Socioeconomic deprivation impact on meat intake and mortality: NIH-AARP Diet and Health Study.
Socioeconomic deprivation impact on meat intake and mortality: NIH-AARP Diet and Health Study.
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DOI：
10.1007/s10552-011-9846-0
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发表时间：
2011-12
影响因子：
2.3
通讯作者：
Sinha, Rashmi
中科院分区：
文献类型：
--
作者：
Major, Jacqueline M.;Cross, Amanda J.;Doubeni, Chyke A.;Park, Yikyung;Lian, Min;Hollenbeck, Albert R.;Schatzkin, Arthur;Graubard, Barry I.;Sinha, Rashmi
以前的研究并没有检查肉类摄入量和当地环境特征对死亡风险之间的潜在相互作用。在考虑了个人层面的风险因素后，本研究考察了地区社会经济剥夺对肉类摄入量与全因和特定原因死亡率之间关系的影响。在前瞻性的NIH-AARP饮食与健康研究中，我们分析了基线（1995-1996）年龄在50-71岁的成年人的数据。根据人口普查区数据，将个人层面的饮食摄入量和健康风险信息与参与者当地环境的人口和社会经济背景联系起来。截至2005年12月，已确认死亡（n=33,831）。采用多水平Cox模型估计面积剥夺评分五分位数的风险比（hr）和95%置信区间（CIs）。红肉和加工肉类与死亡率的关系在贫困五分位数中是一致的。居住在最贫困社区的男性对白肉的食用有更强的保护作用。妇女的剥夺指数没有差异。红肉和加工肉的摄入增加了死亡风险，无论在给定的社区内剥夺程度如何，这表明生物机制而不是社区环境因素可能是这些肉类-死亡率关联的基础。在男性中，白肉摄入对癌症死亡率的影响受到区域剥夺的影响。
Previous studies have not examined potential interactions between meat intake and characteristics of the local environment on the risk of mortality. This study examined the impact of area socioeconomic deprivation on the association between meat intake and all-cause and cause-specific mortality after accounting for individual-level risk factors. In the prospective NIH-AARP Diet and Health Study, we analyzed data from adults, ages 50–71 years at baseline (1995–1996). Individual-level dietary intake and health risk information was linked to the demographic and socioeconomic context of participants’ local environment based on census tract data. Deaths (n=33,831) were identified through December 2005. Multilevel Cox models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for quintiles of area deprivation scores. Associations of red and processed meats with mortality were consistent across deprivation quintiles. Men residing in least-deprived neighborhoods had a stronger protective effect for white meat consumption. No differences by deprivation index were observed for women. Red and processed meat intake increases mortality risk regardless of level of deprivation within a given neighborhood suggesting biological mechanisms rather than neighborhood contextual factors may underlie these meat-mortality associations. The effect of white meat intake on cancer mortality was modified by area deprivation among men.
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影响因子：
7.1
作者：
Dubowitz, Tamara;Heron, Melonie;Escarce, Jose J.
通讯作者：
Escarce, Jose J.
影响因子：
5.4
作者：
Hutchinson, Rebbeca N.;Putt, Mary A.;Armstrong, Katrina
通讯作者：
Armstrong, Katrina
影响因子：
6.3
作者：
Diez-Roux, AV;Nieto, FJ;Szklo, M
通讯作者：
Szklo, M
影响因子：
5
作者：
Bosma, H;van de Mheen, HD;Mackenbach, JP
通讯作者：
Mackenbach, JP
影响因子：
--
作者：
Stimpson, Jim P.;Nash, Anita C.;Eschbach, Karl
通讯作者：
Eschbach, Karl