@article{fdi:010083399,
  title = {{D}emographic and socio-economic shifts partly explain the {M}artinican nutrition transition : an analysis of 10-year health and dietary changes (2003-2013) using decomposition models},
  author = {{C}olombet, {Z}. and {S}imioni, {M}. and {D}rogue, {S}. and {L}amani, {V}. and {P}erignon, {M}. and {M}artin-{P}r{\'e}vel, {Y}ves and {M}erle, {S}. and {A}miot, {M}. {J}. and {D}armon, {N}. and {S}oler, {L}. {G}. and {M}ejean, {C}.},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjective: {T}he {C}aribbean has seen a dramatic shift in the obesity and chronic disease prevalence over the past decades, suggesting a nutrition transition. {S}imultaneously, {M}artinique has faced a demographic transition marked by significant population ageing. {W}e aimed to differentiate the contribution of changes in health status and dietary intakes due to shifts in demographic and socio-economic characteristics ({DSEC}) from that due to unobserved factors. {D}esign: {T}wo cross-sectional surveys conducted in 2003 (n 743) and 2013 (n 573) on representative samples were used. {D}ietary intakes were estimated by 24-h recalls. {T}he contribution of changes in health status and dietary intakes due to shifts in observed {DSEC} was differentiated from that due to unobserved factors over a 10-year interval, using {O}axaca-{B}linder decomposition models. {S}etting: {M}artinique, {F}rench region in the {C}aribbean. {P}articipants: {M}artinican adults (>= 16 years). {R}esults: {O}ver the study period, health status deteriorated, partly owing to shifts in {DSEC}, explaining 62 % of the change in the prevalence of hypertension (+13 percentage points (pp)) and 48 % of waist circumference change (+3 cm). {D}iet quality decreased (mean adequacy ratio -2pp and mean excess ratio + 2 pp) and energy supplied by ultra-processed food increased (+4 pp). {S}hifts in {DSEC} marginally explained some changes in dietary intakes (e.g. increased diet quality), while the changes that remained unexplained were of opposite sign, with decreased diet quality, lower fruits, tubers and fish intakes and higher energy provided by ultra-processed foods. {C}onclusion: {E}xplained dietary changes were of opposite sign to nutrition transition conceptual framework, probably because unobserved drivers are in play, such as food price trends or supermarkets spread.},
  keywords = {{N}utrition transition ; {C}aribbean ; {F}rench {W}est {I}ndies ; {D}ietary changes ; {O}axaca-{B}linder decomposition ; {MARTINIQUE} ; {CARAIBES}},
  booktitle = {},
  journal = {{P}ublic {H}ealth {N}utrition},
  volume = {24},
  numero = {18},
  pages = {6323--6334},
  ISSN = {1368-9800},
  year = {2021},
  DOI = {10.1017/s136898002100327x},
  URL = {https://www.documentation.ird.fr/hor/fdi:010083399},
}