@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2014;1(2):10-19
ISSN: 2383-2150 Journal of Education and Community Health 2014;1(2):10-19
High School Girl's Adherence to 5-a-Day Serving's Fruits and Vegetables: An Application Theory of Planned Behavior
ARTICLE INFO
Article Type
Original ResearchAuthors
Moeini B. (1)Taheri M. (2*)
Roshanaei Gh. (3)
Vahidinia A.A. (4)
Rostamimoez M. (2)
(1) Social Determinants of Health Research Center and Department of Public Health, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran
(2*) Department of Public Health, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran
(3) Department of Biostatistics and Epidemiology, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran
(4) Department of Biochemistry and Nutrition, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
Correspondence
Article History
Received: November 7, 2014Accepted: December 1, 2014
ePublished: December 10, 2014
ABSTRACT
Aims
One of the basics of healthy eating is 5 servings of fruits and vegetable consumption a day. Given to the importance of recognizing effective factors of consuming fruit and vegetable in girl adolescences, the present study aimed to investigating high school girl's adherence to 5 servings of fruits and vegetables per day in Hamadan based on Theory of Planned Behavior.
Materials & Methods In this descriptive-analytical study, during 2011-2012 400 girls of Hamadan high school students that were selected randomly by two stage cluster sampling method, filled out first questionnaires including demographic variables and Theory of Planned Behavior constructs and BRFSS questionnaire one week later. Data analysis was performed by Chi-square, Pearson Correlation and Linear Regression.
Findings Fruit and vegetable consumption by female students was 3.4 times daily and in demographic variables, family size, mother's education, father's occupation, household income, body mass index, and type of school have significant relationship with fruit and vegetable consumption(P<0.05). Behavior intention was predicted 35% of the variation in daily fruit and vegetable consumption. Also, Subjective norm, perceived behavioral control and attitude were able to predict 32% of intention.
Conclusion Fruit & vegetable consumption in female students was inadequate. The TPB may be a useful framework on which to base a 5-A-Day intervention for female students.
Materials & Methods In this descriptive-analytical study, during 2011-2012 400 girls of Hamadan high school students that were selected randomly by two stage cluster sampling method, filled out first questionnaires including demographic variables and Theory of Planned Behavior constructs and BRFSS questionnaire one week later. Data analysis was performed by Chi-square, Pearson Correlation and Linear Regression.
Findings Fruit and vegetable consumption by female students was 3.4 times daily and in demographic variables, family size, mother's education, father's occupation, household income, body mass index, and type of school have significant relationship with fruit and vegetable consumption(P<0.05). Behavior intention was predicted 35% of the variation in daily fruit and vegetable consumption. Also, Subjective norm, perceived behavioral control and attitude were able to predict 32% of intention.
Conclusion Fruit & vegetable consumption in female students was inadequate. The TPB may be a useful framework on which to base a 5-A-Day intervention for female students.
CITATION LINKS
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[17]Dehdari T, KharghaniMoghadam M, Mansouri T, Saki A. [Survey of daily fruit consumption status among girl stu-dents who are living in dormitories and its predictors based on the theory of planned behavior constructs]. Razi Jour-nal of Medical Sciences.2013; 20(106):10-19. (Persian)
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[21]Kim K, Reicks M, Sjoberg S. Applying the Theory of Planned Behavior to Predict Dairy Product Consumption by Older Adults. J Nutr Educ Behav.2003; 35(6):294-301.
[22]Kamphuis CB, Giskes K, de Bruijn GJ, Wendel-Vos W, Brug J, van Lenthe FJ. Environmental determinants of fruit and vegetable consumption among adults: a systematic review. Br J Nutr.2006; 96(4):620-35.
[23]Shohaimi S, Welch A, Bingham S, Luben R, Day N, Wareham N, et al. Residential area deprivation predicts fruit and vegetable consumption independently of individual educational level and occupational social class: a cross sectional population study in the Norfolk cohort of the European Prospective Investigation into Cancer (EPIC-Norfolk). J Epi-demiol Community Health.2004; 58(8):686-91.
