Individual and community-level determinants of fruit and vegetable consumption in nine former Soviet Union countries

Goryakin, Yevgeniy, Rocco, Lorenzo, Suhrcke, Marc, Roberts, Bayard and McKee, Martin (2015) Individual and community-level determinants of fruit and vegetable consumption in nine former Soviet Union countries. Public Health Nutrition, 18 (15). pp. 2825-2835. ISSN 1368-9800

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Abstract

Objective: To explain patterns of fruit and vegetable consumption in nine former Soviet Union countries by exploring the influence of a range of individual- and community-level determinants. Design: Cross-sectional nationally representative surveys and area profiles were undertaken in 2010 in nine countries of the former Soviet Union as part of the Health in Times of Transition (HITT) study. Individual- and area-level determinants were analysed, taking into account potential confounding at the individual and area level. Setting: Armenia, Azerbaijan, Belarus, Georgia, Kazakhstan, Kyrgyzstan, Moldova, Russia and Ukraine. Subjects: Adult survey respondents (n 17 998) aged 18–95 years. Results: Being male, increasing age, lack of education and lack of financial resources were associated with lower probability of consuming adequate amounts of fruit or vegetables. Daily fruit or vegetable consumption was positively correlated with the number of shops selling fruit and vegetables (for women) and with the number of convenience stores (for men). Billboard advertising of snacks and sweet drinks was negatively related to daily fruit or vegetable consumption, although the reverse was true for billboards advertising soft drinks. Men living near a fast-food outlet had a lower probability of fruit or vegetable consumption, while the opposite was true for the number of local food restaurants. Conclusions: Overall fruit and vegetable consumption in the former Soviet Union is inadequate, particularly among lower socio-economic groups. Both individual- and community-level factors play a role in explaining inadequate nutrition and thus provide potential entry points for policy interventions, while the nuanced influence of community factors informs the agenda for future research.

Item Type:	Article
Additional Information:	Copyright © The Authors 2015 This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/3.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Uncontrolled Keywords:	nutrition,ruit and vegetable consumption,socio-economic determinants
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Groups > Health Economics Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023)
Depositing User:	Pure Connector
Date Deposited:	23 Oct 2015 15:00
Last Modified:	20 Oct 2022 21:34
URI:	https://ueaeprints.uea.ac.uk/id/eprint/54799
DOI:	10.1017/S1368980015000105

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