title: Social capital, tolerance of diversity and adherence to Mediterranean diet: the Rhea Mother-Child Cohort in Crete, Greece.
abstract: OBJECTIVE
  To estimate the associations of individual maternal social capital and social capital dimensions (Participation in the Community, Feelings of Safety, Value of Life and Social Agency, Tolerance of Diversity) with adherence to the Mediterranean diet during pregnancy.
  
  
  METHODS
  This is a cross-sectional analysis of data from a prospective mother-child cohort (Rhea Study). Participants completed a social capital questionnaire and an FFQ in mid-pregnancy. Mediterranean diet adherence was evaluated through an a priori score ranging from 0 to 8 (minimal-maximal adherence). Maternal social capital scores were categorized into three groups: the upper 10 % was the high social capital group, the middle 80 % was the medium and the lowest 10 % was the low social capital group. Multivariable log-binomial and linear regression models adjusted for confounders were performed.
  
  
  METHODS
  Heraklion, Crete, Greece.
  
  
  METHODS
  A total of 377 women with singleton pregnancies.
  
  
  RESULTS
  High maternal Total Social Capital was associated with an increase of almost 1 point in Mediterranean diet score (highest v. lowest group: β coefficient=0·95, 95 % CI 0·23, 1·68), after adjustment for confounders. Similar dose-response effects were noted for the scale Tolerance of Diversity (highest v. lowest group: adjusted β coefficient=1·08, 95 % CI 0·39, 1·77).
  
  
  CONCLUSIONS
  Individual social capital and tolerance of diversity are associated with adherence to the Mediterranean diet in pregnancy. Women with higher social capital may exhibit a higher sense of obligation to themselves and to others that may lead to proactive nutrition-related activities. Less tolerant women may not provide the opportunity to new healthier, but unfamiliar, nutritional recommendations to become part of their regular diet.
authors.affiliation: 1Department of Nursing,Technological Educational Institute (TEI) of Crete,PO Box 1939,Heraklion 71004,Crete,Greece.
authors.forename: George
authors.initials: G
authors.lastname: Kritsotakis
authors.affiliation: 2Department of Social Medicine, Faculty of Medicine,University of Crete,Heraklion,Crete,Greece.
authors.forename: Leda
authors.initials: L
authors.lastname: Chatzi
authors.affiliation: 2Department of Social Medicine, Faculty of Medicine,University of Crete,Heraklion,Crete,Greece.
authors.forename: Maria
authors.initials: M
authors.lastname: Vassilaki
authors.affiliation: 2Department of Social Medicine, Faculty of Medicine,University of Crete,Heraklion,Crete,Greece.
authors.forename: Vaggelis
authors.initials: V
authors.lastname: Georgiou
authors.affiliation: 3National School of Public Health,Athens,Greece.
authors.forename: Manolis
authors.initials: M
authors.lastname: Kogevinas
authors.affiliation: 2Department of Social Medicine, Faculty of Medicine,University of Crete,Heraklion,Crete,Greece.
authors.forename: Anastassios E
authors.initials: AE
authors.lastname: Philalithis
authors.affiliation: 2Department of Social Medicine, Faculty of Medicine,University of Crete,Heraklion,Crete,Greece.
authors.forename: Antonis
authors.initials: A
authors.lastname: Koutis
mesh_terms: D000328:Adult; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D018864:Cultural Diversity; D038441:Diet, Mediterranean / Q000208:ethnology; D054242:Emigrants and Immigrants; D005247:Feeding Behavior / Q000208:ethnology; D005260:Female; D006115:Greece; D006801:Humans; D039382:Maternal Nutritional Physiological Phenomena / Q000208:ethnology; D008521:Mediterranean Islands; D008960:Models, Psychological; D018673:Nutrition Policy; D010349:Patient Compliance / Q000208:ethnology; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D011446:Prospective Studies; D063505:Racism / Q000208:ethnology; D066270:Social Capital; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Social capital
references.citation: Eur J Clin Nutr. 2009 Aug;63(8):964-9
references.pmid: 19223917
references.citation: J Clin Nurs. 2008 Apr;17(7):957-66
references.pmid: 18321293
references.citation: J Health Soc Behav. 2012;53(2):199-214
references.pmid: 22588219
references.citation: Br J Nutr. 2012 May;107(10):1526-33
references.pmid: 21929833
references.citation: Curr Opin Lipidol. 2002 Feb;13(1):3-9
references.pmid: 11790957
references.citation: Thorax. 2008 Jun;63(6):507-13
references.pmid: 18198206
references.citation: Am J Clin Nutr. 2009 Jun;89(6):1737-43
references.pmid: 19386743
references.citation: Public Health Nutr. 2013 May;16(5):873-82
references.pmid: 22857602
references.citation: Int J Nurs Stud. 2004 Jan;41(1):43-50
references.pmid: 14670393
references.citation: J Epidemiol Community Health. 2012 Mar;66(3):277-83
references.pmid: 20947874
references.citation: J Public Health (Oxf). 2009 Mar;31(1):175-83
references.pmid: 19153095
references.citation: Res Nurs Health. 2008 Jun;31(3):217-25
references.pmid: 18213683
references.citation: N Engl J Med. 2003 Jun 26;348(26):2599-608
references.pmid: 12826634
references.citation: Br J Nutr. 2012 Oct 28;108(8):1399-409
references.pmid: 22348517
references.citation: Health Promot Int. 2009 Dec;24(4):363-72
references.pmid: 19717401
references.citation: N Engl J Med. 2007 Jul 26;357(4):370-9
references.pmid: 17652652
references.citation: Br J Nutr. 2007 Mar;97(3):411-25
references.pmid: 17313700
references.citation: Curr Opin Endocrinol Diabetes Obes. 2010 Oct;17(5):467-71
references.pmid: 20689421
references.citation: Br J Nutr. 2012 Jan;107(1):135-45
references.pmid: 21733314
references.citation: J Nurs Scholarsh. 2012 Jun;44(2):127-35
references.pmid: 22551064
references.citation: J Hunger Environ Nutr. 2010 Jul 1;5(3):302-315
references.pmid: 21116465
references.citation: Soc Sci Med. 2011 Dec;73(11):1653-60
references.pmid: 22019369
references.citation: Public Health Nutr. 2009 Jun;12(6):853-61
references.pmid: 18647425
references.citation: Am J Clin Nutr. 1995 Jun;61(6 Suppl):1402S-1406S
references.pmid: 7754995
references.citation: Public Health Nutr. 2006 Feb;9(1A):132-46
references.pmid: 16512961
references.citation: Public Health Nutr. 2003 May;6(3):259-69
references.pmid: 12740075
references.citation: Am J Clin Nutr. 2003 Sep;78(3 Suppl):508S-513S
references.pmid: 12936941
references.citation: Public Health Nutr. 2011 Sep;14(9):1663-70
references.pmid: 21477412
references.citation: Ecol Food Nutr. 2011 May-Jun;50(3):215-39
references.pmid: 21888580
references.citation: Eur J Cardiovasc Prev Rehabil. 2010 Aug;17(4):440-6
references.pmid: 20531009
references.citation: Matern Child Nutr. 2008 Jan;4(1):14-27
references.pmid: 18171404
references.citation: J Am Diet Assoc. 2005 Dec;105(12):1881-7
references.pmid: 16321593
references.citation: Am J Clin Nutr. 2008 May;87(5):1107-17
references.pmid: 18469226