Association Between Food Availability and Young People's Fruits and Vegetables Consumption: Understanding the Mediation Role of the Theory of Planned Behaviour

Overview

Journal Public Health Nutr

Publisher Cambridge University Press

Date 2020 May 27

PMID 32450936

Citations 4

Authors

May Oo Lwin

Shelly Malik

Jerrald Lau

Affiliations

Soon will be listed here.

Abstract

Objective: To evaluate the relationship between fruits and vegetables (F&V) availability at home and young people's F&V consumption behaviour, and how the theory of planned behaviour (TPB) constructs could potentially mediate the relationship.

Design: Cross-sectional face-to-face survey questionnaire to assess the TPB constructs and home food availability assessed using open inventories method. F&V availability was categorised into low and high levels based on median split.

Setting: Singapore.

Participants: Two hundred and ten households (each consisting one parent-child pair) recruited via stratified cluster sampling with child participants ranging from 9 to 16 years of age.

Results: Mediation analyses were conducted using structural equation modelling. The relationship between home F&V availability and F&V consumption behaviour did not have a significant direct association, but there were significant indirect effects through the routes of perceived behavioural control (PBC) and intention as well as attitude and intention. Specifically, higher level of F&V availability at home was related to more positive PBC and attitude towards F&V, and subsequently greater intention to consume F&V and higher consumption of F&V.

Conclusions: Parents should make F&V more readily available at home as increased exposure to F&V could be related to enhanced liking, sense of control and intention to consume F&V and facilitate children's healthy diet.

Citing Articles

Perceived influences of fruit and vegetable consumption among Indian adolescents - A qualitative inquiry.

Rathi N, Worsley A, Bruening M BMC Public Health. 2025; 25(1):271.

PMID: 39844068 PMC: 11753150. DOI: 10.1186/s12889-025-21408-0.

Food insecurity among consumers from rural areas in Romania.

Pastiu C, Maican S, Dobra I, Muntean A, Hategan C Front Nutr. 2024; 10:1345729.

PMID: 38288066 PMC: 10823014. DOI: 10.3389/fnut.2023.1345729.

Household Food Insecurity Negatively Impacts Diet Diversity in the Vietnamese Mekong Delta: A Cross-Sectional Study.

Vuong T, Dang C, Jagals P, Toze S, Gallegos D, Gatton M Asia Pac J Public Health. 2023; 35(4):276-283.

PMID: 37070630 PMC: 10262329. DOI: 10.1177/10105395231166544.

An internet-based educational intervention for mothers targeting preschoolers' weight management promotion (PWMP): a pilot study.

Ghofranipour F, Zarghani N, Mohammadi E, Mehrizi A, Tavousi M, De Craemer M BMC Public Health. 2022; 22(1):2220.

PMID: 36447163 PMC: 9707417. DOI: 10.1186/s12889-022-14543-5.

Perspectives on Fruit and Vegetable Consumption and Government Dietary Guidelines: Content Analysis of Comments on News Websites.

Hornsby B, Ensaff H J Med Internet Res. 2021; 23(8):e19917.

PMID: 34420913 PMC: 8414297. DOI: 10.2196/19917.

References

Reinaerts E, de Nooijer J, De Vries N . Parental versus child reporting of fruit and vegetable consumption. Int J Behav Nutr Phys Act. 2007; 4:33. PMC: 2018700. DOI: 10.1186/1479-5868-4-33. View

Blanchard C, Fisher J, Sparling P, Shanks T, Nehl E, Rhodes R . Understanding adherence to 5 servings of fruits and vegetables per day: a theory of planned behavior perspective. J Nutr Educ Behav. 2009; 41(1):3-10. PMC: 8190952. DOI: 10.1016/j.jneb.2007.12.006. View

Reinaerts E, de Nooijer J, Candel M, de Vries N . Explaining school children's fruit and vegetable consumption: the contributions of availability, accessibility, exposure, parental consumption and habit in addition to psychosocial factors. Appetite. 2006; 48(2):248-58. DOI: 10.1016/j.appet.2006.09.007. View

Emanuel A, McCully S, Gallagher K, Updegraff J . Theory of Planned Behavior explains gender difference in fruit and vegetable consumption. Appetite. 2012; 59(3):693-7. PMC: 3490048. DOI: 10.1016/j.appet.2012.08.007. View

