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Monetary Value of Diet Is Associated with Dietary Quality and Nutrient Adequacy among Urban Adults, Differentially by Sex, Race and Poverty Status

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  • May A Beydoun
  • Marie T Fanelli-Kuczmarski
  • Allyssa Allen
  • Hind A Beydoun
  • Barry M Popkin
  • Michele K Evans
  • Alan B Zonderman

Abstract

Objective: The association between monetary value of the diet (MVD, $/day) with dietary quality was examined using a large sample of urban US adults, differentially by socio-demographic factors. Methods: This was a cross-sectional study of 2,111 participants, aged 30–64y, using data from the Healthy Aging in Neighborhoods of Diversity across the Life Span Study. Dietary quality indices included Healthy Eating Index–2010 (HEI–2010) and Mean Adequacy Ratio (MAR), (two 24-hr recalls). A national food price database was used to estimate MVD. Multiple linear/logistic regression analyses were conducted stratifying separately by sex, race and poverty status. Results: Women had significantly higher HEI-2010 scores than men (43.35 vs 41.57 out of 100, respectively), whereas MAR scores were higher for men (76.8 vs 69.9, out of 100), reflecting energy intake gender differentials. Importantly, a $3/day higher MVD (IQR: $3.70/d (Q1) to $6.62/d (Q4)) was associated with a 4.98±0.35 higher total HEI-2010 and a 3.88±0.37 higher MAR score, after energy-adjustment and control for key confounders. For HEI-2010 and MAR, stronger associations were observed among participants above poverty and among women, whilethe MVD vs. HEI-2010 association was additionally stronger among Whites. Sex and poverty status differentials were observed for many MAR and some HEI-2010 components. Conclusions: Despite positive associations between measures of dietary quality and MVD, particularly above poverty and among women, approaching compliance with the Dietary Guidelines (80 or more for HEI-2010) requires a substantially higher MVD. Thus, nutrition education may further improve people’s decision-making regarding food venues and dietary choices.

Suggested Citation

  • May A Beydoun & Marie T Fanelli-Kuczmarski & Allyssa Allen & Hind A Beydoun & Barry M Popkin & Michele K Evans & Alan B Zonderman, 2015. "Monetary Value of Diet Is Associated with Dietary Quality and Nutrient Adequacy among Urban Adults, Differentially by Sex, Race and Poverty Status," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-21, November.
    • Handle: RePEc:plo:pone00:0140905
    DOI: 10.1371/journal.pone.0140905
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    References listed on IDEAS

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    1. Carlson, Andrea & Dong, Diansheng & Lino, Mark, 2014. "Association between Total Diet Cost and Diet Quality Is Limited," Journal of Agricultural and Resource Economics, Western Agricultural Economics Association, vol. 39(1), pages 1-22, April.
    2. Beydoun, May A. & Powell, Lisa M. & Wang, Youfa, 2008. "The association of fast food, fruit and vegetable prices with dietary intakes among US adults: Is there modification by family income?," Social Science & Medicine, Elsevier, vol. 66(11), pages 2218-2229, June.
    3. Anju Aggarwal & Pablo Monsivais & Adam Drewnowski, 2012. "Nutrient Intakes Linked to Better Health Outcomes Are Associated with Higher Diet Costs in the US," PLOS ONE, Public Library of Science, vol. 7(5), pages 1-9, May.
    4. Heckman, James, 2013. "Sample selection bias as a specification error," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 31(3), pages 129-137.
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    1. May A Beydoun & Marie T Fanelli-Kuczmarski & Jennifer Poti & Allyssa Allen & Hind A Beydoun & Michele K Evans & Alan B Zonderman, 2018. "Longitudinal change in the diet's monetary value is associated with its change in quality and micronutrient adequacy among urban adults," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-21, October.
    2. Berta Schnettler & Germán Lobos & Edgardo Miranda-Zapata & Marianela Denegri & Gastón Ares & Clementina Hueche, 2017. "Diet Quality and Satisfaction with Life, Family Life, and Food-Related Life across Families: A Cross-Sectional Pilot Study with Mother-Father-Adolescent Triads," IJERPH, MDPI, vol. 14(11), pages 1-24, October.
    3. Schnettler, Berta & Grunert, Klaus G. & Lobos, Germán & Miranda-Zapata, Edgardo & Denegri, Marianela & Lapo, María & Hueche, Clementina & Rojas, Juan, 2019. "Maternal well-being, food involvement and quality of diet: Profiles of single mother-adolescent dyads," Children and Youth Services Review, Elsevier, vol. 96(C), pages 336-345.

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