Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Multiple socio-economic circumstances and healthy food habits

Abstract

Objective:

To examine associations between seven indicators of socio-economic circumstances and healthy food habits, while taking into account assumed temporal order between these socio-economic indicators.

Design and setting:

Data were derived from cross-sectional postal questionnaires in 2000–2002. Socio-economic circumstances were assessed by parental education, childhood economic difficulties, own education, occupational class, household income, home ownership and current economic difficulties. Healthy food habits were measured by an index consisting of consumption of fresh vegetables, fruit or berries, rye bread, fish and choosing vegetable fats on bread and oil in cooking. Sequential logistic regression models were used, adjusting for age and marital status.

Participants:

Employees of the City of Helsinki, Finland (n=8960, aged 40–60 years).

Results:

Healthy food habits were reported by 28% of women and by 17% of men. Own education, occupational class, household income, home ownership and current economic difficulties were associated with healthy food habits. These associations were attenuated but mainly remained after mutual adjustments for the socio-economic indicators. Among women, a pathway was found suggesting that part of the effects of education on food habits were mediated through occupational class.

Conclusions:

Employees in higher and lower socio-economic positions differ in their food habits, and those in lower positions and economically disadvantaged are less likely to report healthy food habits. Health promotion programmes and food policies should encourage healthier food choices among those in lower socio-economic positions and among those with economic difficulties in particular.

Sponsorship:

Academy of Finland.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  • Andrieu E, Darmon N, Drewnowski A (2006). Low-cost diets: more energy, fewer nutrients. Eur J Clin Nutr 60, 434–436.

    Article  CAS  Google Scholar 

  • Bartley M, Sacker A, Firth D, Fitzpatrick R (1999). Understanding social variation in cardiovascular risk factors in women and men: the advantage of theoretically based measures. Soc Sci Med 49, 831–845.

    Article  CAS  Google Scholar 

  • Bolton-Smith C, Smith WC, Woodward M, Tunstall-Pedoe H (1991). Nutrient intakes of different social-class groups: results from the Scottish Heart Health Study (SHHS). Br J Nutr 65, 321–335.

    Article  CAS  Google Scholar 

  • Braveman PA, Cubbin C, Egerter S, Chideya S, Marchi KS, Metzler M et al. (2005). Socioeconomic status in health research: one size does not fit all. J Am Med Assoc 294, 2879–2888.

    Article  CAS  Google Scholar 

  • Dalstra JA, Kunst AE, Borrell C, Breeze E, Cambois E, Costa G et al. (2005). Socioeconomic differences in the prevalence of common chronic diseases: an overview of eight European countries. Int J Epidemiol 34, 316–326.

    Article  CAS  Google Scholar 

  • Dalstra JA, Kunst AE, Mackenbach JP, the EU Working Group on Socioeconomic Inequalities in Health (2006). A comparative appraisal of the relationship of education, income and housing tenure with less than good health among the elderly in Europe. Soc Sci Med 62, 2046–2060.

    Article  CAS  Google Scholar 

  • Drewnowski A, Darmon N (2005). Food choices and diet costs: an economic analysis. J Nutr 135, 900–904.

    Article  CAS  Google Scholar 

  • Drewnowski A, Darmon N, Briend A (2004). Replacing fats and sweets with vegetables and fruits – a question of cost. Am J Public Health 94 (9), 1555–1559.

    Article  Google Scholar 

  • Dube SR, Felitti VJ, Dong M, Giles WH, Anda RF (2003). The impact of adverse childhood experiences on health problems: evidence from four birth cohorts dating back to 1900. Prev Med 37, 268–277.

    Article  Google Scholar 

  • Galobardes B, Davey Smith G, Lynch JW (2006). Systematic review of the influence of childhood socioeconomic circumstances on risk for cardiovascular disease in adulthood. Ann Epidemiol 16, 91–104.

    Article  Google Scholar 

  • Galobardes B, Lynch JW, Davey Smith G (2004). Childhood socioeconomic circumstances and cause-specific mortality in adulthood: systematic review and interpretation. Epidemiol Rev 26, 7–21.

