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dc.contributor.authorConklin, Annalijn I
dc.contributor.authorForouhi, Nita G
dc.contributor.authorSurtees, Paul
dc.contributor.authorKhaw, Kay-Tee
dc.contributor.authorWareham, Nicholas J
dc.contributor.authorMonsivais, Pablo
dc.date.accessioned2018-09-21T15:21:25Z
dc.date.available2018-09-21T15:21:25Z
dc.date.issued2014-01
dc.identifier.issn0277-9536
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/280623
dc.description.abstractSocial relationships are an important aspect of a person's social environment that can protect against a wide range of chronic conditions and facilitate recovery from disease. Social relationships have also been linked to dietary behaviour which may be an important pathway through which social circumstances exert their influence on health. Yet, questions remain about which structural aspects of social relationships most affect healthful dietary behaviours and whether different structural components interact to produce a combined effect. Using data from adults (≥50 years) in the European Prospective Investigation of Cancer-Norfolk study (1996-2002), we examined marital status, living arrangement and social isolation in relation to scores for variety of fruit and vegetable intake as a marker of diet quality associated with adverse health outcomes. Data were analysed with multivariable linear regression models for gender-specific and interaction associations. We found that being single or widowed was associated with a lower variety score, particularly vegetable variety, and associations were enhanced when combined with male gender, living alone or infrequent friend contact. Lower variety scores for lone-living were also observed, especially for men. Infrequent friend contact interacted with living arrangement to amplify negative associations of lone-living with variety, with statistically significant differences in contact frequency for vegetable variety. Lower levels of friend contact were associated with reduced variety of fruits and vegetables in a graded trend for both genders; the trend was more pronounced among men. Family contact appeared to have limited association with vegetable variety in men; among women, weekly contact was significantly and positively associated with vegetable variety compared to daily family contact. Results highlight the importance of considering living arrangement and/or frequency of social contact when assessing whether widowed, single or lone-living older adults are at risk of lower fruit and vegetable variety.
dc.format.mediumPrint-Electronic
dc.languageeng
dc.publisherElsevier BV
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectHumans
dc.subjectFruit
dc.subjectVegetables
dc.subjectDiet
dc.subjectMultivariate Analysis
dc.subjectLinear Models
dc.subjectProspective Studies
dc.subjectSocial Isolation
dc.subjectMarital Status
dc.subjectInterpersonal Relations
dc.subjectSex Factors
dc.subjectResidence Characteristics
dc.subjectAged
dc.subjectMiddle Aged
dc.subjectFemale
dc.subjectMale
dc.subjectUnited Kingdom
dc.titleSocial relationships and healthful dietary behaviour: evidence from over-50s in the EPIC cohort, UK.
dc.typeArticle
prism.endingPage175
prism.publicationDate2014
prism.publicationNameSoc Sci Med
prism.startingPage167
prism.volume100
dc.identifier.doi10.17863/CAM.27989
dcterms.dateAccepted2013-08-15
rioxxterms.versionofrecord10.1016/j.socscimed.2013.08.018
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2014-01
dc.contributor.orcidForouhi, Nita [0000-0002-5041-248X]
dc.contributor.orcidKhaw, Kay-Tee [0000-0002-8802-2903]
dc.contributor.orcidWareham, Nicholas [0000-0003-1422-2993]
dc.contributor.orcidMonsivais, Pablo [0000-0002-7088-6674]
dc.identifier.eissn1873-5347
rioxxterms.typeJournal Article/Review
pubs.funder-project-idEconomic and Social Research Council (ES/G007462/1)
pubs.funder-project-idMedical Research Council (G1000143)
pubs.funder-project-idMedical Research Council (MC_UU_12015/1)
pubs.funder-project-idMedical Research Council (MC_UU_12015/5)
pubs.funder-project-idMedical Research Council (MR/K023187/1)
pubs.funder-project-idAcademy of Medical Sciences (unknown)
pubs.funder-project-idMedical Research Council (G0401527)
pubs.funder-project-idDepartment of Health (via National Institute for Health Research (NIHR)) (NF-SI-0512-10135)
pubs.funder-project-idWellcome Trust (087636/Z/08/Z)
pubs.funder-project-idMedical Research Council (MC_U106179471)
cam.issuedOnline2013-08-28


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Attribution 4.0 International
Except where otherwise noted, this item's licence is described as Attribution 4.0 International