Objective and perceived barriers and facilitators of daily fruit and vegetable consumption among under-resourced communities in Central Texas

Hollis-Hansen, Kelseanna; Janda, Kathryn M.; Tiscareño, Marisa; Filipowicz, Claire; Berg, Alexandra van den

doi:10.1016/j.appet.2022.106130

Cited by 3 publications

(3 citation statements)

References 39 publications

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“…The socio-ecological framework is a useful tool for understanding such determinants, as it constitutes three broad levels: individual (a person’s cognitive, biological and demographic characteristics), social-environmental (how a person interacts with their social environment) and physical-environmental (how a person interacts with their natural and built environment) [ 9 ]. At the individual level, previous research suggests that being female, older in age, at a higher socio-economic status and greater food security are facilitators to fruit and vegetable consumption [ 10 – 18 ]. Similarly, not living alone (social-environmental) [ 19 – 22 ] and using community gardens (physical-environmental) [ 23 – 25 ] have also been identified as facilitators.…”

Section: Introductionmentioning

confidence: 99%

Identifying the barriers and facilitators to fruit and vegetable consumption in rural Australian adults: a mixed methods analysis

Carroll,

McNaughton,

Parker

et al. 2024

Nutr J

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Background Low fruit and vegetable consumption is a leading contributor to non-communicable disease risk. However, understanding of barriers and facilitators to fruit and vegetable intake in rural settings is limited. This study used a mixed methods approach to determine the barriers and facilitators to increasing fruit and vegetable intake in rural Australian adults and to identify if these varied by gender. Methods Quantitative and qualitative data were used from the 2019 Active Living Census, completed by adults living in north-west Victoria, Australia. Data were collected on fruit and vegetable intakes and barriers and facilitators to meeting fruit and vegetable recommendations. Multivariate logistic regression analyses were used to investigate the association between facilitators, classified using the socio-ecological framework, and meeting recommendations. Machine learning was used to automate content analysis of open ended information on barriers. Results A total of 13,464 adults were included in the quantitative analysis (51% female; mean age 48 [SE 0.17] years) with 48% and 19% of participants consuming the recommended two serves of fruit and five serves of vegetables daily, respectively. Strongest facilitators to fruit consumption were at the individual level: never smoked (OR: 2.12 95% CI: 1.83–2.45) and not drinking alcohol (OR: 1.47 95% CI: 1.31–1.64). Strongest facilitators for vegetable consumption were found at all levels; i.e., individual level: used to smoke (OR: 1.48 95% CI: 1.21–1.80), social-environmental level: living with three or more people (OR: 1.41 95% CI: 1.22–1.63), and physical-environmental level: use community gardens (OR: 1.20 95% CI: 1.07–1.34). Qualitative analyses (fruit n = 5,919; vegetable n = 9,601) showed that barriers to fruit consumption included a preference for other snacks and desire to limit sugar content, whilst lack of time and unachievable guidelines were barriers for vegetables. Barriers and facilitators differed by gender; females experienced barriers due to having a more varied diet while males reported a dislike of the taste. Conclusions Barriers and facilitators to fruit and vegetable consumption among rural Australian adults were identified across all levels of the socio-ecological framework and varied between fruit and vegetables and by gender. Strategies that address individual, social, and physical-level barriers are required to improve consumption.

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Section: Introductionmentioning

confidence: 99%

Identifying the barriers and facilitators to fruit and vegetable consumption in rural Australian adults: a mixed methods analysis

Carroll,

McNaughton,

Parker

et al. 2024

Nutr J

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“…Answering questions such as when, why, and why don't people consume fruit is essential for promoting healthy habits in the population as well as from a commercial point of view. In recent decades, many studies have focused on answering such questions [6][7][8][9]. Most of these studies have approached fruit and vegetables as a generic food type, but in recent years, attention has been paid to understanding consumer response to specific fruits, such as citrus fruits or nuts [10][11][12], or to different types of fruit preparations, such as dehydrated, ready-to-eat fruit, etc.…”

Section: Introductionmentioning

confidence: 99%

Influence of Pomegranate Appearance Attributes on Consumer Choice, and Identification of Barriers and Drivers for Consumption

