Racial or Ethnic and Socioeconomic Inequalities in Adherence to National Dietary Guidance in a Large Cohort of US Pregnant Women
Racial or Ethnic and Socioeconomic Inequalities in Adherence to National Dietary Guidance in a Large Cohort of US Pregnant Women
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DOI：
10.1016/j.jand.2017.01.016
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发表时间：
2017-06-01
影响因子：
4.8
通讯作者：
Reddy, Uma M.
中科院分区：
文献类型：
--
作者：
Bodnar, Lisa M.;Simhan, Hyagriv N.;Reddy, Uma M.
背景围产期营养对优化后代和孕产妇健康以及减少社会不平等的重要性，需要更多地了解美国妇女的饮食质量。目的我们的目的是评估围产期饮食质量以及能量和微量营养素来源的种族或民族和教育不平等。设计来自未产妊娠结局研究的数据的横断面分析：监测准妈妈队列。从2010年到2013年，在美国的八个医疗中心招募了参与者和设置的未生育妇女（N= 7，511）。主要结果测量在怀孕的前三个月自我管理评估通常饮食摄入量的半定量食物频率问卷。饮食质量，使用2010年健康饮食指数衡量统计分析采用F检验、方差分析和卡方检验，对不同种族、民族和教育程度的产妇进行饮食质量差异的检验。但非西班牙裔黑人妇女的增加幅度小于非西班牙裔白人和西班牙裔妇女（交互作用P值
Background The significance of periconceptional nutrition for optimizing offspring and maternal health and reducing social inequalities warrants greater understanding of diet quality among US women.Objective Our objective was to evaluate racial or ethnic and education inequalities in periconceptional diet quality and sources of energy and micronutrients.Design Cross-sectional analysis of data from the Nulliparous Pregnancy Outcomes Study: Monitoring Mothers-to-Be cohort.Participants and setting Nulliparous women (N=7,511) were enrolled across eight US medical centers from 2010 to 2013.Main outcome measures A semiquantitative food frequency questionnaire assessing usual dietary intake during the 3 months around conception was self-administered during the first trimester. Diet quality, measured using the Healthy Eating Index-2010 (HEI-2010), and sources of energy and micronutrients were the outcomes.Statistical analyses Differences in diet quality were tested across maternal racial or ethnic and education groups using F tests associated with analysis of variance and chi(2) tests.Results HEI-2010 score increased with higher education, but the increase among non Hispanic black women was smaller than among non-Hispanic whites and Hispanics (interaction P value