Background: The Georgia Senior Farmers’ Market Nutrition Program (GSFMNP) is intended to increase consumption of fruits and vegetables among Georgia’s low-income, older adults. The program provides $20 in vouchers with which participants may purchase Georgia-grown fruits and vegetables at approved farmers’ markets. Similar programs operate in other states, and studies suggest that these programs are successful in increasing fruit and vegetable intake among participants. However, because Georgia’s program operates somewhat differently, offering only a single market event at most locations, it may have different results. The purpose of this study was to determine whether or not produce purchased at GSFMNP events in 2008 contributed to an increase in the fruit and vegetable intakes of the participants and to identify factors that may have influenced those intakes. The study focused on purchase, consumption, preservation, waste, and sharing of fresh fruits and vegetables. Methods: For this qualitative study, a sample of 198 GSFMNP participants was surveyed from ten metro Atlanta senior centers where markets were held in August and September of 2008. Descriptive statistics were produced to summarize purchase behaviors, food utilization behaviors, and attitudes. Analyses of relationships between variables were performed using Pearson chi-square tests. Results: Twenty-seven percent of subjects reported consuming more fruits and vegetables than usual in the week following the farmers’ market event. There was a significant association between a larger than usual purchase amount and increased intake. There was also a significant association between increased intake and sharing purchased items. No significant associations with increased intake were found for variety of items purchased, preserving food, or discarding food. Those who purchased more fresh produce than usual appeared to be more likely to share their food with others but were not more likely to discard food. Ninety-seven percent of subjects said they would participate in the program again. Conclusion: Results of this study suggest that the majority of GSFMNP participants did not increase their intakes of fruits and vegetables. Sharing, preserving, and discarding food did not appear to be responsible for this outcome. More research is needed to discover what strategies could increase fruit and vegetable intakes among participants of the GSFMNP.

<p>This thesis described socioeconomic inequalities in fruit and vegetable consumption in Stockholm County.<strong> </strong>A comparative descriptive analysis was carried out with the use of secondary data from the 2006 Stockholm County Public Health Survey. The data was analyzed through cross tabulations that were conducted in SPSS.<strong> </strong>The findings showed that people with high socioeconomic position consumed fruit and vegetables more frequently than those of low socioeconomic position. Differences in fruit and vegetable consumption were found for the three measures of socioeconomic position; education, occupation and income. These differences were pronounced to a larger extent across different education levels compared to levels of occupation and income. Further research is needed to investigate which factors may explain the observed differences.</p>

This thesis described socioeconomic inequalities in fruit and vegetable consumption in Stockholm County. A comparative descriptive analysis was carried out with the use of secondary data from the 2006 Stockholm County Public Health Survey. The data was analyzed through cross tabulations that were conducted in SPSS. The findings showed that people with high socioeconomic position consumed fruit and vegetables more frequently than those of low socioeconomic position. Differences in fruit and vegetable consumption were found for the three measures of socioeconomic position; education, occupation and income. These differences were pronounced to a larger extent across different education levels compared to levels of occupation and income. Further research is needed to investigate which factors may explain the observed differences.

Objective: To examine the influence of farmers' market pricing and accessibility on willingness to shop at farmers' markets, among low-income women. Design: Qualitative interviews using scenarios with quantitative assessment of willingness to shop at farmers' markets given certain pricing and accessibility scenarios. Setting: Eastern North Carolina. Participants: A total of 37 low-income women of childbearing age (18-44 years) receiving family planning services at the health department. Phenomenon of Interest: Willingness to shop at a farmers' market. Analysis: Fisher's exact test was used to examine associations between willingness to shop at farmers' markets by urban/rural residence, race, and employment status. Direct quotations relevant to participants' use of farmers' markets were extracted based on a positive deviance framework. Results: Participants were increasingly willing to shop at the farmers' market when price savings increased and when the market was incrementally closer to their residence. Willingness was highest when there was at least a 20% price savings. Participants seemed to be influenced more by a visual representation of a greater quantity of produce received with the price savings rather than a quantitative representation of the money saved by the reduced price. Conclusions and Implications: Future farmers' market interventions should take into account these consumer level preferences.

