Abstract
Objective: To investigate whether there is an association between socioeconomic status and a healthy diet, taking the possible influence of other social variables such as age, gender, income and household composition into consideration.
Design: Cross-sectional study.
Setting: Nationwide study in Denmark, 1995.
Subjects: Random sample from the civil registration system. A total of 852 men and 870 women aged 18-80 y participated, a response rate of 58%.
Interventions: A 7 day estimated dietary record was used to obtain information about the diet. Information about social background was gained through face-to-face interview.
Results: The intake of fruit and vegetables and the percentage energy (E%) from fat in the diet were significantly associated with the educational level of both men and women. For men with only basic schooling, the mean intake of vegetables and fat was 84 g/10 MJ and 41 E% respectively. Men with long higher education had a mean intake of 119 g/10 MJ of vegetables and 37 E% of fat. For women, the corresponding figures for the intake of vegetables and fat were 131 g/10 MJ and 38 E% and 175 g/10 MJ and 37 E%, respectively. For women, age, income and household composition were also significantly associated with the intake of fruit and vegetables.
Conclusions: Education seems to be the most important social variable to explain social differences in dietary habits. Additional variables are needed to explain dietary habits of women. Differences are seen for both foods and nutrients.
Sponsorship: The data analysis was financially supported by the Health Insurance Fund.
European Journal of Clinical Nutrition (2001) 55, 959–966
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References
Andersen NL, Fagt S, Groth MV, Hartkopp HB, Møller A, Ovesen L & Warming DL (1996) Danskernes Kostvaner 1995 Copenhagen: National Food Agency (In Danish. English summary).
Black AE, Goldberg GR, Jepp SA, Livingstone MBE, Cole TJ & Prentice AM (1991) Critical evaluation of energy intake using fundamental principles of energy physiology: 2. Evaluating the results of published surveys Eur. J. Clin. Nutr. 45 583–599
Bolton-Smith C, Smith WCS, 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
Cavelaars AEJM, Kunst AE & Mackenbach JP (1997) Socio-economic differences in risk factors for morbidity and mortality in the European community J. Health Psychol. 2 353–372
De Irala-Estevéz J, Groth M, Johansson L, Oltersdorf U, Prättälä R & Martinez-Gonzalez MA (2000) A systematic review of socio-economic differences of food habits in Europe: consumption of fruit and vegetables Eur. J. Clin. Nutr. 54 706–714
DIKE (1996) Sociale Ulighed, Sundhed og Sygdom Copenhagen: Dansk Institut for Klinisk Epidemiologi (in Danish).
Goldberg GR, Black AE, Jepp SA, Clo TJ, Murgatroyd PR, Coward WA & Prentice AM (1991) Critical evaluation of energy intake using fundamental principles of energy physiology: 1. Derivation of cut-off values to identify underreporting Eur. J. Clin. Nutr. 45 569–582
Groth M & Fagt S (1997) Teknisk rapport I (Technical report I). Copenhagen: National Food Agency (in Danish).
Haraldsdottir J, Holm L, Jensen JH & Møller A (1987) Danskernes Kostvaner 1985, 2. Hvem Spiser Hvad? Copenhagen: National Food Agency (in Danish. English summary).
Hirvonen T, Männistö S, Roos E & Pietinen P (1997) Increasing prevalence of underreporting does not necessarily distort dietary surveys Eur. J. Clin. Nutr. 51 297–301
Hulshof KFAM, Löwik MRH, Kistemaker C, Ockhuizen Th & Hermus RJJ (1995) Socioeconomic Variation in Eating Patterns, Food Variety and Dietary Adequacy in The Netherlands Schriftenreihe der AGEV, Band 10. Ernährungs-Umschau: Beiheft
Ingerslev O, Madsen M & Andersen O (1994) Sociale Forskelle i Dødelighed i Danmark Copenhagen: Ministry of Health (in Danish).
