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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Van Lenthe, Frank J. Jansen, Tessa Kamphuis, Carlijn B. M. |
| Spatial Coverage | Netherlands |
| Description | Country affiliation: Netherlands Author Affiliation: van Lenthe FJ ( Department of Public Health,Erasmus MC,Rotterdam,The Netherlands.); Jansen T ( Department of Public Health,Erasmus MC,Rotterdam,The Netherlands.); Kamphuis CB ( Department of Public Health,Erasmus MC,Rotterdam,The Netherlands.) |
| Abstract | Socio-economic groups differ in their material, living, working and social circumstances, which may result in different priorities about their daily-life needs, including the priority to make healthy food choices. Following Maslow's hierarchy of human needs, we hypothesised that socio-economic inequalities in healthy food choices can be explained by differences in the levels of need fulfilment. Postal survey data collected in 2011 (67·2 % response) from 2903 participants aged 20-75 years in the Dutch GLOBE (Gezondheid en Levens Omstandigheden Bevolking Eindhoven en omstreken) study were analysed. Maslow's hierarchy of human needs (measured with the Basic Need Satisfaction Inventory) was added to age- and sex-adjusted linear regression models that linked education and net household income levels to healthy food choices (measured by a FFQ). Most participants (38·6 %) were in the self-actualisation layer of the pyramid. This proportion was highest among the highest education group (47·6 %). Being in a higher level of the hierarchy was associated with a higher consumption of fruits and vegetables as well as more healthy than unhealthy bread, snack and dairy consumption. Educational inequalities in fruit and vegetable intake (B= -1·79, 95 % CI -2·31, -1·28 in the lowest education group) were most reduced after the hierarchy of needs score was included (B= -1·57, 95 % CI - ·09, -1·05). Inequalities in other healthy food choices hardly changed after the hierarchy of needs score was included. People who are satisfied with higher-level needs make healthier food choices. Studies aimed at understanding socio-economic inequalities in food choice behaviour need to take differences in the priority given to daily-life needs by different socio-economic groups into account, but Maslow's pyramid offers little help. |
| File Format | HTM / HTML |
| ISSN | 00071145 |
| Issue Number | 7 |
| Volume Number | 113 |
| e-ISSN | 14752662 |
| Journal | British Journal of Nutrition |
| Language | English |
| Publisher | Cambridge University Press (on behalf of The Nutrition Society) |
| Publisher Date | 2015-04-14 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Nutritional Discipline Sciences Choice Behavior Diet Food Preferences Health Status Disparities Models, Psychological Nutrition Policy Patient Compliance Activities Of Daily Living Psychology Adult Aged Attitude To Health Adverse Effects Economics Diet Surveys Educational Status Female Humans Male Middle Aged Netherlands Personal Satisfaction Prospective Studies Psychological Theory Socioeconomic Factors Young Adult Journal Article Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Nutrition and Dietetics Medicine |
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