Trends in socioeconomic position and diet relationship

社会经济地位和饮食关系的趋势

基本信息

批准号：
6915581
负责人：
ASHIMA K KANT
金额：
$ 7.7万
依托单位：
QUEENS COLLEGE
依托单位国家：
美国
项目类别：
财政年份：
2004
资助国家：
美国
起止时间：
2004-07-01 至 2007-06-30
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): In recognition of increasing health differential among socioeconomic, gender, and ethnic subgroups, the Healthy People 2010 has set its second goal as elimination of health disparities in the US population. Accordingly, the FY 2004 Plans and Priorities for Cancer Research of the National Cancer Institute has also stated the goal "To understand the fundamental causes of health disparities in cancer, including the influence of social position and economic status...". Socioeconomic position related health disparities may be attributable to income, access to health care, environmental exposures, and health risk behaviors including diet. Diet has been shown to relate to three of the leading causes of death in the US (coronary heart disease, certain cancers, and stroke). However, little is known about the independent association of measures of socioeconomic position-level of education, income, poverty, and occupation--with dietary attributes within a multivariate framework. Also, there is no published information on how the association of diet and socioeconomic position may be changing over time in the US population. Therefore, the overall objectives of the proposed study are to examine: 1) the independent association of measures of socioeconomic position with self-reported diet quality and objective biomarkers of dietary intake, and 2) the trends in the association of socioeconomic position with diet quality from 1971-2000. The study will use nationally representative data from the National Health and Nutrition Examination Surveys conducted in 1971-1975 (n>10,000), 1976-1980 (n>10,000), 1988-1994 (n>l 3,000), and 1999-2000 (n>3700), to address these issues in gender, race/ethnicity specific analyses. The importance of dietary risk factors for decreasing the risk of chronic diseases is underscored by the fact that dietary risk factors are amenable to intervention, and diet is universally consumed and even a small relative risk may have a considerable public health impact. The results of this study will help in evaluating the effectiveness of past efforts at promoting desirable dietary behavior changes in high risk populations and design of newer strategies to target dietary attributes associated with socioeconomic position. The proposed study will thus contribute to progress towards the stated goals of Healthy People 2010 and the National Cancer Institute.

描述（由申请人提供）：认识到社会经济、性别和种族亚群体之间日益扩大的健康差异，《2010 年健康人民》设定了第二个目标，即消除美国人口的健康差异。相应地，国家癌症研究所的2004财年癌症研究计划和优先事项也提出了目标“了解癌症健康差异的根本原因，包括社会地位和经济地位的影响……”。与社会经济地位相关的健康差异可能归因于收入、获得医疗保健的机会、环境暴露以及包括饮食在内的健康风险行为。饮食已被证明与美国三大死亡原因（冠心病、某些癌症和中风）有关。然而，人们对社会经济地位指标（教育水平、收入、贫困和职业）与多元框架内饮食属性的独立关联知之甚少。此外，目前还没有关于美国人口饮食与社会经济地位之间的关系如何随时间变化的公开信息。因此，拟议研究的总体目标是检查：1）社会经济地位指标与自我报告的饮食质量和饮食摄入的客观生物标志物的独立关联，以及2）社会经济地位与饮食质量关联的趋势从 1971 年到 2000 年。该研究将使用 1971-1975 年（n>10,000）、1976-1980 年（n>10,000）、1988-1994 年（n>3,000）和 1999-2000 年（n>10,000）进行的全国健康和营养检查调查的全国代表性数据。 n>3700），以解决性别、种族/民族特定的这些问题分析。饮食风险因素对于降低慢性病风险的重要性强调了以下事实：饮食风险因素易于干预，并且饮食被普遍食用，即使相对较小的风险也可能对公共健康产生相当大的影响。这项研究的结果将有助于评估过去在促进高风险人群理想饮食行为改变方面所做努力的有效性，并有助于设计新的策略来针对与社会经济地位相关的饮食属性。因此，拟议的研究将有助于实现“健康人民 2010”和国家癌症研究所既定目标的进展。