Department of Public Health, Sport and Nutrition, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway.
Food Nutr Res. 2014 Jul 24;58. doi: 10.3402/fnr.v58.23590. eCollection 2014.
Social inequalities in health are a major and even growing problem in all European countries.
The aim of the present study was to describe 1) differences in dietary habits among Norwegian adolescents by gender and socioeconomic status; 2) differences in self-reported knowledge of dietary guidelines among their parents according to socioeconomic status.
In 2012, a cross-sectional study where students filled in a web-based food frequency questionnaire at school was conducted in nine lower secondary schools in Vest-Agder County, Norway. Socioeconomic status (SES) and knowledge of dietary guidelines were obtained from the parents using a web-based questionnaire. In total, 517 ninth-grade students (mean age 13.9) out of 742 invited students participated in the study, giving a participation rate of 69.7%. The total number of dyads with information on both parents and students was 308 (41.5%).
The findings indicate that there is a tendency for girls to have a healthier diet than boys, with greater intake of fruits and vegetables (girls intake in median 3.5 units per day and boys 2.9 units per day), and lower intake of soft drinks (girls 0.25 l in median versus boys 0.5 l per week). Students from families with higher SES reported a significant higher intake of vegetables and fish, and lower intake of soft drinks and fast food than those from lower SES. Parents with higher SES reported a significantly better knowledge of dietary guidelines compared to those with lower SES.
Differences in dietary habits were found between groups of students by gender and SES. Differences were also found in parents' self-reported knowledge of dietary guidelines. This social patterning should be recognized in public health interventions.
在所有欧洲国家,健康方面的社会不平等都是一个主要问题,甚至还在不断加剧。
本研究旨在描述:1)挪威青少年的饮食习惯在性别和社会经济地位方面的差异;2)根据社会经济地位,青少年的父母对饮食指南的认知在报告中存在的差异。
2012 年,在挪威韦斯特兰郡的 9 所初中开展了一项横断面研究,学生在学校通过网络填写食物频率问卷。社会经济地位(SES)和饮食指南知识通过网络问卷从父母处获得。共有 742 名受邀学生中的 517 名(平均年龄 13.9 岁)参与了研究,参与率为 69.7%。有父母和学生双方信息的总对数量为 308 对(41.5%)。
研究结果表明,女生的饮食更健康,水果和蔬菜摄入量较大(女生中位数摄入量为 3.5 份/天,男生为 2.9 份/天),而软饮料摄入量较小(女生中位数摄入量为 0.25 升/周,男生为 0.5 升/周)。SES 较高的家庭的学生报告说,他们蔬菜和鱼类的摄入量显著较高,软饮料和快餐的摄入量显著较低。SES 较高的父母报告的饮食指南知识明显优于 SES 较低的父母。
通过性别和 SES 对学生群体的饮食习惯进行了比较,发现存在差异。父母自我报告的饮食指南知识也存在差异。这种社会模式应该在公共卫生干预中得到认识。