Contribution of take-out food consumption to socioeconomic differences in fruit and vegetable intake : a mediation analysis

Miura, Kyoko, Giskes, Katrina M., & Turrell, Gavin (2011) Contribution of take-out food consumption to socioeconomic differences in fruit and vegetable intake : a mediation analysis. Journal of The American Dietetic Association, 111(10), pp. 1556-1562.

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Lower fruit and vegetable intake among socioeconomically disadvantaged groups has been well documented, and may be a consequence of a higher consumption of take-out foods. This study examined whether, and to what extent, take-out food consumption mediated (explained) the association between socioeconomic position and fruit and vegetable intake. A cross-sectional postal survey was conducted among 1500 randomly selected adults aged 25–64 years in Brisbane, Australia in 2009 (response rate = 63.7%, N = 903). A food frequency questionnaire assessed usual daily servings of fruits and vegetables (0 to 6), overall take-out consumption (times/week) and the consumption of 22 specific take-out items (never to ≥once/day). These specific take-out items were grouped into “less healthy” and “healthy” choices and indices were created for each type of choice (0 to 100). Socioeconomic position was ascertained by education. The analyses were performed using linear regression, and a bootstrap re-sampling approach estimated the statistical significance of the mediated effects. Mean daily serves of fruits and vegetables was 1.89 (SD 1.05) and 2.47 (SD 1.12) respectively. The least educated group were more likely to consume fewer serves of fruit (B= –0.39, p<0.001) and vegetables (B= –0.43, p<0.001) compared with the highest educated. The consumption of “less healthy” take-out food partly explained (mediated) education differences in fruit and vegetable intake; however, no mediating effects were observed for overall and “healthy” take-out consumption. Regular consumption of “less healthy” take-out items may contribute to socioeconomic differences in fruit and vegetable intake, possibly by displacing these foods.

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10 citations in Scopus
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12 citations in Web of Science®

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ID Code: 45940
Item Type: Journal Article
Refereed: Yes
Additional URLs:
Keywords: Socioeconomic, fruit and vegetables, take-out food, fast-food, takeaway food, mediation
DOI: 10.1016/j.jada.2011.07.009
ISSN: 0002-8223
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NUTRITION AND DIETETICS (111100) > Nutrition and Dietetics not elsewhere classified (111199)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2011 The American Dietetic Association
Copyright Statement: this is the author’s version of a work that was accepted for publication in Journal of The American Dietetic Association. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of The American Dietetic Association, 111(10), pp.1556-1562 DOI: 10.1016/j.jada.2011.07.009
Deposited On: 03 Oct 2011 01:36
Last Modified: 03 Oct 2011 10:32

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