218156 State Indicator Report on Fruits and Vegetables, 2009: Development, Overview, and Evaluation

Tuesday, November 9, 2010 : 4:30 PM - 4:45 PM

Kirsten A. Grimm, MPH , Division of Nutrition, Physical Activity, and Obesity, Centers for Disease Control and Prevention, Atlanta, GA
Heidi M. Blanck, PhD , Division of Nutrition, Physical Activity, and Obesity, Centers for Disease Control and Prevention, Atlanta, GA
Sonia Ann Kim, PhD , Division of Nutrition, Physical Activity, and Obesity, Centers for Disease Control and Prevention, Atlanta, GA
Latetia V. Moore, PhD , Division of Nutrition, Physical Activity, and Obesity, Centers for Disease Control and Prevention, Atlanta, GA
Demia Wright, MPH , Division of Nutrition, Physical Activity, and Obesity, Centers for Disease Control and Prevention, Atlanta, GA
Background. Fruits and vegetables (F&V) are important for optimal growth, weight management, and chronic disease prevention. Despite benefits, F&V consumption is low among Americans. To compile current data on F&V consumption and policy and environmental support, we created the State Indicator Report on Fruits and Vegetables.

Methodology. The behavioral indicators for F&V consumption were derived from Healthy People 2010, with data from CDC-supported surveillance systems. State-level policy and environmental indicators, from multiple data sources, measure the ability to support the consumption of F&V through availability of healthier food retail, healthier foods in schools, and food system supports. For inclusion, data had to be measurable, comparable, and available across states. State public health practitioners provided input on content. National and state specific data are provided.

Results. The report was launched on CDC's website in September 2009, highlighted through media, and accompanied by a National Action Guide that provided recommendations for action and implementation resources. Results on a national level showed that 14.0% of adults and 9.5% of adolescents met both F&V intake recommendations; 28.0% of census tracts lacked adequate access to healthier food retailers, 8 states had healthier food retail policies, 7.6% of farmers markets accepted debit cards; 20.9% of middle and high schools offered F&V as competitive foods, 21 states had farm-to-school policies; and 20 states had food policy councils. Analysis of 1st quarter website activity found 11,533 webpage views, 1,313 Report, and 726 National Action Guide downloads. State partners used the Report to fill surveillance gaps, inform stakeholders, and advocate for policy and environmental change. All national- and state-level data estimates will be summarized along with complete year 1 evaluation results.

Discussion. Periodic publication of the indicator report will allow states to monitor consumption and support for F&V, identify improvement opportunities within environmental, policy, and systems approaches, and portray progress and success.

Learning Areas:
Advocacy for health and health education
Public health or related public policy

Learning Objectives:
1. Describe the proportion of adults and adolescents meeting recommendations for fruit and vegetable consumption, as derived from Healthy People 2010 objectives. 2. Identify national and state level policy and environmental supports for consumption of fruit and vegetables. 3. Discuss the utility of the State Indicator Report on Fruits and Vegetables, 2009 as a surveillance tool for states.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am a co-author of the State Indicator Report and work in nutrition surveillance with a focus on individual fruit and vegetable consumption along with policy and environmental approaches.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.