PSYCHOSOCIAL FACTORS AND HEALTH BEHAVIORS ASSOCIATED WITH INADEQUATE FRUIT AND VEGETABLE INTAKE AMONG AMERICAN-INDIAN AND ALASKA-NATIVE ADOLESCENTS

The purpose of the study was to examine fruit and vegetable intake pat terns among American Indian and Alaska Native adolescents and to asses s psychosocial factors and health behaviors related to inadequate cons umption. The study was conducted in nonurban schools from eight Indian Health Service Areas in the U.S.A total sample of 13,354 7th-through 12th-grade American-Indian and Alaska-Native youths Living on or near reservations were given, in classroom settings, a revised version of t he Minnesota Adolescent Health Survey. The health questionnaire assess ed fruit and vegetable consumption patterns and psychosocial variables and health-related behaviors. The results indicated that fruit and ve getable consumption was below the recommended amounts. Less than daily consumption of vegetables was reported by 30% of adolescents and less than daily consumption of fruits was reported by 20% of youths, Psych osocial and health behavior risk associated with inadequate intake inc luded being overweight, low family connectedness, poor school achievem ent, poor perceived health status, and tobacco use. Our study shows th at fruit and vegetable consumption is low among American-Indian and Al aska-Native youths. More attention needs to be placed on developing cu lturally appropriate interventions to promote healthy eating patterns and addressing factors related to inadequate intake.