Individual- and environmental-level determinants of fruit and vegetable intakes in rural Georgia.

IF 3.1 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Cerra C Antonacci, Michelle C Kegler, Lauren Bigger, April Hermstad, Karen Ebey-Tessendorf, Regine Haardörfer
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引用次数: 0

Abstract

Objective: To investigate the ways in which food insecurity, food acquisition behaviors, and perceived and objective food access influence fruit and vegetable intakes among rural Georgians.

Design: A population-based survey was merged with USDA's Food Access Research Atlas, and multilevel modeling was used to determine individual-level (eg, food insecurity, food acquisition behaviors, perceived access) and environmental-level (eg, census tract food access) predictors of fruit and vegetable intakes.

Setting: Twenty-four rural census tracts in 6 counties in Georgia, USA.

Participants: One thousand four hundred and seventy-four adults.

Results: Residing in a low food access census tract was not associated with fruit or vegetable intake. Food insecurity had negative effects on both fruit and vegetable intakes. Perceived access to fresh fruits and vegetables was positively associated with fruit intake, and obtaining fresh fruits and vegetables from community or home gardens was positively associated with both fruit and vegetable intakes.

Conclusions: Findings are unique from previous research on census tract-level fruit and vegetable determinants, underscoring the need for a better understanding of influences on fruit and vegetable intakes among rural populations. Interventions to increase fruit and vegetable consumption in rural areas should prioritize food security.

佐治亚州农村地区水果和蔬菜摄入量的个人和环境决定因素。
目的调查食物不安全、食物获取行为以及可感知的和客观的食物获取途径如何影响格鲁吉亚农村居民的水果和蔬菜摄入量:设计:将一项基于人口的调查与美国农业部的《食物获取研究图集》(Food Access Research Atlas)合并,并使用多层次模型确定水果和蔬菜摄入量的个人层面(如食物不安全、食物获取行为、感知获取)和环境层面(如人口普查区食物获取)预测因素:美国佐治亚州 6 个县的 24 个农村人口普查区:1474 名成年人:结果:居住在食物获取率低的人口普查区与水果或蔬菜摄入量无关。粮食不安全对水果和蔬菜摄入量都有负面影响。认为能获得新鲜水果和蔬菜与水果摄入量呈正相关,从社区或家庭菜园获得新鲜水果和蔬菜与水果和蔬菜摄入量呈正相关:与以往有关人口普查区级水果和蔬菜决定因素的研究相比,这些研究结果是独一无二的,突出表明有必要更好地了解影响农村人口水果和蔬菜摄入量的因素。增加农村地区水果和蔬菜摄入量的干预措施应优先考虑粮食安全问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Rural Health
Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
7.60
自引率
6.10%
发文量
86
审稿时长
>12 weeks
期刊介绍: The Journal of Rural Health, a quarterly journal published by the NRHA, offers a variety of original research relevant and important to rural health. Some examples include evaluations, case studies, and analyses related to health status and behavior, as well as to health work force, policy and access issues. Quantitative, qualitative and mixed methods studies are welcome. Highest priority is given to manuscripts that reflect scholarly quality, demonstrate methodological rigor, and emphasize practical implications. The journal also publishes articles with an international rural health perspective, commentaries, book reviews and letters.
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