267915 Increasing Vegetable Purchasing and Consumption Among African American Women

Monday, October 29, 2012

Khanh N. Nghiem, MS , Department of Psychology, University of Florida, Gainesville, FL
Allysha C. Robinson, MPH , Bloomberg School of Public Health, Dept. of Health, Behavior, Society, Johns Hopkins University, Baltimore, MD
Carolyn M. Tucker, PhD , Department of Psychology, University of Florida, Gainesville, FL
Whitney Wall, MPH , University of Florida, Gainesville, FL
Julia Roncoroni, BA , Department of Psychology, University of Florida, Gainesville, FL
Jackeline Sanchez, MS , Department of Psychology, University of Florida, Gainesville, FL
Fatimat Shotande, BS , Department of Psychology, University of Florida, Gainesville, FL
Miten Patel, BS , College of Public Health and Health Professions, University of Florida, Gainesville, FL
Increasing vegetable and fruit consumption can reduce body mass index (Appel, 2003). African American women eat fewer vegetables and fruits compared to other groups (Artinian, 2006). This study examines whether a church-partnered health promotion program was effective in increasing purchasing and consumption of vegetables among African American women. Participants were African American women church members (N=100) who were overweight or obese and/or had hypertension. Participants were randomly selected to receive a stipend to purchase vegetables. Additionally, participants enrolled in the program learned about healthy cooking and eating, engaged in physical activity, and received individualized health coaching. Participants completed a Food Shopping Practices and Consumption questionnaire, which assessed their self-reported levels of purchasing and consuming vegetables. Paired samples t-tests conducted for baseline and posttest times indicated that those enrolled in the program showed increased purchasing, t(1,57)=-3.140, p<0.01 and consumption of vegetables, t(1,57)=-3.684, p<0.01. For those who were not enrolled in the program, there were no significant differences in increase of purchasing, t(1,41)=-1.732, p=0.09 and consumption of vegetables, t(1,41)=-1.511, p=.138. These results suggest that health interventions must tailor health education to participants by incorporating goal-setting and opportunities to practice cooking healthy vegetable dishes. Vegetable stipends in conjunction with health education can increase vegetable consumption by reducing financial barriers for low-income individuals. These findings highlight the economic barrier that often prevents individuals from engaging in healthy dietary behavior, and have important implications for future health promotion interventions designed to increase access to healthy and affordable foods among underserved populations of all ages.

Learning Areas:
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
1. Discuss ways to tailor health education and reduce financial barriers for low-income communities to increase vegetable purchasing and consumption.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I served on Dr. Carolyn M. Tucker's Behavioral Medicine Research Team for nearly three years. As such, I assisted in coordinating. implementing, and evaluating the community-based research project that will be presented as both an undergraduate research assistant and as an Associate Director of Research.
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.