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PubMed2004

Determinants of diet quality among Quebecers aged 55-74.

OBJECTIVES: Sociodemographic, lifestyle and dietary characteristics were studied to gain insights into determinants of total diet quality and diversity in a weighted sample of 460 participants aged 55-74 (53% female) from the 1990 Enqu te qu b coise sur la nutrition (EQN) dataset. METHODS: Dietary data consisted of an interviewer-administered 24-hour recall and food frequency questionnaire, and a self-administered questionnaire on dietary behaviours, attitudes and perceptions. 24-hour recall data were coded into food groups as described in Canada's Food Guide for Healthy Eating. Diet quality was scored using the categorical Dietary Diversity Score (DDS, range 0-4) and continuous Dietary Adequacy Score (DAS, range 0-18). A second nonconsecutive recall (10% of subjects) permitted correction of food group portions for intraindividual variability and subsequent calculation and validation of usual DDS and DAS. Relationships were examined between the scores and independent variables. Forward leastwise logistic regession (DDS) and stepwise multiple regression (DAS) analyses were conducted with independent variables showing significant bivariate relationships. RESULTS: Among men, breakfast consumption and eating commercially-prepared meals were positively associated with usual DDS, but poor social support and supplement use negatively predicted this score. Eating fewer than 3 meals daily, smoking, and dietary supplement use were negative predictors of usual DAS (r2=0.155). Among women, eating commercial foods was a negative predictor of usual DDS, as was preferring overweight to depriving themselves of favourite foods. Reporting that health concerns influenced food choices and disagreeing with the statement that effort is needed to have a nice body were positive determinants of usual DAS in women. On the other hand, eating fewer than 3 meals daily negatively predicted this dietary index (r2 = 0.162). CONCLUSIONS: Gender differences in predictors of diet quality suggest the need to target nutrition health promotion to the needs of older men and women to encourage optimal eating habits.

Aged↗
PubMed1992

[Consequences of AIDS in the lives of hemophiliacs and their caregiving families in Quebec: stress, response to stress and social support].

The following article focuses on the Québec portion of a national survey on the care needed by hemophiliacs with AIDS or having contracted the HIV virus. The survey was based on an approach that considers social support as a means to face stress. It also examined the needs of dispensers of care and relatives (whether mourning or not) of these persons. Participants revealed having experienced more stress because of an absence of support or simply negative support, than because of the physical deterioration caused by the disease. In addition, the question of confidentiality was often raised. In general, participants said they were satisfied with the support they had received, especially on the part of members of their family.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

[The social representation of pregnancy in adolescence. A Quebec study. ].

OBJECTIVE: To gather information on the themes underlying social representations of teenage pregnancy among adolescent girls and boys and people working with them (health/social/school workers). METHOD: A qualitative approach was used. Adolescents and health/social/school workers were gathered separately in focus groups. A content analysis of their discourses was done. RESULTS: This study shows that adolescents and health/social/school workers were not homogeneous groups. Their representations on teenage pregnancy varied and were sometimes contradictory. Several points of view were expressed that gave rise to four distinct positions: negative, positive, ambivalent and dynamic. It is from these four positions that four social representations of teenage pregnancy were defined: pregnancy as a problem, pregnancy as a project, pregnancy as a tension, pregnancy as a gain of power. Within these four representations, the discourses were divided into four dimensions: emotional, introspective, psychobiological and socio-economic. DISCUSSION: The similarities and divergences between the discourses of adolescents and those of health/social/school workers reveal that the representations of teenage pregnancy are neither preconceived nor unalterable. They have functional properties of adaptation to changing realities, individual conditions, ongoing events, times of crisis and diverse social and cultural grounds. This study presents a new perspective on the topic of teenage pregnancy and questions people's attitude and relationship with teenagers with respect to this issue.

Adaptation, Psychological↗