Food consumption and diet quality choices of Roma in Romania: a counterfactual analysis

Ciaian, Pavel; Cupák, Andrej; Pokrivčák, Ján; Rizov, Marian

doi:10.1007/s12571-018-0781-8

Cited by 21 publications

(21 citation statements)

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“…In addition, survey results from different European countries, attempting to elucidate dietary aspects of Roma, have indicated detrimental dietary patterns, linked to the common hallmarks of diet-related NCDs, namely inadequate and infrequent consumption of fruits, vegetables [ 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 ] and dairy products [ 25 , 27 , 28 , 29 , 34 ], unfavorable consumption of fast foods [ 35 , 36 , 37 , 38 ], animal fats [ 30 , 33 , 38 , 39 ], sugar-sweetened beverages [ 24 , 25 , 30 , 37 ], as well as confectionery [ 30 ]. Although these studies have described food choices and eating habits, several questions on dietary intake profile still remain unanswered.…”

Section: Introductionmentioning

confidence: 99%

Dietary Profile and Nutritional Status of the Roma Population Living in Segregated Colonies in Northeast Hungary

et al. 2020

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Nutrition studies among Roma are scarce and to date no quantified dietary data are available. This report provides, for the first time, quantified dietary data and comprehensive anthropometric information for the Hungarian Roma (HR) population, with Hungarian general (HG) adults as reference. Data were obtained from a complex comparative health survey, involving 387 and 410 subjects of HR and HG populations, respectively. Using corporal measurements, body composition indicators were constructed, while daily nutrient intakes were evaluated in comparison with internationally accepted guidelines on nutrient requirements and recommended intakes. Associations between Roma ethnicity and nutrient intakes, as well as odds of achieving dietary recommendations were explored using regression models, adjusted for relevant covariates (i.e., age, gender, education, marital status and perceived financial status). Results showed occasional differences for selected nutrient intakes between the groups, with HR’s intake being less favorable. Total fat intake, predominantly animal-sourced, exceeded recommendations among HR (36.1 g, 95% confidence interval (CI): 35.2–37.0) and was not dissimilar to HG group (37.1 g, 95% CI: 36.3–38.0). Sodium intake among HR was significantly lower (5094.4 mg, 95% CI: 4866.0–5322.8) compared to HG (5644.0 mg, 95% CI: 5351.9–5936.0), but significantly greater than recommended intake in both groups. HR had greater estimated body fatness (25.6–35.1%) and higher average body mass index (BMI, 27.7 kg/m2, 95% CI: 26.9–28.4), compared to HG. In addition, HR had lower odds of achieving dietary recommendations (odds ratio (OR) = 0.81, 95% CI: 0.67–0.97, p < 0.05). Findings warrant further research, while highlighting the importance of establishing and integrating Roma nutrition into national surveillance and monitoring systems for key dietary risk factors.

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Section: Introductionmentioning

confidence: 99%

Dietary Profile and Nutritional Status of the Roma Population Living in Segregated Colonies in Northeast Hungary

et al. 2020

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“…It seems that Roma people living in Central, Eastern, and Southern European countries experience nutritional problems. They have unhealthy dietary habits, such as irregular and infrequent consumption of fresh fruits and vegetables (3,(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22) and dairy products (11,13,19) compared to consumption patterns in the mainstream populations. Their diet can also be characterized by high consumption of fast foods (23,24), animal fat (16,18,25,26), soft drinks (10,11,16,24,27), and sweets (16,27).…”

Section: Discussionmentioning

confidence: 99%

“…In our current research, we did not obtain information on the type or taste of the vegetables (bitter/sweet) ( 66 ) and fruits (sweet/sour) consumed ( 67 ) therefore, the interpretation of the association between preference and vegetable/fruit consumption is very limited. A possible explanation may be the diet diversity of the Roma population, which is inferior to that of the mainstream populations of Europe ( 15 ). Bitter-tasting vegetables are probably less frequently consumed by the Roma population than by the majority populations of Europe.…”