    Article  Google Scholar 

  • Galobardes B, Morabia A, Bernstein MS (2001). Diet and socioeconomic position: does the use of different indicators matter? Int J Epidemiol 30, 334–340.

    Article  CAS  Google Scholar 

  • Galobardes B, Shaw M, Lawlor DA, Lynch JW, Davey Smith G (2006a). Indicators of socioeconomic position (part 1). J Epidemiol Commun Health 60, 7–12.

    Article  Google Scholar 

  • Galobardes B, Shaw M, Lawlor DA, Lynch JW, Davey Smith G (2006b). Indicators of socioeconomic position (part 2). J Epidemiol Commun Health 60, 95–101.

    Article  Google Scholar 

  • Giskes K, Kunst AE, Benach J, Borrell C, Costa G, Dahl E et al. (2005). Trends in smoking behaviour between 1985 and 2000 in nine European countries by education. J Epidemiol Community Health 59, 395–401.

    Article  CAS  Google Scholar 

  • Giskes K, Lenthe FvF, Brug HJ, Mackenbach J (2004). Dietary intakes of adults in the Netherlands by childhood and adulthood socioeconomic position. Eur J Clin Nutr 58, 871–880.

    Article  CAS  Google Scholar 

  • Giskes K, Turrell G, Patterson C, Newman B (2002). Socioeconomic differences among Australian adults in consumption of fruit and vegetables and intakes of vitamins A, C and folate. J Hum Nutr Diet 15, 375–385. discussion 387–390.

    Article  CAS  Google Scholar 

  • Grabauskas V, Petkeviciene J, Kriaucioniene V, Klumbiene J (2004). Health inequalities in Lithuania: education and nutrition habits. Medicina (Kaunas) 40, 875–883.

    Google Scholar 

  • Groth MV, Fagt S, Brøndsted L (2001). Social determinants of dietary habits in Denmark. Eur J Clin Nutr 55, 959–966.

    Article  CAS  Google Scholar 

  • Hagenaars A, de Vos K, Zaidi M (1994). Poverty Statistics in the Late 1980s: Reasearch Based on Micro-Data. Office for Official Publications of the European Communities: Luxembourg.

    Google Scholar 

  • Hulshof KF, Brussaard JH, Kruizinga AG, Telman J, Löwik MR (2003). Socio-economic status, dietary intake and 10 y trends: the Dutch National Food Consumption Survey. Eur J Clin Nutr 57, 128–137.

    Article  CAS  Google Scholar 

  • Hulshof KF, Lowik MR, Kok FJ, Wedel M, Brants HA, Hermus RJ, ten Hoor F (1991). Diet and other life-style factors in high and low socio-economic groups (Dutch Nutrition Surveillance System). Eur J Clin Nutr 45, 441–450.

    CAS  PubMed  Google Scholar 

  • Irala-Estévez JD, Groth M, Johansson L, Oltersdorf U, Prättälä R, Martínez-González MA (2000). A systematic review of socio-economic differences in food habits in Europe: consumption of fruit and vegetables. Eur J Clin Nutr 54, 706–714.

    Article  Google Scholar 

  • Johansson L, Thelle DS, Solvoll K, Bjorneboe GA, Drevon CA (1999). Healthy dietary habits in relation to social determinants and lifestyle factors. Br J Nutr 81, 211–220.

    Article  CAS  Google Scholar 

  • Kestilä L, Koskinen S, Martelin T, Rahkonen O, Pensola T, Aro H et al. (2006). Determinants of health in early adulthood: what is the role of parental education, childhood adversities and own education? Eur J Public Health 16, 306–315.

    PubMed  Google Scholar 

  • Kirkpatrick S, Tarasuk V (2003). The relationship between low income and household food expenditure patterns in Canada. Public Health Nutr 6, 589–597.

    Article  Google Scholar 

  • Kivimäki M, Davey Smith G, Juonala M, Ferrie JE, Keltikangas-Järvinen L, Elovainio M et al. (2006a). Socioeconomic position in childhood and adult cardiovascular risk factors, vascular structure and function: the Cardiovascular Risk in Young Finns Study. Heart 92, 474–480.

