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Neighbourhood socioeconomic disadvantage and fruit and vegetable consumption: a seven countries comparison

Ball, Kylie, Lamb, Karen E., Costa, Claudia, Cutumisu, Nicoleta, Ellaway, Anne, Kamphuis, Carlijin B. M., Mentz, Graciela, Pearce, Jamie, Santana, Paula, Santos, Rita, Schulz, Amy J., Spence, John C., Thornton, Lukar E., van Lenthe, Frank J. and Zenk, Shannon N. 2015, Neighbourhood socioeconomic disadvantage and fruit and vegetable consumption: a seven countries comparison, International journal of behavioral nutrition and physical activity, vol. 12, Article no: 68, pp. 1-13, doi: 10.1186/s12966-015-0229-x.

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Title Neighbourhood socioeconomic disadvantage and fruit and vegetable consumption: a seven countries comparison
Author(s) Ball, KylieORCID iD for Ball, Kylie orcid.org/0000-0003-2893-8415
Lamb, Karen E.ORCID iD for Lamb, Karen E. orcid.org/0000-0001-9782-8450
Costa, Claudia
Cutumisu, Nicoleta
Ellaway, Anne
Kamphuis, Carlijin B. M.
Mentz, Graciela
Pearce, Jamie
Santana, Paula
Santos, Rita
Schulz, Amy J.
Spence, John C.
Thornton, Lukar E.ORCID iD for Thornton, Lukar E. orcid.org/0000-0001-8759-8671
van Lenthe, Frank J.
Zenk, Shannon N.
Journal name International journal of behavioral nutrition and physical activity
Volume number 12
Season Article no: 68
Start page 1
End page 13
Total pages 13
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2015
ISSN 1479-5868
Keyword(s) Diet
Fruit
International
Neighbourhood
Socioeconomic Status
Vegetables
Science & Technology
Life Sciences & Biomedicine
Nutrition & Dietetics
Physiology
DIETARY-INTAKE
UNITED-STATES
RISK-FACTORS
INEQUALITIES
AREA
ENVIRONMENTS
POPULATION
MULTILEVEL
AVAILABILITY
DEPRIVATION
Summary BACKGROUND: Low fruit and vegetable consumption is a risk factor for poor health. Studies have shown consumption varies across neighbourhoods, with lower intakes in disadvantaged neighbourhoods. However, findings are inconsistent, suggesting that socio-spatial inequities in diet could be context-specific, highlighting a need for international comparisons across contexts. This study examined variations in fruit and vegetable consumption among adults from neighbourhoods of varying socioeconomic status (SES) across seven countries (Australia, Canada, Netherlands, New Zealand, Portugal, Scotland, US). METHODS: Data from seven existing studies, identified through literature searches and knowledge of co-authors, which collected measures of both neighbourhood-level SES and fruit and vegetable consumption were used. Logistic regression was used to examine associations between neighbourhood-level SES and binary fruit and vegetable consumption separately, adjusting for neighbourhood clustering and age, gender and education. As much as possible, variables were treated in a consistent manner in the analysis for each study to allow the identification of patterns of association within study and to examine differences in the associations across studies. RESULTS: Adjusted analyses showed evidence of an association between neighbourhood-level SES and fruit consumption in Canada, New Zealand and Scotland, with increased odds of greater fruit intake in higher SES neighbourhoods. In Australia, Canada, New Zealand and Portugal, those residing in higher SES neighbourhoods had increased odds of greater vegetable intake. The other studies showed no evidence of a difference by neighbourhood-level SES. CONCLUSIONS: Acknowledging discrepancies across studies in terms of sampling, measures, and definitions of neighbourhoods, this opportunistic study, which treated data in a consistent manner, suggests that associations between diet and neighbourhood-level socioeconomic status vary across countries. Neighbourhood socioeconomic disadvantage may differentially impact on access to resources in which produce is available in different countries. Neighbourhood environments have the potential to influence behaviour and further research is required to examine the context in which these associations arise.
Language eng
DOI 10.1186/s12966-015-0229-x
Field of Research 111199 Nutrition and Dietetics not elsewhere classified
Socio Economic Objective 920411 Nutrition
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, BioMed Central
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30073480

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.