Geospatial analysis of Mediterranean diet adherence in the United States.
Geospatial analysis of Mediterranean diet adherence in the United States.
复制标题
DOI：
10.1017/s1368980020001135
复制
发表时间：
2021-07
影响因子：
3.2
通讯作者：
Fontaine, Kevin R.
中科院分区：
文献类型：
--
作者：
Chen, Meifang;Creger, Thomas;Howard, Virginia;Judd, Suzanne E.;Harrington, Kathy F.;Fontaine, Kevin R.
关键词：
本研究旨在描述美国各地区的地中海饮食（MD）依从性，并探索美国成年人MD依从性的预测因素。横断面二级数据分析。使用Block 98 FFQ计算MD依从性评分（0-9）。进行热点分析，以描述美国各地区MD依从性的地理空间分布。Logistic回归探讨了MD依从性的预测因素。在美国全国范围内的社区居住。参与卒中地理和种族差异原因研究并在2003年1月至2007年10月期间完成基线评估的≥45岁成人（n 20 897）。MD依从性评分平均值为4.36（标准差1.70），46.5%的样本具有高MD依从性（评分5-9）。较高的MD粘附集群主要位于美国的西部和东北部沿海地区，而较低的MD粘附集群主要观察到在南部和东北中部地区。年龄较大，黑人，目前不吸烟，具有大学或以上学历，家庭年收入≥ 75 K美元，每周锻炼≥4次，每天看电视/视频<4小时，这些都与高MD依从性的几率较高相关。美国各地区的MD依从性存在显着的地理空间和人口差异。未来的研究需要探索MD依从性差异的原因，并制定有效的干预措施，促进MD在美国。
The current study aims to describe the Mediterranean diet (MD) adherence across the US regions, and explore the predictive factors of MD adherence among US adults. Cross-sectional secondary data analysis. MD adherence score (0–9) was calculated using the Block 98 FFQ. Hot spot analysis was conducted to describe the geospatial distribution of MD adherence across the US regions. Logistic regression explored predictors of MD adherence. Nationwide community-dwelling residency in the USA. Adults aged ≥45 years (n 20 897) who participated in the REasons for Geographic and Racial Differences in Stroke study and completed baseline assessment during January 2003 and October 2007. The mean of MD adherence score was 4·36 (sd 1·70), and 46·5 % of the sample had high MD adherence (score 5–9). Higher MD adherence clusters were primarily located in the western and northeastern coastal areas of the USA, whereas lower MD adherence clusters were majorly observed in south and east-north-central regions. Being older, black, not a current smoker, having a college degree or above, an annual household income ≥ $US 75K, exercising ≥4 times/week and watching TV/video <4 h/d were each associated with higher odds of high MD adherence. There were significant geospatial and population disparities in MD adherence across the US regions. Future studies are needed to explore the causes of MD adherence disparities and develop effective interventions for MD promotion in the USA.