Caroline Méjean1, Wendy Si Hassen1, Christelle Lecossais1, Benjamin Allès1, Sandrine Péneau1, Serge Hercberg1, Katia Castetbon2. 1. 1Université Paris 13,Sorbonne Paris Cité,Equipe de Recherche en Epidémiologie Nutritionnelle (EREN),Centre d'Épidémiologie et Statistiques Paris Nord,Inserm (U1153),Inra (U1125),Cnam,Université Paris 5,Université Paris 7,F-93017 Bobigny,France. 2. 2Université Paris 13,Sorbonne Paris Cité,Unité de Surveillance et d'Épidémiologie Nutritionnelle (USEN),SMBH Paris,Bobigny,France.
Abstract
OBJECTIVE: The specific role of major socio-economic indicators (education, occupation, income) in influencing consumer choice of animal foods (AF) intake could reveal distinct socio-economic facets, thus enabling elucidation of mechanisms leading to social inequalities in health. We investigated the independent association of each indicator with intake of different AF and their effect modification. DESIGN: Cross-sectional study. AF intake was estimated using three 24 h dietary records. Associations between socio-economic factors and AF intake and interactions between socio-economic indicators were assessed using ANCOVA adjusted for age and energy intake. Analyses were performed separately for men and women, since gender interactions were found. SETTING: France. SUBJECTS: Adults (n 92 036) participating in the NutriNet-Santé Study. RESULTS: Low educated persons had higher intake of red meat (+9-12 g/d), processed meat (+6-9 g/d) and poultry (for men, +7 g/d) than those with a higher education level. Percentage of fish consumers was lower in individuals of the lowest income class compared with those in higher classes. Manual workers had a higher intake of cream desserts (for men, +14 g/d) than managerial staff. Few significant interactions were found. In stratified analyses, persons with the highest income consumed more yoghurt than those who had lower income, only in low educated individuals. CONCLUSIONS: Socio-economic disparities in AF intake varied according to the socio-economic indicator, suggesting the specific influence of each indicator on AF intake. In particular, lower education was associated with higher intake of red and processed meats and cream desserts, and had an effect modification on the relationship between income and AF intake.
OBJECTIVE: The specific role of major socio-economic indicators (education, occupation, income) in influencing consumer choice of animal foods (AF) intake could reveal distinct socio-economic facets, thus enabling elucidation of mechanisms leading to social inequalities in health. We investigated the independent association of each indicator with intake of different AF and their effect modification. DESIGN: Cross-sectional study. AF intake was estimated using three 24 h dietary records. Associations between socio-economic factors and AF intake and interactions between socio-economic indicators were assessed using ANCOVA adjusted for age and energy intake. Analyses were performed separately for men and women, since gender interactions were found. SETTING: France. SUBJECTS: Adults (n 92 036) participating in the NutriNet-Santé Study. RESULTS: Low educated persons had higher intake of red meat (+9-12 g/d), processed meat (+6-9 g/d) and poultry (for men, +7 g/d) than those with a higher education level. Percentage of fish consumers was lower in individuals of the lowest income class compared with those in higher classes. Manual workers had a higher intake of cream desserts (for men, +14 g/d) than managerial staff. Few significant interactions were found. In stratified analyses, persons with the highest income consumed more yoghurt than those who had lower income, only in low educated individuals. CONCLUSIONS: Socio-economic disparities in AF intake varied according to the socio-economic indicator, suggesting the specific influence of each indicator on AF intake. In particular, lower education was associated with higher intake of red and processed meats and cream desserts, and had an effect modification on the relationship between income and AF intake.
Entities:
Keywords:
Animal foods; Education; Income; Occupation; Socio-economic position
Authors: Rie Tanaka; Mayumi Tsuji; Ayako Senju; Koichi Kusuhara; Toshihiro Kawamoto Journal: Int J Environ Res Public Health Date: 2018-05-11 Impact factor: 3.390
Authors: Maria José Beriain; Inmaculada Gómez; Mercedes Sánchez; Kizkitza Insausti; María Victoria Sarriés; Francisco C Ibañez Journal: Foods Date: 2020-04-17