The Influence of Social Context on Changes in Fruit and Vegetable Consumption: Results of the Healthy Directions Studies

Overview

Journal Am J Public Health

Specialty Public Health

Date 2007 Jun 1

PMID 17538059

Citations 58

Authors

Glorian Sorensen

Anne M Stoddard

Tamara Dubowitz

Elizabeth M Barbeau

JudyAnn Bigby

Karen M Emmons

Lisa F Berkman

Karen E Peterson

Affiliations

Soon will be listed here.

Abstract

As part of the Harvard Cancer Prevention Program Project, we used a social contextual model of health behavior change to test an intervention targeting multiple risk-related behaviors in working-class, multiethnic populations. We examined the relationships between the social contextual factors in our conceptual model and changes in fruit and vegetable consumption from baseline to completion of intervention in health centers and small business studies. We analyzed change in fruit and vegetable consumption, measured at baseline and final assessments by self-report, in 2 randomized controlled prevention trials: 1 in small businesses (n = 974) and 1 in health centers (n = 1954). Stronger social networks, social norms that were more supportive, food sufficiency, and less household crowding were associated with greater change in fruit and vegetable intake. We also observed differences between our intervention sites. Social context can play an important role in promoting changes in fruit and vegetable consumption.

Citing Articles

Challenges and barriers to healthy eating behaviors in the workplace: A pragmatic approach to promoting healthy aging.

Khalafehnilsaz M, Ramezankhani A, Rahnama R J Educ Health Promot. 2024; 13:320.

PMID: 39429825 PMC: 11488778. DOI: 10.4103/jehp.jehp_1132_23.

Health behavior interventions among people with lower socio-economic position: a scoping review of behavior change techniques and effectiveness.

van den Bekerom L, van Gestel L, Schoones J, Bussemaker J, Adriaanse M Health Psychol Behav Med. 2024; 12(1):2365931.

PMID: 38903803 PMC: 11188964. DOI: 10.1080/21642850.2024.2365931.

Healthy immigrant community study protocol: A randomized controlled trial of a social network intervention for cardiovascular risk reduction among Hispanic and Somali adults.

Wieland M, Molina L, Goodson M, Capetillo G, Osman A, Ahmed Y Contemp Clin Trials. 2024; 138:107465.

PMID: 38309526 PMC: 10923143. DOI: 10.1016/j.cct.2024.107465.

Employees' healthy eating and physical activity: the role of colleague encouragement and behaviour.

van der Put A, Ellwardt L BMC Public Health. 2022; 22(1):2004.

PMID: 36319982 PMC: 9628058. DOI: 10.1186/s12889-022-14394-0.

Effect of Nutrition Education on the Vegetable Intake of Residents in Okinawa.

Aniya F, Sakima A, Takakura M, Shirai K, Shimabukuro M, Todoriki H Circ Rep. 2022; 4(3):131-144.

PMID: 35342842 PMC: 8901247. DOI: 10.1253/circrep.CR-21-0152.

References

Prochaska J, DiClemente C . Self change processes, self efficacy and decisional balance across five stages of smoking cessation. Prog Clin Biol Res. 1984; 156:131-40. View

Krieger N, Sidney S . Racial discrimination and blood pressure: the CARDIA Study of young black and white adults. Am J Public Health. 1996; 86(10):1370-8. PMC: 1380646. DOI: 10.2105/ajph.86.10.1370. View

Fung T, Stampfer M, Manson J, Rexrode K, Willett W, Hu F . Prospective study of major dietary patterns and stroke risk in women. Stroke. 2004; 35(9):2014-9. DOI: 10.1161/01.STR.0000135762.89154.92. View

Greene G, Rossi S . Stages of change for reducing dietary fat intake over 18 months. J Am Diet Assoc. 1998; 98(5):529-34; quiz 535-6. DOI: 10.1016/S0002-8223(98)00120-5. View

Stokols D . Translating social ecological theory into guidelines for community health promotion. Am J Health Promot. 1996; 10(4):282-98. DOI: 10.4278/0890-1171-10.4.282. View

