Socioeconomic and ethnic differences in the relation between dietary costs and dietary quality: the HELIUS study
Identifieur interne : 000552 ( Main/Curation ); précédent : 000551; suivant : 000553Socioeconomic and ethnic differences in the relation between dietary costs and dietary quality: the HELIUS study
Auteurs : Joreintje D. Mackenbach [Pays-Bas] ; S. Coosje Dijkstra [Pays-Bas] ; Joline W. J. Beulens [Pays-Bas] ; Jacob C. Seidell [Pays-Bas] ; Marieke B. Snijder [Pays-Bas] ; Karien Stronks [Pays-Bas] ; Pablo Monsivais [États-Unis] ; Mary Nicolaou [Pays-Bas]Source :
- Nutrition Journal [ 1475-2891 ] ; 2019.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Aliments (MeSH), Coûts et analyse des coûts (MeSH), Enquêtes et questionnaires (MeSH), Ethnies (MeSH), Facteurs socioéconomiques (MeSH), Femelle (MeSH), Humains (MeSH), Journaux alimentaires (MeSH), Maroc (ethnologie), Minorités (MeSH), Mâle (MeSH), Pays-Bas (MeSH), Régime alimentaire (économie), Suriname (ethnologie), Turquie (ethnologie), Études transversales (MeSH).
- MESH :
- ethnologie : Maroc, Suriname, Turquie.
- économie : Régime alimentaire.
- Adulte, Adulte d'âge moyen, Aliments, Coûts et analyse des coûts, Enquêtes et questionnaires, Ethnies, Facteurs socioéconomiques, Femelle, Humains, Journaux alimentaires, Minorités, Mâle, Pays-Bas, Études transversales.
- Wicri :
English descriptors
- KwdEn :
- Adult (MeSH), Costs and Cost Analysis (MeSH), Cross-Sectional Studies (MeSH), Diet (economics), Diet Records (MeSH), Diet, Healthy (statistics & numerical data), Ethnic Groups (MeSH), Female (MeSH), Food (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Minority Groups (MeSH), Morocco (ethnology), Netherlands (MeSH), Socioeconomic Factors (MeSH), Suriname (ethnology), Surveys and Questionnaires (MeSH), Turkey (ethnology).
- MESH :
- geographic , ethnology : Morocco, Suriname, Turkey.
- economics : Diet.
- statistics & numerical data : Diet, Healthy.
- Adult, Costs and Cost Analysis, Cross-Sectional Studies, Diet Records, Ethnic Groups, Female, Food, Humans, Male, Middle Aged, Minority Groups, Netherlands, Socioeconomic Factors, Surveys and Questionnaires.
Abstract
Healthier dietary patterns are generally more costly than less healthy patterns, but dietary costs may be more important for dietary quality in lower educated and ethnic minority groups. The aim of this study was to investigate the association between dietary costs and dietary quality and interactions with ethnicity and socioeconomic position (SEP).
We used cross-sectional data from 4717 Dutch, Surinamese, Turkish and Moroccan origin participants of the multi-ethnic HELIUS study (the Netherlands), who completed an ethnic-specific food frequency questionnaire (FFQ). The primary outcome measure was dietary quality according to adherence to the Dutch Healthy Diet index 2015 (DHD15-index, range 0–130). Individual dietary costs (the monetary value attached to consumed diets in Euros) were estimated by merging a food price variable with the FFQ nutrient composition database. Regression analyses were used to examine main and interaction effects. Analyses were adjusted for age, sex, smoking, energy intake, physical activity, ethnicity and educational level.
Having higher dietary costs was associated with higher dietary quality. Analyses stratified by educational level showed that associations were stronger in higher educated (Btertile3 = 8.06, 95%CI = 5.63; 10.48) than in lower educated participants (Btertile3 = 5.09, 95%CI = 2.74; 7.44). Stratification by ethnic origin showed strongest associations in Turkish participants (Btertile2 = 9.31, 95%CI = 5.96; 12.65) and weakest associations in Moroccan participants (Btertile3 = 4.29, 95%CI = 0.58; 8.01). Regardless of their level of education, Turkish and Moroccan individuals consumed higher quality diets at the lowest cost than Dutch participants.
The importance of dietary costs for dietary quality differs between socioeconomic and ethnic subgroups. Increasing individual food budgets or decreasing food prices may be effective for the promotion of healthy diets, but differential effects across socioeconomic and ethnic subgroups may be expected.
