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BMC Public Health
Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

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

Authors: Akilah Dulin, Patricia M. Risica, Jennifer Mello, Rashid Ahmed, Kate B. Carey, Michelle Cardel, Chanelle J. Howe, Sarah Nadimpalli, Kim M. Gans

Published in: BMC Public Health | Issue 1/2018

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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.
Literature
1.
US Department of Health and Human Services, US Department of Agriculture. Dietary guidelines for Americans: 2015 – 2020. 8th ed; 2015.
2.
Moore LV, Thompson FE. Adults meeting fruit and vegetable intake recommendations - United States, 2013. Morb Mortal Wkly Rep. 2015;64(26):709–13.
3.
Stimpson JP, Nash AC, Ju H, Eschbach K. Neighborhood deprivation is associated with lower levels of serum carotenoids among adults participating in the Third National Health and Nutrition Examination Survey. J Am Diet Assoc. 2007;107(11):1895–902.CrossRefPubMed
4.
Nicklett EJ, Szanton S, Sun K, Ferrucci L, Fried LP, Guralnik JM, et al. Neighborhood socioeconomic status is associated with serum carotenoid concentrations in older, community-dwelling women. J Nutr. 2011;141(2):284–9.CrossRefPubMed
5.
Keita AD, Judd SE, Howard VJ, Carson AP, Ard JD, Fernandez JR. Associations of neighborhood area level deprivation with the metabolic syndrome and inflammation among middle- and older- age adults. BMC Public Health. 2014;14:1319.CrossRefPubMedPubMedCentral
6.
Gomez SL, Shariff-Marco S, DeRouen M, Keegan TH, Yen IH, Mujahid M, et al. The impact of neighborhood social and built environment factors across the cancer continuum: current research, methodological considerations, and future directions. Cancer. 2015;121(14):2314–30.CrossRefPubMedPubMedCentral
7.
Ludwig J, Sanbonmatsu L, Gennetian L, Adam E, Duncan GJ, Katz LF, et al. Neighborhoods, obesity, and diabetes--a randomized social experiment. N Engl J Med. 2011;365(16):1509–19.CrossRefPubMedPubMedCentral
8.
Larson NI, Story MT, Nelson MC. Neighborhood environments: disparities in access to healthy foods in the U.S. Am J Prev Med. 2009;36(1):74–81.CrossRefPubMed
9.
Izumi BT, Zenk SN, Schulz AJ, Mentz GB, Wilson C. Associations between neighborhood availability and individual consumption of dark-green and orange vegetables among ethnically diverse adults in Detroit. J Am Diet Assoc. 2011;111(2):274–9.CrossRefPubMedPubMedCentral
10.
Kumanyika S, Taylor WC, Grier SA, Lassiter V, Lancaster KJ, Morssink CB, et al. Community energy balance: a framework for contextualizing cultural influences on high risk of obesity in ethnic minority populations. Prev Med. 2012;55(5):371–81.CrossRefPubMed
11.
Keita AD, Hannon L. Poverty and health: the importance of place in determining their future, vol. 2. Santa Barbara: ABC-CLIO; 2013. p. 105–38.
12.
Camacho-Rivera M, Rosenbaum E, Yama C, Chambers E. Low-income housing rental assistance, perceptions of neighborhood food environment, and dietary patterns among Latino adults: the AHOME study. J Racial Ethn Health Disparities. 2016; Epub ahead of print
13.
Haynes-Maslow L, Parsons SE, Wheeler SB, Leone LA. A qualitative study of perceived barriers to fruit and vegetable consumption among low-income populations, North Carolina, 2011. Prev Chronic Dis. 2013;10:E34.CrossRefPubMedPubMedCentral
14.