Tohill B, Seymour J, Serdula M, Kettel-Khan L, Rolls B . What epidemiologic studies tell us about the relationship between fruit and vegetable consumption and body weight. Nutr Rev. 2004; 62(10):365-74. DOI: 10.1111/j.1753-4887.2004.tb00007.x. View

Tak N, Te Velde S, de Vries J, Brug J . Parent and child reports of fruit and vegetable intakes and related family environmental factors show low levels of agreement. J Hum Nutr Diet. 2006; 19(4):275-85. DOI: 10.1111/j.1365-277X.2006.00702.x. View

Riebl S, Estabrooks P, Dunsmore J, Savla J, Frisard M, Dietrich A . A systematic literature review and meta-analysis: The Theory of Planned Behavior's application to understand and predict nutrition-related behaviors in youth. Eat Behav. 2015; 18:160-78. DOI: 10.1016/j.eatbeh.2015.05.016. View

Trapp G, Hickling S, Christian H, Bull F, Timperio A, Boruff B . Individual, Social, and Environmental Correlates of Healthy and Unhealthy Eating. Health Educ Behav. 2015; 42(6):759-68. DOI: 10.1177/1090198115578750. View

Cooke L, Wardle J, Gibson E . Relationship between parental report of food neophobia and everyday food consumption in 2-6-year-old children. Appetite. 2003; 41(2):205-6. DOI: 10.1016/s0195-6663(03)00048-5. View

10.

Painter J, Borba C, Hynes M, Mays D, Glanz K . The use of theory in health behavior research from 2000 to 2005: a systematic review. Ann Behav Med. 2008; 35(3):358-62. DOI: 10.1007/s12160-008-9042-y. View

11.

Kothe E, Mullan B, Butow P . Promoting fruit and vegetable consumption. Testing an intervention based on the theory of planned behaviour. Appetite. 2012; 58(3):997-1004. DOI: 10.1016/j.appet.2012.02.012. View

12.

Gebremariam M, Vaque-Crusellas C, Andersen L, Stok F, Stelmach-Mardas M, Brug J . Measurement of availability and accessibility of food among youth: a systematic review of methodological studies. Int J Behav Nutr Phys Act. 2017; 14(1):22. PMC: 5309994. DOI: 10.1186/s12966-017-0477-z. View

13.

van Assema P, Glanz K, Martens M, Brug J . Differences between parents' and adolescents' perceptions of family food rules and availability. J Nutr Educ Behav. 2007; 39(2):84-9. DOI: 10.1016/j.jneb.2006.08.031. View

14.

Guillaumie L, Godin G, Vezina-Im L . Psychosocial determinants of fruit and vegetable intake in adult population: a systematic review. Int J Behav Nutr Phys Act. 2010; 7:12. PMC: 2831029. DOI: 10.1186/1479-5868-7-12. View

15.

Masalu J, Astrom A . Predicting Intended and Self-perceived Sugar Restriction among Tanzanian Students using the Theory of Planned Behavior. J Health Psychol. 2011; 6(4):435-45. DOI: 10.1177/135910530100600406. View

16.

Giskes K, Van Lenthe F, Kamphuis C, Huisman M, Brug J, Mackenbach J . Household and food shopping environments: do they play a role in socioeconomic inequalities in fruit and vegetable consumption? A multilevel study among Dutch adults. J Epidemiol Community Health. 2008; 63(2):113-20. DOI: 10.1136/jech.2008.078352. View

17.

Preacher K, Hayes A . Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods. 2008; 40(3):879-91. DOI: 10.3758/brm.40.3.879. View

18.

Edwards J, Hartwell H . Fruit and vegetables--attitudes and knowledge of primary school children. J Hum Nutr Diet. 2002; 15(5):365-74. DOI: 10.1046/j.1365-277x.2002.00386.x. View

19.

Webb T, Joseph J, Yardley L, Michie S . Using the internet to promote health behavior change: a systematic review and meta-analysis of the impact of theoretical basis, use of behavior change techniques, and mode of delivery on efficacy. J Med Internet Res. 2010; 12(1):e4. PMC: 2836773. DOI: 10.2196/jmir.1376. View

20.

Pinard C, Yaroch A, Hart M, Serrano E, McFerren M, Estabrooks P . Measures of the home environment related to childhood obesity: a systematic review. Public Health Nutr. 2011; 15(1):97-109. DOI: 10.1017/S1368980011002059. View