Fruit and vegetable consumption across population segments: evidence from a national household survey
Tóm tắt
The 2002 World Health Report documented that low fruit and vegetable intake are among the top ten risk factors contributing to attributable mortality and up to three million lives could be saved each year by adequate consumption of F&V across the globe, leading an examination of behavioral preferences of the individual and family social, environmental, and behavioral factors that constitute perceived barriers to fruit and vegetable consumption. The study examines factors affecting the choice of eating fruits and vegetables by household members and calculates eating frequency probabilities of different population-origin associated with personal attributes and behavior. Turkish Health Survey (THS) 2019 data from the Turkish Statistical Institute (TSI) national representative household panel is applied. Estimating a random-effect bivariate probit model of fruit and vegetable choice, we calculated marginal probabilities of choosing fruits and vegetables, the joint probability of choosing both, and conditional probabilities between choosing to eat either, detecting consumption synergy. The role of uncontrolled variables in choosing to eat fruits and vegetable (F&V) differs between the decision of an average family and the decision of individual family members. The attitude is positive for an average family and contrasts with the negative attitude among some family members. Most individual and family attributes inversely affect fruit and vegetable choice across different groups, while a positive relationship exists between the likelihood of fruit and vegetable choice and attributes such as age, marital status, education, weight, having health insurance, income, and time and forms of physical activity. Instead of a general policy for the implementation of a healthy and balanced nutrition program to improve fruit and vegetable eating frequency, it appears more effective to adopt programs with distinct characteristics that segregate society into different cohorts. We suggest appropriate policies and offer suitable approaches to reach targeted groups.
Tài liệu tham khảo
WHO. The world health report 2003: reducing risks, promoting healthy life: overview. World Health Organization. 2003. https://apps.who.int/iris/handle/10665/67454 (accessed May 2022).
FAO. Promotion of Fruit and Vegetables for Health. Report of the Pacific Regional Workshop, The Food and Agriculture Organization (FAO), 94p, Rome, Italy. 2015. https://www.fao.org/3/i4935e/i4935e.pdf (accessed May 2022).
Bertoia ML, Mukamal KJ, Cahill LE, Hou T, Ludwig DS, Mozaffarian D, et al. Changes in intake of fruits and vegetables and weight change in United States men and women followed for up to 24 years: analysis from three prospective cohort studies. PLoS Med. 2015;12(9):e1001878.
Poirier AE, Ruan Y, Hebert LA, Grevers X, Walter SD, Villeneuve P, et al. JEstimates of the current and future burden of cancer attributable to low fruit and vegetable consumption in Canada. Prev Med. 2019;122:20–30.
Micha R, Shulkin ML, Penalvo JL, Khatibzadeh S, Singh GM, Rao M, et al. Etiologic effects and optimal intakes of foods and nutrients for risk of cardiovascular diseases and diabetes: systematic reviews and meta-analyses from the Nutrition and Chronic Diseases Expert Group (NutriCoDE). PloS One. 2017;12(4):e0175149.
Cavanagh M, Jurkowski J, Bozlak C, Hastings J, Klein A. Veggie Rx: an outcome evaluation of a healthy food incentive programme. Public Health Nutr. 2017;20(14):2636–41.
Richie KA. The Impact of A Fruit and Vegetable Farmers' market Voucher Prescription Program on A Low-Income Rural Population. Theses and Dissertations-Dietetics and Human Nutrition 65. 2019.
Glabska D, Guzek D, Groele B, Gutkowska K. Fruit and vegetable intake and mental health in adults: a systematic review. Nutrients. 2020;12(1):115.
Conner TS, Brookie KL, Carr AC, Mainvil LA, Vissers MC. Let them eat fruit! The effect of fruit and vegetable consumption on psychological well-being in young adults: a randomized controlled trial. PLoS ONE. 2017;12(2):e0171206.
Aune D, Giovannucci E, Boffetta P, Fadnes LT, Keum N, Norat T, et al. Fruit and vegetable intake and the risk of cardiovascular disease, total cancer and all-cause mortality—a systematic review and dose-response meta-analysis of prospective studies. Int J Epidemiol. 2017;46(3):1029–56.
Chai W, Fan JX, Wen M. Association of individual and neighborhood factors with home food availability: evidence from the national health and nutrition examination survey. J Acad Nutr Diet. 2018;118(5):815–23.
