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Fruit and vegetable intake: Influence of perceived food environment and self-efficacy
Journal article   Peer reviewed

Fruit and vegetable intake: Influence of perceived food environment and self-efficacy

Mariana Carvalho de Menezes, Ana Victoria Diez Roux and Aline Cristine Souza Lopes
Appetite, v 127, pp 249-256
01 Aug 2018
PMID: 29753052
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Food environment Fruit and vegetable Health behavior Perception Self-efficacy
Identify the effects of food environment and self-efficacy perceptions on fruit and vegetable (FV) consumption. A cross-sectional study with a representative sample population from a public health service in a Brazilian city. Participants (3414) aged ≥20 years were recruited from 18 Health Academy Program centres via stratified cluster sampling. Perceptions of the food environment were measured by survey; participants indicated how confident they were about FV availability in their food environment. Statements about self-efficacy assessed three domains regarding perceived affordability, time, and cooking skills. In order to assess the combined effects of both perceptions of food environment and self-efficacy on FV consumption, a combined variable was created. Both perceptions of food environment and self-efficacy in addition to FV consumption were higher in older participants and those with higher incomes and educational levels. Analyses of the combined variables showed that the highest FV intake was found among individuals with better food environment perceptions and greater self-efficacy. After adjustments, the association of food environment perceptions with FV consumption was marginally significant (p = 0.062), while self-efficacy was more strongly associated (p < 0.001); a one standard deviation higher confidence score was associated with a 35.10 g higher FV intake. Among participants of low socioeconomic position, individuals’ self-efficacy for promoting FV intake were more important to greater consumption than perceptions of food environments. In addition to public policies for tackling socioeconomic inequalities in restricted environments, it is possible that building capabilities among vulnerable individuals are fruitful pathways for enabling them to partially overcome the challenges of poor food environments.

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33 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Behavioral Sciences
Nutrition & Dietetics
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