S. Havas et al., FACTORS ASSOCIATED WITH FRUIT AND VEGETABLE CONSUMPTION AMONG WOMEN PARTICIPATING IN WIC, Journal of the American Dietetic Association, 98(10), 1998, pp. 1141-1148
Objective The purpose of this analysis was to assess to what extent so
ciodemographic and psychosocial characteristics predict consumption of
fruits and vegetables in women served by the Special Supplemental Nut
rition Program for Women, Infants, and Children (WIC). Design Baseline
survey data were analyzed for women enrolled in the Maryland WIC 5 A
Day promotion Program, a study sponsored by the National Cancer Instit
ute. Sociodemographic variables included age, race, education, marital
status, working status, pregnancy status, and smoking status. Psychos
ocial variables included self-efficacy, knowledge, attitudes, social s
upport, and perceived barriers to consuming 5 or more servings daily o
f fruits and vegetables. Subjects/setting Analyses are based on 3,122
women enrolled at 15 WIC sites in Baltimore and 6 counties in Maryland
. Statistical analyses performed Because psychosocial characteristics
were measured on different scales and varied in dispersion, we standar
dized scores for these variables. Multiple regression analyses were th
en performed to assess contributions of the sociodemographic variables
and the standardized psychosocial variable scores to the variance in
consumption of fruits and vegetables. Results Sociodemographic variabl
es were not powerful predictors of fruit and vegetable consumption. In
contrast, an increase of 1 standard deviation in self-efficacy result
ed in a mean increase of 0.76 servings, and an increase of 1 standard
deviation in perceived barriers resulted in a decrease of 0.50 serving
s. About 21% of the variance in consumption was explained by all of th
e variables examined. Applications Dietitians and intervention program
s should focus on increasing clients' self-efficacy, positive attitude
s, and knowledge relating to fruits and vegetables while trying to red
uce perceived barriers to consumption of fruits and vegetables.