Sociodemographic, health and lifestyle predictors of poor diets

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dc.contributor.author Harrington, Janas M.
dc.contributor.author Fitzgerald, Anthony P.
dc.contributor.author Layte, Richard
dc.contributor.author Lutomski, Jennifer E.
dc.contributor.author Molcho, Michal
dc.contributor.author Perry, Ivan J.
dc.date.accessioned 2013-01-09T12:23:17Z
dc.date.available 2013-01-09T12:23:17Z
dc.date.copyright 2011
dc.date.issued 2011-12
dc.identifier.citation Harrington, J., Fitzgerald, A. P., Layte, R., Lutomski, J., Molcho, M., Perry, I. J. (2011) 'Sociodemographic, health and lifestyle predictors of poor diets'. Public Health Nutrition, 14 (12):2166-2175. doi: 10.1017/S136898001100098X en
dc.identifier.volume 14 en
dc.identifier.issued 12 en
dc.identifier.startpage 2166 en
dc.identifier.endpage 2175 en
dc.identifier.issn 1475-2727
dc.identifier.uri http://hdl.handle.net/10468/876
dc.identifier.doi 10.1017/S136898001100098X
dc.description.abstract Objective Poor-quality diet, regarded as an important contributor to health inequalities, is linked to adverse health outcomes. We investigated sociodemographic and lifestyle predictors of poor-quality diet in a population sample.Design A cross-sectional analysis of the Survey of Lifestyle, Attitudes and Nutrition (SLÁN). Diet was assessed using an FFQ (n 9223, response rate = 89 %), from which a dietary score (the DASH (Dietary Approaches to Stop Hypertension) score) was constructed.Setting General population of the Republic of Ireland.Subjects The SLÁN survey is a two-stage clustered sample of 10 364 individuals aged 18 years.Results Adjusting for age and gender, a number of sociodemographic, lifestyle and health-related variables were associated with poor-quality diet: social class, education, marital status, social support, food poverty (FP), smoking status, alcohol consumption, underweight and self-perceived general health. These associations persisted when adjusted for age, gender and social class. They were not significantly altered in the multivariate analysis, although the association with social support was attenuated and that with FP was borderline significant (OR = 1·2, 95 % CI 1·03, 1·45). A classical U-shaped relationship between alcohol consumption and dietary quality was observed. Dietary quality was associated with social class, educational attainment, FP and related core determinants of health.Conclusions The extent to which social inequalities in health can be explained by socially determined differences in dietary intake is probably underestimated. The use of composite dietary quality scores such as the DASH score to address the issue of confounding by diet in the relationship between alcohol consumption and health merits further study. en
dc.description.sponsorship Health Research Board (HRB Centre for Diet and Health Research); Department of Health and Children (SLÁN 2007) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Cambridge University Press en
dc.rights © The Authors 2011 en
dc.subject Dietary quality en
dc.subject DASH (Dietary Approaches to Stop Hypertension) score en
dc.subject Dietary inequalities en
dc.subject.lcsh Diet--Social aspects en
dc.title Sociodemographic, health and lifestyle predictors of poor diets en
dc.type Article (peer-reviewed) en
dc.internal.authorurl http://publish.ucc.ie/researchprofiles/C010/tfitzgerald en
dc.internal.authorcontactother Tony Fitzgerald, Epidemiology & Public Health, University College Cork, Cork, Ireland. +353-21-490-3000 Email: t.fitzgerald@ucc.ie en
dc.internal.availability Full text available en
dc.date.updated 2012-12-19T16:03:33Z
dc.description.version Accepted Version en
dc.internal.rssid 89997983
dc.contributor.funder Health Research Board en
dc.contributor.funder Department of Health and Children, Ireland en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Public Health Nutrition en
dc.internal.copyrightchecked Yes - CORA - ROMEO. Published version permitted 12 months after publication. en
dc.internal.licenseacceptance Yes en
dc.internal.placepublication Cambridge en
dc.internal.IRISemailaddress t.fitzgerald@ucc.ie en


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