Predictors of Stages of Change in Fruit/Vegetable Consumption based on Trans-Theoretical Model: A Population-based Study
Background and Objectives: Low Fruit/Vegetable (FV) diet seems to be a global public health problem. The trans-theoretical stages of change model have long been considered a useful interventional approach in lifestyle modification programs. The aim of this study w...
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Shahid Beheshti University of Medical Sciences
2016-10-01
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doaj-a765d162f6a44151b9fa6efccc3dea182020-11-25T02:36:22ZengShahid Beheshti University of Medical SciencesNutrition and Food Sciences Research2383-04412383-30092016-10-01341321Predictors of Stages of Change in Fruit/Vegetable Consumption based on Trans-Theoretical Model: A Population-based StudyVeda Vakili0Majid Khadem-Rezaiyan1 Assistant Professor of Community Medicine and Public Health Resident of Community Medicine and Public Health, Student Research Committee, Department of Community Medicine and Public Health, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran Background and Objectives: Low Fruit/Vegetable (FV) diet seems to be a global public health problem. The trans-theoretical stages of change model have long been considered a useful interventional approach in lifestyle modification programs. The aim of this study was to find the most important intermediating factors of FV consumption in Mashhad, Iran. Materials and Methods: In this cross-sectional design, 777 participants were included with a convenient method from the general population in public places all around the Mashhad City, Iran in 2014. A standardized checklist about socio-demographic characteristics and possible related factors and stages of change questionnaire (6 stages: pre-contemplation, contemplation, preparing, action, maintenance, and termination) were used for data collection. Data were analyzed by SPSS 11.5 software using Chi-square test, Mann-Whitney U test, and Multiple Logistic Regression. Results: Totally, 254 (47.7%) and 299 (59.8%) of participants were in pre-action stages of FV, respectively. Smoking (OR=3.2, p=0.02) and believing that this is good for the body (OR=0.12, p=0.001) were predictors of the pre-contemplation stage for fruits. Being physically active (OR=2, p=0.008), low agreement with health benefits of vegetables (OR=8, p<0.001) and low agreement with “vegetables make more diet variability” (OR=4, p<0.005) were predictors of pre-contemplation stage for vegetables. Conclusions: Understanding the pros and cons of changing lifestyle can help public health specialists to perform targeted interventions. Keywords: Behavior, Fruit, Vegetable, Trans-Theoretical Model, Urban populationhttp://nfsr.sbmu.ac.ir/browse.php?a_code=A-10-484-1&slc_lang=en&sid=1Behavior Fruit Vegetable Trans-Theoretical Model Urban population |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Veda Vakili Majid Khadem-Rezaiyan |
spellingShingle |
Veda Vakili Majid Khadem-Rezaiyan Predictors of Stages of Change in Fruit/Vegetable Consumption based on Trans-Theoretical Model: A Population-based Study Nutrition and Food Sciences Research Behavior Fruit Vegetable Trans-Theoretical Model Urban population |
author_facet |
Veda Vakili Majid Khadem-Rezaiyan |
author_sort |
Veda Vakili |
title |
Predictors of Stages of Change in Fruit/Vegetable Consumption based on Trans-Theoretical Model: A Population-based Study |
title_short |
Predictors of Stages of Change in Fruit/Vegetable Consumption based on Trans-Theoretical Model: A Population-based Study |
title_full |
Predictors of Stages of Change in Fruit/Vegetable Consumption based on Trans-Theoretical Model: A Population-based Study |
title_fullStr |
Predictors of Stages of Change in Fruit/Vegetable Consumption based on Trans-Theoretical Model: A Population-based Study |
title_full_unstemmed |
Predictors of Stages of Change in Fruit/Vegetable Consumption based on Trans-Theoretical Model: A Population-based Study |
title_sort |
predictors of stages of change in fruit/vegetable consumption based on trans-theoretical model: a population-based study |
publisher |
Shahid Beheshti University of Medical Sciences |
series |
Nutrition and Food Sciences Research |
issn |
2383-0441 2383-3009 |
publishDate |
2016-10-01 |
description |
Background and Objectives: Low Fruit/Vegetable (FV) diet seems to be a global public health problem. The trans-theoretical stages of change model have long been considered a useful interventional approach in lifestyle modification programs. The aim of this study was to find the most important intermediating factors of FV consumption in Mashhad, Iran.
Materials and Methods: In this cross-sectional design, 777 participants were included with a convenient method from the general population in public places all around the Mashhad City, Iran in 2014. A standardized checklist about socio-demographic characteristics and possible related factors and stages of change questionnaire (6 stages: pre-contemplation, contemplation, preparing, action, maintenance, and termination) were used for data collection. Data were analyzed by SPSS 11.5 software using Chi-square test, Mann-Whitney U test, and Multiple Logistic Regression.
Results: Totally, 254 (47.7%) and 299 (59.8%) of participants were in pre-action stages of FV, respectively. Smoking (OR=3.2, p=0.02) and believing that this is good for the body (OR=0.12, p=0.001) were predictors of the pre-contemplation stage for fruits. Being physically active (OR=2, p=0.008), low agreement with health benefits of vegetables (OR=8, p<0.001) and low agreement with “vegetables make more diet variability” (OR=4, p<0.005) were predictors of pre-contemplation stage for vegetables.
Conclusions: Understanding the pros and cons of changing lifestyle can help public health specialists to perform targeted interventions.
Keywords: Behavior, Fruit, Vegetable, Trans-Theoretical Model, Urban population |
topic |
Behavior Fruit Vegetable Trans-Theoretical Model Urban population |
url |
http://nfsr.sbmu.ac.ir/browse.php?a_code=A-10-484-1&slc_lang=en&sid=1 |
work_keys_str_mv |
AT vedavakili predictorsofstagesofchangeinfruitvegetableconsumptionbasedontranstheoreticalmodelapopulationbasedstudy AT majidkhademrezaiyan predictorsofstagesofchangeinfruitvegetableconsumptionbasedontranstheoreticalmodelapopulationbasedstudy |
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