The online version of this article (10.1186/s12937-019-0445-3) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s12937-019-0445-3
PubMed: 30922320
PubMed Central: 6440156
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Mackenbach</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Epidemiology and Biostatistics, Amsterdam Public Health research institute, Amsterdam UMC, location VUmc, de Boelelaan 1117, Amsterdam, the Netherlands</nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Epidemiology and Biostatistics, Amsterdam Public Health research institute, Amsterdam UMC, location VUmc, de Boelelaan 1117, Amsterdam</wicri:regionArea></affiliation></author><author><name sortKey="Dijkstra, S Coosje" sort="Dijkstra, S Coosje" uniqKey="Dijkstra S" first="S. Coosje" last="Dijkstra">S. Coosje Dijkstra</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1754 9227</institution-id><institution-id institution-id-type="GRID">grid.12380.38</institution-id><institution>Department of Health Sciences, Amsterdam Public Health research institute,</institution><institution>Vrije Universiteit,</institution></institution-wrap>Amsterdam, the Netherlands</nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Amsterdam</wicri:regionArea></affiliation></author><author><name sortKey="Beulens, Joline W J" sort="Beulens, Joline W J" uniqKey="Beulens J" first="Joline W. J." last="Beulens">Joline W. J. Beulens</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Epidemiology and Biostatistics, Amsterdam Public Health research institute, Amsterdam UMC, location VUmc, de Boelelaan 1117, Amsterdam, the Netherlands</nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Epidemiology and Biostatistics, Amsterdam Public Health research institute, Amsterdam UMC, location VUmc, de Boelelaan 1117, Amsterdam</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="ISNI">0000000090126352</institution-id><institution-id institution-id-type="GRID">grid.7692.a</institution-id><institution>Julius Center for Health Sciences and Primary Care,</institution><institution>University Medical Center Utrecht,</institution></institution-wrap>Utrecht, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Utrecht</wicri:regionArea></affiliation></author><author><name sortKey="Seidell, Jacob C" sort="Seidell, Jacob C" uniqKey="Seidell J" first="Jacob C." last="Seidell">Jacob C. Seidell</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1754 9227</institution-id><institution-id institution-id-type="GRID">grid.12380.38</institution-id><institution>Department of Health Sciences, Amsterdam Public Health research institute,</institution><institution>Vrije Universiteit,</institution></institution-wrap>Amsterdam, the Netherlands</nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Amsterdam</wicri:regionArea></affiliation></author><author><name sortKey="Snijder, Marieke B" sort="Snijder, Marieke B" uniqKey="Snijder M" first="Marieke B." last="Snijder">Marieke B. Snijder</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Public Health, Amsterdam Public Health research institute, Amsterdam UMC, location AMC, Meibergdreef 9, Amsterdam, the Netherlands</nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Public Health, Amsterdam Public Health research institute, Amsterdam UMC, location AMC, Meibergdreef 9, Amsterdam</wicri:regionArea></affiliation></author><author><name sortKey="Stronks, Karien" sort="Stronks, Karien" uniqKey="Stronks K" first="Karien" last="Stronks">Karien Stronks</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Public Health, Amsterdam Public Health research institute, Amsterdam UMC, location AMC, Meibergdreef 9, Amsterdam, the Netherlands</nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Public Health, Amsterdam Public Health research institute, Amsterdam UMC, location AMC, Meibergdreef 9, Amsterdam</wicri:regionArea></affiliation></author><author><name sortKey="Monsivais, Pablo" sort="Monsivais, Pablo" uniqKey="Monsivais P" first="Pablo" last="Monsivais">Pablo Monsivais</name><affiliation wicri:level="1"><nlm:aff id="Aff5"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2157 6568</institution-id><institution-id institution-id-type="GRID">grid.30064.31</institution-id><institution>Department of Nutrition and Exercise Physiology, Elson S. Floyd College of Medicine,</institution><institution>Washington State University,</institution></institution-wrap>Spokane, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Spokane</wicri:regionArea></affiliation></author><author><name sortKey="Nicolaou, Mary" sort="Nicolaou, Mary" uniqKey="Nicolaou M" first="Mary" last="Nicolaou">Mary Nicolaou</name><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Public Health, Amsterdam Public Health research institute, Amsterdam UMC, location AMC, Meibergdreef 9, Amsterdam, the Netherlands</nlm:aff><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Public Health, Amsterdam Public Health research institute, Amsterdam UMC, location AMC, Meibergdreef 9, Amsterdam</wicri:regionArea></affiliation></author></analytic><series><title level="j">Nutrition Journal</title><idno type="eISSN">1475-2891</idno><imprint><date when="2019">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Costs and Cost Analysis (MeSH)</term><term>Cross-Sectional Studies (MeSH)</term><term>Diet (economics)</term><term>Diet Records (MeSH)</term><term>Diet, Healthy (statistics & numerical data)</term><term>Ethnic Groups (MeSH)</term><term>Female (MeSH)</term><term>Food (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Minority Groups (MeSH)</term><term>Morocco (ethnology)</term><term>Netherlands (MeSH)</term><term>Socioeconomic Factors (MeSH)</term><term>Suriname (ethnology)</term><term>Surveys and Questionnaires (MeSH)</term><term>Turkey (ethnology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Aliments (MeSH)</term><term>Coûts et analyse des coûts (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Ethnies (MeSH)</term><term>Facteurs socioéconomiques (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Journaux alimentaires (MeSH)</term><term>Maroc (ethnologie)</term><term>Minorités (MeSH)</term><term>Mâle (MeSH)</term><term>Pays-Bas (MeSH)</term><term>Régime alimentaire (économie)</term><term>Suriname (ethnologie)</term><term>Turquie (ethnologie)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="ethnology" xml:lang="en"><term>Morocco</term><term>Suriname</term><term>Turkey</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Diet</term></keywords><keywords scheme="MESH" qualifier="ethnologie" xml:lang="fr"><term>Maroc</term><term>Suriname</term><term>Turquie</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Diet, Healthy</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Régime alimentaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Costs and Cost Analysis</term><term>Cross-Sectional Studies</term><term>Diet Records</term><term>Ethnic Groups</term><term>Female</term><term>Food</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Minority Groups</term><term>Netherlands</term><term>Socioeconomic Factors</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aliments</term><term>Coûts et analyse des coûts</term><term>Enquêtes et questionnaires</term><term>Ethnies</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Journaux alimentaires</term><term>Minorités</term><term>Mâle</term><term>Pays-Bas</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Maroc</term><term>Suriname</term><term>Turquie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p id="Par1">Healthier dietary patterns are generally more costly than less healthy patterns, but dietary costs may be more important for dietary quality in lower educated and ethnic minority groups. The aim of this study was to investigate the association between dietary costs and dietary quality and interactions with ethnicity and socioeconomic position (SEP).</p></sec><sec><title>Methods</title><p id="Par2">We used cross-sectional data from 4717 Dutch, Surinamese, Turkish and Moroccan origin participants of the multi-ethnic HELIUS study (the Netherlands), who completed an ethnic-specific food frequency questionnaire (FFQ). The primary outcome measure was dietary quality according to adherence to the Dutch Healthy Diet index 2015 (DHD15-index, range 0–130). Individual dietary costs (the monetary value attached to consumed diets in Euros) were estimated by merging a food price variable with the FFQ nutrient composition database. Regression analyses were used to examine main and interaction effects. Analyses were adjusted for age, sex, smoking, energy intake, physical activity, ethnicity and educational level.</p></sec><sec><title>Results</title><p id="Par3">Having higher dietary costs was associated with higher dietary quality. Analyses stratified by educational level showed that associations were stronger in higher educated (B<sub>tertile3</sub> = 8.06, 95%CI = 5.63; 10.48) than in lower educated participants (B<sub>tertile3</sub> = 5.09, 95%CI = 2.74; 7.44). Stratification by ethnic origin showed strongest associations in Turkish participants (B<sub>tertile2</sub> = 9.31, 95%CI = 5.96; 12.65) and weakest associations in Moroccan participants (B<sub>tertile3</sub> = 4.29, 95%CI = 0.58; 8.01). Regardless of their level of education, Turkish and Moroccan individuals consumed higher quality diets at the lowest cost than Dutch participants.</p></sec><sec><title>Conclusions</title><p id="Par4">The importance of dietary costs for dietary quality differs between socioeconomic and ethnic subgroups. Increasing individual food budgets or decreasing food prices may be effective for the promotion of healthy diets, but differential effects across socioeconomic and ethnic subgroups may be expected.</p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (10.1186/s12937-019-0445-3) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lock, K" uniqKey="Lock K">K Lock</name></author><author><name sortKey="Pomerleau, J" uniqKey="Pomerleau J">J Pomerleau</name></author><author><name sortKey="Causer, L" uniqKey="Causer L">L Causer</name></author><author><name sortKey="Altmann, Dr" uniqKey="Altmann D">DR Altmann</name></author><author><name sortKey="Mckee, M" uniqKey="Mckee M">M McKee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dijkstra, Sc" uniqKey="Dijkstra S">SC 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Lloyd</name></author><author><name sortKey="Mizdrak, A" uniqKey="Mizdrak A">A Mizdrak</name></author><author><name sortKey="Luben, R" uniqKey="Luben R">R Luben</name></author><author><name sortKey="Mulligan, Aa" uniqKey="Mulligan A">AA Mulligan</name></author><author><name sortKey="Wareham, Nj" uniqKey="Wareham N">NJ Wareham</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rehm, Cd" uniqKey="Rehm C">CD Rehm</name></author><author><name sortKey="Monsivais, P" uniqKey="Monsivais P">P Monsivais</name></author><author><name sortKey="Drewnowski, A" uniqKey="Drewnowski A">A Drewnowski</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rehm, C" uniqKey="Rehm C">C Rehm</name></author><author><name sortKey="Monsivais, P" uniqKey="Monsivais P">P Monsivais</name></author><author><name sortKey="Drewnowski, A" uniqKey="Drewnowski A">A Drewnowski</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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