Sociodemographic, health and lifestyle predictors of poor diets

dc.contributor.authorHarrington, Janas M.
dc.contributor.authorFitzgerald, Anthony P.
dc.contributor.authorLayte, Richard
dc.contributor.authorLutomski, Jennifer E.
dc.contributor.authorMolcho, Michal
dc.contributor.authorPerry, Ivan J.
dc.contributor.funderHealth Research Boarden
dc.contributor.funderDepartment of Health and Children, Irelanden
dc.date.accessioned2013-01-09T12:23:17Z
dc.date.available2013-01-09T12:23:17Z
dc.date.copyright2011
dc.date.issued2011-12
dc.date.updated2012-12-19T16:03:33Z
dc.description.abstractObjective 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.sponsorshipHealth Research Board (HRB Centre for Diet and Health Research); Department of Health and Children (SLÁN 2007)en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationHarrington, 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/S136898001100098Xen
dc.identifier.doi10.1017/S136898001100098X
dc.identifier.endpage2175en
dc.identifier.issn1475-2727
dc.identifier.issued12en
dc.identifier.journaltitlePublic Health Nutritionen
dc.identifier.startpage2166en
dc.identifier.urihttps://hdl.handle.net/10468/876
dc.identifier.volume14en
dc.language.isoenen
dc.publisherCambridge University Pressen
dc.rights© The Authors 2011en
dc.subjectDietary qualityen
dc.subjectDASH (Dietary Approaches to Stop Hypertension) scoreen
dc.subjectDietary inequalitiesen
dc.subject.lcshDiet--Social aspectsen
dc.titleSociodemographic, health and lifestyle predictors of poor dietsen
dc.typeArticle (peer-reviewed)en
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