Terin M, Birinci A, Bilgiç A, Urak F. Determinants of fresh and frozen fruit and vegetable expenditures in turkish households: a bivariate tobit model approach. J Food Prod Mark. 2018;25(2):137–58.
FAO. The Food and Agriculture Organization (FAO). 2019. https://www.fao.org/faostat/en/#data/FBS (accessed April 2022).
Meram I, Bozkurt AI, Kilincer S, Ozcirpici B, Ozgur S. Vitamin A and beta-carotene levels during pregnancy in Gaziantep, Turkey. Acta Med (Hradec Kralove). 2004;47(3):189–93.
NationMaster: Global Industry Market Sizing. 2022. https://www.nationmaster.com/ (accessed May 2022).
Baykan Z, Öztürk A, Poyrazoğlu S, Gün İ. Awareness, knowledge, and use of folic acid among women: a study from Turkey. Arch Gynecol Obstet. 2011;283(6):1249–53.
Tunçbilek E. Türkiye’deki yüksek nöral tüp defekti sıklığı ve önlemek için yapılabilecekler. Çocuk sağlığı ve hastalıkları dergisi. 2004;47(2):79–84.
Saydam BK, Genc RE, Sarac F, Turfan EC. Prevalence of anemia and related factors among women in Turke. Pak J Med Sci. 2017;33(2):433.
Sun H, Weaver CM. Rise in potassium deficiency in the us population linked to agriculture practices and dietary potassium deficits. J Agric Food Chem. 2020;68(40):11121–7.
AtlasBig.com: Maps and Statistics of the World and Regions. 2022. https://www.atlasbig.com/ (accessed March 2022).
Yalçin A, Keleş H, Kahraman T, Bozkurt M, Aydin H. Protective effects of ellagic acid against chemotherapy-induced hepatotoxicity. Duzce Med J. 2020;22(2):124–30.
Çimke S, Gürkan DY. Determination of interest in vitamin use during COVID-19 pandemic using Google trends data: infodemiology study. Nutrition. 2021;85:111138.
Yang P, Wang H, Li L, Ma Y. Determination and evaluation of bioavailability of vitamins from different multivitamin supplements using a pig model. Agriculture. 2021;11(5):418.
Pressman P, Clemens RA, Hayes AW. Bioavailability of micronutrients obtained from supplements and food: a survey and case study of the polyphenols. Toxicol Res Appl. 2017;1:2397847317696366.
Pudney S. Modelling individual choice: the econometrics of corners, kinks, and holes. Cambridge: Blackwell Publishers. 1989. Available At: https://www.ssc.wisc.edu/~walker/wp/wp-content/uploads/2013/09/pudney89_chapter2.pdf.
Yen ST. A multivariate sample–selection model: estimating cigarette and alcohol demands with zero observations. Am J Agric Econ. 2005;87(2):453–66.
Prais SJ, Houthakker HS. The analysis of family budgets, with an application to two British surveys conducted in 1937–39 and their detailed results. New York: Cambridge University Press; 1955.
Kano S. Like Husband, Like Wife: A Bivariate Dynamic Probit Analysis of Spousal Obesities, mimeo, Osaka Prefecture University. 2008. https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.580.8140&rep=rep1&type=pdf.
Mulkay B. Bivariate Probit Estimation for Panel Data: a two-step Gauss–Hermite Quadrature Approach with an application to product and process innovations for France. UniversitÈ de Montpellier—MRE. Working Paper. 2017. https://mre.edu.umontpellier.fr/files/2018/12/WPMRE20183.pdf.
Powell LM, Zhao Z, Wang Y. Food prices and fruit and vegetable consumption among young American adults. Health Place. 2009;15(4):1064–70.
Yen ST, Tan AKG, Feisul MI. Consumption of fruits and vegetables in Malaysia: profiling the daily and nondaily consumers. Asia Pac J Public Health. 2015;27(2):635–2650.
Choudhury S, Shankar B, Aleksandrowicz L, Tak M, Green R, Harris F, et al. What underlies inadequate and unequal fruit and vegetable consumption in India? An exploratory amalysis. Global Food Secur. 2020;24:100332.
