Food Insecurity Moderates Association Between Perceived Fresh Fruit and Vegetable Access and Vegetable Intake in the Rural Southern US
Main Article Content
Abstract
Objective. Assess associations between perceived fresh fruit and vegetable access and obtaining fresh fruit and vegetables from various food sources with meeting national recommendations for fruit and vegetable intakes and BMI, and whether associations differ by food insecurity.
Methods. Secondary data analysis of a cross-sectional survey evaluating a health equity initiative among 1,474 respondents in 6 rural Georgia counties. Logistic regressions assessed associations between perceived fresh fruit and vegetable access and fresh fruit and vegetable sources with meeting/not meeting fruit and vegetable recommendations and BMI, and interactions with food insecurity.
Results. Respondents who obtained fresh fruit and vegetables at small local grocery stores, farmer’s markets, and community/home gardens had twice the odds of meeting national vegetable recommendations. Food secure adults with greater perceived fresh fruit and vegetable access had 1.5 times the odds of meeting national vegetable recommendations.
Conclusions and Implications. Results highlight perceived access inequities for food insecure adults and the importance of food sources for vegetable consumption in the rural South.
Article Details
How to Cite
ANTONACCI, Cerra C. et al.
Food Insecurity Moderates Association Between Perceived Fresh Fruit and Vegetable Access and Vegetable Intake in the Rural Southern US.
Medical Research Archives, [S.l.], v. 11, n. 5, may 2023.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/3823>. Date accessed: 26 apr. 2024.
doi: https://doi.org/10.18103/mra.v11i5.3823.
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
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4. Fulton S, Décarie-Spain L, Fioramonti X, Guiard B, Nakajima S. The menace of obesity to depression and anxiety prevalence. Trends Endocrinol Metab. 2022;33(1):18-35. doi:10.1016/j.tem.2021.10.005
5. Powell-Wiley TM, Poirier P, Burke LE, et al. Obesity and Cardiovascular Disease: A Scientific Statement From the American Heart Association. Circulation. 2021;143(21). doi:10.1161/CIR.0000000000000973
6. Hammond RA, Levine R. The economic impact of obesity in the United States. Diabetes Metab Syndr Obes Targets Ther. 2010;3:285-295. doi:10.2147/DMSOTT.S7384
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8. Heo M, Kim RS, Wylie-Rosett J, Allison DB, Heymsfield SB, Faith MS. Inverse Association between Fruit and Vegetable Intake and BMI even after Controlling for Demographic, Socioeconomic and Lifestyle Factors. Obes Facts. 2011;4(6):449-455. doi:10.1159/000335279
9. Aljadani HM, Patterson A, Sibbritt D, Hutchesson MJ, Jensen ME, Collins CE. Diet Quality, Measured by Fruit and Vegetable Intake, Predicts Weight Change in Young Women. J Obes. 2013;2013:1-10. doi:10.1155/2013/525161
10. Wang T, Heianza Y, Sun D, et al. Improving fruit and vegetable intake attenuates the genetic association with long-term weight gain. Am J Clin Nutr. 2019;110(3):759-768. doi:10.1093/ajcn/nqz136
11. Dreher ML, Ford NA. A Comprehensive Critical Assessment of Increased Fruit and Vegetable Intake on Weight Loss in Women. Nutrients. 2020;12(7):1919. doi:10.3390/nu12071919
12. Lee-Kwan SH, Moore LV, Blanck HM, Harris DM, Galuska D. Disparities in State-Specific Adult Fruit and Vegetable Consumption — United States, 2015. MMWR Morb Mortal Wkly Rep. 2017;66(45):1241-1247. doi:10.15585/mmwr.mm6645a1
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14. Caspi CE, Sorensen G, Subramanian SV, Kawachi I. The local food environment and diet: A systematic review. Health Place. 2012;18(5):1172-1187. doi:10.1016/j.healthplace.2012.05.006
15. Lim N, Majid M. Perceived Food Environment and Nutrition-Based Behavioural Outcomes: A Systematic Review. Paper presented at: 14th International Congress of Asian Planning Schools Association; Nov 2017; Beijing, China.
