Tracing the Single and Combined Contributions of Home-Grown Supply and Health Literacy on Fruit and Vegetable Consumption: An Empirical Exploration in Rural India
Low fruit and vegetable consumption (FVC) remains a global health challenge. Fostering subsistence agriculture through the production and home-grown consumption (HGC) of fruits and vegetables are seen as potential strategies for improving overall FVC, in particular, for developing countries like Ind...
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doaj-4c379b22ddb14f838f9e8b06222d2fc02021-05-21T05:39:23ZengFrontiers Media S.A.Frontiers in Public Health2296-25652021-05-01910.3389/fpubh.2021.591439591439Tracing the Single and Combined Contributions of Home-Grown Supply and Health Literacy on Fruit and Vegetable Consumption: An Empirical Exploration in Rural IndiaYun-Hsuan Wu0Yun-Hsuan Wu1Spencer Moore2Cameron McRae3Cameron McRae4Laurette Dubé5Laurette Dubé6Department of Public Health, China Medical University, Taichung, TaiwanMcGill Centre for the Convergence of Health and Economics, McGill University, Montreal, QC, CanadaHealth and Society Group, Wageningen University and Research, Wageningen, NetherlandsMcGill Centre for the Convergence of Health and Economics, McGill University, Montreal, QC, CanadaDesautels Faculty of Management, McGill University, Montreal, QC, CanadaMcGill Centre for the Convergence of Health and Economics, McGill University, Montreal, QC, CanadaDesautels Faculty of Management, McGill University, Montreal, QC, CanadaLow fruit and vegetable consumption (FVC) remains a global health challenge. Fostering subsistence agriculture through the production and home-grown consumption (HGC) of fruits and vegetables are seen as potential strategies for improving overall FVC, in particular, for developing countries like India. In addition, educational strategies targeting FVC health literacy are also used. Little evidence has documented a connection between these two strategies. We examine the single and combined influence of HGC and health literacy with regard to benefits from fruits and vegetable consumption. Data were collected from 427 rural households in the state of Odisha, India. Three outcomes were examined: FVC, as well as fruit and vegetables separately. Linear and Poisson regression were used to examine the association among home-grown consumption (HGC), FVC health literacy, and the FVC outcomes. Findings show that HGC, but not FVC health literacy, was directly associated with FVC (β = 0.65, SE = 0.10, p = 0.008) and vegetable consumption (β = 0.57, SE = 0.11, p = 0.02). However, both HGC (β = 0.58, SE = 0.05, p < 0.01) and FVC health literacy (β = −0.07, SE = 0.02, p = 0.001) were associated with fruit consumption. In addition, HGC effect is concentrated among participants who reported low FVC health literacy, especially on overall FVC and vegetables alone. Results are discussed in relation to the beneficial role played by HGC in those particularly vulnerable households who perceived little FVC health literacy. Our results provide insights on novel improved FVC consumption across all population segments. Future research should explore the complex interplay between agricultural policies and educational programs in the design of interventions promoting fruit and vegetable production and consumption.https://www.frontiersin.org/articles/10.3389/fpubh.2021.591439/fullhealth literacyagriculturenutritionfruits and vegetableshome-grown consumption |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yun-Hsuan Wu Yun-Hsuan Wu Spencer Moore Cameron McRae Cameron McRae Laurette Dubé Laurette Dubé |
spellingShingle |
Yun-Hsuan Wu Yun-Hsuan Wu Spencer Moore Cameron McRae Cameron McRae Laurette Dubé Laurette Dubé Tracing the Single and Combined Contributions of Home-Grown Supply and Health Literacy on Fruit and Vegetable Consumption: An Empirical Exploration in Rural India Frontiers in Public Health health literacy agriculture nutrition fruits and vegetables home-grown consumption |
author_facet |
Yun-Hsuan Wu Yun-Hsuan Wu Spencer Moore Cameron McRae Cameron McRae Laurette Dubé Laurette Dubé |
author_sort |
Yun-Hsuan Wu |
title |
Tracing the Single and Combined Contributions of Home-Grown Supply and Health Literacy on Fruit and Vegetable Consumption: An Empirical Exploration in Rural India |
title_short |
Tracing the Single and Combined Contributions of Home-Grown Supply and Health Literacy on Fruit and Vegetable Consumption: An Empirical Exploration in Rural India |
title_full |
Tracing the Single and Combined Contributions of Home-Grown Supply and Health Literacy on Fruit and Vegetable Consumption: An Empirical Exploration in Rural India |
title_fullStr |
Tracing the Single and Combined Contributions of Home-Grown Supply and Health Literacy on Fruit and Vegetable Consumption: An Empirical Exploration in Rural India |
title_full_unstemmed |
Tracing the Single and Combined Contributions of Home-Grown Supply and Health Literacy on Fruit and Vegetable Consumption: An Empirical Exploration in Rural India |
title_sort |
tracing the single and combined contributions of home-grown supply and health literacy on fruit and vegetable consumption: an empirical exploration in rural india |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Public Health |
issn |
2296-2565 |
publishDate |
2021-05-01 |
description |
Low fruit and vegetable consumption (FVC) remains a global health challenge. Fostering subsistence agriculture through the production and home-grown consumption (HGC) of fruits and vegetables are seen as potential strategies for improving overall FVC, in particular, for developing countries like India. In addition, educational strategies targeting FVC health literacy are also used. Little evidence has documented a connection between these two strategies. We examine the single and combined influence of HGC and health literacy with regard to benefits from fruits and vegetable consumption. Data were collected from 427 rural households in the state of Odisha, India. Three outcomes were examined: FVC, as well as fruit and vegetables separately. Linear and Poisson regression were used to examine the association among home-grown consumption (HGC), FVC health literacy, and the FVC outcomes. Findings show that HGC, but not FVC health literacy, was directly associated with FVC (β = 0.65, SE = 0.10, p = 0.008) and vegetable consumption (β = 0.57, SE = 0.11, p = 0.02). However, both HGC (β = 0.58, SE = 0.05, p < 0.01) and FVC health literacy (β = −0.07, SE = 0.02, p = 0.001) were associated with fruit consumption. In addition, HGC effect is concentrated among participants who reported low FVC health literacy, especially on overall FVC and vegetables alone. Results are discussed in relation to the beneficial role played by HGC in those particularly vulnerable households who perceived little FVC health literacy. Our results provide insights on novel improved FVC consumption across all population segments. Future research should explore the complex interplay between agricultural policies and educational programs in the design of interventions promoting fruit and vegetable production and consumption. |
topic |
health literacy agriculture nutrition fruits and vegetables home-grown consumption |
url |
https://www.frontiersin.org/articles/10.3389/fpubh.2021.591439/full |
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