Adherence
Socioeconomic status (SES) is positively associated with dietary quality, and the gap in dietary quality between high-SES and low-SES groups widened significantly between 1999 and 2010.
If you have low income or limited education, you may find it harder to improve your diet quality because healthy food is often more expensive and less accessible. This is a structural issue, not a personal failure. Look for community resources, SNAP benefits, or policy initiatives that aim to lower the cost of healthy foods, as individual effort alone may not overcome these barriers.
Family income and education level were positively associated with total AHEI-2010, and the gap between low and high socioeconomic status widened over time, from 3.9 points in 1999 to 2000 to 7.8 points in 2009 to 2010
Why this rating
Large sample size and clear statistical interaction (P = .01) regarding the widening gap.
Source
Trends in Dietary Quality Among Adults in the United States, 1999 Through 2010
Dong D. Wang et al. · JAMA Internal Medicine · 2014
DOI 10.1001/jamainternmed.2014.3422
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