Stages of Change for Fruit and Vegetable Consumption in Deprived Neighborhoods

2004 ◽  
Vol 31 (2) ◽  
pp. 223-241 ◽  
Author(s):  
Gitte C. Kloek ◽  
Frank J. van Lenthe ◽  
Peter W. M. van Nierop ◽  
Johan P. Mackenbach

This article describes the association of external and psychosocial factors on the stages of change for fruit and vegetable consumption, among 2,781 inhabitants, aged 18 to 65 years, in deprived neighborhoods (response rate 60%). To identify correlates of forward stage transition, an ordinal logistic regression model, the Threshold of Change Model (TCM), was used to analyze the data. The results indicate that men, those from Dutch origin, those with (rather) low health locus of control, those displaying risk behaviors, and those without knowledge of dietary guidelines were less likely to move from one stage to another and therefore were more likely to be in a lower stage-of-change category. The results make it possible to distinguish target groups, which should receive more attention in future health promotion campaigns, and to identify factors to be addressed in those programs.

2002 ◽  
Vol 34 (5) ◽  
pp. S67
Author(s):  
J B. Bartholomew ◽  
B M. Miller ◽  
R Atwood ◽  
Y Ren ◽  
N Gottlieb

2013 ◽  
Vol 16 (11) ◽  
pp. 1924-1932 ◽  
Author(s):  
Sarah Krull Abe ◽  
Andrew Stickley ◽  
Bayard Roberts ◽  
Erica Richardson ◽  
Pamela Abbott ◽  
...  

AbstractObjectiveTo assess how the frequency of low fruit and vegetable consumption has changed in countries of the former Soviet Union (FSU) between 2001 and 2010 and to identify factors associated with low consumption.DesignCross-sectional surveys. A standard questionnaire was administered at both time points to examine fruit and vegetable consumption frequency. Logistic regression analysis was used to examine the relationship between demographic, socio-economic and health behavioural variables and low fruit and vegetable consumption in 2010.SettingNationally representative population samples from Armenia, Azerbaijan, Belarus, Georgia, Kazakhstan, Kyrgyzstan, Moldova, Russia and Ukraine.SubjectsAdults aged 18 years and older.ResultsBetween 2001 and 2010 notable changes occurred in fruit and vegetable consumption in many countries resulting in a slight overall deterioration in diet. By 2010 in six countries about 40 % of the population was eating fruit once weekly or less often, while for vegetables the corresponding figure was in excess of 20 % in every country except Azerbaijan. A worse socio-economic situation, negative health behaviours (smoking and alcohol consumption) and rural residence were all associated with low levels of fruit and vegetable consumption.ConclusionsInternational dietary guidelines emphasise the importance of fruit and vegetable consumption. The scale of inadequate consumption of these food groups among much of the population in many FSU countries and its link to socio-economic disadvantage are deeply worrying. This highlights the urgent need for a greater focus to be placed on population nutrition policies to avoid nutrition-related diseases in the FSU countries.


2016 ◽  
Vol 8 (10) ◽  
pp. 203
Author(s):  
Seyed Mohammad Mahdi Hazavehei ◽  
Sara Shahabadi ◽  
Manoochehr Karami ◽  
Mohammad Reza Saidi ◽  
Saeed Bashiriyan ◽  
...  

<p><strong>Introduction</strong><strong>: </strong>The World Health Organization recommended consuming at least 5 servings of fruits and vegetables (FV) per day in order to reduce the risk of non-communicable diseases (NCDs). The purpose of this study is to determine the influential factors related to intake of FV among adults in Kermanshah city based on Transtheoritical Model.</p><p><strong>Material and Methods:</strong> This is a cross-sectional study which is conducted in Kermanshah city. Participants (n=1230) are selected by multi stage sampling; 30-50 year olds people covered by health centers. In order to collect data, we used a TTM-based questionnaire. The results are analyzed using SPSS-16 and Lisrel 8, with P&lt; 0.05 as statistically significant level.</p><p><strong>Results:</strong> The mean age of the participants is 37.75 and 65% of them are women .The mean score of knowledge is 2.4; that is, 80% of men and 78% of women in this study are in poor knowledge about FV consumption. In case of fruit and vegetable consumption behavior, 50% and 61% of participants are in pre-contemplation/contemplation stage, respectively. The average number of fruit servings is 1.42 and the average number of vegetable servings is 0.99 per day. Also, ANOVA test results showed a significant correlation between constructs of TTM and stages of change so that individuals' progress through stages of change from pre-contemplation to maintenance added on the scores of self-efficiency, processes of change, and decisional balance.</p><p><strong>Conclusion: </strong>This study indicated that, TTM constructs such as self-efficacy, processes of change, and decisional balance are good predictors for FV consumption. </p>


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