    Article  Google Scholar 

  • Kivimäki M, Lawlor DA, Davey Smith G, Keltikangas-Järvinen L, Elovainio M, Vahtera J et al. (2006b). Early socioeconomic position and blood pressure in childhood and adulthood: the Cardiovascular Risk in Young Finns Study. Hypertension 47, 39–44.

    Article  Google Scholar 

  • Krieger N, Okamoto A, Selby JV (1998). Adult female twins' recall of childhood social class and father's education: a validation study for public health research. Am J Epidemiol 147, 704–708.

    Article  CAS  Google Scholar 

  • Krieger N, Williams DR, Moss NE (1997). Measuring social class in US public health research: concepts, methodologies, and guidelines. Annu Rev Public Health 18, 341–378.

    Article  CAS  Google Scholar 

  • Laaksonen M, Prättälä R, Helasoja V, Uutela A, Lahelma E (2003). Income and health behaviours. Evidence from monitoring surveys among Finnish adults. J Epidemiol Commun Health 57, 711–717.

    Article  CAS  Google Scholar 

  • Laaksonen M, Rahkonen O, Karvonen S, Lahelma E (2005a). Socioeconomic status and smoking: Analysing inequalities with multiple indicators. Eur J Public Health 15, 262–269.

    Article  Google Scholar 

  • Laaksonen M, Rahkonen O, Martikainen P, Lahelma E (2005b). Socioeconomic position and self-rated health: the contribution of childhood socioeconomic circumstances, adult socioeconomic status, and material resources. Am J Public Health 95, 1403–1409.

    Article  Google Scholar 

  • Lahelma E, Martikainen P, Laaksonen M, Aittomäki A (2004). Pathways between socioeconomic determinants of health. J Epidemiol Commun Health 58, 327–332.

    Article  CAS  Google Scholar 

  • Lahelma E, Martikainen P, Rahkonen O, Roos E, Saastamoinen P (2005). Occupational class inequalities across key domains of health: results from the Helsinki Health Study. Eur J Public Health 15, 504–510.

    Article  Google Scholar 

  • Lallukka T, Aittomäki A, Piha K, Roos E, Kivel K, Silventoinen K (2002). Postikyselytutkimukseen vastanneiden edustavuus sosioekonomisten tekijöiden ja sairauspoissaolojen mukaan: Helsingin kaupungin henkilöstön terveystutkimus. (Associations of socio-economic factors and sickness absence with participation in a health survey. The Helsinki Health Study). Sosiaalilääk Aikakausl 39, 164–171.

    Google Scholar 

  • Lallukka T, Sarlio-Lähteenkorva S, Roos E, Laaksonen M, Rahkonen O, Lahelma E (2004). Working conditions and health behaviours among employed women and men: the Helsinki Health Study. Prev Med 38, 48–56.

    Article  Google Scholar 

  • Lantz PM, House JS, Lepkowski JM, Williams DR, Mero RP, Chen J (1998). Socioeconomic factors, health behaviors, and mortality: results from a nationally representative prospective study of US adults. J Am Med Assoc 279, 1703–1708.

    Article  CAS  Google Scholar 

  • Liberatos P, Link B, Kelsey J (1988). The measurement of social class in epidemiology. Epidemiol Rev 10, 87–121.

    Article  CAS  Google Scholar 

  • Lynch J, Kaplan G (2000). Socioeconomic position. In: Berkman LF, Kawachi I (eds.) Social Epidemiology. Oxford University Press: New York. pp. 13–35.

    Google Scholar 

  • Macintyre S (1997). The Black Report and beyond: what are the issues? Soc Sci Medi 44, 723–745.

    Article  CAS  Google Scholar 

  • Macintyre S, Ellaway A, Der G, Ford G, Hunt K (1998). Do housing tenure and car access predict health because they are simply markers of income or self esteem? A Scottish study. J Epidemiol Commun Health 52, 657–664.

