Perceptions of individual and community environmental influences on fruit and vegetable intake, North Carolina, 2004

Josephine E A Boyington; Britta Schoster; Kathryn Martin; Jack Shreffler; Leigh F Callahan

Perceptions of individual and community environmental influences on fruit and vegetable intake, North Carolina, 2004

Josephine E A Boyington^* (Corresponding Author), Britta Schoster, Kathryn Martin, Jack Shreffler, Leigh F Callahan

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

18 Citations (Scopus)

Abstract

INTRODUCTION: Increases in obesity and other chronic conditions continue to fuel efforts for lifestyle behavior changes. However, many strategies do not address the impact of environment on lifestyle behaviors, particularly healthy dietary intake. This study explored the perceptions of environment on intake of fruits and vegetables in a cohort of 2,479 people recruited from 22 family practices in North Carolina.

METHODS: Participants were administered a health and social demographic survey. Formative assessment was conducted on a subsample of 32 people by using focus groups, semistructured individual interviews, community mapping, and photographs. Interviews and discussions were transcribed and content was analyzed using ATLAS.ti version 5. Survey data were evaluated for means, frequencies, and group differences.

RESULTS: The 2,479 participants had a mean age of 52.8 years, mean body mass index (BMI) of 29.4, and were predominantly female, white, married, and high school graduates. The 32 subsample participants were older, heavier, and less educated. Some prevalent perceptions about contextual factors related to dietary intake included taste-bud fatigue (boredom with commonly eaten foods), life stresses, lack of forethought in meal planning, current health status, economic status, the ability to garden, lifetime dietary exposure, concerns about food safety, contradictory nutrition messages from the media, and variable work schedules.

CONCLUSION: Perceptions about intake of fruits and vegetables intake are influenced by individual (intrinsic) and community (extrinsic) environmental factors. We suggest approaches for influencing behavior and changing perceptions using available resources.

Original language	English
Article number	A04
Number of pages	15
Journal	Preventing Chronic Disease
Volume	6
Issue number	1
Publication status	Published - Jan 2009
Externally published	Yes

Bibliographical note

This study was funded by National Institute of Arthritis and Musculoskeletal and Skin Diseases grant no. 5P60-AR49465-01. Dr Boyington was supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases grant no. 5P60-AR49465-04S1, National Institutes of Health, the National Center on Minority Health and Health Disparities grant no. R24 MD000167, and the Department of Health and Human Services, Agency for Healthcare Research and Quality R24 HS013353. Ms Remmes Martin was supported by the Carolina Program on Health and Aging Research Predoctoral Fellowship (National Institute on Aging grant no. 5-T32-AG00272), the Arthritis Foundation Doctoral Dissertation Award, and the ACR REF Health Professional Graduate Student Research Preceptorship Award.

Keywords

adult
aged
culture
data collection
diet
environment
female
focus groups
fruit
humans
male
maps as topic
middle aged
North Carolina
photography
questionnaires
vegetables

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Cite this

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title = "Perceptions of individual and community environmental influences on fruit and vegetable intake, North Carolina, 2004",

abstract = "INTRODUCTION: Increases in obesity and other chronic conditions continue to fuel efforts for lifestyle behavior changes. However, many strategies do not address the impact of environment on lifestyle behaviors, particularly healthy dietary intake. This study explored the perceptions of environment on intake of fruits and vegetables in a cohort of 2,479 people recruited from 22 family practices in North Carolina.METHODS: Participants were administered a health and social demographic survey. Formative assessment was conducted on a subsample of 32 people by using focus groups, semistructured individual interviews, community mapping, and photographs. Interviews and discussions were transcribed and content was analyzed using ATLAS.ti version 5. Survey data were evaluated for means, frequencies, and group differences.RESULTS: The 2,479 participants had a mean age of 52.8 years, mean body mass index (BMI) of 29.4, and were predominantly female, white, married, and high school graduates. The 32 subsample participants were older, heavier, and less educated. Some prevalent perceptions about contextual factors related to dietary intake included taste-bud fatigue (boredom with commonly eaten foods), life stresses, lack of forethought in meal planning, current health status, economic status, the ability to garden, lifetime dietary exposure, concerns about food safety, contradictory nutrition messages from the media, and variable work schedules.CONCLUSION: Perceptions about intake of fruits and vegetables intake are influenced by individual (intrinsic) and community (extrinsic) environmental factors. We suggest approaches for influencing behavior and changing perceptions using available resources.",

keywords = "adult, aged, culture, data collection, diet, environment, female, focus groups, fruit, humans, male, maps as topic, middle aged, North Carolina, photography, questionnaires, vegetables",

author = "Boyington, {Josephine E A} and Britta Schoster and Kathryn Martin and Jack Shreffler and Callahan, {Leigh F}",

note = "This study was funded by National Institute of Arthritis and Musculoskeletal and Skin Diseases grant no. 5P60-AR49465-01. Dr Boyington was supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases grant no. 5P60-AR49465-04S1, National Institutes of Health, the National Center on Minority Health and Health Disparities grant no. R24 MD000167, and the Department of Health and Human Services, Agency for Healthcare Research and Quality R24 HS013353. Ms Remmes Martin was supported by the Carolina Program on Health and Aging Research Predoctoral Fellowship (National Institute on Aging grant no. 5-T32-AG00272), the Arthritis Foundation Doctoral Dissertation Award, and the ACR REF Health Professional Graduate Student Research Preceptorship Award.",

year = "2009",

month = jan,

language = "English",

volume = "6",

journal = "Preventing Chronic Disease",

number = "1",

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T1 - Perceptions of individual and community environmental influences on fruit and vegetable intake, North Carolina, 2004

