IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i7p3982-d780756.html
   My bibliography  Save this article

Dietary Patterns among Older People and the Associations with Social Environment and Individual Factors in Taiwan: A Multilevel Analysis

Author

Listed:
  • Yi-Hsuan Lin

    (School of Public Health, Taipei Medical University, Taipei 11031, Taiwan)

  • Hui-Chuan Hsu

    (School of Public Health, Taipei Medical University, Taipei 11031, Taiwan
    Research Center of Health Equity, College of Public Health, Taipei Medical University, Taiwan 11031, Taiwan)

  • Chyi-Huey Bai

    (School of Public Health, Taipei Medical University, Taipei 11031, Taiwan
    Research Center of Health Equity, College of Public Health, Taipei Medical University, Taiwan 11031, Taiwan
    Department of Public Health, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan)

  • Wen-Chi Wu

    (Department of Health Promotion and Health Education, School of Education, National Taiwan Normal University, Taipei 10610, Taiwan)

Abstract

Individual factors relating to dietary behaviors are widely explored. However, the effects of social environment on dietary patterns for the older people are less explored. The purpose of this study was to identify dietary patterns among older people in Taiwan and to examine the relationship of dietary patterns with social environment and individual factors. The current study used the 2013–2016 Nutrition and Health Survey in Taiwan. The sample was representative at the national and city levels. Only those who were aged 55 years old and above were included for analysis ( n = 2922); the mean age of the participants was 68.62 (SD = 8.76). The city-level data, including population characteristics, food availability, and age-friendly city indicators, were obtained from the open data and survey report of government. Three dietary patterns were identified: high protein-vegetable (41.6%), high sweets and low protein-vegetables (37.9%), and high viscera and fats (20.5%). The results of multilevel multinomial logistic regressions showed that marital status, economic status, education, drinking alcohol, dietary belief, living a the city with more food availability, and bus accessibility were related to dietary patterns. Dietary patterns are related to the individual-level factors and social environment. Healthy dietary beliefs and age-friendly environments are beneficial to promoting healthy dietary patterns.

