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Type 2 diabetes: economics of dietary adherence Open Access


Other title
type 2 diabetes
dietary adherence
household food expenditure
Type of item
Degree grantor
University of Alberta
Author or creator
Maxwell, Denise
Supervisor and department
Anders, Sven (Rural Economy)
Cash, Sean (Rural Economy)
Examining committee member and department
Anders, Sven (Rural Economy)
Cash, Sean (Rural Economy)
Chan, Catherine (Agriculture, Food and Nutritional Sciences)
Department of Rural Economy

Date accepted
Graduation date
Master of Science
Degree level
This thesis examines the economic and time barriers to dietary adherence for T2D patients living in Edmonton by using utility theory, household production theory and the concept of health capital. Socio-demographic, food consumption, food purchase and time use information was obtained by administering a questionnaire and a food record; collecting grocery receipts and a blood sample; conducting a telephone interview, and taking measurements. Multivariate regression analysis and correlations showed a negative association between fruit and vegetable expenditure and A1c. Diet quality was negatively associated with A1c and total food expenditure but had an inverted U-shaped association with income. While working time was negatively correlated with diet quality and positively correlated with A1c, regression analysis showed a negative association between working time and diet quality only among higher income participants. Budget constraints and time constraints appear to be the barriers to dietary adherence among low-income and high-income patients, respectively.
License granted by Denise Maxwell ( on 2011-03-17T22:01:39Z (GMT): Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. Where the thesis is converted to, or otherwise made available in digital form, the University of Alberta will advise potential users of the thesis of the above terms. The author reserves all other publication and other rights in association with the copyright in the thesis, and except as herein provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.
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