rheinische Friedrich-Wilhelms-Universität Bonn, Dortmund, Germany.
  • Manios Y; INRAN (National Research Institute on Food and Nutrition), Via Ardeatina, 546I00176, Roma, Italy.
  • Marcos A; Department of Nutrition and Dietetics, Harokopio University, Athens, Greece.
  • Molnar D; Department of Metabolism and Nutrition, ICTAN Institute Fri´o Spanish National Research Council C/ Jose´ Antonio Novais, Madrid, 28000, Spain.
  • Sjöström M; Department of Pediatrics, University of Pécs, Pécs, Hungary.
  • Widhalm K; Department of BioScience and Nutrition, Karolinska institutet, Stockholm, Sweden.
  • De Henauw S; Department of Pediatrics, Division of Clinical Nutrition, Medical University of Vienna, Vienna, Austria.
Eur J Nutr ; 57(3): 951-963, 2018 Apr.
Article en En | MEDLINE | ID: mdl-28160091
PURPOSE: To examine the underlying reasons for the positive relation between socio-economic status (SES) and the diet quality of adolescents. METHODS: In 2081 adolescents (12.5-17.5 years) of the European HELENA study, a continuous variable on diet quality via 2-day 24-h recalls was available. SES was reflected by parental education, parental occupation and family affluence. Mediation by several psychosocial determinants was tested: self-efficacy, availability at school and home, social support, barriers, benefits, awareness and some self-reported influencers (parents, school, taste, health, friends, food readily available, easy preparation, hunger, price and habits). Multiple mediation analyses were adjusted for age, sex and country. RESULTS: The availability of soft drinks and fruit at home, social support, parental influence, barriers, price influence, taste influence, health influence and food being readily available were significant mediators. The multiple mediation indirect effect accounted for 23-64% of the total effect. Both occupation and education and both maternal and paternal factors could be explained by the mediation. The unavailability of soft drinks was the strongest mediator (17-44% of the total effect). CONCLUSION: Up to 64% of the positive relation between SES and the diet quality in adolescence could be explained by several healthy eating determinants. Focusing on these factors in low-SES populations can minimize social inequalities in diet and health by improving the diet of these specific adolescents.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cooperación del Paciente / Fenómenos Fisiológicos Nutricionales de los Adolescentes / Dieta Saludable / Modelos Psicológicos Tipo de estudio: Health_economic_evaluation / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Límite: Adolescent / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Eur J Nutr Asunto de la revista: CIENCIAS DA NUTRICAO Año: 2018 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Alemania
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cooperación del Paciente / Fenómenos Fisiológicos Nutricionales de los Adolescentes / Dieta Saludable / Modelos Psicológicos Tipo de estudio: Health_economic_evaluation / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Límite: Adolescent / Female / Humans / Male País/Región como asunto: Europa Idioma: En Revista: Eur J Nutr Asunto de la revista: CIENCIAS DA NUTRICAO Año: 2018 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Alemania