Pons-Gómez,

Albert-Sidro,

Bartual

et al. 2023

Foods

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In a prepurchase situation, consumers base their choice decision on external fruit characteristics, from which they infer internal characteristics. This study investigates consumer preference for pomegranate appearance using a choice-based conjoint analysis with 320 participants. We created 27 images of pomegranates that differed in varietal characteristics: colour (yellow, bicoloured, and red), shape (round, oval, and flattened), and calyx shape (open, semi-open, and closed). Colour was by far the most important factor for consumers, followed by fruit shape and calyx shape. Two preference profiles were identified. Most consumers liked bicolour and red pomegranates equally, and rejected yellow ones, while a smaller group concentrated their choice on bicolour pomegranates. In terms of fruit and calyx shape, oval and flattened fruit and open calyx were the most preferred by both consumer groups. Barriers and drivers for consumption were also investigated. There is still plenty of room to increase pomegranate consumption. Greater availability of pomegranates and ready-to-eat arils in grocery shops, obtaining new unseeded/easier-to-peel varieties, and providing a sensory label would help to overcome current barriers. Marketing campaigns should focus on a pomegranate’s health benefits and its versatility in consumption.

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“…Additionally, there have been mixed findings on the association between race/ethnicity and fruit and vegetable consumption, with some studies stating that racial-ethnic minorities have a lower likelihood of meeting dietary recommendations for fruit and/or vegetable consumption [ 10 , 26 , 27 ]. However, work by numerous scholars examining nationally representative data and context-specific cohorts found Hispanic participants had a greater likelihood of meeting fruit and vegetable consumption recommendations compared to non-Hispanic white participants, while Black participants had a lower likelihood of meeting fruit and vegetable consumption recommendations compared to non-Hispanic white participants [ 23 , 28 , 29 , 30 ]. These disparities are particularly concerning given the impact of food insecurity and low-quality diet on health, as mentioned previously.…”

Section: Introductionmentioning

confidence: 99%

Association between Fresh Fruit and Vegetable Consumption and Purchasing Behaviors, Food Insecurity Status and Geographic Food Access among a Lower-Income, Racially/Ethnically Diverse Cohort in Central Texas

et al. 2022

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The aims of this study were to determine if fresh fruit and vegetable consumption and purchasing behaviors were associated with geographic food access and/or food insecurity status, and to explore the role of sociodemographic characteristics among participants of a lower-income, racially/ethnically diverse cohort. This study used a cross-sectional design and baseline survey data from the FRESH-Austin study (N = 393). Associations between fresh produce consumption/purchasing and food insecurity status and geographic access to food were assessed utilizing univariate, bivariate, and multivariate linear regression methods and potential interactions were examined. The sample 40% reported being food insecure and the majority identified as Hispanic. Geographic food access was directly associated with fresh produce consumption (β = 0.46, p = 0.02); however, the directionality of the relationship between food insecurity and fresh produce consumption varied due to a significant interaction with race/ethnicity. Only utilizing food assistance was associated with purchasing fewer fresh produce (β= −1.83, p = 0.03). Findings suggest that communities experience food insecurity and limited healthy food access in different ways, and in some situations, are associated with fresh produce consumption and purchasing behaviors. Future research adopting an intersectionality-sensitive approach to better understand how to best support communities at risk is needed.

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Objective and perceived barriers and facilitators of daily fruit and vegetable consumption among under-resourced communities in Central Texas

Cited by 3 publications

References 39 publications

Identifying the barriers and facilitators to fruit and vegetable consumption in rural Australian adults: a mixed methods analysis

Identifying the barriers and facilitators to fruit and vegetable consumption in rural Australian adults: a mixed methods analysis

Influence of Pomegranate Appearance Attributes on Consumer Choice, and Identification of Barriers and Drivers for Consumption

Association between Fresh Fruit and Vegetable Consumption and Purchasing Behaviors, Food Insecurity Status and Geographic Food Access among a Lower-Income, Racially/Ethnically Diverse Cohort in Central Texas

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