Neighbourhood socioeconomic disadvantage and fruit and vegetable consumption: a seven countries comparison

International Journal of Behavioral Nutrition and Physical Activity

Research

Rita Santos¹  Kylie Ball²  Karen E. Lamb²  Lukar E. Thornton²  Jamie Pearce³  Claudia Costa⁴  Paula Santana⁵  Carlijn B. M. Kamphuis⁶  Frank J. van Lenthe⁶  Anne Ellaway⁷  Nicoleta Cutumisu⁸  John C. Spence⁹  Shannon N. Zenk^1,10  Graciela Mentz^1,11  Amy J. Schulz^1,11 

[1] Centre for Health Economics, University of York, York, United Kingdom;Centre for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences, Deakin University, 221 Burwood Highway, 3125, Melbourne, VIC, Australia;Centre for Research on Environment, Society & Health, School of GeoSciences, University of Edinburgh, Edinburgh, UK;Centre of Studies on Geography and Spatial Planning (CEGOT), University of Coimbra, Coimbra, Portugal;Centre of Studies on Geography and Spatial Planning (CEGOT), University of Coimbra, Coimbra, Portugal;Department of Geography, Faculty of Humanities, University of Coimbra, Coimbra, Portugal;Erasmus University Medical Centre, Rotterdam, Netherlands;Medical Research Council Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK;The Research Center of the University of Montreal Hospital Centre (Centre de Recherche du Centre hospitalier de l’Université de Montréal - CRCHUM) & The Department of Social and Preventive Medicine, School of Public Health, University of Montreal, Montreal, Canada;University of Alberta, Edmonton, Canada;University of Illinois, Chicago, IL, USA;University of Michigan, Ann Arbor, MI, USA;

关键词: Diet;    Fruit;    Vegetables;    Socioeconomic Status;    Neighbourhood;    International;   

DOI  :  10.1186/s12966-015-0229-x

 received in 2014-10-16, accepted in 2015-05-13,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundLow fruit and vegetable consumption is a risk factor for poor health. Studies have shown consumption varies across neighbourhoods, with lower intakes in disadvantaged neighbourhoods. However, findings are inconsistent, suggesting that socio-spatial inequities in diet could be context-specific, highlighting a need for international comparisons across contexts.This study examined variations in fruit and vegetable consumption among adults from neighbourhoods of varying socioeconomic status (SES) across seven countries (Australia, Canada, Netherlands, New Zealand, Portugal, Scotland, US).MethodsData from seven existing studies, identified through literature searches and knowledge of co-authors, which collected measures of both neighbourhood-level SES and fruit and vegetable consumption were used. Logistic regression was used to examine associations between neighbourhood-level SES and binary fruit and vegetable consumption separately, adjusting for neighbourhood clustering and age, gender and education. As much as possible, variables were treated in a consistent manner in the analysis for each study to allow the identification of patterns of association within study and to examine differences in the associations across studies.ResultsAdjusted analyses showed evidence of an association between neighbourhood-level SES and fruit consumption in Canada, New Zealand and Scotland, with increased odds of greater fruit intake in higher SES neighbourhoods. In Australia, Canada, New Zealand and Portugal, those residing in higher SES neighbourhoods had increased odds of greater vegetable intake. The other studies showed no evidence of a difference by neighbourhood-level SES.ConclusionsAcknowledging discrepancies across studies in terms of sampling, measures, and definitions of neighbourhoods, this opportunistic study, which treated data in a consistent manner, suggests that associations between diet and neighbourhood-level socioeconomic status vary across countries. Neighbourhood socioeconomic disadvantage may differentially impact on access to resources in which produce is available in different countries. Neighbourhood environments have the potential to influence behaviour and further research is required to examine the context in which these associations arise.

【 授权许可】

CC BY   
© Ball et al.; licensee BioMed Central. 2015