TY - JOUR TI - Socio-economic factors associated with an increase in fruit and vegetable consumption: a 12-year study in women from the E3N-EPIC study AU - Affret, Aurélie AU - Severi, Gianluca AU - Dow, Courtney AU - Mancini, Francesca Romana AU - Rey, Grégoire AU - Delpierre, Cyrille AU - Clavel-Chapelon, Françoise AU - Boutron-Ruault, Marie-Christine AU - Fagherazzi, Guy T2 - Public Health Nutrition AB - OBJECTIVE: To identify individual and contextual socio-economic factors associated with an increase in fruit and vegetable (F&V) consumption over a 12-year period and evaluate if some socio-economic factors were differentially associated with the change in consumption of some types of F&V. DESIGN: Associations between increased F&V consumption and socio-economic factors were studied with multivariate logistic regression. SETTING: E3N, a French prospective cohort study of 98 995 women. SUBJECTS: E3N participants (n 58 193) with information on diet in 1993 and 2005, and numerous individual and contextual socio-economic factors available. RESULTS: Associations between some individual socio-economic factors and changes in F&V consumption were observed. For instance, women who lived in a large household (>3 children v. no child) had higher probability of increasing their vegetable consumption (OR=1·33; 95 % CI 1·24, 1·42). This association was driven by higher consumption of courgette and raw cucumber. Living with a partner was associated with higher odds of increasing consumption of fruits (OR=1·07; 95 % CI 1·02, 1·13) such as pear, peach and grape. CONCLUSIONS: Certain individual socio-economic factors, but none of the contextual socio-economic factors examined, were associated with an increase in F&V consumption. Factors associated with an increase in total F&V consumption were not necessarily associated with an increase in fruit or vegetable consumption separately, or with an increase in each subtype of fruit or vegetable. Magnitudes of the different associations observed also differed when F&V were considered together, separately or by subtype. Increases in F&V consumption were mostly observed in women with high socio-economic position. To develop effective nutritional interventions and policies that take the socio-economic environment of individuals into account, we recommend future research to further focus on (i) pathways through which population characteristics might influence changes in F&V consumption and (ii) existing interactions between individual and contextual socio-economic factors. DA - 2018//03/ PY - 2018 DO - 10.1017/S1368980017003196 DP - PubMed VL - 21 IS - 4 SP - 740 EP - 755 J2 - Public Health Nutr LA - eng SN - 1475-2727 ST - Socio-economic factors associated with an increase in fruit and vegetable consumption KW - Adult KW - Aged KW - Diet KW - E3N-EPIC cohort KW - Epidemiology KW - Evolution of diet KW - Family KW - Family Characteristics KW - Feeding Behavior KW - Female KW - France KW - Fruit KW - Fruit and vegetable KW - Health Behavior KW - Humans KW - Interpersonal Relations KW - Longitudinal Studies KW - Middle Aged KW - Prospective Studies KW - Social Class KW - Social Environment KW - Socio-economic environment KW - Socioeconomic Factors KW - Vegetables ER -