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Fruit and vegetable consumption and its contribution to inequalities in life expectancy and disability-free life expectancy in ten European countries
[journal article]
Abstract Objectives: To assess to what extent educational differences in total life expectancy (TLE) and disability-free life expectancy (DFLE) could be reduced by improving fruit and vegetable consumption in ten European countries. Methods: Data from national census or registries with mortality follow-up, E... view more
Objectives: To assess to what extent educational differences in total life expectancy (TLE) and disability-free life expectancy (DFLE) could be reduced by improving fruit and vegetable consumption in ten European countries. Methods: Data from national census or registries with mortality follow-up, EU-SILC, and ESS were used in two scenarios to calculate the impact: the upward levelling scenario (exposure in low educated equals exposure in high educated) and the elimination scenario (no exposure in both groups). Results are estimated for men and women between ages 35 and 79 years. Results: Varying by country, upward levelling reduced inequalities in DFLE by 0.1-1.1 years (1-10%) in males, and by 0.0-1.3 years (0-18%) in females. Eliminating exposure reduced inequalities in DFLE between 0.6 and 1.7 years for males (6-15%), and between 0.1 years and 1.8 years for females (3-20%). Conclusions: Upward levelling of fruit and vegetable consumption would have a small, positive effect on both TLE and DFLE, and could potentially reduce inequalities in TLE and DFLE.... view less
Keywords
life expectancy; health behavior; inequality; socioeconomic factors; level of education; eating behavior; mortality; Europe
Classification
Health Policy
Free Keywords
fruit and vegetable consumption; total life expectancy; disability-free life expectancy; European Union Statistics on Income and Living Conditions (EU-SILC), years 2010 and 2014; European Social Survey (ESS), Round 7 2014
Document language
English
Publication Year
2019
Page/Pages
p. 861-872
Journal
International Journal of Public Health, 64 (2019) 6
DOI
https://doi.org/10.1007/s00038-019-01253-w
ISSN
1661-8564
Status
Published Version; peer reviewed