TY - JOUR
T1 - The impact of socioeconomic and environmental determinants on Mediterranean diet adherence
T2 - a municipal-level spatial analysis in Athens metropolitan area, Greece
AU - Tsiampalis, Thomas
AU - Faka, Antigoni
AU - Kouvari, Matina
AU - Psaltopoulou, Theodora
AU - Pitsavos, Christos
AU - Chalkias, Christos
AU - Panagiotakos, Demosthenes B.
N1 - Funding Information:
The ATTICA study is supported by research grants from the Hellenic Cardiology Society [HCS2002] and the Hellenic Atherosclerosis Society [HAS2003]. The authors thank the ATTICA study group of investigators: Christina Chrysohoou, Yannis Skoumas, Natasa Katinioti, Labros Papadimitriou, Constantina Masoura, Spiros Vellas, Yannis Lentzas, Manolis Kambaxis, Konstanitna Paliou, Vassiliki Metaxa, Ekavi Georgousopoulou, Agathi Ntzouvani, Dimitris Mpougatas, Nikolaos Skourlis, Christina Papanikolaou, Aikaterini Kalogeropoulou, Evangelia Pitaraki, Alexandros Laskaris, Mihail Hatzigeorgiou, Athanasios Grekas, and Eleni Kokkou for assistance in the initial physical examination and/or the follow-up evaluation; Efi Tsetsekou for her assistance in psychological evaluation and follow-up evaluation, as well as the laboratory team: Carmen Vassiliadou and George Dedousis (genetic analysis), Marina Toutouza-Giotsa, Constantina Tselika and Sia Poulopoulou (biochemical analysis) and Maria Toutouza for the database management. We would also like to thank all the individuals participated in the ATTICA study.
Publisher Copyright:
© 2020, © 2020 Taylor & Francis Group, LLC.
PY - 2020
Y1 - 2020
N2 - The aim of this study was to identify the geographical variability, the socio-economic and the environmental determinants of adherence to the Mediterranean diet in a general population sample. Level of adherence to the Mediterranean diet was estimated by the ATTICA epidemiological study for 2,749 participants, while socio-economic, demographic, and environmental characteristics were provided by official national and international databases. Higher adherence to the Mediterranean diet was detected in areas with a greater proportion of females and older people, with lower unemployment rate and immigrant population, as well as, in areas covered at a greater extent by green and with higher frequency of supermarkets and street markets. The present findings provide evidence for policy makers to better understand how layers of influence intersect to shape individuals’ eating habits, while they may also contribute in identifying areas of emerging interventions needed.
AB - The aim of this study was to identify the geographical variability, the socio-economic and the environmental determinants of adherence to the Mediterranean diet in a general population sample. Level of adherence to the Mediterranean diet was estimated by the ATTICA epidemiological study for 2,749 participants, while socio-economic, demographic, and environmental characteristics were provided by official national and international databases. Higher adherence to the Mediterranean diet was detected in areas with a greater proportion of females and older people, with lower unemployment rate and immigrant population, as well as, in areas covered at a greater extent by green and with higher frequency of supermarkets and street markets. The present findings provide evidence for policy makers to better understand how layers of influence intersect to shape individuals’ eating habits, while they may also contribute in identifying areas of emerging interventions needed.
KW - food environment
KW - Mediterranean diet
KW - socio-economic
KW - spatial analysis
UR - http://www.scopus.com/inward/record.url?scp=85087918761&partnerID=8YFLogxK
U2 - 10.1080/09637486.2020.1791057
DO - 10.1080/09637486.2020.1791057
M3 - Article
C2 - 32657627
AN - SCOPUS:85087918761
SN - 0963-7486
VL - 72
SP - 259
EP - 270
JO - International Journal of Food Sciences and Nutrition
JF - International Journal of Food Sciences and Nutrition
IS - 2
ER -
