A1 Refereed original research article in a scientific journal
Neighbourhood characteristics as a predictor of adherence to dietary recommendations: A population-based cohort study of Finnish adults
Authors: Hanna Lagström, Jaana I. Halonen, Sakari Suominen, Jaana Pentti, Sari Stenholm, Mika Kivimäki, Jussi Vahtera
Publication year: 2022
Journal: Scandinavian Journal of Public Health
Journal name in source: Scandinavian journal of public health
Journal acronym: Scand J Public Health
Volume: 50
Issue: 2
First page : 245
Last page: 249
ISSN: 1403-4948
eISSN: 1651-1905
DOI: https://doi.org/10.1177/1403494820971497
Web address : https://journals.sagepub.com/doi/10.1177/1403494820971497
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/51061096
Aims: To investigate the association of six-year cumulative level of socioeconomic neighbourhood disadvantage and population density with subsequent adherence to dietary recommendations, controlling for preceding dietary adherence, in adults in Finland. Methods: Population-based Health and Social Support (HeSSup) study participants from four age groups (20–24, 30–34, 40–44 and 50–54 years at baseline in 1998). Data on diet and alcohol consumption were obtained from the 2003 and 2012 surveys and information on neighbourhoods from Statistics Finland Grid database (n = 10,414 men and women). Participants diet was measured as adherence to Nordic Nutrition recommendation (score range 0–100). Neighbourhood disadvantage was measured by median household income, proportion of those with primary education only and unemployment rate, and population density by the number of adult population between years 2007 and 2012. Linear models were used to assess the associations of neighbourhood characteristics with the score for adherence to dietary recommendations in 2012. Results: Cumulative neighbourhood socioeconomic disadvantage was associated with slightly weaker (1.49 (95% confidence interval (CI) −1.89 to −1.09) point decrease in dietary score) adherence while higher population density was associated with better (0.70 (95% CI 0.38−1.01) point increase in dietary score) adherence to dietary recommendations. These associations remained after controlling for prior dietary habits, sociodemographic, chronic cardio-metabolic diseases, and severe life events. Conclusions: These longitudinal findings support the hypothesis that neighbourhood characteristics affect dietary habits.
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