1
|
Atorkey P, Paul C, Wiggers J, Bonevski B, Mitchell A, Tzelepis F. Intention to change multiple health risk behaviors and predictors of behavior change in vocational education students. J Am Coll Health 2022:1-9. [PMID: 35549632 DOI: 10.1080/07448481.2022.2068960] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Revised: 03/24/2022] [Accepted: 04/18/2022] [Indexed: 06/15/2023]
Abstract
Objective: No studies have examined vocational education students' intention to change multiple health risk behaviors and whether baseline characteristics predict behavior change. Participants: Paticipants were vocational education students in New South Wales, Australia. Methods: Students in the no-intervention control arm of a cluster randomized controlled trial completed an online survey at baseline and 6 months later. Results: Of 450 participants (83.3%) who reported multiple health risk behaviors at baseline, one-third (33.1%) intended to change at least two risk behaviors within 6 months. Participants experiencing symptoms of anxiety [OR = 7.43, 95% CIs 1.26-43.87; p = 0.03] and who intended to change three to four risk behaviors [OR = 23.30, 95% CIs 4.01-135.40; p = 0.001] rather than one behavior had significantly greater odds of changing at least one behavior in 6 months. Conclusions: Interventions could support vocational education students to change behaviors they wish to as well as motivate them to address other risk behaviors.
Collapse
Affiliation(s)
- Prince Atorkey
- School of Medicine and Public Health, The University of Newcastle, Callaghan, Australia
- Hunter New England Population Health, Hunter New England Local Health District, Wallsend, Australia
- Hunter Medical Research Institute, Kookaburra Circuit, New Lambton Heights, Australia
- Priority Research Centre for Health Behavior, College of Health, Medicine and Wellbeing, The University of Newcastle, Callaghan, Australia
| | - Christine Paul
- School of Medicine and Public Health, The University of Newcastle, Callaghan, Australia
- Hunter Medical Research Institute, Kookaburra Circuit, New Lambton Heights, Australia
| | - John Wiggers
- School of Medicine and Public Health, The University of Newcastle, Callaghan, Australia
- Hunter New England Population Health, Hunter New England Local Health District, Wallsend, Australia
- Hunter Medical Research Institute, Kookaburra Circuit, New Lambton Heights, Australia
- Priority Research Centre for Health Behavior, College of Health, Medicine and Wellbeing, The University of Newcastle, Callaghan, Australia
| | - Billie Bonevski
- School of Medicine and Public Health, The University of Newcastle, Callaghan, Australia
- Hunter Medical Research Institute, Kookaburra Circuit, New Lambton Heights, Australia
| | - Aimee Mitchell
- School of Medicine and Public Health, The University of Newcastle, Callaghan, Australia
- Hunter Medical Research Institute, Kookaburra Circuit, New Lambton Heights, Australia
| | - Flora Tzelepis
- School of Medicine and Public Health, The University of Newcastle, Callaghan, Australia
- Hunter New England Population Health, Hunter New England Local Health District, Wallsend, Australia
- Hunter Medical Research Institute, Kookaburra Circuit, New Lambton Heights, Australia
- Priority Research Centre for Health Behavior, College of Health, Medicine and Wellbeing, The University of Newcastle, Callaghan, Australia
| |
Collapse
|
2
|
Mørk T, Lähteenmäki L, Grunert KG. Determinants of intention to reduce salt intake and willingness to purchase salt-reduced food products: Evidence from a web survey. Appetite 2019; 139:110-118. [PMID: 31034859 DOI: 10.1016/j.appet.2019.04.018] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2018] [Revised: 03/26/2019] [Accepted: 04/26/2019] [Indexed: 10/26/2022]
Abstract
To study consumers' intention to reduce their dietary salt intake and willingness to purchase salt-reduced food products, as well as the determinants of these, this research relies on data collected through a web survey of 1030 participants in Denmark. The majority of respondents (66.8%) express no intentions to change their dietary salt intake, but 12.6% indicate such intentions, and 20.6% claim to have already implemented a change. Willingness to purchase salt-reduced food products is high but varies across product categories, ranging from 52% for olives to 72% for meat spreads. Personal and social norms reveal the strongest influences on intention to change dietary habits, whereas personal norms, knowledge, and awareness of health consequences exert the strongest influences on willingness to purchase salt-reduced food products. These results suggest that most consumers are willing to purchase salt-reduced food products, even without having a salt reduction goal. These results are relevant for stakeholders and policy makers, as evidence of how consumers respond to salt-reduced food products and their intention to lower their dietary salt intake.
