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Socio-demographic inequalities in the diets of mid-aged Australian women

Abstract

Objectives: This study reports on the distributions of food and nutrient intakes by socio-demographic factors for a large population sample of mid-aged Australian women participating in the Australian Longitudinal Study on Women's Health.

Design: This cross-sectional population-based study used the Cancer Council of Victoria food frequency questionnaires to derive estimates of food and nutrient intakes.

Setting: Nationwide community-based survey.

Subjects: A total of 10561 women aged 50−55 y, at the time of the survey in 2001.

Results: Analysis showed favourable patterns of food intake, with frequent consumption of many foods that are promoted as components of a healthy diet (eg, fresh fruit, leafy green and other vegetables, bread, cereals, milk and meat). Intakes of both foods and nutrients varied significantly across socio-demographic groups, with unmarried women, and women in ‘labouring’ occupations (eg, cleaner, factory worker, kitchenhand) having poorer nutrient intake.

Conclusions: Although many mid-aged women in this sample had generally healthful diets, women in certain socio-demographic groups (particularly unmarried women and those in labouring occupations) had nutrient intakes of concern. As well as helping to address the dearth of current data on dietary intakes in the Australian population, the results highlight the need for continued targeted public health strategies aimed at improving diet of women from the various socio-economic backgrounds.

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References

  • Australian Bureau of Statistics (2000): Apparent Consumption of Foodstuffs, Australia ABS Catalogue No. 4306. Canberra: Australian Government Publishing Service.

  • Australian Bureau of Statistics (1997): Australian Standard Classification of Occupations (ASCO) 2nd Edition. ABS Catalogue No. 1220.0. Canberra: Australian Government Publishing Service.

  • Australian Bureau of Statistics (1999): National Nutrition Survey: Foods Eaten, Australia ABS Catalogue No 4804.0. Canberra: Australian Bureau of Statistics.

  • Australian Bureau of Statistics (1998): National Nutrition Survey: Nutrient Intakes and Physical Measurements, Australia ABS Catalogue No. 4805. Canberra: Australian Bureau of Statistics.

  • Baghurst KI, Baghurst PA & Record SJ (1994): Demographic and dietary profiles of high and low fat consumers in Australia. J. Epidemiol Comm. Health 48, 26–32.

    Article  CAS  Google Scholar 

  • Ball K, Mishra G, Thane CW & Hodge A (2004): How well do Australian women comply with dietary guidelines? Public Health Nutr. 7, 443–452.

    PubMed  Google Scholar 

  • Billson H, Pryer JA & Nichols R (1999): Variation in fruit and vegetable consumption among adults in Britain: an analysis from the dietary and nutritional survey of British adults. Eur. J. Clin. Nutr. 53, 946–952.

    Article  CAS  Google Scholar 

  • Brown WJ, Bryson L, Byles JE, Dobson AJ, Lee C, Mishra G & Schofield M (1998): Women's Health Australia: recruitment for a national longitudinal cohort study. Women and Health 28, 23–40.

    Article  CAS  Google Scholar 

  • Byers T (2001): Food frequency dietary assessment: how bad is good enough? Am. J. Epidemiol. 154, 1087–1088.

    Article  CAS  Google Scholar 

  • Cameron ME & Van Staveren WA (1988): Manual on Methodology for Food Consumption Studies. New York: Oxford University Press.

    Google Scholar 

  • Cashel K (1981): National statistics—apparent consumption of foodstuffs and nutrients in Australia. Trans. Menzies Found. 3, 203–219.

    Google Scholar 

  • Cook T, Rutishauser IHE & Seelig M (2001): Comparable Data on Food and Nutrient Intake and Physical Measurements from the 1983, 1985 and 1995 National Nutrition surveys Canberra: Commonwealth Department of Health and Aged Care..

  • Crotty P, Rutishauser I & Cahill M (1991): From food to nutrients and back. Proc. Nutr. Soc. Aust. 16, 38.