    Article  CAS  Google Scholar 

  • Mäkinen T, Laaksonen M, Lahelma E, Rahkonen O (2006). Associations of childhood circumstances with physical and mental functioning in adulthood. Soc Sci Med 62, 1831–1839.

    Article  Google Scholar 

  • Martikainen P, Brunner E, Marmot M (2003). Socioeconomic differences in dietary patterns among middle-aged men and women. Soc Sci Med 56, 1397–1410.

    Article  Google Scholar 

  • Naska A, Fouskakis D, Oikonomou E, Almeida MD, Berg MA, Gedrich K et al. (2006). Dietary patterns and their socio-demographic determinants in 10 European countries: data from the DAFNE databank. Eur J Clin Nutr 60, 181–190.

    Article  CAS  Google Scholar 

  • National Nutrition Council (1998). Finnish Nutrition Recommendations. Committee report, Ministry of Agriculture and Forestry: Helsinki.

  • Perrin AE, Simon C, Hedelin G, Arveiler D, Schaffer P, Schlienger JL (2002). Ten-year trends of dietary intake in a middle-aged French population: relationship with educational level. Eur J Clin Nutr 56, 393–401.

    Article  CAS  Google Scholar 

  • Prättälä R, Berg MA, Puska P (1992). Diminishing or increasing contrasts? Social class variation in Finnish food consumption patterns, 1979–1990. Eur J Clin Nutr 46, 279–287.

    PubMed  Google Scholar 

  • Roos E, Lahelma E, Virtanen M, Prättälä R, Pietinen P (1998). Gender, socioeconomic status and family status as determinants of food behaviour. Soc Sci Med 46, 1519–1529.

    Article  CAS  Google Scholar 

  • Roos E, Sarlio-Lähteenkorva S, Lallukka T (2004). Having lunch at a staff canteen is associated with recommended food habits. Public Health Nutr 7, 53–61.

    Article  Google Scholar 

  • Shahar D, Shai I, Vardi H, Shahar A, Fraser D (2005). Diet and eating habits in high and low socioeconomic groups. Nutrition 21, 559–566.

    Article  Google Scholar 

  • Shariff ZM, Khor GL (2005). Obesity and household food insecurity: evidence from a sample of rural households in Malaysia. Eur J Clin Nutr 59, 1049–1058.

    Article  Google Scholar 

  • Sundquist J, Johansson SE (1997). Indicators of socio-economic position and their relation to mortality in Sweden. Soc Sci Med 45, 1757–1766.

    Article  CAS  Google Scholar 

  • Turrell G, Hewitt B, Patterson C, Oldenburg B (2003a). Measuring socio-economic position in dietary research: is choice of socio-economic indicator important? Public Health Nutr 6, 191–200.

    PubMed  Google Scholar 

  • Turrell G, Patterson C, Oldenburg B, Gould T, Roy MA (2003b). The socio-economic patterning of survey participation and non-response error in a multilevel study of food purchasing behaviour: area- and individual-level characteristics. Public Health Nutr 6, 181–189.

    PubMed  Google Scholar 

  • Wilcosky T, Wing S (1987). The healthy worker effect. Selection of workers and work forces. Scand J Work Environ Health 13, 70–72.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

The ongoing Helsinki Health Study is supported by Grants from the Academy of Finland (no. 53245, no. 105812, no. 205588, no. 210435, no. 204894) and the Finnish Work Environment Fund (no. 103310). We thank the City of Helsinki and all members of the Helsinki Health Study group for their contribution.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to T Lallukka.

Additional information

Guarantor: T Lallukka.

Contributors: The above authors declare to have participated in the planning of the analyses and reviewing and commenting of the manuscript and to have seen and approved the final version.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lallukka, T., Laaksonen, M., Rahkonen, O. et al. Multiple socio-economic circumstances and healthy food habits. Eur J Clin Nutr 61, 701–710 (2007). https://doi.org/10.1038/sj.ejcn.1602583

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ejcn.1602583

Keywords

This article is cited by

Search

Quick links