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Socioeconomic Inequities in Diet Quality and Nutrient Intakes among Australian Adults: Findings from a Nationally Representative Cross-Sectional Study.
Nutrients. 2017 Oct 04; 9(10)N

Abstract

Poor diet may represent one pathway through which lower socioeconomic position (SEP) leads to adverse health outcomes. This study examined the associations between SEP and diet quality, its components, energy, and nutrients in a nationally representative sample of Australians. Dietary data from two 24-h recalls collected during the cross-sectional Australian Health Survey 2011-13 (n = 4875; aged ≥ 19 years) were analysed. Diet quality was evaluated using the Dietary Guidelines Index (DGI). SEP was assessed by index of area-level socioeconomic disadvantage, education level, and household income. Linear regression analyses investigated the associations between measures of SEP and dietary intakes. Across all of the SEP indicators, compared with the least disadvantaged group, the most disadvantaged group had 2.5-4.5 units lower DGI. A greater area-level disadvantage was associated with higher carbohydrate and total sugars intake. Lower education was associated with higher trans fat, carbohydrate, and total sugars intake and lower poly-unsaturated fat and fibre intake. Lower income was associated with lower total energy and protein intake and higher carbohydrate and trans fat intake. Lower SEP was generally associated with poorer diet quality and nutrient intakes, highlighting dietary inequities among Australian adults, and a need to develop policy that addresses these inequities.

Authors+Show Affiliations

Geelong, Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, VIC 3220, Australia. k.livingstone@deakin.edu.au.Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4Z6, Canada. dana.olstad@ucalgary.ca.Geelong, Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, VIC 3220, Australia. rleec@deakin.edu.au.Geelong, Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, VIC 3220, Australia. kylie.ball@deakin.edu.au.Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, AB T2N 4Z6, Canada. Beth.meertens@heartfoundation.org.au.The National Heart Foundation of Australia, Melbourne, VIC 3000, Australia. Jane.Potter@heartfoundation.org.au.The National Heart Foundation of Australia, Melbourne, VIC 3000, Australia. Xenia.Cleanthous@csiro.au.The National Heart Foundation of Australia, Melbourne, VIC 3000, Australia. rachael.reynolds@news.com.au.Geelong, Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, VIC 3220, Australia. sarah.mcnaughton@deakin.edu.au.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28976927

Citation

Livingstone, Katherine M., et al. "Socioeconomic Inequities in Diet Quality and Nutrient Intakes Among Australian Adults: Findings From a Nationally Representative Cross-Sectional Study." Nutrients, vol. 9, no. 10, 2017.
Livingstone KM, Olstad DL, Leech RM, et al. Socioeconomic Inequities in Diet Quality and Nutrient Intakes among Australian Adults: Findings from a Nationally Representative Cross-Sectional Study. Nutrients. 2017;9(10).
Livingstone, K. M., Olstad, D. L., Leech, R. M., Ball, K., Meertens, B., Potter, J., Cleanthous, X., Reynolds, R., & McNaughton, S. A. (2017). Socioeconomic Inequities in Diet Quality and Nutrient Intakes among Australian Adults: Findings from a Nationally Representative Cross-Sectional Study. Nutrients, 9(10). https://doi.org/10.3390/nu9101092
Livingstone KM, et al. Socioeconomic Inequities in Diet Quality and Nutrient Intakes Among Australian Adults: Findings From a Nationally Representative Cross-Sectional Study. Nutrients. 2017 Oct 4;9(10) PubMed PMID: 28976927.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Socioeconomic Inequities in Diet Quality and Nutrient Intakes among Australian Adults: Findings from a Nationally Representative Cross-Sectional Study. AU - Livingstone,Katherine M, AU - Olstad,Dana Lee, AU - Leech,Rebecca M, AU - Ball,Kylie, AU - Meertens,Beth, AU - Potter,Jane, AU - Cleanthous,Xenia, AU - Reynolds,Rachael, AU - McNaughton,Sarah A, Y1 - 2017/10/04/ PY - 2017/07/28/received PY - 2017/09/29/revised PY - 2017/09/30/accepted PY - 2017/10/5/entrez PY - 2017/10/5/pubmed PY - 2018/5/29/medline KW - diet quality KW - education KW - income KW - inequity KW - nutrient intake KW - socioeconomic position JF - Nutrients JO - Nutrients VL - 9 IS - 10 N2 - Poor diet may represent one pathway through which lower socioeconomic position (SEP) leads to adverse health outcomes. This study examined the associations between SEP and diet quality, its components, energy, and nutrients in a nationally representative sample of Australians. Dietary data from two 24-h recalls collected during the cross-sectional Australian Health Survey 2011-13 (n = 4875; aged ≥ 19 years) were analysed. Diet quality was evaluated using the Dietary Guidelines Index (DGI). SEP was assessed by index of area-level socioeconomic disadvantage, education level, and household income. Linear regression analyses investigated the associations between measures of SEP and dietary intakes. Across all of the SEP indicators, compared with the least disadvantaged group, the most disadvantaged group had 2.5-4.5 units lower DGI. A greater area-level disadvantage was associated with higher carbohydrate and total sugars intake. Lower education was associated with higher trans fat, carbohydrate, and total sugars intake and lower poly-unsaturated fat and fibre intake. Lower income was associated with lower total energy and protein intake and higher carbohydrate and trans fat intake. Lower SEP was generally associated with poorer diet quality and nutrient intakes, highlighting dietary inequities among Australian adults, and a need to develop policy that addresses these inequities. SN - 2072-6643 UR - https://www.unboundmedicine.com/medline/citation/28976927/Socioeconomic_Inequities_in_Diet_Quality_and_Nutrient_Intakes_among_Australian_Adults:_Findings_from_a_Nationally_Representative_Cross_Sectional_Study_ L2 - https://www.mdpi.com/resolver?pii=nu9101092 DB - PRIME DP - Unbound Medicine ER -