Neighborhood-level disadvantage is associated with reduced dietary quality in children.
Research has linked neighborhood socioeconomic status to differential dietary quality among adults. However, the relationship between neighborhoods and children's diet remains understudied. The aim of this research was to examine whether neighborhood disadvantage (eg, socioeconomic status, social and physical disorder) affected dietary quality among children. Data for this cross-sectional study were gathered between June 2005 and December 2008. Research participants included 182 children aged 7 to 12 years who were Hispanic (26%), white (28%), and African American (45%). Dietary intake was gathered via two 24-hour recalls and analyzed using the Nutrition Data System for Research. Descriptive statistics and analyses of variance were conducted to determine whether there were significant differences in dietary intakes by quartile grouping of neighborhood disadvantage. Multivariate linear regression analyses were used to determine whether neighborhood disadvantage (as a continuous measure) was associated with dietary quality. Overall, there were no significant differences in total caloric intake; however, children in disadvantaged neighborhoods consumed a greater percentage of calories from fat (P=0.039), trans fat (P=0.018), and had a higher sodium intake (P=0.01). The results suggest that neighborhood factors may contribute to dietary quality among children. Future interventions should assess mechanisms to improve the availability of healthful foods, while taking into account neighborhood-level conditions.
Keita
Akilah Dulin
AD
Department of Nutrition Sciences and Clinical Nutrition Research Center, University of Alabama at Birmingham, AL, USA. Akilah@uab.edu
Casazza
Krista
K
Thomas
Olivia
O
Fernandez
Jose R
JR
D001741:Black or African American; D000407:Alabama; D000704:Analysis of Variance; D002648:Child; D002664:Child Nutritional Physiological Phenomena / Q000502:physiology*; D004032:Diet / Q000592:standards*; D004041:Dietary Fats / Q000008:administration & dosage*; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D016014:Linear Models; D008297:Male; D011939:Mental Recall; D012923:Social Class; D012982:Sodium, Dietary / Q000008:administration & dosage*; D044242:Trans Fatty Acids / Q000008:administration & dosage; D044465:White People
D004041:Dietary Fats; D012982:Sodium, Dietary; D044242:Trans Fatty Acids
Health Educ Behav. 2009 Feb;36(1):81-96
18689491
J Am Diet Assoc. 2008 Nov;108(11):1846-53
18954574
J Epidemiol Community Health. 2007 Jun;61(6):491-8
17496257
J Am Diet Assoc. 2007 Feb;107(2):213-22
17258957
Arch Pediatr Adolesc Med. 2001 Oct;155(10):1161-7
11576013
Int J Pediatr Obes. 2008;3(3):152-9
19086297
Arch Pediatr Adolesc Med. 2005 Jan;159(1):51-6
15630058
J Am Diet Assoc. 1996 Nov;96(11):1140-4
8906138
Am J Prev Med. 2006 Jul;31(1):10-7
16777537
Int J Epidemiol. 2006 Feb;35(1):100-4
16338945
Am J Public Health. 2003 Oct;93(10):1655-71
14534218
J Health Soc Behav. 2005 Sep;46(3):229-43
16259146
Curr Atheroscler Rep. 2008 Dec;10(6):460-6
18937892
Nutr J. 2007 Jan 11;6:1
17217531
J Am Diet Assoc. 2007 Nov;107(11):1952-61
17964316
J Epidemiol Community Health. 1999 Jan;53(1):55-63
10326055
J Am Diet Assoc. 2007 Nov;107(11):1895-902
17964308
J Adolesc Health. 2003 May;32(5):365-73
12729986
Am J Public Health. 2006 Feb;96(2):325-31
16380567
J Health Soc Behav. 2001 Sep;42(3):258-76
11668773
Am J Prev Med. 2005 Jul;29(1):1-9
15958245
J Am Diet Assoc. 2008 Jun;108(6):1038-44, 1046-7
18564454
Prev Med. 2007 Mar;44(3):189-95
16997358
Am J Clin Nutr. 2008 Jun;87(6):1883-91
18541581
N Engl J Med. 2001 Jan 4;344(1):3-10
11136953
Am J Prev Med. 2007 May;32(5):375-82
17478262
Circulation. 2006 Jul 4;114(1):82-96
16785338
Soc Sci Med. 2008 Sep;67(5):824-33
18573578
Am J Clin Nutr. 1997 Feb;65(2 Suppl):618S-621S
9022557
Am J Public Health. 2005 Apr;95(4):660-7
15798127