[24]Farvid MS, Rabiee S, Homayoni F, Rashidkhani B, Arian V. [Determinants of fruit and vegetable consumption in type 2 diabetics in Tehran]. Iranian Journal of Endocrinology and Metabolism.2010; 12(2):89-98. (Persian)
[25]Estaquio C, Druesne-Pecollo N, Latino-Martel P, Dauchet L, Hercberg S, Bertrais S. Socioeconomic differences in fruit and vegetable consumption among middle-aged French adults: adherence to the 5 A Day recommendation. J Am Diet Assoc.2008; 108(12):2021-30.
[26]Ishdorj A, Jensen HH, Crepinsek MK. Children’s Consumption of Fruits and Vegetables: Do School Environment and Policies Affect Choices at School and Away from School? Appl Econ Perspect Policy.2013; 35(2):341-59.
[27]Zamanian M, Pakseresht MR, Holakoei-Naeini K, Eshrati B, Rahimi-foroushani A, Ghaderpanahi M. [Determinants of fruit and vegetable consumption among People in the Age Range of 18-70 Years in Arak, Iran]. Journal of School of Public Health and Institute of Public Health Research.2013; 11(1):85-98. (Persian)
[28]Dubois L, Farmer A, Girard M, Burnier D, Porcherie M. Demographic and socio-economic factors related to food intake and adherence to nutritional recommendations in a cohort of pre-school children. Public Health Nutr.2011; 14(6):1096-104.
[29]Godin G, Belanger A, Paradis AM, Vohl MC, Perusse L. A simple method to assess fruit and vegetable intake among obese and non-obese individuals. Can J Public Health.2008; 99(6):494-8.
[30]Bell EA, Rolls BJ. Energy density of foods affects energy intake across multiple levels of fat content in lean and obese women. Am J Clin Nutr.2001; 73(6):1010-8.
[31]Field AE, Gillman MW, Rosner B, Rockett HR, Colditz GA. Association between fruit and vegetable intake and change in body mass index among a large sample of children and adolescents in the United States. Int Journal Obes Relat Metab Disord.2003; 27(7):821-6.
[32]Fishbein M, Middlestadt SE, Hitchcock PJ. Using information to change sexually transmitted disease-related behaviors. In: DiClemente RJ, Peterson JL, editors. Preventing AIDS: Theories and methods of behavioral interventions. 1rd ed. New York: Plenum Press;1994. pp:61-78.
[33]Dibsdall LA, Lambert N, Bobbin RF, Frewer LJ. Low-income consumers’ attitudes and behaviour towards access, availability and motivation to eat fruit and vegetables. Public Health Nutr.2002; 6(2):159-68.
[34]Bogers RP, Brug J, van Assema P, Dagnelie PC. Explaining fruit and vegetable consumption: The theory of planned behavior and misconception op personal intake levels. Appetite.2004; 42(2):157-66.
[35]Bashirian S, Allahverdipour H, Moeini B. Fruit and Vegetable Intakes among Elementary Schools' Pupils: Using Five-A-Day Educational Program. J Res Health Sci.2008; 8(1):56-63.
[36]Hoelscher DM, Evans A, Parcel GS, Kelder SH. Designing effective nutrition interventions for adolescents. J Am Diet Assoc.2002; 102(3):S52-63.
[2]World Health Organization. Global health risks: mortality and burden of disease attributable to selected major risks. WHO web site; 2005 [updated 10 August, 2014; cited 22 November, 2014]; Available from: http://www.who.int/healthinfo/global_burden_disease/GlobalHealthRisks_report_full.pdf
[3]American College Health Association. American College Health Association National College Health Assessment (ACHA-NCHA) Spring 2005 Reference Group Data Report. J Am Coll Health.2006; 55(1):5-16.
