Varying levels of depressive symptoms and lifestyle health behaviors in a low income, urban population
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Varying levels of depressive symptoms and lifestyle health behaviors in a low income, urban population Brenda Robles1,2 · Mirna Ponce Jewell1 · Courtney S. Thomas Tobin2 · Lisa V. Smith3,4 · Tony Kuo1,4,5,6
Received: 5 May 2020 / Accepted: 2 September 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract This study examined the relationships between varying levels of depressive symptoms and key dietary indicators of chronic disease risk, sugar-sweetened beverage (SSB) and fruit and vegetable (F + V) consumption, among a racially/ethnically diverse urban population in Los Angeles County (LAC). Analyses were carried out using data from a 2012 cross-sectional health survey of 1401 low-income public health center clients. Participants with a high level of depressive symptoms consumed 30% more SSBs (IRR = 1.30, 95% CI = 1.08, 1.55) than participants with a lower level of these symptoms. Other predictors of higher SSB consumption included being African American/ Black (IRR = 1.65, 95% CI = 1.32, 2.05), male (IRR = 1.20, 95% CI = 1.06, 1.35), U.S. born (IRR = 1.32, 95% CI = 1.11, 1.57), and using tobacco (IRR = 1.26, 95% CI = 1.11, 1.43). * Brenda Robles [email protected] 1
Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, 3530 Wilshire Blvd., 8th Floor, Los Angeles, CA 90010, USA
2
Department of Community Health Sciences, UCLA Fielding School of Public Health, P.O. Box 951772, Los Angeles, CA 90095, USA
3
Office of Health Assessment and Epidemiology, Los Angeles County Department of Public Health, 313 N. Figueroa St., Suite 127, Los Angeles, CA 90012, USA
4
Department of Epidemiology, UCLA Fielding School of Public Health, P.O. Box 951772, Los Angeles, CA 90095, USA
5
Department of Family Medicine, David Geffen School of Medicine at UCLA, 10880 Wilshire Blvd, Suite 1800, Los Angeles, CA 90024, USA
6
Population Health Program, UCLA Clinical and Translational Science Institute, BE‑144 Center of Health Sciences, Los Angeles, CA 90095, USA
Similar associations with F + V consumption were not found. Findings suggest that depressive symptoms may influence certain health behaviors in certain groups under certain situations. Policy and practice implications are discussed within this context. Keywords Depressive symptoms · Sugar-sweetened beverages · Fruits and vegetables · Low-income · Public health centers · Urban population
Introduction Sugar-sweetened beverage (SSB) consumption is an unhealthy lifestyle behavior that puts people at risk for poor health (Malik & Hu, 2015). Because they are readily available across a wide array of retail and vending settings, and are inexpensive to purchase, SSBs are frequent targets of local and national public health interventions focused on nutrition (von Philipsborn et al., 2019). Evidence that SSBs’ high sugar content can make these beverages addictive (Ahmed et al., 2013), and lead people to overconsume empty calories (Wang et al., 2008), underscores the importance of
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