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Socioeconomic and ethnic differences in the relation between dietary costs and dietary quality: the HELIUS study.
Mackenbach, Joreintje D; Dijkstra, S Coosje; Beulens, Joline W J; Seidell, Jacob C; Snijder, Marieke B; Stronks, Karien; Monsivais, Pablo; Nicolaou, Mary.
Afiliação
  • Mackenbach JD; Department of Epidemiology and Biostatistics, Amsterdam Public Health research institute, Amsterdam UMC, location VUmc, de Boelelaan 1117, Amsterdam, the Netherlands. j.mackenbach@vumc.nl.
  • Dijkstra SC; Department of Health Sciences, Amsterdam Public Health research institute, Vrije Universiteit, Amsterdam, the Netherlands.
  • Beulens JWJ; Department of Epidemiology and Biostatistics, Amsterdam Public Health research institute, Amsterdam UMC, location VUmc, de Boelelaan 1117, Amsterdam, the Netherlands.
  • Seidell JC; Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
  • Snijder MB; Department of Health Sciences, Amsterdam Public Health research institute, Vrije Universiteit, Amsterdam, the Netherlands.
  • Stronks K; Department of Public Health, Amsterdam Public Health research institute, Amsterdam UMC, location AMC, Meibergdreef 9, Amsterdam, the Netherlands.
  • Monsivais P; Department of Public Health, Amsterdam Public Health research institute, Amsterdam UMC, location AMC, Meibergdreef 9, Amsterdam, the Netherlands.
  • Nicolaou M; Department of Nutrition and Exercise Physiology, Elson S. Floyd College of Medicine, Washington State University, Spokane, USA.
Nutr J ; 18(1): 21, 2019 03 28.
Article em En | MEDLINE | ID: mdl-30922320
BACKGROUND: Healthier dietary patterns are generally more costly than less healthy patterns, but dietary costs may be more important for dietary quality in lower educated and ethnic minority groups. The aim of this study was to investigate the association between dietary costs and dietary quality and interactions with ethnicity and socioeconomic position (SEP). METHODS: We used cross-sectional data from 4717 Dutch, Surinamese, Turkish and Moroccan origin participants of the multi-ethnic HELIUS study (the Netherlands), who completed an ethnic-specific food frequency questionnaire (FFQ). The primary outcome measure was dietary quality according to adherence to the Dutch Healthy Diet index 2015 (DHD15-index, range 0-130). Individual dietary costs (the monetary value attached to consumed diets in Euros) were estimated by merging a food price variable with the FFQ nutrient composition database. Regression analyses were used to examine main and interaction effects. Analyses were adjusted for age, sex, smoking, energy intake, physical activity, ethnicity and educational level. RESULTS: Having higher dietary costs was associated with higher dietary quality. Analyses stratified by educational level showed that associations were stronger in higher educated (Btertile3 = 8.06, 95%CI = 5.63; 10.48) than in lower educated participants (Btertile3 = 5.09, 95%CI = 2.74; 7.44). Stratification by ethnic origin showed strongest associations in Turkish participants (Btertile2 = 9.31, 95%CI = 5.96; 12.65) and weakest associations in Moroccan participants (Btertile3 = 4.29, 95%CI = 0.58; 8.01). Regardless of their level of education, Turkish and Moroccan individuals consumed higher quality diets at the lowest cost than Dutch participants. CONCLUSIONS: The importance of dietary costs for dietary quality differs between socioeconomic and ethnic subgroups. Increasing individual food budgets or decreasing food prices may be effective for the promotion of healthy diets, but differential effects across socioeconomic and ethnic subgroups may be expected.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fatores Socioeconômicos / Etnicidade / Custos e Análise de Custo / Dieta / Dieta Saudável Tipo de estudo: Health_economic_evaluation / Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: Africa / America do sul / Asia / Caribe ingles / Europa / Suriname Idioma: En Revista: Nutr J Assunto da revista: CIENCIAS DA NUTRICAO Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Holanda País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fatores Socioeconômicos / Etnicidade / Custos e Análise de Custo / Dieta / Dieta Saudável Tipo de estudo: Health_economic_evaluation / Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude / Equity_inequality Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: Africa / America do sul / Asia / Caribe ingles / Europa / Suriname Idioma: En Revista: Nutr J Assunto da revista: CIENCIAS DA NUTRICAO Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Holanda País de publicação: Reino Unido