    Google Scholar 

  • Davis SR (2000): Why do women aged 40 and over need a different diet? What are their specific requirements and are these met? Med. J. Aust. 173 (Suppl), 95–96.

    Google Scholar 

  • Davey Smith G & Brunner E (1997): Socioeconomic differentials in health: the role of nutrition. Proc. Nutr. Soc. 56, 75–90.

    Article  Google Scholar 

  • De Irala-Estevez J, Groth M, Johansson L, Oltersdorf U, Prattala R & Martinez-Gonzalez MA (2000): A systematic review of socioeconomic differences in food habits in Europe: consumption of fruit and vegetables. Eur. J. Clin. Nutr. 54, 706–714.

    Article  Google Scholar 

  • Department of Community Services and Health (1989): Composition of Foods, Australia. Canberra: Australian Government Publishing Service..

  • Department of Primary Industries and Energy, Department of Human Services and Health (1994): Rural, Remote and Metropolitan Areas Classification: 1991 Census Edition. Canberra: Australian Government Publishing Service.

  • Dobson A, Porteous J, McElduff P & Alexander H (1997): Dietary trends: estimates from food supply and survey data. Eur. J. Clin. Nutr. 51, 193–198.

    Article  CAS  Google Scholar 

  • Evans A, Booth H & Cashel K (2000): Socio-demographic determinants of energy, fat and dietary fibre intake in Australian adults. Public Health Nutr. 3, 67–75.

    Article  CAS  Google Scholar 

  • Fagerli RA & Wandel M (1999): Gender differences in opinions and practices with regard to a ‘healthy diet’. Appetite 32, 171–190.

    Article  CAS  Google Scholar 

  • Giskes K, Turrell G, Patterson C & Newman B (2002): Socioeconomic differences among Australian adults in consumption of fruit and vegetables and intakes of vitamins A, C and folate. J. Hum. Nutr. Dietet. 15, 375–385.

    Article  CAS  Google Scholar 

  • Galobardes M, Morabia A & Bernstein MS (2001): Diet and socioeconomic position: does the use of different indicators matter? Int. J. Epidemiol. 30, 334–340.

    Article  CAS  Google Scholar 

  • Goldberg GR, Black AE, Jebb SA, Cole TJ, Murgatroyd PR, Coward WA & Prentice AM (1991): Critical evaluation of energy intake data using fundamental principles of energy physiology. 1. Derivation of cut-off values to identify under recording. Eur. J. Clin. Nutr. 45, 569–581.

    CAS  Google Scholar 

  • Gregory J, Foster K, Tyler H & Wiseman M (1990): The Dietary and Nutritional Survey of British Adults. London: HMSO.

    Google Scholar 

  • Heywood P, Harvey PWJ & Marks GC (1993): An evaluation of energy intakes in the 1983 Australian National Dietary Survey of Adults. Eur. J. Clin. Nutr. 47, 604–606.

    CAS  Google Scholar 

  • Hodge A, Patterson AJ, Brown W, Ireland P & Giles G (2000): The Anti Cancer Council of Victoria FFQ: relative validity of nutrient intakes compared with weighted food records in young to middle-aged women in a study of iron supplementation. Austr. New Zealand J. Public Health 24, 576–583.

    Article  CAS  Google Scholar 

  • Ireland P, Jolley D, Giles G, O’Dea K, Powles J, Rutishauser I, Wahlqvist ML & Williams J (1994): Development of the Melbourne FFQ: a food frequency questionnaire for use in an Australian prospective study involving an ethnically diverse cohort. Asia Pacific J. Clin. Nutr. 3, 19–31.

    CAS  Google Scholar 

  • Lester I (1994): Australia's Food and Nutrition Canberra: Australian Institute of Health and Welfare.

  • Mihelic AH & Crimmins EM (1997): Loss to follow-up in a sample of Americans 70 years of age and older: the LSOA 1984–1990. J. Gerontol: Soc. Sci. 52, S37–S48.

    Article  Google Scholar 

  • Mishra G, Ball K, Arbuckle J & Crawford D (2002): Dietary patterns of Australian adults and their association with socioeconomic status: results from the 1995 National Nutrition Survey. Eur. J. Clin. Nutr. 56, 687–693.

