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      Relationships among Food Group Intakes, Household Expenditure, and Education Attainment in a General Japanese Population: NIPPON DATA2010

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          Abstract

          Background

          A lower socioeconomic status (SES) may be related to the intake of unhealthy food; however, this relationship has not been examined in detail. This study was undertaken to examine relationships among food group intakes and SES in a representative Japanese population.

          Methods

          This was a cross-sectional study using the baseline data of NIPPON DATA2010, which is a prospective cohort study of the National Health and Nutrition Survey in Japan. A total of 2,898 participants were included in the baseline survey in 2010. The effects of age (<65 years and ≥65 years), equivalent household expenditure (EHE), and education attainment on food group intakes (gram per 1,000 kcal) were analyzed using a two-way analysis of variance.

          Results

          When EHE was lower, cereal intake was higher in men and women. Among men, fish, milk, and alcohol intakes were reduced with lower EHE. Among women, vegetable intake was reduced with lower EHE. In men and women, cereal intake was higher with lower education attainment. In contrast, meat intake was reduced with lower education attainment.

          Conclusions

          Lower SES was associated with a higher cereal intake and lower vegetable, fish, meat, and milk intakes in a representative Japanese population. Socioeconomic discrepancies need to be considered in order to promote healthier dietary habits.

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          Most cited references21

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          Socioeconomic determinants of health: The contribution of nutrition to inequalities in health

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            Diet and socioeconomic position: does the use of different indicators matter?

            To describe the association of diet and socioeconomic position and to assess whether two different indicators, education and occupation, independently contribute in determining diet. A community-based random sample of men and women residents of Geneva canton, aged 35 to 74, participated in a survey of cardiovascular risk factors conducted annually since 1993. Lifetime occupational and educational history and a semi-quantitative food frequency questionnaire were obtained from 2929 men and 2767 women. Subjects from lower education and/or occupation consumed less fish and vegetables but more fried foods, pasta and potatoes, table sugar and beer. Iron, calcium, vitamin A and vitamin D intake were lower in the lower educational and occupational groups. Both indicators significantly contributed to determining a less healthy dietary pattern for those from low social class. The effects of education and occupation on dietary habits were usually additive and synergistic for some food groups. Assessing both education and occupation, improves the description of social class inequalities in dietary habits, as they act, most of the time, as independent factors.
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              Data Resource Profile: The Japan National Health and Nutrition Survey (NHNS).

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                Author and article information

                Journal
                J Epidemiol
                J Epidemiol
                JE
                Journal of Epidemiology
                Japan Epidemiological Association
                0917-5040
                1349-9092
                5 March 2018
                5 March 2018
                2018
                : 28
                : Suppl 3
                : S23-S28
                Affiliations
                [1 ]Department of Nutrition, School of Health and Nutrition, Tokaigakuen University, Aichi, Japan
                [2 ]Department of Community Health and Preventive Medicine, Hamamatsu University School of Medicine, Shizuoka, Japan
                [3 ]Department of Food and Nutritional Sciences, College of Bioscience and Biotechnology, Chubu University, Aichi, Japan
                [4 ]Department of Epidemiology and Public Health, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan
                [5 ]Department of Food and Human Health Science, Osaka City University Graduate School of Human Life Science, Osaka, Japan
                [6 ]Department of Nutrition, Chiba Prefectural University of Health Sciences, Chiba, Japan
                [7 ]Department of Hygiene and Public Health, Teikyo University School of Medicine, Tokyo, Japan
                [8 ]International Center for Nutrition and Information, National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan
                [9 ]Department of Medical Statistics, School of Medicine, Toho University, Tokyo, Japan
                [10 ]Department of Public Health, Shiga University of Medical Science, Shiga, Japan
                [11 ]Department of Health and Nutrition, University of Human Arts and Sciences, Saitama, Japan
                [12 ]Center for Epidemiologic Research in Asia, Shiga University of Medical Science, Shiga, Japan
                [13 ]Department of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan
                [14 ]Research Institute of Strategy for Prevention, Tokyo, Japan
                Author notes
                Address for correspondence. Tomomi Nagahata, Department of Nutrition, School of Health and Nutrition, Tokaigakuen University, 2-901 Nakahira, Tenpaku-ku, Nagoya 468-8514, Japan (e-mail: nagaha-t@ 123456tokaigakuen-u.ac.jp ).
                [*]

                Members of NIPPON DATA2010 Research Group are listed in the Appendix of reference 24.

                Author information
                http://orcid.org/0000-0003-0844-1153
                http://orcid.org/0000-0003-2103-4106
                http://orcid.org/0000-0002-5772-6561
                http://orcid.org/0000-0002-6893-0509
                http://orcid.org/0000-0001-7378-0544
                http://orcid.org/0000-0002-9148-1078
                http://orcid.org/0000-0003-0488-0351
                http://orcid.org/0000-0002-7742-4253
                http://orcid.org/0000-0002-2646-9582
                Article
                JE20170248
                10.2188/jea.JE20170248
                5825688
                29503382
                3629aba0-2128-4613-a869-9a41dfa32025
                © 2018 Tomomi Nagahata et al.

                This is an open access article distributed under the terms of Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 4 October 2017
                : 6 October 2017
                Funding
                Funded by: Health and Labour Sciences Research Grants ofthe Ministry of Health, Labour and Welfare, Japan (Comprehensive Research on Life-Style Related Diseases including Cardiovascular Diseases and Diabetes Mellitus)
                Award ID: H22-Junkankitou-Seishuu-Sitei-017, H25-Junkankitou
                Categories
                Original Article
                Social Epidemiology
                Yes

                diet,food group,socioeconomic status,equivalent household expenditure,education attainment

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