[4]Golden BE, James WPT, Ralph A. Adolescence. In: Golden BE, James WPT, Ralph A, editors. Human Nutrition and Dietetics. 10th ed. Churchil & Livingstome;2000.p.460-2-4
[5]Najmabadi S, Nojomi M. [Evaluation of micronutrient intakes (vitamins and minerals) in university students]. Med-ical Sciences Journal of Islamic Azad University, Tehran Medical Branch.2005; 15(4):191-6. (Persian)
[6]de Bruijn GJ. Understanding college students’ fruit consumption: Integrating habit strength in the theory of planned behavior. Appetite.2010; 54(1):16-22.
[7]Brug J, de Vet E, de Nooijer J, Verplanken B. Predicting Fruit Consumption: Cognitions, Intention, and Habits. J Nutr Educ Behav.2006; 38(2):73-81.
[8]Bere E, Veierod MB, Bjelland M, Klepp KI. Outcome and process evaluation of a Norwegian school-randomized fruit and vegetable intervention: Fruits and Vegetables Make the Marks (FVMM). Health Educ Res.2006; 21(2):258-67.
[9]Fila SA, Smith C. Applying the theory of planned behavior to healthy eating behaviors in urban Native American youth. Int J Behav Nutr Phys Act.2006; 3(1):11.
[10]Ajzen I. The theory of planned behavior. Organizational Behavior Human Decision Processes.1991; 50(2):179-211.
[11]Blanchard CM, Fisher J, Sparling PB, Shanks TH, Nehl E, Rhodes RE, et al. 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.
[12]Lein N, Lytle LA, Komro KA. Applying theory of planned behavior to fruit and vegetable consumption of young adolescents. Am J Health Promot.2005; 16(4):189-97.
[13]Amini K, Mojtahedi SY, Mousaiefard M. [Consumption of fruits, vegetables, dairy products and meat among high school students in Zanjan Province, Iran]. Scientific Journal of School of Public Health and Institute of Public Health Re-search.2009; 7(2):25-39. (Persian)
[14]Hazavehei MM, Bahreynian N, Entezari MH, Hasanzadeh A, Pirzadeh A. [Investigating the Knowledge Attitude and Nutritional Practice of Female Middle School Second Graders in Isfahan in 2008]. Journal of Knowledge and Health.2009; 4(3):24-7. (Persian)
[15]Ajzen, I. Sample TPB Questionnaire; University of Massachusetts web site; 2006 [updated 10 August, 2012; cited
[16]Abbasian F, Omidvar N, Bondarianzadeh D, Rashidkhani B, Shakibazadeh E, Hashemi B. [Effect of a School-based Intervention Based on Social Cognitive Theory on Fruit and Vegetable Consumption in Middle School Students in Tehran]. Hayat.2010; 17(4):73-84. (Persian)
[17]Dehdari T, KharghaniMoghadam M, Mansouri T, Saki A. [Survey of daily fruit consumption status among girl stu-dents who are living in dormitories and its predictors based on the theory of planned behavior constructs]. Razi Jour-nal of Medical Sciences.2013; 20(106):10-19. (Persian)
[18]Salehi L, Eftekhar-Ardebili H, Mohammad K, Taghdisi MH, Shogaeizadeh D. [Some factors affecting consumption of Fruit and vegetable by elderly people in Tehran]. Iranian Journal of Ageing.2010; 4(4):34-44. (Persian)
[19]Kothe EJ, Mullan BA, Butow P. Promoting fruit and vegetable consumption: Testing an intervention based on the theory of planned behavior. Appetite.2012; 58(3):997-1004.
[20]Zamanian-Azodi M, Ramezankhani A, Tavassoli E, Gharlipour Z, Motalebi M, Babaei A, et al. [Evaluating the nutri-tional status of dormitory resident students in Shahid Beheshti university of medical science]. Scientific Journal of Ilam University of Medical Sciences.2013; 21(3):109-17. (Persian)
[21]Kim K, Reicks M, Sjoberg S. Applying the Theory of Planned Behavior to Predict Dairy Product Consumption by Older Adults. J Nutr Educ Behav.2003; 35(6):294-301.
