Neighbourhood-socioeconomic variation in women's diet : the role of nutrition environments

Thornton, Lukar E., Crawford, David and Ball, Kylie 2010, Neighbourhood-socioeconomic variation in women's diet : the role of nutrition environments, European journal of clinical nutrition, vol. 64, pp. 1423-1432, doi: 10.1038/ejcn.2010.174.

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Title Neighbourhood-socioeconomic variation in women's diet : the role of nutrition environments
Author(s) Thornton, Lukar E.ORCID iD for Thornton, Lukar E.
Crawford, DavidORCID iD for Crawford, David
Ball, KylieORCID iD for Ball, Kylie
Journal name European journal of clinical nutrition
Volume number 64
Start page 1423
End page 1432
Total pages 10
Publisher Nature Publishing Group
Place of publication Basingstoke, England
Publication date 2010-09-01
ISSN 0954-3007
Keyword(s) Socioeconomic status
Food intake
Fast foods
Summary Background/Objectives: Living in socioeconomically disadvantaged neighbourhoods is associated with increased risk of a poor diet; however, the mechanisms underlying associations are not well understood. This study investigated whether selected healthy and unhealthy dietary behaviours are patterned by neighbourhood-socioeconomic disadvantage, and if so, whether features of the neighbourhood–nutrition environment explain these associations.

Subjects/Methods: A survey was completed by 1399 women from 45 neighbourhoods of varying levels of socioeconomic disadvantage in Melbourne, Australia. Survey data on fruit, vegetable and fast-food consumption were linked with data on food store locations (supermarket, greengrocer and fast-food store density and proximity) and within-store factors (in-store data on price and availability for supermarkets and greengrocers) obtained through objective audits. Multilevel regression analyses were used to examine associations of neighbourhood disadvantage with fruit, vegetable and fast-food consumption, and to test whether nutrition environment factors mediated these associations.

Results: After controlling for individual-level demographic and socioeconomic factors, neighbourhood disadvantage was associated with less vegetable consumption and more fast-food consumption, but not with fruit consumption. Some nutrition environmental factors were associated with both neighbourhood disadvantage and with diet. Nutrition environmental features did not mediate neighbourhood-disadvantage variations in vegetable or fast-food consumption.

Conclusions: Although we found poorer diets among women living in disadvantaged neighbourhoods in Melbourne, the differences were not attributable to less supportive nutrition environments in these neighbourhoods.
Language eng
DOI 10.1038/ejcn.2010.174
Field of Research 111199 Nutrition and Dietetics not elsewhere classified
Socio Economic Objective 920206 Health Inequalities
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2010, Nature Publishing Group
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