Disparities in fruit and vegetable intakeat the intersection of gender and educationin northern Sweden : a cross‑sectional study
Background: Even though the existence of inequalities in fruit and vegetable consumption has been well established, it is not clear how it is patterned across intersections of multiple social positions and identities. This study aims to investigate disparities in fruit and vegetable intake between g...
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Umeå universitet, Institutionen för epidemiologi och global hälsa
2022
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Online Access: | http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-201405 https://doi.org/10.1186/s40795-022-00641-5 |
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ftumeauniv:oai:DiVA.org:umu-201405 2023-10-09T21:54:30+02:00 Disparities in fruit and vegetable intakeat the intersection of gender and educationin northern Sweden : a cross‑sectional study Vogt, Thomas Gustafsson, Per E 2022 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-201405 https://doi.org/10.1186/s40795-022-00641-5 eng eng Umeå universitet, Institutionen för epidemiologi och global hälsa BMC Nutrition, 2022, 8, orcid:0000-0002-3972-5362 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-201405 doi:10.1186/s40795-022-00641-5 ISI:000898454200001 Scopus 2-s2.0-85144463945 info:eu-repo/semantics/openAccess Intersectionality Joint disparity Referent disparities Excess intersectional disparity Discriminatory accuracy Fruits Vegetables Gender Education Sweden Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Article in journal info:eu-repo/semantics/article text 2022 ftumeauniv https://doi.org/10.1186/s40795-022-00641-5 2023-09-22T14:01:18Z Background: Even though the existence of inequalities in fruit and vegetable consumption has been well established, it is not clear how it is patterned across intersections of multiple social positions and identities. This study aims to investigate disparities in fruit and vegetable intake between groups at the intersection of education and gender in northern Sweden, and to estimate the discriminatory accuracy of the intersectional groups. Methods: Cross-sectional data from the 2018 Health on Equal Terms survey conducted in four regions in northern Sweden was used (N = 21,853). Four intersectional groups were created: high and low educated men, and high and low educated women. Prevalence differences corresponding to joint, referent, and excess intersectional inequalities, were estimated for three outcomes: inadequate fruit and vegetable intake combined, inadequate fruit intake, and inadequate vegetable intake. The discriminatory accuracy of the intersectional groups was estimated by the area under the receiver operating characteristic curve. Results: Low educated men had the highest prevalence of inadequate intake of fruits and vegetables combined (81.4%), fruits (83.4%), and vegetables (84.9%), while high educated women had the lowest (47.7, 60.2, and 51.8%, respectively). The joint disparities between high educated women and low educated men were both significant and substantial for all outcomes (34.6 percentage points (pp.), 25.2 pp., and 31.2 pp., adjusted), although differences in magnitude were noted between fruit and vegetable intake. The joint disparities were mostly explained by the two referent disparities for gender and education. The excess intersectional disparity - the part of the joint disparity not explained by either referent disparity – was negative for all three outcomes (-5.5 pp., − 4.2 pp., and − 4.6 pp. respectively, adjusted). The discriminatory accuracy of the intersectional groups was moderate (0.67, 0.65, and 0.68 respectively). Conclusions: An intersectional approach can provide a more ... Article in Journal/Newspaper Northern Sweden Umeå University: Publications (DiVA) BMC Nutrition 8 1 |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
Intersectionality Joint disparity Referent disparities Excess intersectional disparity Discriminatory accuracy Fruits Vegetables Gender Education Sweden Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi |
spellingShingle |
Intersectionality Joint disparity Referent disparities Excess intersectional disparity Discriminatory accuracy Fruits Vegetables Gender Education Sweden Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Vogt, Thomas Gustafsson, Per E Disparities in fruit and vegetable intakeat the intersection of gender and educationin northern Sweden : a cross‑sectional study |
topic_facet |
Intersectionality Joint disparity Referent disparities Excess intersectional disparity Discriminatory accuracy Fruits Vegetables Gender Education Sweden Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi |
description |
Background: Even though the existence of inequalities in fruit and vegetable consumption has been well established, it is not clear how it is patterned across intersections of multiple social positions and identities. This study aims to investigate disparities in fruit and vegetable intake between groups at the intersection of education and gender in northern Sweden, and to estimate the discriminatory accuracy of the intersectional groups. Methods: Cross-sectional data from the 2018 Health on Equal Terms survey conducted in four regions in northern Sweden was used (N = 21,853). Four intersectional groups were created: high and low educated men, and high and low educated women. Prevalence differences corresponding to joint, referent, and excess intersectional inequalities, were estimated for three outcomes: inadequate fruit and vegetable intake combined, inadequate fruit intake, and inadequate vegetable intake. The discriminatory accuracy of the intersectional groups was estimated by the area under the receiver operating characteristic curve. Results: Low educated men had the highest prevalence of inadequate intake of fruits and vegetables combined (81.4%), fruits (83.4%), and vegetables (84.9%), while high educated women had the lowest (47.7, 60.2, and 51.8%, respectively). The joint disparities between high educated women and low educated men were both significant and substantial for all outcomes (34.6 percentage points (pp.), 25.2 pp., and 31.2 pp., adjusted), although differences in magnitude were noted between fruit and vegetable intake. The joint disparities were mostly explained by the two referent disparities for gender and education. The excess intersectional disparity - the part of the joint disparity not explained by either referent disparity – was negative for all three outcomes (-5.5 pp., − 4.2 pp., and − 4.6 pp. respectively, adjusted). The discriminatory accuracy of the intersectional groups was moderate (0.67, 0.65, and 0.68 respectively). Conclusions: An intersectional approach can provide a more ... |
format |
Article in Journal/Newspaper |
author |
Vogt, Thomas Gustafsson, Per E |
author_facet |
Vogt, Thomas Gustafsson, Per E |
author_sort |
Vogt, Thomas |
title |
Disparities in fruit and vegetable intakeat the intersection of gender and educationin northern Sweden : a cross‑sectional study |
title_short |
Disparities in fruit and vegetable intakeat the intersection of gender and educationin northern Sweden : a cross‑sectional study |
title_full |
Disparities in fruit and vegetable intakeat the intersection of gender and educationin northern Sweden : a cross‑sectional study |
title_fullStr |
Disparities in fruit and vegetable intakeat the intersection of gender and educationin northern Sweden : a cross‑sectional study |
title_full_unstemmed |
Disparities in fruit and vegetable intakeat the intersection of gender and educationin northern Sweden : a cross‑sectional study |
title_sort |
disparities in fruit and vegetable intakeat the intersection of gender and educationin northern sweden : a cross‑sectional study |
publisher |
Umeå universitet, Institutionen för epidemiologi och global hälsa |
publishDate |
2022 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-201405 https://doi.org/10.1186/s40795-022-00641-5 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
BMC Nutrition, 2022, 8, orcid:0000-0002-3972-5362 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-201405 doi:10.1186/s40795-022-00641-5 ISI:000898454200001 Scopus 2-s2.0-85144463945 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1186/s40795-022-00641-5 |
container_title |
BMC Nutrition |
container_volume |
8 |
container_issue |
1 |
_version_ |
1779318080583761920 |