Dubois L, Girard M, Bergeron N
Département de Médecine Sociale et Préventive, Pavillon de l'Est, Université Laval, Sainte-Foy, Québec, Canada.
Public Health Nutr. 2000 Sep;3(3):357-65. doi: 10.1017/s1368980000000409.
The USA and Canada both want to reduce social health inequalities in their population. These two countries have recently begun a process of harmonization of their nutrient recommendations.
To develop a standardized indicator to measure the impact of these recommendations on the health of different social groups in North America. The authors have compared three of the methods currently used for measuring overall diet quality for a population.
The three methods, adjusted to the 1990 Canadian nutrition recommendations, were used to analyse the Québec Nutrition Survey data collected by Santé Québec in 1990.
The authors found that the indicator developed by Kennedy and collaborators works best for analysing the Québec data. Moreover, it allows comparisons with the USA. Some questions, such as whether or not to add calories from alcohol consumption to the model and whether the indicators should be adjusted to the different cultures and specific population groups remain unanswered.
In order to determine the role of nutrition in social health inequalities, it is important to develop standard indicators that are suitable for monitoring the relationship between dietary recommendations and eating habits.
美国和加拿大都希望减少本国人口中的社会健康不平等现象。这两个国家最近开始了营养建议协调统一的进程。
制定一个标准化指标，用以衡量这些建议对北美不同社会群体健康的影响。作者比较了目前用于衡量人群总体饮食质量的三种方法。
将这三种方法按照1990年加拿大营养建议进行调整后，用于分析魁北克省卫生局于1990年收集的魁北克营养调查数据。
作者发现肯尼迪及其合作者开发的指标最适合分析魁北克的数据。此外，它还能与美国的数据进行比较。一些问题，如是否应将饮酒热量纳入模型以及指标是否应根据不同文化和特定人群进行调整等，仍未得到解答。
为了确定营养在社会健康不平等中的作用，开发适合监测饮食建议与饮食习惯之间关系的标准指标非常重要。