Rummo PE, Meyer KA, Boone-Heinonen J, Jacobs DR Jr, Kiefe CI, Lewis CE, et al. Neighborhood availability of convenience stores and diet quality: findings from 20 years of follow-up in the coronary artery risk development in young adults study. Am J Public Health. 2015;105(5):e65–73.CrossRefPubMedPubMedCentral
15.
Dutko P, Ver Ploeg M, Farrigan T. Characteristics and influential factors of food deserts, vol. ERR-140; 2012.
16.
Rose D, Bodor JN, Swalm CM, Rice JC, Farley TA, Hutchinson PL. In: Paper NPCW, editor. Deserts in New Orleans? Illustrations of urban food access and implications for policy; 2009.
17.
Sturm R, Hattori A. Diet and obesity in Los Angeles County 2007-2012: is there a measurable effect of the 2008 “fast-food ban”? Soc Sci Med. 2015;133:205–11.CrossRefPubMedPubMedCentral
18.
Mejia N, Lightstone AS, Basurto-Davila R, Morales DM, Sturm R. Neighborhood food environment, diet, and obesity among Los Angeles County adults, 2011. Prev Chronic Dis. 2015;12:E143.CrossRefPubMedPubMedCentral
19.
Boone-Heinonen J, Diez-Roux AV, Goff DC, Loria CM, Kiefe CI, Popkin BM, et al. The neighborhood energy balance equation: does neighborhood food retail environment + physical activity environment = obesity? The CARDIA study. PLoS One. 2013;8(12):e85141.CrossRefPubMedPubMedCentral
20.
21.
Diez Roux A, Kershaw KN, Lisabeth L. Neighborhoods and cardiovascular risk: beyond individual-level risk factors. Curr Cardiovasc Risk Rep. 2008;2:175–80.CrossRef
22.
Cruwys T, Bevelander KE, Hermans RC. Social modeling of eating: a review of when and why social influence affects food intake and choice. Appetite. 2015;86:3–18.CrossRefPubMed
23.
24.
Mohnen SM, Groenewegen PP, Volker B, Flap H. Neighborhood social capital and individual health. Soc Sci Med. 2011;72(5):660–7.CrossRefPubMed
25.
26.
Ross NA, Tremblay S, Khan S, Crouse D, Tremblay M, Berthelot JM. Body mass index in urban Canada: neighborhood and metropolitan area effects. Am J Public Health. 2007;97(3):500–8.CrossRefPubMedPubMedCentral
27.
Fletcher D, Sarkar M. Psychological resilience: a review and critique of definitions, concepts and theory. Eur Psychol. 2013;18:12–23.CrossRef
28.
Gallo LC, de Los Monteros KE, Shivpuri S. Socioeconomic status and health: What is the role of reserve capacity? Curr Dir Psychol Sci. 2009;18(5):269–74.CrossRefPubMedPubMedCentral
29.
Gallo LC, Ghaed SG, Bracken WS. Emotions and cognitions in coronary heart disease: risk, resilience, and social context. Cogn Ther Res. 2004;28(5):669–94.CrossRef
30.
Nieminen T, Prattala R, Martelin T, Harkanen T, Hyyppa MT, Alanen E, et al. Social capital, health behaviours and health: a population-based associational study. BMC Public Health. 2013;13:613.CrossRefPubMedPubMedCentral
31.
Shaikh AR, Yaroch AL, Nebeling L, Yeh MC, Resnicow K. Psychosocial predictors of fruit and vegetable consumption in adults a review of the literature. Am J Prev Med. 2008;34(6):535–43.CrossRefPubMed
32.
Carroll-Scott A, Gilstad-Hayden K, Rosenthal L, Peters SM, McCaslin C, Joyce R, et al. Disentangling neighborhood contextual associations with child body mass index, diet, and physical activity: the role of built, socioeconomic, and social environments. Soc Sci Med. 2013;95:106–14.CrossRefPubMedPubMedCentral
33.
Lucan SC, Hillier A, Schechter CB, Glanz K. Objective and self-reported factors associated with food-environment perceptions and fruit-and-vegetable consumption: a multilevel analysis. Prev Chronic Dis. 2014;11:E47.CrossRefPubMedPubMedCentral
34.
Lally P, Cooke L, McGowan L, Croker H, Bartle N, Wardle J. Parents’ misperceptions of social norms for pre-school children’s snacking behaviour. Public Health Nutr. 2012;15(9):1678–82.CrossRefPubMed
