School of Health Sciences, University of Tasmania, Launceston, TAS 7250, Australia.
School of Health Sciences, Western Sydney University, Campbelltown, NSW 2560, Australia.
Nutrients. 2021 Nov 18;13(11):4130. doi: 10.3390/nu13114130.
The diet quality of rural Australians is under researched. Characterising disparities in diet quality between rural and urban populations may inform targeted interventions in at- risk groups. A cross-sectional study aimed to determine the relationship between diet quality, rurality and sociodemographic characteristics in a sample of Australian adults. Participants were recruited at rural and regional events between 2017 and 2020, in New South Wales, Australia. Diet quality was measured using the Healthy Eating Quiz or Australian Eating Survey to generate an Australian Recommended Food Score (ARFS). ARFS was compared by rurality and sociodemographic characteristics using multivariate regression. Participants ( = 247; 53% female) had a mean ± SD ARFS of 34.5 ± 9.0. There was no significant effect of rurality on ARFS (β-coefficient = -0.4; 95%CI -3.0, 2.3). Compared to participants aged 18-30 years, higher ARFS was evident for those aged 31-50 (β = 5.4; 95%CI 0.3, 10.4), 51-70 (β = 4.4; 95%CI 0.3, 8.5) and >71 years (β = 6.5; 95% CI 1.6-11.4). Compared to those living alone, participants living with a partner (β = 5.2; 95%CI 2.0, 8.4) and families with children (β = 5.6; 95%CI 1.4, 9.8) had significantly higher ARFS. ARFS was significantly lower with each additional self-reported chronic health condition (β = -1.4; 95%CI -2.3, -0.4). Our results indicate that diet quality as defined by the ARFS was classified as 'getting there' and that age, living arrangements and chronic health conditions, but not rurality, influenced diet quality in a sample of Australian adults.
澳大利亚农村居民的饮食质量研究不足。描述农村和城市人口饮食质量的差异，可以为高危人群的有针对性干预提供信息。本横断面研究旨在确定澳大利亚成年人样本中饮食质量、农村性和社会人口特征之间的关系。参与者于 2017 年至 2020 年在澳大利亚新南威尔士州的农村和地区活动中招募。使用健康饮食测验或澳大利亚饮食调查来衡量饮食质量，以生成澳大利亚推荐食物评分（ARFS）。使用多元回归法根据农村性和社会人口特征比较 ARFS。参与者（=247；53%为女性）的平均 ARFS±SD 为 34.5±9.0。农村性对 ARFS 没有显著影响（β系数=-0.4；95%CI-3.0，2.3）。与 18-30 岁的参与者相比，31-50 岁（β=5.4；95%CI 0.3，10.4）、51-70 岁（β=4.4；95%CI 0.3，8.5）和>71 岁（β=6.5；95%CI 1.6-11.4）的参与者的 ARFS 更高。与独居者相比，与伴侣一起生活的参与者（β=5.2；95%CI 2.0，8.4）和有孩子的家庭（β=5.6；95%CI 1.4，9.8）的 ARFS 明显更高。每增加一个自我报告的慢性健康状况，ARFS 显著降低（β=-1.4；95%CI-2.3，-0.4）。我们的结果表明，根据 ARFS 定义的饮食质量被归类为“正在接近”，年龄、居住安排和慢性健康状况，但不是农村性，影响了澳大利亚成年人样本的饮食质量。
