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dc.contributor.authorVinther, Johan Len
dc.contributor.authorConklin, Annalijn Ien
dc.contributor.authorWareham, Nicholasen
dc.contributor.authorMonsivais, Pabloen
dc.date.accessioned2016-04-22T09:56:00Z
dc.date.available2016-04-22T09:56:00Z
dc.date.issued2016-04-06en
dc.identifier.citationVinther et al. Social Science & Medicine (2016) Vol. 157, pp. 120-126. doi: 10.1016/j.socscimed.2016.04.004en
dc.identifier.issn0277-9536
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/255135
dc.description.abstractBackground Diet is critical to health and social relationships are an important determinant of diet. We report the association between transitions in marital status and healthy eating behaviours in a UK population. Methods Longitudinal study of middle-age and older adults 39−78y (n = 11 577) in EPIC-Norfolk, a population-based cohort, who completed food frequency questionnaires in 1993–97 and 1998–2002. Multivariable linear regression analyses assessed gender-specific associations between five categories of marital transitions and changes in quantity (g/d), and variety (no/month) of fruits or vegetables. Results In 3.6 years of follow-up and relative to men who stayed married, widowed men showed significant declines (mean difference, 95% CI) in all four indicators of healthy eating including fruit quantity (−47.7, −80.6 to −14.9 g/d), fruit variety (−0.6, −1.1 to −0.2 no/month), vegetable quantity (−27.7, −50.5 to −4.9 g/d), and vegetable variety (−1.6, −2.2 to −0.9 no/month). Men who were separated or divorced or who remained single also showed significant declines in three of the indicators. Among women, only those who became separated/divorced or stayed single showed declines in one indicator, vegetable variety. Conclusion Unhealthy changes to diet accompanying divorce, separation and becoming widowed may be more common among men than women. Moreover, deterioration in fruit and vegetable intakes was more apparent for variety rather than quantity consumed. Programmes to promote healthy eating among older adults need to recognise these social determinants of diet and consider prioritising people who live alone and in particular men who have recently left relationships or who have been widowed.
dc.description.sponsorshipAIC acknowledges PhD funding from the Gates Cambridge Trust. This work was undertaken by the Centre for Diet and Activity Research (CEDAR), a UKCRC Public Health Research of Excellence and was funded by The British Heart Foundation, Economic and Social Research, Medical Research Council, National Institute for Health Research, and the Wellcome Trust, under the auspices of the UK Clinical Research Collaboration (grant number MR/K023187/1). We further acknowledge core MRC Epidemiology Unit support through Programme grant MC_UU_12015/1.
dc.languageEnglishen
dc.language.isoenen
dc.publisherElsevier
dc.rightsAttribution 2.0 UK: England & Wales*
dc.rights.urihttp://creativecommons.org/licenses/by/2.0/uk/*
dc.subjectmarital statusen
dc.subjectmarital terminationen
dc.subjectfruit and vegetableen
dc.subjectgenderen
dc.subjectsocial tiesen
dc.titleMarital transitions and associated changes in fruit and vegetable intake: Findings from the population-based prospective EPIC-Norfolk cohort, UKen
dc.typeArticle
dc.description.versionThis is the final version of the article. It first appeared from Elsevier via http://dx.doi.org/10.1016/j.socscimed.2016.04.004en
prism.endingPage126
prism.publicationDate2016en
prism.publicationNameSocial Science & Medicineen
prism.startingPage120
prism.volume157en
dc.rioxxterms.funderBHF
dc.rioxxterms.funderESRC
dc.rioxxterms.funderMRC
dc.rioxxterms.funderNIHR
dc.rioxxterms.funderWellcome Trust
dc.rioxxterms.projectidMR/K023187/1
dcterms.dateAccepted2016-04-04en
rioxxterms.versionofrecord10.1016/j.socscimed.2016.04.004en
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2016-04-06en
dc.contributor.orcidWareham, Nicholas [0000-0003-1422-2993]
dc.contributor.orcidMonsivais, Pablo [0000-0002-7088-6674]
dc.identifier.eissn1873-5347
rioxxterms.typeJournal Article/Reviewen
pubs.funder-project-idMRC (MC_UU_12015/1)
pubs.funder-project-idMRC (MC_PC_13048)
pubs.funder-project-idDepartment of Health (via National Institute for Health Research (NIHR)) (NF-SI-0512-10135)
pubs.funder-project-idMRC (MR/K023187/1)
pubs.funder-project-idESRC (ES/G007462/1)
pubs.funder-project-idWellcome Trust (087636/Z/08/Z)


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Attribution 2.0 UK: England & Wales
Except where otherwise noted, this item's licence is described as Attribution 2.0 UK: England & Wales