Master of Science / Department of Horticulture, Forestry, and Recreation Resources / Candice A. Shoemaker / Professionals in health promotion are starting to look at gardening as a strategy for health behavior change. This popular leisure time activity provides access to physical activity and fresh fruits and vegetables for consumption, two behaviors consistently recommended for optimum physical health. Coupled with a lifestyle low in sedentary behavior these behaviors can offset the health risks of the prevailing trends of overweight and obesity. Spending time outdoors is associated with higher levels of physical activity, while screen based behaviors are associated with unhealthy eating. No studies to date have looked at the health behaviors of gardeners, or the effects it may have on their family’s health behaviors. The purpose of this report is to examine, through descriptive research, the health behaviors of gardening and non-gardening parents and their fourth or fifth grade child. Surveys were administered to a convenience sample of 366 fourth and fifth grade students and their guardians within a school district in Riley County, Kansas. The survey assessed the physical health behaviors mentioned above; comparisons were made according to parental classification of gardener (n=189) or non-gardener (n=177). Significant association was found with gardening classification and adult self-reports of the number of days and amount of time respondents participated in moderate to vigorous physical activity. The median days per week parents reported participation in moderate to vigorous physical activity was 3 for non-gardeners, and 4 for gardeners and was influenced by gender. Eighty-seven percent of gardeners compared to 59.3% of non-gardeners reported meeting the current physical activity recommendation of 150 minutes per week of moderate intensity activity.

University students have low levels of fruit and vegetable consumption (FVC). There is a paucity of research about changing FVC in this population, including the specific use of environmental cues to influence behaviour change. The purpose of this research was to investigate the effect of a cue (a modified plate design and/or plate size) on FVC while exploring explicit cognitions and attitudes in first year undergraduates. Methods: This study utilized an experimental pre-post randomized control group design across six weeks, with two recruitment waves. First year full-time University students living off campus and consuming less than six servings of fruits and vegetables were eligible. Participants (n=39) were randomly assigned to intervention with an 8-inch dinner plate displaying recommended portion sizes, with an 8-inch dinner plate with no design, or a control group. All participants completed a food frequency questionnaire (FFQ), 24-hour food recall (24Hr), demographics, anthropometry and intentions toward FVC, with intervention groups receiving a lesson on Canada’s Food Guide in addition to their plate. Results: Eight out of twelve outcome measures had meaningful time by group effect sizes (ɳ2>0.06). For fruit frequency (per day), the effect was statistically significant (p=0.03). Adherence to plate use varied (design plate: 0.69±2.38 to 4.23±5.55 times per week; plain plate 3.39±7.31 to 12.80±7.89 times per week) but was low in the designed plate condition (average 4 use: 2.46±3.88 times per week). Baseline intention, affective and instrumental attitudes, perceived behavioural control, subjective norms and automaticity did not predict FVC. Conclusion: An environmental cue in the form of a modified dinner plate may significantly influence fruit and vegetable consumption in young adults. Change occurred despite low plate use, which appears to indicate that the role of the plate was more explicit; participants may have become more consciously aware of portion size because of the plate cue. It also appeared, based on effect sizes, that affective attitudes, subjective norms and automaticity may have been influenced. This pilot study established the effect sizes needed to power a larger randomized controlled trial and fully test the impact of the environmental cue. / Graduate / 0573 / 0570 / 0680 / hmrose@uvic.ca

Background: While farmers' markets are a potential strategy to increase access to fruits and vegetables in rural areas, more information is needed regarding use of farmers' markets among rural residents. Thus, this study's purpose was to examine (1) socio-demographic characteristics of participants; (2) barriers and facilitators to farmers' market shopping in southern rural communities; and (3) associations between farmers' market use with fruit and vegetable consumption and body mass index (BMI). Methods. Cross-sectional surveys were conducted with a purposive sample of farmers' market customers and a representative sample of primary household food shoppers in eastern North Carolina (NC) and the Appalachian region of Kentucky (KY). Customers were interviewed using an intercept survey instrument at farmers' markets. Representative samples of primary food shoppers were identified via random digit dial (RDD) cellular phone and landline methods in counties that had at least one farmers' market. All questionnaires assessed socio-demographic characteristics, food shopping patterns, barriers to and facilitators of farmers' market shopping, fruit and vegetable consumption and self-reported height and weight. The main outcome measures were fruit and vegetable consumption and BMI. Descriptive statistics were used to examine socio-demographic characteristics, food shopping patterns, and barriers and facilitators to farmers' market shopping. Linear regression analyses were used to examine associations between farmers' market use with fruit and vegetable consumption and BMI, controlling for age, race, education, and gender. Results: Among farmers' market customers, 44% and 55% (NC and KY customers, respectively) reported shopping at a farmers' market at least weekly, compared to 16% and 18% of NC and KY RDD respondents. Frequently reported barriers to farmers' market shopping were market days and hours, "only come when I need something", extreme weather, and market location. Among the KY farmers' market customers and NC and KY RDD respondents, fruit and vegetable consumption was positively associated with use of farmers' markets. There were no associations between use of farmers' markets and BMI. Conclusions: Fruit and vegetable consumption was associated with farmers' market shopping. Thus, farmers' markets may be a viable method to increase population-level produce consumption.

