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4363.0.55.001 - Australian Health Survey: Users' Guide, 2011-13  
Latest ISSUE Released at 11:30 AM (CANBERRA TIME) 07/12/2012   
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Contents >> Health risk factors >> Dietary behaviours

DIETARY BEHAVIOURS


Definition

This topic covers selected dietary indicators relating to the type of milk consumed, usual daily intake of fruit and vegetables and use of salt.


Population

Information was collected for persons aged 2 years and over in the NHS and NNPAS surveys.


Methodology

Milk

Respondents were asked to report the main type of milk they usually drink:

  • cow's milk;
  • soy milk;
  • evaporated or sweetened condensed milk;
  • other type of milk (specify);
  • don't drink milk; and
  • don't know.

The fat content of milk usually consumed (i.e. whole milk, reduced-fat, skim) was then reported for persons who drank milk. Categories included:
  • Whole milk/regular/full cream (3% fat or more);
  • Reduced fat e.g. Low/Lite/HiLo (around 1 or 2% fat);
  • Skim e.g. Skinny/Shape/Fat Free (less than 1% fat); and,
  • Don't know.

Fruit and vegetables

Respondents were asked to report the number of serves of vegetables and fruit they usually ate each day. For the purposes of this survey the following National Health and Medical Research Council guidelines were used.

A serve of vegetables was defined as:
  • half a cup of cooked vegetables;
  • one medium potato; or,
  • one cup of salad vegetables - approximately equivalent to 75 grams.

All types of vegetables were included, but legumes were excluded. Tomatoes were included as a vegetable rather than a fruit.

A serve of fruit was defined as:
  • one medium piece or two small pieces of fruit;
  • one cup of diced fruit;
  • quarter of a cup of sultanas; or,
  • four dried apricot halves - approximately 150 grams of fresh fruit or 50 grams of dried fruits.

Fruit and vegetable juices were excluded.

Prompt cards were used to assist respondents in understanding the concept of a serve, showing pictorial representations. One prompt card showed three pictorial examples of single serves of different vegetables and another card showed three pictorial examples of single serves of fruit. If respondents had difficulty in reporting, interviewers were encouraged to prompt in terms of asking respondents about their usual consumption of vegetables and fruit at breakfast, lunch and dinner, and for snacks.

Respondents were also asked whether their vegetable and fruit consumption had increased, decreased or stayed the same since this time last year.

Salt

Respondents were asked whether salt was usually added to their meals during cooking, or to a meal at the table and whether the salt was iodised (i.e. containing iodine).

Data items

The data items and related output categories for this topic will be available in Excel spreadsheet format from the Downloads page of this product.

Information on dietary behaviour was collected in both the NHS and NNPAS. In Australian Health Survey: First Results (cat. no. 4364.0.55.001), released on 29 October 2012, data on this item are available from the NHS component (21,000 people). Results from the AHS core sample (the full 34,000 people, consisting of both NHS and NNPAS samples combined) will be available in May 2013. For more information on the structure of the AHS, see the Introduction of this Users' Guide.


Interpretation

Points to be considered in interpreting data for this topic include the following.
  • Data recorded on type of milk usually consumed and the fat content of the main type of milk consumed is based on the information provided by respondents against a defined classification of milk type and fat content categories. The variety of milk products available, and the various terminologies used to label milk products may have led to some mis-reporting and incorrect classification.
  • Questions on intake of fruit and vegetables are based on short questions used in the 1995 National Nutrition Survey (NNS). The questions are complex, as respondents needed to understand and apply the inclusions/exclusions, understand the concept of a serve and assess their consumption levels accordingly, and think about their total consumption in what would constitute a usual day. Interviewers were instructed to prompt/assist respondents in a standard way if necessary.
  • Inadequate fruit or vegetable consumption was derived in the 2011-12 surveys to assist users to determine whether vegetable and fruit consumption met the recommended guidelines. Respondents who did not meet the recommended guidelines for either fruit or vegetables were considered to have inadequate fruit or vegetable consumption (this item should be used with caution as it is based on self-reported data).
  • It is considered that the indicators of vegetable and fruit intake from the 2011-12 surveys are of a lower quality than most other items from the survey, but are considered sufficiently reliable for the purposes of assessing broad intake levels for population groups, and comparisons between population groups. Use of the data for other purposes should be undertaken with care.
  • Data for persons aged 2 to 14 years, and some of those aged 15 to 17 years, was provided by a proxy, usually a parent. As a result, the data reflects the parent's knowledge of the child's consumption. This is likely to be less accurate for usual consumption of fruit than for type of milk and usual consumption of vegetables.
  • A comparison of results from the 2001 NHS with those obtained in the 1995 National Nutrition Survey was published by the ABS in the information paper, Measuring Dietary Habits in the 2001 National Health Survey, Australia (ABS cat. no. 4814.0.55.001).
  • Further information about dietary behaviours will be available from the National Nutrition and Physical Activity (NNPAS) component of the 2011-13 AHS, to be released in September 2013.


Comparability with 2007-08

The dietary indicator questions used in the 2011-12 NHS are the same to those used in the 2007-08 NHS and the data are considered directly comparable.

The 2011-12 NHS survey collected information from persons aged 2 years and over, whereas in the 2007-08 NHS, information was collected for persons aged 5 years and over. Care should be taken to ensure that the correct population has been selected when making comparisons.

The following items collected in 2011-12 NHS that were not collected in 2007-08 survey:
  • salt added to food at cooking stage and whether iodised; and,
  • salt added to food at table and whether iodised.

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