Iversen L (1989) Unemployment and mortality Stress Med. 5 85–92
James WPT, Nelson M, Ralph A & Leather S (1997) The contribution of nutrition to inequalities in health Br. Med. J. 314 1545–1549
Johansson L, Thelle DS, Solvoll K, Bjørneboe GE & Drevon CA (1999) Healthy dietary habits in relation to social determinants and lifestyle factors Br. J. Nutr. 81 211–220
Kjøller M, Rasmussen NK, Keiding L, Petersen HC & Nielsen GA (1995) Sundhed og Sygelighed i Danmark 1994 Copenhagen: DIKE (in Danish).
Lynch JW, Kaplan GA & Salonen JT (1997) Why do poor people behave poorly? Variation in adult health behaviours and psychosocial characteristics by stages of the socioeconomic lifecourse Soc. Sci. Med. 44 809–819
Mackenbach JP, Kunst AE, Cavelaars AEJM, Groenhof F, Geurts JJM & the EU Working Group on Socioeconomic Inequalities in Health (1997) Socioeconomic inequalities in morbidity and mortality in western Europe Lancet 349 1655–1659
Mcdiarmid J & Blundell J (1998) Assessing dietary intake: who, what and why of under-reporting Nutr. Res. Rev. 11 231–253
Møller A & Saxholt E (1996) Levnedsmiddeltabeller Copenhagen: National Food Agency
Osler M (1993) Social class and health behaviour in Danish adults: a longitudinal study Public Health 107 251–260
Osler M, Gerdes LU, Davidsen M, Brønnum-Hansen H, Madsen M, Jørgensen T & Schroll M (2000) Socioeconomic status and trends in risk factors for cardiovascular diseases in the Danish MONICA population, 1982–1992 J Epidemiol Community Health 54 108–113
Prättälä R (1995) Social Class and Food in the Nordic Countries Schriftenreihe AGEV, Band 10, Ernährungs-Umschau 42, Beiheft
Prättälä R, Karisto A & Berg M-A (1994) Consistency and variation in unhealthy behaviour among Finnish men, 1982–1990 Soc. Sci. Med. 39 115–122
Roos E (1998) Social patterning of food behaviour among Finnish men and women Academic dissertation, Helsinki: National Public Health Institute
Roos G, Prättälä R & the FAIR-97-3096 Disparities group (tasks 4 and 5) (1999) Disparities in Food Habits–Review of Research in 15 European Countries Publications of the National Public Health Institute, B 24, 203. Helsinki: National Public Health Institute
Smith AM & Baghurst KI (1992) Public health implications of dietary differences between social status and occupational category groups J Epidemiol. Community Health 46 409–416
Smith GD & Brunner E (1997) Socio-economic differentials in health: the role of nutrition Proc. Nutr. Soc. 56 75–90
Stallone DD, Brunner EJ, Bingham SA & Marmot MG (1997) Dietary assessment in Whitehall II: the influence of reporting bias on apparent socioeconomic variation in nutrient intakes Eur. J. Clin. Nutr. 51 815–825
Tüchsen F, Endahl LA (1999) Increasing inequality in ischaemic heart disease morbidity among employed men in Denmark 1981–1993: the need for a new preventive policy Int. J. Epidemiol. 28 640–644
Turell G & Najman JM (1995) Collecting food-related data from low socioeconomic groups: how adequate are our current research designs? Aust. J. Publ. Health 19 410–416
Acknowledgements
The computer programme for the one-way analysis of variances that took into account the fixed strata by gender and age was developed by Bo V Pedersen at Statcon, Copenhagen. Associate professor Hans Kurt Kvist, Copenhagen School of Business, assisted in developing the programme and the procedure for the univariate analysis.
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Groth, M., Fagt, S. & Brøndsted, L. Social determinants of dietary habits in Denmark. Eur J Clin Nutr 55, 959–966 (2001). https://doi.org/10.1038/sj.ejcn.1601251
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DOI: https://doi.org/10.1038/sj.ejcn.1601251
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