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[巴西老年人口食物消费中的社会经济不平等:2019年全国健康调查]

[Socioeconomic inequalities in the food consumption of the elderly Brazilian population: National Health Survey, 2019].

作者信息

Saes Mirelle de Oliveira, Neves Rosália Garcia, Machado Karla Pereira, Flores Thaynã Ramos

机构信息

Programa de Pós-Graduação em Ciências da Saúde, Faculdade de Medicina, Universidade Federal do Rio Grande. Inserir endereço e CEP Rio Grande RS Brasil.

Secretaria de Saúde. Programa de Pós-Graduação em Epidemiologia, Universidade Federal de Pelotas. Pelotas RS Brasil.

出版信息

Cien Saude Colet. 2022 Jul;27(7):2621-2628. doi: 10.1590/1413-81232022277.23362021. Epub 2022 Feb 19.

Abstract

Food consumption, when performed in an unhealthy manner, has consequences for the health of individuals, such as a higher incidence of excess weight and the exacerbation of pre-existing chronic diseases. The scope of this article was to assess summary inequalities in food consumption among the elderly population in Brazil. It involved a cross-sectional study, with data from the 2019 National Health Survey. The following outcomes were evaluated: consumption of beans, greens/vegetables, fruit, milk, meat, soda, candies and salt. The main exposure variable was education. An adjusted analysis was conducted and two indices were also used to measure inequality: the slope index (SII) and the concentration index (CIX). A total of 43,554 elderly people were investigated. It was identified that the more educated were 80% more likely to consume vegetables, fruit and milk, while the consumption of beans and meat was up to 50% lower among the less educated. The analyses of relative and absolute inequality reinforce the lower consumption of foods considered healthy among the less educated elderly individuals. The results reveal inequalities in food consumption among the elderly, with greater magnitude in food recognized as being healthy.

摘要

以不健康的方式进行食物消费会对个人健康产生影响,比如超重发生率更高以及使已有的慢性病恶化。本文的范围是评估巴西老年人口在食物消费方面的总体不平等情况。这是一项横断面研究,使用了2019年全国健康调查的数据。评估了以下结果:豆类、绿叶蔬菜/蔬菜、水果、牛奶、肉类、苏打水、糖果和盐的消费情况。主要的暴露变量是教育程度。进行了调整分析,还使用了两个指数来衡量不平等:斜率指数(SII)和集中指数(CIX)。总共调查了43554名老年人。结果发现,受教育程度较高的人食用蔬菜、水果和牛奶的可能性要高80%,而受教育程度较低的人豆类和肉类的消费量则低50%。相对和绝对不平等分析强化了受教育程度较低的老年个体对健康食品消费量较低的情况。结果揭示了老年人在食物消费方面的不平等,在被认为健康的食物方面这种不平等程度更大。

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