Abstract

The aim of this study was to identify the geographical variability, the socio-economic and the environmental determinants of adherence to the Mediterranean diet in a general population sample. Level of adherence to the Mediterranean diet was estimated by the ATTICA epidemiological study for 2,749 participants, while socio-economic, demographic, and environmental characteristics were provided by official national and international databases. Higher adherence to the Mediterranean diet was detected in areas with a greater proportion of females and older people, with lower unemployment rate and immigrant population, as well as, in areas covered at a greater extent by green and with higher frequency of supermarkets and street markets. The present findings provide evidence for policy makers to better understand how layers of influence intersect to shape individuals’ eating habits, while they may also contribute in identifying areas of emerging interventions needed.

摘要

本研究的目的是确定在一般人群样本中坚持地中海饮食的地理变异性、社会经济和环境决定因素。ATTICA 流行病学研究对 2,749 名参与者对地中海饮食的坚持程度进行了评估，而社会经济、人口统计和环境特征则由官方的国家和国际数据库提供。在女性和老年人比例较高、失业率和移民人口较低的地区，以及在绿色覆盖范围更大、超市和街头市场频率较高的地区，人们对地中海饮食的依从性更高.