Social relationships and healthful dietary behaviour: evidence from over-50s in the EPIC cohort, UK.
Social relationships and healthful dietary behaviour: evidence from over-50s in the EPIC cohort, UK.
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DOI：
10.1016/j.socscimed.2013.08.018
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发表时间：
2014-01
期刊：
影响因子：
--
通讯作者：
Monsivais P
中科院分区：
文献类型：
--
作者：
Conklin AI;Forouhi NG;Surtees P;Khaw KT;Wareham NJ;Monsivais P
社会关系是一个人的社会环境的一个重要方面，它可以预防各种慢性疾病并促进从疾病中康复。社会关系也与饮食行为有关，这可能是社会环境对健康产生影响的重要途径。然而，社会关系的哪些结构方面最能影响健康的饮食行为，以及不同的结构成分是否相互作用以产生综合效应，这些问题仍然存在。使用欧洲癌症-诺福克前瞻性调查研究（1996-2002）中成年人（≥50岁）的数据，我们检查了婚姻状况、生活安排和社会隔离与水果和蔬菜摄入量的多样性得分的关系，作为与不良健康结果相关的饮食质量的标志。用多变量线性回归模型分析数据，以确定性别和相互作用的关联。我们发现，单身或丧偶与较低的品种得分相关，尤其是蔬菜品种，当与男性、独居或不经常与朋友联系时，这种关联会增强。独居者的多样性得分也较低，尤其是男性。不频繁的朋友接触与生活安排相互作用，放大了独居与品种的负相关，蔬菜品种的接触频率差异有统计学意义。无论男女，朋友接触的水平越低，水果和蔬菜的种类就越少；这一趋势在男性中更为明显。家庭接触似乎与男性蔬菜种类的关系有限；在女性中，与每日家庭接触相比，每周接触与蔬菜种类显著正相关。研究结果强调，在评估丧偶、单身或独居的老年人是否面临水果和蔬菜种类减少的风险时，考虑生活安排和/或社会接触频率的重要性。社会关系影响健康，也会影响饮食行为。我们研究了各种关系结构对饮食的共同影响。我们使用的数据来自于一个已建立的流行病学队列中的50岁以上人群。由于结构性社会关系较差，男性的表现不如女性。社会孤立改变了婚姻状况和生活安排对饮食的影响。
Social relationships are an important aspect of a person's social environment that can protect against a wide range of chronic conditions and facilitate recovery from disease. Social relationships have also been linked to dietary behaviour which may be an important pathway through which social circumstances exert their influence on health. Yet, questions remain about which structural aspects of social relationships most affect healthful dietary behaviours and whether different structural components interact to produce a combined effect. Using data from adults (≥50 years) in the European Prospective Investigation of Cancer-Norfolk study (1996–2002), we examined marital status, living arrangement and social isolation in relation to scores for variety of fruit and vegetable intake as a marker of diet quality associated with adverse health outcomes. Data were analysed with multivariable linear regression models for gender-specific and interaction associations. We found that being single or widowed was associated with a lower variety score, particularly vegetable variety, and associations were enhanced when combined with male gender, living alone or infrequent friend contact. Lower variety scores for lone-living were also observed, especially for men. Infrequent friend contact interacted with living arrangement to amplify negative associations of lone-living with variety, with statistically significant differences in contact frequency for vegetable variety. Lower levels of friend contact were associated with reduced variety of fruits and vegetables in a graded trend for both genders; the trend was more pronounced among men. Family contact appeared to have limited association with vegetable variety in men; among women, weekly contact was significantly and positively associated with vegetable variety compared to daily family contact. Results highlight the importance of considering living arrangement and/or frequency of social contact when assessing whether widowed, single or lone-living older adults are at risk of lower fruit and vegetable variety. Social relationships affect health and can also influence dietary behaviour. We examined joint effects of diverse structural components of relationships on diet. We used data from over-50s in an established epidemiological cohort. Men fared worse than women in reduced variety from poorer structural social ties. Social isolation altered dietary effects of marital status and living arrangement.
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影响因子：
7.1
作者：
DECASTRO, JM;DECASTRO, ES
通讯作者：
DECASTRO, ES
影响因子：
4.2
作者：
Bihan, Helene;Castetbon, Katia;Hercberg, Serge
通讯作者：
Hercberg, Serge
DOI：
10.1017/s0144686x01008169
发表时间：
2001-05-01
期刊：
AGEING AND SOCIETY
影响因子：
--
作者：
Davidson, K
通讯作者：
Davidson, K
影响因子：
5.4
作者：
DECASTRO, JM;BREWER, EM;OROZCO, S
通讯作者：
OROZCO, S
影响因子：
3.2
作者：
Dean, Moira;Raats, Monique M.;Lumbers, Margaret
通讯作者：
Lumbers, Margaret