Kabwama SN, Bahendeka SK, Wesonga R, Mutungi G, Guwatudde D. Low consumption of fruits and vegetables among adults in Uganda: findings from a countrywide cross-sectional survey. Archives of Public Health. 2019;77(1):1–8.
Vinther JL, Conklin AI, Wareham NJ, Monsivais P. Marital transitions and associated changes in fruit and vegetable intake: findings from the population-based prospective EPIC-Norfolk cohort, UK. Soc Sci Med. 2016;157:120–6.
Umberson D. Gender, marital status and the social control of health behavior. Soc Sci Med. 1992;34(8):907–17.
Pollard J, Greenwood D, Kirk S, Cade J. Lifestyle factors affecting fruit and vegetable consumption in the UK Women’s Cohort Study. Appetite. 2001;37(1):71–9.
Riediger ND, Moghadasian MH. Patterns of fruit and vegetable consumption and the influence of sex, age, and socio-demographics factors among Canadian elderly. J Am Coll Nutr. 2008;27(2):306–13.
Chong KH, Lee ST, Ng SA, Khouw I, Poh BK. Fruit and vegetable intake patterns and their associations with sociodemographic characteristics, anthropometric status and nutrient intake profiles among Malaysian children aged 1–6 years. Nutrients. 2017;9(8):723.
Craveiro D, Marques S, Zverinova I, Máca V, Ščasný M, Chiabai A, et al. Explaining inequalities in fruit and vegetable intake in Europe: the role of capabilities, opportunities and motivations. Appetite. 2021;165:105283.
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):449–55.
Meng H, Hu W, Chen Z, Shen Y. Fruit and vegetable intake and prostate cancer risk: a meta-analysis. Asia Pac J Clin Oncol. 2014;10(2):133–40.
Tohill BC, Seymour J, Serdula M, Kettel-Khan L, Rolls BJ. What epidemiologic studies tell us about the relationship between fruit and vegetable consumption and body weight. Nutr Rev. 2004;62(10):365–74.
Mohajeri M, Hoojeghani S, Izadi A, Ghahremanzadeh M, Pourfarzi F, Nemati A, et al. Food choice motivations among Ardabil-Iran adults? Nutr Food Sci. 2019;50(4):641–52.
Charlton K, Kowal P, Soriano MM, Williams S, Banks E, Vo K, et al. Fruit and vegetable intake and body mass index in a large sample of middle-aged Australian men and women. Nutrients. 2014;6(6):2305–19.
Marcinkevage J, Auvinen A, Nambuthiri S. Washington state’s fruit and vegetable prescription program: improving affordability of healthy foods for low-income patients. Prev Chronic Dis. 2019;16:180617.
Lim S, Beauchamp A, Dodson S, O’Hara J, McPhee C, Fulton A, et al. Health literacy and fruit and vegetable intake in rural Australia. Public Health Nutr. 2017;20(15):680–2684.
Borelli RC. Sustainability of well-being: Are we really choosing fruit and vegetables for our health? Agric Agric Sci Procedia. 2016;8:419–25.
Ocean N, Howley P, Ensor J. Lettuce be happy: a longitudinal UK study on the relationship between fruit and vegetable consumption and well-being. Soc Sci Med. 2019;222:335–45.
Correaleita ML, Nicolosi A, Cristina S, et al. Dietary and nutritional patterns in an elderly rural population in northern and southern Italy: a cluster analysis of food consumption. Eur J Clin Nutr. 2003;57(14):1514–21.
Dibsdall LA, Lambert N, Bobbin RF, Frewer LJ. Low-income consumers attitudes and behavior towards access, availability and motivation to eat fruit and vegetables. Public Health Nutr. 2003;6(2):159–68.
Choi A, Ha K, Joung H, Song Y. Frequency of consumption of whole fruit, not fruit juice, is associated with reduced prevalence of obesity in Korean adults. J Acad Nutr Diet. 2019;119(11):1842–51.
Mirmiran P, Noori N, Zavareh MB, Azizi F. Fruit and vegetable consumption and risk factors for cardiovascular disease. Metabolism. 2009;58(4):460–8.
Dehghan M, Akhtar-Danesh N, Merchant AT. Factors associated with fruit and vegetable consumption among adults. J Hum Nutr Diet. 2011;24(2):128–34.