确定澳大利亚农村成年人食用水果和蔬菜的障碍和促进因素:混合方法分析。

IF 4.4 2区 医学 Q1 NUTRITION & DIETETICS
Brooke T Carroll, Sarah A McNaughton, Kate E Parker, Laura E Marchese, Katherine M Livingstone
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引用次数: 0

摘要

背景:水果和蔬菜摄入量低是导致非传染性疾病风险的一个主要因素。然而,人们对农村地区水果和蔬菜摄入量的障碍和促进因素了解有限。本研究采用混合方法确定澳大利亚农村成年人增加水果和蔬菜摄入量的障碍和促进因素,并确定这些因素是否因性别而异:研究使用了澳大利亚维多利亚州西北部成年人填写的 "2019 年积极生活普查 "中的定量和定性数据。收集的数据涉及水果和蔬菜摄入量以及达到水果和蔬菜建议摄入量的障碍和促进因素。多变量逻辑回归分析用于研究使用社会生态框架分类的促进因素与满足建议之间的关联。使用机器学习对有关障碍的开放式信息进行自动内容分析:共有 13,464 名成年人参与了定量分析(51% 为女性;平均年龄 48 [SE 0.17] 岁),其中 48% 和 19% 的参与者每天分别食用两份水果和五份蔬菜。在个人层面上,促进水果摄入量最大的因素是:从不吸烟(OR:2.12 95% CI:1.83-2.45)和不饮酒(OR:1.47 95% CI:1.31-1.64)。在所有层面都发现了蔬菜消费的最强促进因素,即个人层面:习惯吸烟(OR:1.48 95% CI:1.21-1.80),社会环境层面:与三人或三人以上共同生活(OR:1.41 95% CI:1.22-1.63),以及物理环境层面:使用社区菜园(OR:1.20 95% CI:1.07-1.34)。定性分析(水果 n = 5919;蔬菜 n = 9601)显示,水果消费的障碍包括偏爱其他零食和希望限制含糖量,而蔬菜消费的障碍则是缺乏时间和无法实现指南。阻碍因素和促进因素因性别而异;女性因饮食更多样化而遇到障碍,而男性则表示不喜欢水果的味道:结论:在澳大利亚农村成年人中,水果和蔬菜消费的障碍和促进因素在社会生态框架的各个层面上都有体现,并且因水果和蔬菜以及性别而异。需要采取针对个人、社会和物理层面障碍的策略来提高消费。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Identifying the barriers and facilitators to fruit and vegetable consumption in rural Australian adults: a mixed methods analysis.

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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来源期刊
Nutrition Journal
Nutrition Journal NUTRITION & DIETETICS-
CiteScore
9.80
自引率
0.00%
发文量
68
审稿时长
4-8 weeks
期刊介绍: Nutrition Journal publishes surveillance, epidemiologic, and intervention research that sheds light on i) influences (e.g., familial, environmental) on eating patterns; ii) associations between eating patterns and health, and iii) strategies to improve eating patterns among populations. The journal also welcomes manuscripts reporting on the psychometric properties (e.g., validity, reliability) and feasibility of methods (e.g., for assessing dietary intake) for human nutrition research. In addition, study protocols for controlled trials and cohort studies, with an emphasis on methods for assessing dietary exposures and outcomes as well as intervention components, will be considered. Manuscripts that consider eating patterns holistically, as opposed to solely reductionist approaches that focus on specific dietary components in isolation, are encouraged. Also encouraged are papers that take a holistic or systems perspective in attempting to understand possible compensatory and differential effects of nutrition interventions. The journal does not consider animal studies. In addition to the influence of eating patterns for human health, we also invite research providing insights into the environmental sustainability of dietary practices. Again, a holistic perspective is encouraged, for example, through the consideration of how eating patterns might maximize both human and planetary health.
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