Examining neighborhood and interpersonal norms and social support on fruit and vegetable intake in low-income communities

BMC Public Health. 2018 Apr 5;18(1):455. doi: 10.1186/s12889-018-5356-2.

Abstract

Background: We examined whether neighborhood-, friend-, and family- norms and social support for consumption and purchase of fruits and vegetables (F&V) were associated with F&V intake among low-income residents in subsidized housing communities. We examined baseline data from a study ancillary to the Live Well/Viva Bien intervention. Participants included 290 residents in four low-income subsidized housing sites who were ≥ 18 years of age, English and/or Spanish speaking, and without medical conditions that prevented consumption of F&V.

Methods: Linear regression models examined associations of norms and social support with F&V intake after adjustments for sociodemographic characteristics.

Results: In the analysis, neighborhood social support for F&V was associated with a 0.31 cup increase in F&V intake (95% CI = 0.05, 0.57). The family norm for eating F&V and family social support for eating F&V were associated with a 0.32 cup (95% CI = 0.13, 0.52) and 0.42 cup (95% CI = 0.19, 0.64) increase in F&V intake, respectively.

Conclusions: To our knowledge, no other studies have examined neighborhood, family, and peer norms and social support simultaneously and in relation to F&V intake. These findings may inform neighborhood interventions and community-level policies to reduce neighborhood disparities in F&V consumption.

Keywords: Behavior; Diet; Neighborhood; Resilience; Social environment.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Diet / statistics & numerical data*
  • Female
  • Fruit*
  • Humans
  • Male
  • Middle Aged
  • Poverty Areas
  • Public Housing
  • Residence Characteristics / statistics & numerical data*
  • Social Norms*
  • Social Support*
  • Vegetables*
  • Young Adult