Researchers in the Psychology Department and the Nutrition, Dietetics, and Food Sciences Department sought to improve elementary school children’s in-school fruit and vegetable (FV) consumption. To achieve this goal, a program that has proven effective in the UK called the Food Dudes (FD) program was implemented in six local schools. Schools were assigned to either experience the traditional FD program (with prize rewards, such as pencil cases and bubbles), a modified version of the FD program (with praise rewards replacing the prize rewards), or no FD program (the control group). Students who consumed a pre-specified amount of FV each day during the intervention earned a reward according to the program’s schedule. Results showed that students in the Prize schools were consuming more FV than students in the Praise schools and the Control schools at follow-up when the intervention had been removed for six months. While the success of the FD program with prize rewards (i.e., incentives) was encouraging, many teachers reported issues with its implementation. An incentive-based intervention may be difficult for schools to implement due to high labor and material costs, especially without outside assistance. Therefore, we aimed to reduce these costs while maintaining the use of incentives. We developed an intervention based on the principles of gamification in which students earned in-game, virtual rewards for meeting their FV consumption goals each day at school. This intervention was rated favorably by teachers and parents and showed significant increases in school-wide and individual FV consumption in two schools in Logan, UT, but long-term increases were not obtained. Improving children’s dietary decisions, namely FV consumption, is an important goal that can positively impact future health. Sustainable, incentive-based interventions, like the school-wide gamification model developed in this project, represent a promising step toward achieving this goal.

No description available.

Recent nutrition reports conclude that changing dietary practices is a strategic way to reduce cancer rates in the United States. Nutrition recommendations to decrease risk of cancer include reducing fat intake to 30% of total calories, increasing fiber consumption to 20-30 g/day, and increasing fruit and vegetable consumption to five servings daily. However, recent studies suggest that fruit and vegetable consumption decreases with educational and income levels within a population, and that blue-collar workers tend to consume 38-40% of total calories as fat. It is possible that national campaign efforts to change dietary practices are not reaching educationally and economically challenged populations. This research identifies the perceptions of blue-collar workers regarding a link between dietary practices and disease prevention. Six focus groups, three of women and three of men were conducted in urban, suburban, and rural Virginia counties. A total of 66 workers participated, and each group was comprised of 8-16 blue-collar workers 35-65 years of age. Most participants were aware of a link between dietary practices and health. A "healthy person" was described as eating low fat foods, fruits and vegetables, and maintaining a healthy weight. Fatty meat consumption, food processing, and chemical treatment of food were perceived as increasing risk for disease. Few participants were aware of a potential link between diet and cancer. Many contributed risk for cancer to factors beyond their control such as heredity, environmental factors, and the influence of the food industry. Those who had experienced a disease, either themselves or through a loved one expressed a greater sense of urgency to modify their eating habits. Most of those attempting dietary modification were addressing health issues relating to cardiovascular disease. The majority reported consuming less than five servings of fruits and vegetables daily, most often as canned or frozen products. Participants reported receiving nutrition education from non-interactive sources, such as television, newspapers, magazines, and radio, and interactive sources such as health professionals and community programs. Those that mentioned interactive sources were more likely to elaborate on specific information learned. Television segments, newsletters, and worksite programs were selected as the most preferred ways to receive nutrition education. When asked what topics would be most helpful in a newsletter series, people requested information regarding heart disease more frequently than cancer. Health benefits of fruit and vegetable consumption, menus, and recipes were also mentioned. The findings suggest that nutrition education efforts concerning cardiovascular disease have penetrated the blue collar population. Community educators need to broaden messages to include current information regarding the potential link between dietary practices and cancer. Furthermore, 35-65 year olds may exhibit more willingness to change dietary habits through nutrition education due to changes in health among themselves or loved ones. / Master of Science