Varying levels of depressive symptoms and lifestyle health behaviors in a low income, urban population

J Behav Med. 2021 Apr;44(2):212-221. doi: 10.1007/s10865-020-00179-6. Epub 2020 Sep 16.

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). 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; Fruits and vegetables; Low-income; Public health centers; Sugar-sweetened beverages; Urban population.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Beverages*
  • Cross-Sectional Studies
  • Depression* / epidemiology
  • Diet
  • Health Behavior
  • Humans
  • Life Style
  • Male
  • Urban Population