Fekete Christine, Weyers Simone
Schweizer Paraplegiker-Forschung AG, Guido A. Zäch Institut, 6207, Nottwil, Schweiz.
Institut für Medizinische Soziologie, Heinrich-Heine-Universität Düsseldorf, Düsseldorf, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2016 Feb;59(2):197-205. doi: 10.1007/s00103-015-2279-2.
Malnutrition is unhealthy: obesity, type 2 diabetes, cardiovascular diseases, some cancers, and premature mortality are reliably associated with poor nutrition. However, literature reveals that some population groups are at higher risk of poor nutrition than others. More specifically, evidence shows that people with low social status are more likely to have poor nutrition than those with higher status, what may contribute to health inequalities. In this article, selected reviews and meta-analyses on social inequalities in nutrition are presented. By showing current data from the Second National Food Consumption Study, the situation in Germany is highlighted. Further, potential causes of social inequalities in nutrition are discussed, drawing on the results of current research. More specifically, socioeconomic and structural deprivation (e.g., poverty, living in deprived neighborhoods) in addition to unfavorable psychosocial (e.g., poor knowledge of nutrition, low levels of social support) and sociocultural factors (e.g., unfavorable nutritional traditions) might be associated with poor nutrition in people with low social status. Interventions promoting nutritional quality in disadvantaged groups should take into account the various influences on nutrition and meet good practice criteria for health promotion. Using three examples of interventions, conceivable concrete measures that can reduce social inequalities in nutrition are presented.
肥胖、2型糖尿病、心血管疾病、某些癌症以及过早死亡都与营养状况不佳存在可靠关联。然而,文献显示,一些人群比其他人群面临更高的营养不良风险。更具体地说,有证据表明,社会地位较低的人比社会地位较高的人更有可能营养不良,这可能导致健康不平等。本文介绍了关于营养方面社会不平等的部分综述和荟萃分析。通过展示第二次全国食品消费研究的现有数据,突出了德国的情况。此外,还借鉴当前研究结果,讨论了营养方面社会不平等的潜在原因。更具体地讲,社会经济和结构剥夺(如贫困、生活在贫困社区),以及不利的心理社会因素(如营养知识匮乏、社会支持水平低)和社会文化因素(如不良的营养传统)可能与社会地位较低人群的营养不良有关。促进弱势群体营养质量的干预措施应考虑到对营养的各种影响,并符合健康促进的良好实践标准。通过三个干预措施的例子,介绍了可以减少营养方面社会不平等的可行具体措施。