Barriers to healthy eating in Switzerland: A nationwide study
Barriers to healthy eating in Switzerland: A nationwide study
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DOI：
10.1016/j.clnu.2016.04.004
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发表时间：
2016-12-01
影响因子：
6.3
通讯作者：
Marques-Vidal, Pedro
中科院分区：
文献类型：
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作者：
de Mestral, Carlos;Stringhini, Silvia;Marques-Vidal, Pedro
背景与目的：几种障碍会阻碍人群的健康饮食。我们的目的是评估瑞士自我报告的健康饮食障碍的流行率，并检查其社会经济和人口决定因素。方法：使用2012年瑞士健康调查的代表性横断面数据，我们按性别分别评估了10种障碍的流行率及其与人口和社会经济决定因素的关系；结果：最常见的障碍是“价格”(女性43.2%，男性35.8%)、“日常习惯、限制”(39.8%，37.5%)、“喜欢美食”(38.8%，51.0%)、“时间限制”(34.8%，29.0%)和“缺乏意志力”(22.0%，21.2%)。大多数障碍的流行率随着年龄的增长而下降，增加了对“好食物”的喜爱，而对“价格”保持不变。在多变量校正后，肥胖参与者更有可能报告“对美食的喜爱”[肥胖与正常体重女性和男性的优势比(95%可信区间)分别为1.63(1.38-1.91)，2.02(1.72-2.38)]。受教育程度较低的受试者更有可能报告“对美食的喜爱”[强制性的：1.93(1.62-2.39)，男性：1.51(1.26-1.81)]，但较少报告“缺乏意志力”[0.45(0.38-0.55)，0.40(0.33-0.49)]和“时间限制”[0.61(0.51-0.73)，0.78(0.63-0.96)]。收入较低的参与者更有可能报告“价格”[女性和男性的最低和最高四分位数分别为1.65(1.43-1.90)，1.47(1.26-1.71)]，但不太可能报告“缺乏意志力”[0.71(0.61-0.82)，0.40(0.33-0.49)]。吸烟、生活状况、民族和居住地区之间几乎没有关联。结论：健康饮食的几个障碍不分性别都很普遍，最重要的决定因素是年龄、肥胖、教育程度和收入，每个障碍的影响程度不同。这需要多方面的干预，以同时解决几个障碍。(C)2016爱思唯尔有限公司和欧洲临床营养和代谢学会。版权所有。
Background & aims: Several barriers can hinder healthy eating in the population. We aimed to assess the prevalence of self-reported barriers to healthy eating in Switzerland and examine their socioeconomic and demographic determinants.Methods: Using representative cross-sectional data from the Swiss Health Survey 2012, we assessed, separately by gender, the prevalence of ten barriers and their association with demographic and socioeconomic determinants; we used age- and multivariable-adjusted logistic regression and report the odds ratio for likelihood to identify each barrier according to each demographic and socioeconomic determinant.Results: The most prevalent barriers were "price" (43.2% in women, 35.8% in men), "daily habits, constraints" (39.8%, 37.5%), "fondness of good food" (38.8%, 51.0%), "time constraint" (34.8%, 29.0%) and "lack of willpower" (22.0%, 21.2%). Prevalence of most barriers decreased with age, increased for "fondness of good food" and remained constant for "price." After multivariable adjustment, obese participants were more likely to report "fondness of good food" [Odds ratio (95% confidence interval) for obese vs. normal weight women and men, respectively: 1.63 (1.38-1.91), 2.02 (1.72-2.38)]. Participants with lower education were more likely to report "fondness of good food" [mandatory vs. tertiary women and men, respectively: 1.93 (1.62-2.39),1.51 (1.26-1.81)], but less likely to report "lack of willpower" [0.45 (0.38-0.55), 0.40 (0.33-0.49)] and "time constraint" [0.61 (0.51-0.73), 0.78 (0.63-0.96)]. Participants with lower income were more likely to report "price" [lowest vs. highest quartile for women and men, respectively, 1.65 (1.43-1.90), 1.47 (1.26-1.71)] but less likely to report "lack of willpower" [0.71 (0.61 -0.82), 0.40 (0.33-0.49)]. Smoking, living situation, nationality and living area showed little or no association.Conclusion: Several barriers to healthy eating were highly prevalent regardless of gender; the most important determinants were age, obesity, education, and income, with different effects per barrier. This requires multifaceted interventions to tackle several barriers simultaneously. (C)2016 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.