Socioeconomic Status, Diet, and Behavioral Factors and Cardiometabolic Diseases and Mortality
2024

Socioeconomic Status, Diet, and Health Outcomes

Sample size: 152192 publication 10 minutes Evidence: high

Author Information

Author(s): Wang Peilu MD PhD, Gao Xiang MD PhD, Willett Walter C. MD DrPH, Giovannucci Edward L. MD ScD

Primary Institution: Fudan University, Harvard T.H. Chan School of Public Health

Hypothesis

How does socioeconomic status (SES) relate to the association between diet and health, and to what extent do health behaviors account for the socioeconomic disparities in health outcomes?

Conclusion

Health behaviors, particularly high-quality diets, play a significant role in promoting individual health and reducing health disparities associated with socioeconomic status.

Supporting Evidence

  • A healthy dietary pattern was inversely associated with risk for major cardiovascular disease, type 2 diabetes, and total mortality.
  • Behavioral factors accounted for a significant proportion of the associations of neighborhood SES with health outcomes.
  • Adjustment for neighborhood and individual SES minimally altered the associations between dietary patterns and health outcomes.

Takeaway

Eating healthy foods can help people stay healthy, especially if they come from neighborhoods with less money. This study shows that good eating habits can make a big difference in health.

Methodology

This prospective cohort study analyzed data from three US health professional cohorts, assessing dietary patterns and health outcomes over several years.

Potential Biases

Potential residual confounding by socioeconomic status may exist.

Limitations

The study's generalizability may be limited due to the homogeneous SES of the health professional population.

Participant Demographics

The study included 152,192 health professionals, predominantly female (82.8%) and mostly White (94.2%).

Statistical Information

Confidence Interval

95% CI

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1001/jamanetworkopen.2024.51837

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