AU - Boyington, Josephine E A

AU - Schoster, Britta

AU - Martin, Kathryn

AU - Shreffler, Jack

AU - Callahan, Leigh F

N1 - This study was funded by National Institute of Arthritis and Musculoskeletal and Skin Diseases grant no. 5P60-AR49465-01. Dr Boyington was supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases grant no. 5P60-AR49465-04S1, National Institutes of Health, the National Center on Minority Health and Health Disparities grant no. R24 MD000167, and the Department of Health and Human Services, Agency for Healthcare Research and Quality R24 HS013353. Ms Remmes Martin was supported by the Carolina Program on Health and Aging Research Predoctoral Fellowship (National Institute on Aging grant no. 5-T32-AG00272), the Arthritis Foundation Doctoral Dissertation Award, and the ACR REF Health Professional Graduate Student Research Preceptorship Award.

PY - 2009/1

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N2 - INTRODUCTION: Increases in obesity and other chronic conditions continue to fuel efforts for lifestyle behavior changes. However, many strategies do not address the impact of environment on lifestyle behaviors, particularly healthy dietary intake. This study explored the perceptions of environment on intake of fruits and vegetables in a cohort of 2,479 people recruited from 22 family practices in North Carolina.METHODS: Participants were administered a health and social demographic survey. Formative assessment was conducted on a subsample of 32 people by using focus groups, semistructured individual interviews, community mapping, and photographs. Interviews and discussions were transcribed and content was analyzed using ATLAS.ti version 5. Survey data were evaluated for means, frequencies, and group differences.RESULTS: The 2,479 participants had a mean age of 52.8 years, mean body mass index (BMI) of 29.4, and were predominantly female, white, married, and high school graduates. The 32 subsample participants were older, heavier, and less educated. Some prevalent perceptions about contextual factors related to dietary intake included taste-bud fatigue (boredom with commonly eaten foods), life stresses, lack of forethought in meal planning, current health status, economic status, the ability to garden, lifetime dietary exposure, concerns about food safety, contradictory nutrition messages from the media, and variable work schedules.CONCLUSION: Perceptions about intake of fruits and vegetables intake are influenced by individual (intrinsic) and community (extrinsic) environmental factors. We suggest approaches for influencing behavior and changing perceptions using available resources.

AB - INTRODUCTION: Increases in obesity and other chronic conditions continue to fuel efforts for lifestyle behavior changes. However, many strategies do not address the impact of environment on lifestyle behaviors, particularly healthy dietary intake. This study explored the perceptions of environment on intake of fruits and vegetables in a cohort of 2,479 people recruited from 22 family practices in North Carolina.METHODS: Participants were administered a health and social demographic survey. Formative assessment was conducted on a subsample of 32 people by using focus groups, semistructured individual interviews, community mapping, and photographs. Interviews and discussions were transcribed and content was analyzed using ATLAS.ti version 5. Survey data were evaluated for means, frequencies, and group differences.RESULTS: The 2,479 participants had a mean age of 52.8 years, mean body mass index (BMI) of 29.4, and were predominantly female, white, married, and high school graduates. The 32 subsample participants were older, heavier, and less educated. Some prevalent perceptions about contextual factors related to dietary intake included taste-bud fatigue (boredom with commonly eaten foods), life stresses, lack of forethought in meal planning, current health status, economic status, the ability to garden, lifetime dietary exposure, concerns about food safety, contradictory nutrition messages from the media, and variable work schedules.CONCLUSION: Perceptions about intake of fruits and vegetables intake are influenced by individual (intrinsic) and community (extrinsic) environmental factors. We suggest approaches for influencing behavior and changing perceptions using available resources.

KW - adult

KW - aged

KW - culture

KW - data collection

KW - diet

KW - environment

KW - female

KW - focus groups

KW - fruit

KW - humans

KW - male

KW - maps as topic

KW - middle aged

KW - North Carolina

KW - photography

KW - questionnaires

KW - vegetables

M3 - Article

C2 - 19080010

VL - 6

JO - Preventing Chronic Disease

JF - Preventing Chronic Disease

IS - 1

M1 - A04

ER -

Perceptions of individual and community environmental influences on fruit and vegetable intake, North Carolina, 2004

Abstract

Bibliographical note

Keywords

UN SDGs

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Cite this