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European Journal of Nutrition
Published in: European Journal of Nutrition 3/2018

01-04-2018 | Original Contribution

Mediation of psychosocial determinants in the relation between socio-economic status and adolescents’ diet quality

Authors: Nathalie Michels, Lisa Vynckier, Luis A. Moreno, Laurent Beghin, Alex de la O, Maria Forsner, Marcela Gonzalez-Gross, Inge Huybrechts, Isabel Iguacel, Antonio Kafatos, Mathilde Kersting, Catherine Leclercq, Yannis Manios, Ascension Marcos, Denes Molnar, Michael Sjöström, Kurt Widhalm, Stefaan De Henauw

Published in: European Journal of Nutrition | Issue 3/2018

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Abstract

Purpose

To examine the underlying reasons for the positive relation between socio-economic status (SES) and the diet quality of adolescents.

Methods

In 2081 adolescents (12.5–17.5 years) of the European HELENA study, a continuous variable on diet quality via 2-day 24-h recalls was available. SES was reflected by parental education, parental occupation and family affluence. Mediation by several psychosocial determinants was tested: self-efficacy, availability at school and home, social support, barriers, benefits, awareness and some self-reported influencers (parents, school, taste, health, friends, food readily available, easy preparation, hunger, price and habits). Multiple mediation analyses were adjusted for age, sex and country.

Results

The availability of soft drinks and fruit at home, social support, parental influence, barriers, price influence, taste influence, health influence and food being readily available were significant mediators. The multiple mediation indirect effect accounted for 23–64% of the total effect. Both occupation and education and both maternal and paternal factors could be explained by the mediation. The unavailability of soft drinks was the strongest mediator (17–44% of the total effect).

Conclusion

Up to 64% of the positive relation between SES and the diet quality in adolescence could be explained by several healthy eating determinants. Focusing on these factors in low-SES populations can minimize social inequalities in diet and health by improving the diet of these specific adolescents.
Appendix
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Metadata
Title
Mediation of psychosocial determinants in the relation between socio-economic status and adolescents’ diet quality
Authors
Nathalie Michels
Lisa Vynckier
Luis A. Moreno
Laurent Beghin
Alex de la O
Maria Forsner
Marcela Gonzalez-Gross
Inge Huybrechts
Isabel Iguacel
Antonio Kafatos
Mathilde Kersting
Catherine Leclercq
Yannis Manios
Ascension Marcos
Denes Molnar
Michael Sjöström
Kurt Widhalm
Stefaan De Henauw
Publication date
01-04-2018
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Nutrition / Issue 3/2018
Print ISSN: 1436-6207
Electronic ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-017-1380-8

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