Steptoe A, Siegrist J, Kirschbaum C, Marmot M . Effort-reward imbalance, overcommitment, and measures of cortisol and blood pressure over the working day. Psychosom Med. 2004; 66(3):323-9. DOI: 10.1097/01.psy.0000126198.67070.72. View

Joshipura K, Hu F, Manson J, Stampfer M, Rimm E, Speizer F . The effect of fruit and vegetable intake on risk for coronary heart disease. Ann Intern Med. 2001; 134(12):1106-14. DOI: 10.7326/0003-4819-134-12-200106190-00010. View

Wardle J, Parmenter K, Waller J . Nutrition knowledge and food intake. Appetite. 2000; 34(3):269-75. DOI: 10.1006/appe.1999.0311. View

Steptoe A, Perkins-Porras L, Rink E, Hilton S, Cappuccio F . Psychological and social predictors of changes in fruit and vegetable consumption over 12 months following behavioral and nutrition education counseling. Health Psychol. 2004; 23(6):574-81. DOI: 10.1037/0278-6133.23.6.574. View

10.

Hunt M, Stoddard A, Barbeau E, Goldman R, Wallace L, Gutheil C . Cancer prevention for working class, multiethnic populations through small businesses: the healthy directions study. Cancer Causes Control. 2003; 14(8):749-60. DOI: 10.1023/a:1026327525701. View

11.

Daniels N, Kennedy B, Kawachi I . Why justice is good for our health: the social determinants of health inequalities. Daedalus. 2001; 128(4):215-51. View

12.

Patterson B, Block G, Rosenberger W, Pee D, Kahle L . Fruit and vegetables in the American diet: data from the NHANES II survey. Am J Public Health. 1990; 80(12):1443-9. PMC: 1405127. DOI: 10.2105/ajph.80.12.1443. View

13.

Williams D, Yu Y, Jackson J, Anderson N . Racial Differences in Physical and Mental Health: Socio-economic Status, Stress and Discrimination. J Health Psychol. 2011; 2(3):335-51. DOI: 10.1177/135910539700200305. View

14.

Krieger N, Smith K, Naishadham D, Hartman C, Barbeau E . Experiences of discrimination: validity and reliability of a self-report measure for population health research on racism and health. Soc Sci Med. 2005; 61(7):1576-96. DOI: 10.1016/j.socscimed.2005.03.006. View

15.

LLOYD H, Paisley C, Mela D . Barriers to the adoption of reduced-fat diets in a UK population. J Am Diet Assoc. 1995; 95(3):316-22. DOI: 10.1016/s0002-8223(95)00082-8. View

16.

Kristal A, Hedderson M, Patterson R, Neuhouser M, Neuhauser M . Predictors of self-initiated, healthful dietary change. J Am Diet Assoc. 2001; 101(7):762-6. DOI: 10.1016/s0002-8223(01)00191-2. View

17.

Glanz K, KIRSCHT J, Rosenstock I . Linking research and practice in patient education for hypertension: patient responses to four educational interventions. Med Care. 1981; 19(2):141-52. DOI: 10.1097/00005650-198102000-00002. View

18.

Resnicow K, Campbell M, Carr C, McCarty F, Wang T, Periasamy S . Body and soul. A dietary intervention conducted through African-American churches. Am J Prev Med. 2004; 27(2):97-105. DOI: 10.1016/j.amepre.2004.04.009. View

19.

Sorensen G, Barbeau E, Stoddard A, Hunt M, Kaphingst K, Wallace L . Promoting behavior change among working-class, multiethnic workers: results of the healthy directions--small business study. Am J Public Health. 2005; 95(8):1389-95. PMC: 1449371. DOI: 10.2105/AJPH.2004.038745. View

20.

Karasek R, Brisson C, Kawakami N, Houtman I, Bongers P, Amick B . The Job Content Questionnaire (JCQ): an instrument for internationally comparative assessments of psychosocial job characteristics. J Occup Health Psychol. 1998; 3(4):322-55. DOI: 10.1037//1076-8998.3.4.322. View