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. 2013 May;16(5):873-82.
doi: 10.1017/S1368980012003540. Epub 2012 Aug 3.

Socio-economic disparities in the consumption of vegetables, fruit and energy-dense foods: the role of motive priorities

Affiliations

Socio-economic disparities in the consumption of vegetables, fruit and energy-dense foods: the role of motive priorities

Hanna Konttinen et al. Public Health Nutr. 2013 May.

Abstract

Objective: A low socio-economic status (SES) is related to less healthy dietary habits, but the reasons for this remain unclear. We examined whether the absolute or relative importance of various food choice motives contributed to SES disparities in vegetable/fruit and energy-dense food intake.

Design: We analysed cross-sectional data from the FINRISK Study 2007 by means of structural equation modelling and used a shortened version of the Food Choice Questionnaire to assess the absolute importance of health, pleasure, convenience, price, familiarity and ethicality motives. We calculated the relative importance of each motive by dividing the participant's rating of it by his/her mean score on all motives. Dietary intake was measured with an FFQ.

Setting: A population-based survey in Finland.

Subjects: Men (n 1691) and women (n 2059) aged 25-64 years.

Results: Higher education and income were related to a greater vegetable/fruit intake (β = 0·12, P < 0·001), while education was associated negatively with the consumption of energy-dense foods (β = -0·09, P < 0·001). Socio-economically disadvantaged individuals considered price and/or familiarity more important in their food choices in both absolute and relative terms. A higher income was related to a greater relative importance of health considerations. Relative motives were more strongly associated with vegetable/fruit and energy-dense food consumption than absolute motives and the relative importance of price, familiarity and health partly mediated the effects of the SES indicators on the consumption of these food items.

Conclusions: Individual priorities in food choice motives, rather than the absolute importance of single motives, play a role in producing SES disparities in diet.

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Figures

Fig. 1
Fig. 1
The mediation model used to estimate the effects of socio-economic indicators on dietary intake. The model was estimated separately for each socio-economic indicator (education and income), absolute and relative food choice motive and food consumption variable (vegetables/fruit and energy-dense foods). All models were adjusted for age, gender, marital status, children in the household, BMI and physical activity. The models for vegetables/fruit were also adjusted for total energy intake. Rectangles represent the measured variables and arrows the regression paths between the variables. a = Direct effect of socio-economic indicator on food choice motive; b = direct effect of food choice motive on dietary intake; c = direct effect of socio-economic indicator on dietary intake; a × b = indirect effect of the socio-economic indicator on dietary intake through the food choice motive. Total effect of the socio-economic indicator on dietary intake = direct effect c + indirect effect a × b

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