The association between socio-economic position and diet quality in Australian adults
Shaw, JE; Backholer, K; Magliano, DJ; McNaughton, SA; Spencer, E; Gearon, E; Peeters, A
Abstract
OBJECTIVE:
We aimed to investigate the association between multiple measures of socio-economic position (SEP) and diet quality, using a diet quality index representing current national dietary guidelines, in the Australian adult population.
DESIGN:
Cross-sectional study. Linear regression analyses were used to estimate the association between indicators of SEP (educational attainment, level of income and area-level disadvantage) and diet quality (measured using the Dietary Guideline Index (DGI)) in the total sample and stratified by sex and age (≤55 years and >55 years).
SETTING:
A large randomly selected sample of the Australian adult population.
SUBJECTS:
Australian adults (n 9296; aged ≥25 years) from the Australian Diabetes, Obesity and Lifestyle Study.
RESULTS:
A higher level of educational attainment and income and a lower level of area-level disadvantage were significantly associated with a higher DGI score, across the gradient of SEP. The association between indicators of SEP and DGI score was consistently stronger among those aged ≤55 years compared with their older counterparts. The most disadvantaged group had a DGI score between 2 and 5 units lower (depending on the marker of SEP) compared with the group with the least disadvantage.
CONCLUSIONS:
A higher level of SEP was consistently associated with a higher level of diet quality for all indicators of SEP examined. In order to reduce socio-economic inequalities in diet quality, healthy eating initiatives need to act across the gradient of socio-economic disadvantage with a proportionate focus on those with greater socio-economic disadvantage.
| Journal | PUBLIC HEALTH NUTR |
| ISSN | 1368-9800 |
| Published | 01 Feb 2016 |
| Volume | 19 |
| Issue | 3 |
| Pages | 477-85 |
| DOI | 10.1017/S1368980015001470 |
| Type | Journal Article |
| Sponsorship |
NHMRC: 1045456, 586623
ARC: LP120100418, FT100100581
|