Suggested Citation

  • Yi-Hsuan Lin & Hui-Chuan Hsu & Chyi-Huey Bai & Wen-Chi Wu, 2022. "Dietary Patterns among Older People and the Associations with Social Environment and Individual Factors in Taiwan: A Multilevel Analysis," IJERPH, MDPI, vol. 19(7), pages 1-10, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:3982-:d:780756
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/7/3982/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/7/3982/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Zaynel Sushil & Stefanie Vandevijvere & Daniel J. Exeter & Boyd Swinburn, 2017. "Food swamps by area socioeconomic deprivation in New Zealand: a national study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(8), pages 869-877, November.
    2. Paloma Conde & Marta Gutiérrez & María Sandín & Julia Díez & Luisa N. Borrell & Jesús Rivera-Navarro & Manuel Franco, 2018. "Changing Neighborhoods and Residents’ Health Perceptions: The Heart Healthy Hoods Qualitative Study," IJERPH, MDPI, vol. 15(8), pages 1-12, July.
    3. Stina Oftedal & Corneel Vandelanotte & Mitch J. Duncan, 2019. "Patterns of Diet, Physical Activity, Sitting and Sleep Are Associated with Socio-Demographic, Behavioural, and Health-Risk Indicators in Adults," IJERPH, MDPI, vol. 16(13), pages 1-14, July.
    4. Steven A Cohen & Mary L Greaney & Natalie J Sabik, 2018. "Assessment of dietary patterns, physical activity and obesity from a national survey: Rural-urban health disparities in older adults," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-15, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Sarah Gerritsen & Sophia Harré & Boyd Swinburn & David Rees & Ana Renker-Darby & Ann E. Bartos & Wilma E. Waterlander, 2019. "Systemic Barriers and Equitable Interventions to Improve Vegetable and Fruit Intake in Children: Interviews with National Food System Actors," IJERPH, MDPI, vol. 16(8), pages 1-19, April.
    2. Dorceta E. Taylor & Ashley Bell & Destiny Treloar & Ashia Ajani & Marco Alvarez & Tevin Hamilton & Jayson Velazquez & Pwintphyu Nandar & Lily Fillwalk & Kerry J. Ard, 2024. "Defying the Food Desert, Food Swamp, and Supermarket Redlining Stereotypes in Detroit: Comparing the Distribution of Food Outlets in 2013 and 2023," Sustainability, MDPI, vol. 16(16), pages 1-59, August.
    3. Meng Yang & Feng Qiu & Juan Tu, 2022. "Premiums for Residing in Unfavorable Food Environments: Are People Rational?," IJERPH, MDPI, vol. 19(12), pages 1-14, June.
    4. Wiki, Jesse & Kingham, Simon & Campbell, Malcolm, 2021. "A geospatial analysis of Type 2 Diabetes Mellitus and the food environment in urban New Zealand," Social Science & Medicine, Elsevier, vol. 288(C).
    5. Ana Contreras Navarro & María-Isabel Ortega Vélez, 2019. "Obesogenic Environment Case Study from a Food and Nutrition Security Perspective: Hermosillo City," IJERPH, MDPI, vol. 16(3), pages 1-16, January.
    6. Dorceta E. Taylor & Katherine Allison & Tevin Hamilton & Ashley Bell, 2023. "Race, Socioeconomic Status, and Food Access in Two Predominantly White Cities: The Case of Lansing, East Lansing, and Surrounding Townships in Michigan," Sustainability, MDPI, vol. 15(20), pages 1-49, October.
    7. I. D. Brouwer & M. J. Liere & A. Brauw & P. Dominguez-Salas & A. Herforth & G. Kennedy & C. Lachat & E. B. Omosa & E. F. Talsma & S. Vandevijvere & J. Fanzo & M. Ruel, 2021. "Reverse thinking: taking a healthy diet perspective towards food systems transformations," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 13(6), pages 1497-1523, December.
    8. M, Hobbs & N, Bowden & L, Marek & J, Wiki & J, Kokaua & R, Theodore & T, Ruhe & J, Boden & H, Thabrew & S, Hetrick & B, Milne, 2023. "The environment a young person grows up in is associated with their mental health: A nationwide geospatial study using the integrated data infrastructure, New Zealand," Social Science & Medicine, Elsevier, vol. 326(C).
    9. Alvina F. Pauuvale & Mark H. Vickers & Soana Pamaka & Dorothy Apelu & ‘Anaseini Fehoko & Malakai ‘Ofanoa & Jacquie L. Bay, 2022. "Exploring the Retail Food Environment Surrounding Two Secondary Schools with Predominantly Pacific Populations in Tonga and New Zealand to Enable the Development of Mapping Methods Appropriate for Tes," IJERPH, MDPI, vol. 19(23), pages 1-14, November.
    10. Hannah Briony Thorne & Matthew Justus Rockloff & Sally Anne Ferguson & Grace Elizabeth Vincent & Matthew Browne, 2021. "Gambling Problems Are Associated with Alcohol Misuse and Insomnia: Results from a Representative National Telephone Survey," IJERPH, MDPI, vol. 18(13), pages 1-10, June.
    11. Cammock, Radilaite & Tonumaipe’a, Daysha & Conn, Cath & Sa’uLilo, Losi & Tautolo, El-Shadan & Nayar, Shoba, 2021. "From individual behaviour strategies to sustainable food systems: Countering the obesity and non communicable diseases epidemic in New Zealand," Health Policy, Elsevier, vol. 125(2), pages 229-238.
    12. Holly Blake & Alex Brewer & Niki Chouliara, 2023. "“We’re Not Going to Be as Prepared”: A Qualitative Study of Healthcare Trainees’ Experiences after One Year of the COVID-19 Pandemic," IJERPH, MDPI, vol. 20(5), pages 1-15, February.
    13. Mitch J. Duncan & Sasha Fenton & Wendy J. Brown & Clare E. Collins & Nicholas Glozier & Gregory S. Kolt & Elizabeth G. Holliday & Philip J. Morgan & Beatrice Murawski & Ronald C. Plotnikoff & Anna T. , 2020. "Efficacy of a Multi-component m-Health Weight-loss Intervention in Overweight and Obese Adults: A Randomised Controlled Trial," IJERPH, MDPI, vol. 17(17), pages 1-21, August.
    14. Wenwen Du & Huijun Wang & Chang Su & Xiaofang Jia & Bing Zhang, 2022. "Thirty-Year Urbanization Trajectories and Obesity in Modernizing China," IJERPH, MDPI, vol. 19(4), pages 1-11, February.
    15. Kelly Dombroski & Gradon Diprose & Emma Sharp & Rebekah Graham & Louise Lee & Matthew Scobie & Sophie Richardson & Alison Watkins & Rosemarie Martin-Neuninger, 2020. "Food for People in Place: Reimagining Resilient Food Systems for Economic Recovery," Sustainability, MDPI, vol. 12(22), pages 1-17, November.
    16. Éric Robitaille & Marie-Claude Paquette, 2020. "Development of a Method to Locate Deserts and Food Swamps Following the Experience of a Region in Quebec, Canada," IJERPH, MDPI, vol. 17(10), pages 1-14, May.
    17. Hobbs, Matthew & Mackenbach, Joreintje Dingena & Wiki, Jesse & Marek, Lukas & McLeod, Geraldine F.H. & Boden, Joseph M., 2021. "Investigating change in the food environment over 10 years in urban New Zealand: A longitudinal and nationwide geospatial study," Social Science & Medicine, Elsevier, vol. 269(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:3982-:d:780756. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.