16. Yamaguchi M, Praditsorn P, Purnamasari SD, et al. Measures of Perceived Neighborhood Food Environments and Dietary Habits: A Systematic Review of Methods and Associations. Nutrients. 2022;14(9):1788. doi:10.3390/nu14091788
17. Turner G, Green R, Alae-Carew C, Dangour AD. The association of dimensions of fruit and vegetable access in the retail food environment with consumption; a systematic review. Glob Food Secur. 2021;29:100528. doi:10.1016/j.gfs.2021.100528
18. Swinburn B, Egger G, Raza F. Dissecting Obesogenic Environments: The Development and Application of a Framework for Identifying and Prioritizing Environmental Interventions for Obesity. Prev Med. 1999;29(6):563-570. doi:10.1006/pmed.1999.0585
19. Aggarwal A, Cook AJ, Jiao J, et al. Access to Supermarkets and Fruit and Vegetable Consumption. Am J Public Health. 2014;104(5):917-923. doi:10.2105/AJPH.2013.301763
20. Dubowitz T, Zenk SN, Ghosh-Dastidar B, et al. Healthy food access for urban food desert residents: examination of the food environment, food purchasing practices, diet and BMI. Public Health Nutr. 2015;18(12):2220-2230. doi:10.1017/S1368980014002742
21. Green SH, Glanz K. Development of the Perceived Nutrition Environment Measures Survey. Am J Prev Med. 2015;49(1):50-61. doi:10.1016/j.amepre.2015.02.004
22. Pitt E, Gallegos D, Comans T, Cameron C, Thornton L. Exploring the influence of local food environments on food behaviours: a systematic review of qualitative literature. Public Health Nutr. 2017;20(13):2393-2405. doi:10.1017/S1368980017001069
23. Dhakal CK, Khadka S. Heterogeneities in Consumer Diet Quality and Health Outcomes of Consumers by Store Choice and Income. Nutrients. 2021;13(4):1046. doi:10.3390/nu13041046
24. Jilcott Pitts SB, Wu Q, McGuirt JT, Crawford TW, Keyserling TC, Ammerman AS. Associations between access to farmers’ markets and supermarkets, shopping patterns, fruit and vegetable consumption and health indicators among women of reproductive age in eastern North Carolina, USA. Public Health Nutr. 2013;16(11):1944-1952. doi:10.1017/S1368980013001389
25. Vaughan CA, Collins R, Ghosh-Dastidar M, Beckman R, Dubowitz T. Does where you shop or who you are predict what you eat?: The role of stores and individual characteristics in dietary intake. Prev Med. 2017;100:10-16. doi:10.1016/j.ypmed.2017.03.015
26. Spees CK, Clark JE, Hooker NH, Watowicz RP, Taylor CA. Dietary Intake Contributions of Food and Beverages by Source and Food Security Status in US Adults. J Nutr Educ Behav. 2017;49(8):667-673.e1. doi:10.1016/j.jneb.2017.01.009
27. Porter CM. What gardens grow: Outcomes from home and community gardens supported by community-based food justice organizations. J Agric Food Syst Community Dev. 2018;8(Suppl 1):187-205. doi:10.5304/jafscd.2018.08A.002
28. Kegler MC, Prakash R, Hermstad A, Williamson D, Anderson K, Haardörfer R. Home gardening and associations with fruit and vegetable intake and BMI. Public Health Nutr. 2020;23(18):3417-3422. doi:10.1017/S1368980020001329
29. Hume C, Grieger JA, Kalamkarian A, D’Onise K, Smithers LG. Community gardens and their effects on diet, health, psychosocial and community outcomes: a systematic review. BMC Public Health. 2022;22(1):1247. doi:10.1186/s12889-022-13591-1
30. Drisdelle C, Kestens Y, Hamelin AM, Mercille G. Disparities in Access to Healthy Diets: How Food Security and Food Shopping Behaviors Relate to Fruit and Vegetable Intake. J Acad Nutr Diet. 2020;120(11):1847-1858. doi:10.1016/j.jand.2020.03.020
31. Liu Y, Zhang Y, Remley DT, Eicher-Miller HA. Frequency of Food Pantry Use Is Associated with Diet Quality among Indiana Food Pantry Clients. J Acad Nutr Diet. 2019;119(10):1703-1712. doi:10.1016/j.jand.2019.02.015
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