    Article  CAS  Google Scholar 

  • National Heart Foundation of Australia and Commonwealth Department of Health (1986): National Dietary Survey of Adults: 1983. Canberra: Australian Government Publishing Service.

  • National Health and Medical Research Council (2003): Dietary Guidelines for Australian Adults. Canberra: Australian Government Printing Service.

  • Poehlman ET, Toth MJ & Gardner AW (1995): Changes in energy balance and body composition at menopause: a controlled longitudinal study. Ann. Intern. Med. 123, 673–675.

    Article  CAS  Google Scholar 

  • Singh C (1995): A Comparative Analysis of Attrition in Household Panel studies PACO Document no 10, CEPS/INSTEAD. Belgium: Differdange. http://www.ceps.lu/paco/pacopub.htm.

  • Smith A, Kellett E & Schmerlaib Y (1998): The Australian Guide to Healthy Eating Canberra: Commonwealth Department of Health and Family Services..

  • Stallone DD, Brunner EJ, Bingham SA & Marmot MG (1997): Dietary assessment in Whitehall II: the influence of reporting bias on apparent socioeconomic variation in nutrient intakes. Eur. J. Clin. Nutr. 51, 815–825.

    Article  CAS  Google Scholar 

  • Subar AF, Thompson FE, Kipnis V, Midthune D, Hurwitz P, McNutt S, McIntosh A & Rosenfeld S (2001): Comparative validation of the Block, Willett, and National Cancer Institute Food Frequency Questionnaires. Am. J. Epidemiol. 154, 1089–1099.

    Article  CAS  Google Scholar 

  • Whichelow MJ (1993): Changes in dietary habits. In The Health and Lifestyle Survey: Seven Years On eds. BD Cox, FA Huppert, MJ Whichelow. Aldershot: Dartmouth.

    Google Scholar 

  • Willett W & Stampfer M (1986): Total energy intake: implications for epidemiological analyses. Am. J. Epidemiol. 124, 17.

    Article  CAS  Google Scholar 

  • Woo J, Leung SS, Ho SC, Sham A, Lam TH & Janus ED (1999): Influence of educational level and marital status on dietary intake, obesity and other cardiovascular risk factors in a Hong Kong Chinese population. Eur. J. Clin. Nutr. 53, 461–467.

    Article  CAS  Google Scholar 

  • World Health Organization (WHO) (2002): The World Health Report 2002: Reducing Risks, Promoting Healthy Life. Geneva: WHO.

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Acknowledgements

The Australian Longitudinal Study on Women's Health, which was conceived and developed by groups of interdisciplinary researchers at the Universities of Newcastle and Queensland, is funded by the Australian Department of Health and Ageing. We thank all participants for their valuable contribution to this project. Kylie Ball is supported by a National Health and Medical Research Council/National Heart Foundation Career Development Award. Part of the research for this paper was conducted while Kylie Ball was a visiting researcher at MRC-Human Nutrition Research, Cambridge University, UK. We thank the Australian National Health and Medical Research Council, and the British Medical Research Council, for funding this research visit. We thank Professor Graham Giles of the Cancer Epidemiology Centre of The Cancer Council Victoria, for permission to use the Dietary Questionnaire for Epidemiological Studies (Version 2). Melbourne: The Cancer Council Victoria, 1996.

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Correspondence to G Mishra.

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Guarantor: G Mishra.

Contributors: GM conceptualised the project and conducted the statistical analysis. KB and GM prepared the first draft of the manuscript. All authors participated in interpreting the results and were involved in preparing the final draft of the manuscript.

Appendix A

Appendix A

Food items included in each group is described in Table A1

Table 7 Table a1

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Mishra, G., Ball, K., Patterson, A. et al. Socio-demographic inequalities in the diets of mid-aged Australian women. Eur J Clin Nutr 59, 185–195 (2005). https://doi.org/10.1038/sj.ejcn.1602057

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