Section: Discussionmentioning

confidence: 99%

“…The study found infrequent consumption of fruits and milk and moderate consumption of meat and vegetables (14). The estimates of the Household Budget Survey (HBS) of Romania conducted with a sample of ∼9,000 dwellings covering the period from 2004 to 2011 suggest that the Roma population has an inferior diet compared to that of non-Roma populations in terms of a lower proportion of dairy product, fruit, and vegetable intake (15). Other Roma studies also suggest high consumption of fatty meats and sweets and low consumption of vegetables and fruits (16).…”

Section: Introductionmentioning

confidence: 99%

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Taste and Food Preferences of the Hungarian Roma Population

Diószegi

Pikó

Kósa

et al. 2020

Front. Public Health

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Background: In Central, Eastern, and Southern Europe, the Roma population is the largest and the most vulnerable and disadvantaged minority. Behind their unfavorable health status, harmful health behaviors, such as unhealthy diet is also supposed to exist. Methods: In the framework of a complex health study, individuals from the Hungarian general (n = 410) and Roma populations (n = 387) were randomly selected. In the survey portion of the study, sweet, fat, salty, and bitter taste preferences were ascertained by question items measuring taste and food preferences. Preference for sweet vs. salty foods was also analyzed. Questions from the Hungarian version of the European Health Interview Survey were included, to characterize fruit and vegetable consumption and to determine the quantity of sugars added to consumed foods and beverages and the frequency of salting without tasting the food. Data were analyzed using STATA 9.0 statistical software. Results: Roma reported significantly less frequent consumption of fresh fruits (OR = 1.70, 95% CI: 1.22-2.35, p = 0.002) and vegetables (OR = 1.74, 95% CI: 1.25-2.41, p = 0.001) than the Hungarian subjects. Representatives of the Hungarian Roma population reported adding higher quantities of sugars to consumed foods and beverages (OR = 1.68, 95% CI: 1.10-2.56, p = 0.016) and preferred sweet snacks vs. salty ones (OR = 0.53 for salty snacks, 95% CI: 0.37-0.78, p = 0.001) and had higher preferences for sweet foods (OR = 1.51, 95% CI: 1.08-2.11, p = 0.015). They salted their food without tasting it more often (OR = 2.18, 95% CI: 1.64-2.88, p < 0.001). They had lower preferences for bitter tasting raw kohlrabi (OR = 0.56, 95% CI: 0.41-0.80, p = 0.001), grapefruit (OR = 0.47, 95% CI: 0.34-0.64, p < 0.001), black coffee (OR = 0.50, 95% CI: 0.34-0.73, p < 0.001), and dark chocolate (OR = 0.63, 95% CI: 0.46-0.84, p = 0.006). No significant results in terms of ethnicity were found on for fatty and salty food preference and other bitter-tasting vegetables. Diószegi et al. Taste and Food Preferences of Roma Conclusions: Roma diet may be linked to taste preferences predisposing to unhealthy eating habits. This assumption needs further studies on their dietary behavior. In order to design potentially effective intervention programs targeting Roma populations, it is essential to identify individual, environmental, social, cultural, and behavioral factors and as well as their complex interplay that may affect dietary intake and behaviors.

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“…However, an increase in household income does not necessarily mean that more of that income is spent on nutritious, health-enhancing food items. This is due, for example, to the persistence of lifestyle patterns, which are associated with heterogeneity in household characteristics (Alexandri et al, 2015;Bett et al, 2012;Ciaian et al, 2018;Regmi and Meade, 2013;Rischke et al, 2015). If the aim is to improve food security and promote a shift toward the consumption of more beneficial foods, such as those with higher nutritional value, controlling for household characteristics in food demand analysis can provide highly useful information that goes beyond the accessibility dimension.…”

Section: Introductionmentioning

confidence: 99%

Food security in Kenya: Insights from a household food demand model

2020

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Food consumption and diet quality choices of Roma in Romania: a counterfactual analysis

Cited by 21 publications

References 46 publications

Dietary Profile and Nutritional Status of the Roma Population Living in Segregated Colonies in Northeast Hungary

Dietary Profile and Nutritional Status of the Roma Population Living in Segregated Colonies in Northeast Hungary

Taste and Food Preferences of the Hungarian Roma Population

Food security in Kenya: Insights from a household food demand model

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