35.
36.
Ball K, Jeffery RW, Abbott G, McNaughton SA, Crawford D. Is healthy behavior contagious: associations of social norms with physical activity and healthy eating. Int J Behav Nutr Phys Act. 2010;7:86.CrossRefPubMedPubMedCentral
37.
Tamers SL, Okechukwu C, Allen J, Yang M, Stoddard A, Tucker-Seeley R, et al. Are social relationships a healthy influence on obesogenic behaviors among racially/ethnically diverse and socio-economically disadvantaged residents? Prev Med. 2013;56(1):70–4.CrossRefPubMed
38.
Gans KM, Gorham G, Risica P, Dulin Keita A, Dionne L, Gao T, et al. A multi-level intervention in subsidized housing sites to increase fruit and vegetable access and intake: rationale, design and methods of the ‘Live well, Viva Bien’ cluster randomized trial. BMC Public Health. 2016;16:521.CrossRefPubMedPubMedCentral
39.
Subar AF, Thompson FE, Kipnis V, Midthune D, Hurwitz P, McNutt S, et al. Comparative validation of the block, Willett, and National Cancer Institute food frequency questionnaires : the eating at America’s table study. Am J Epidemiol. 2001;154(12):1089–99.CrossRefPubMed
40.
Langenberg P, Ballesteros M, Feldman R, Damron D, Anliker J, Havas S. Psychosocial factors and intervention-associated changes in those factors as correlates of change in fruit and vegetable consumption in the Maryland WIC 5 a day promotion program. Ann Behav Med. 2000;22(4):307–15.CrossRefPubMed
41.
Walker RE, Block J, Kawachi I. The spatial accessibility of fast food restaurants and convenience Stores in Relation to neighborhood schools. Appl Spat Anal Policy. 2014;7(2):169–82.CrossRef
42.
Suglia SF, Shelton RC, Hsia A, Wang YC, Rundle A, Link BG. Why the neighborhood social environment is critical in obesity prevention. J Urban Health. 2016;93(1):206–212.CrossRefPubMedPubMedCentral
43.
Stok FM, de Vet E, de Ridder DT, de Wit JB. The potential of peer social norms to shape food intake in adolescents and young adults: a systematic review of effects and moderators. Health Psychol Rev. 2016;10(3):326–340.CrossRefPubMed
44.
Widener MJ, Metcalf SS, Bar-Yam Y. Developing a mobile produce distribution system for low-income urban residents in food deserts. J Urban Health. 2012;89(5):733–45.CrossRefPubMedPubMedCentral
45.
Evans AE, Jennings R, Smiley AW, Medina JL, Sharma SV, Rutledge R, et al. Introduction of farm stands in low-income communities increases fruit and vegetable among community residents. Health Place. 2012;18(5):1137–43.CrossRefPubMed
46.
Baronberg S, Dunn L, Nonas C, Dannefer R, Sacks R. The impact of New York City’s Health Bucks Program on electronic benefit transfer spending at farmers markets, 2006-2009. Prev Chronic Dis. 2013;10:E163.CrossRefPubMedPubMedCentral
47.
48.
Sorensen G, Stoddard AM, Dubowitz T, Barbeau EM, Bigby J, Emmons KM, et al. The influence of social context on changes in fruit and vegetable consumption: results of the healthy directions studies. Am J Public Health. 2007;97(7):1216–27.CrossRefPubMedPubMedCentral
49.
Robinson E, Otten R, Hermans RC. Descriptive peer norms, self-control and dietary behaviour in young adults. Psychol Health. 2016;31(1):9–20.CrossRefPubMed
Metadata
Title
Examining neighborhood and interpersonal norms and social support on fruit and vegetable intake in low-income communities
Authors
Akilah Dulin
Patricia M. Risica
Jennifer Mello
Rashid Ahmed
Kate B. Carey
Michelle Cardel
Chanelle J. Howe
Sarah Nadimpalli
Kim M. Gans
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-5356-2

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