[22]Kamphuis CB, Giskes K, de Bruijn GJ, Wendel-Vos W, Brug J, van Lenthe FJ. Environmental determinants of fruit and vegetable consumption among adults: a systematic review. Br J Nutr.2006; 96(4):620-35.
[23]Shohaimi S, Welch A, Bingham S, Luben R, Day N, Wareham N, et al. Residential area deprivation predicts fruit and vegetable consumption independently of individual educational level and occupational social class: a cross sectional population study in the Norfolk cohort of the European Prospective Investigation into Cancer (EPIC-Norfolk). J Epi-demiol Community Health.2004; 58(8):686-91.
[24]Farvid MS, Rabiee S, Homayoni F, Rashidkhani B, Arian V. [Determinants of fruit and vegetable consumption in type 2 diabetics in Tehran]. Iranian Journal of Endocrinology and Metabolism.2010; 12(2):89-98. (Persian)
[25]Estaquio C, Druesne-Pecollo N, Latino-Martel P, Dauchet L, Hercberg S, Bertrais S. Socioeconomic differences in fruit and vegetable consumption among middle-aged French adults: adherence to the 5 A Day recommendation. J Am Diet Assoc.2008; 108(12):2021-30.
[26]Ishdorj A, Jensen HH, Crepinsek MK. Children’s Consumption of Fruits and Vegetables: Do School Environment and Policies Affect Choices at School and Away from School? Appl Econ Perspect Policy.2013; 35(2):341-59.
[27]Zamanian M, Pakseresht MR, Holakoei-Naeini K, Eshrati B, Rahimi-foroushani A, Ghaderpanahi M. [Determinants of fruit and vegetable consumption among People in the Age Range of 18-70 Years in Arak, Iran]. Journal of School of Public Health and Institute of Public Health Research.2013; 11(1):85-98. (Persian)
[28]Dubois L, Farmer A, Girard M, Burnier D, Porcherie M. Demographic and socio-economic factors related to food intake and adherence to nutritional recommendations in a cohort of pre-school children. Public Health Nutr.2011; 14(6):1096-104.
[29]Godin G, Belanger A, Paradis AM, Vohl MC, Perusse L. A simple method to assess fruit and vegetable intake among obese and non-obese individuals. Can J Public Health.2008; 99(6):494-8.
[30]Bell EA, Rolls BJ. Energy density of foods affects energy intake across multiple levels of fat content in lean and obese women. Am J Clin Nutr.2001; 73(6):1010-8.
[31]Field AE, Gillman MW, Rosner B, Rockett HR, Colditz GA. Association between fruit and vegetable intake and change in body mass index among a large sample of children and adolescents in the United States. Int Journal Obes Relat Metab Disord.2003; 27(7):821-6.
[32]Fishbein M, Middlestadt SE, Hitchcock PJ. Using information to change sexually transmitted disease-related behaviors. In: DiClemente RJ, Peterson JL, editors. Preventing AIDS: Theories and methods of behavioral interventions. 1rd ed. New York: Plenum Press;1994. pp:61-78.
[33]Dibsdall LA, Lambert N, Bobbin RF, Frewer LJ. Low-income consumers’ attitudes and behaviour towards access, availability and motivation to eat fruit and vegetables. Public Health Nutr.2002; 6(2):159-68.
[34]Bogers RP, Brug J, van Assema P, Dagnelie PC. Explaining fruit and vegetable consumption: The theory of planned behavior and misconception op personal intake levels. Appetite.2004; 42(2):157-66.
[35]Bashirian S, Allahverdipour H, Moeini B. Fruit and Vegetable Intakes among Elementary Schools' Pupils: Using Five-A-Day Educational Program. J Res Health Sci.2008; 8(1):56-63.
[36]Hoelscher DM, Evans A, Parcel GS, Kelder SH. Designing effective nutrition interventions for adolescents. J Am Diet Assoc.2002; 102(3):S52-63.