Collapse
Affiliation(s)
- Trine Mørk
- MAPP Centre, Aarhus University, Fuglesangsalle 4, 8210, Aarhus V., Denmark.
| | - Liisa Lähteenmäki
- MAPP Centre, Aarhus University, Fuglesangsalle 4, 8210, Aarhus V., Denmark
| | - Klaus G Grunert
- MAPP Centre, Aarhus University, Fuglesangsalle 4, 8210, Aarhus V., Denmark
| |
Collapse
|
3
|
Díaz-Garcés FA, Vargas-Matos I, Bernabé-Ortiz A, Diez-Canseco F, Trujillo AJ, Miranda JJ. Factors associated with consumption of fruits and vegetables among Community Kitchens customers in Lima, Peru. Prev Med Rep 2016; 4:469-73. [PMID: 27617194 PMCID: PMC5011180 DOI: 10.1016/j.pmedr.2016.08.016] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2016] [Revised: 08/15/2016] [Accepted: 08/24/2016] [Indexed: 11/17/2022] Open
Abstract
Community Kitchens (CKs) are one of the main food providers to low-income families in Peru and may encourage healthier diets. We aimed to determine the prevalence of fruit and vegetable consumption and associated sociodemographic and behavioral factors among CKs customers. A cross-sectional study enrolling customers of 48 CKs in two areas of Lima, Peru, was performed. The self-reported amount of fruits and vegetables consumed (< 5 vs. ≥ 5 servings/day) was the outcome. The exposures were grouped in sociodemographic variables (i.e. age, gender, education level, etc.), and self-reported intention to change eating- and exercise-related habits in the last four weeks just prior to the interview. Prevalence ratios (PR) were estimated using Poisson regression. Data from 422 subjects were analyzed, 328 females (77.9%), mean age 43.7 (± 14.5) years. Only 36 (8.5%; 95% CI 5.9%–11.2%) customers reported consuming ≥ 5 servings of fruits and vegetables daily. This pattern was 4-fold more likely among those with higher levels of education (≥ 12 vs. < 7 years), and 64% less common for migrants relative to non-migrants. In terms of intentions to change habits, those who reported having tried to reduce sugar consumption or to eat more fruits were up to 90% more likely to meet the ≥ 5 servings/day target. A substantial gap in the consumption of ≥ 5 servings of fruits and vegetables/day was found among CKs customers that does not appear to be dependent on familial income. The profiles reported in this study can inform appropriate strategies to increase healthier eating in this population. Only 10% of CKs clients consumed recommended amount of fruits and vegetables. The gap in fruits and vegetables consumption is not dependent of familial income. Better educated participants were more likely to report healthy eating habits. Strategies to increase fruits/vegetables consumption in this population are needed.
Collapse
Affiliation(s)
| | - Iván Vargas-Matos
- School of Medicine, Universidad Peruana de Ciencias Aplicadas - UPC, Lima, Peru
| | - Antonio Bernabé-Ortiz
- School of Medicine, Universidad Peruana de Ciencias Aplicadas - UPC, Lima, Peru; CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Francisco Diez-Canseco
- CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Antonio J Trujillo
- Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MA, USA
| | - J Jaime Miranda
- CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru; Department of Medicine, School of Medicine, Universidad Peruana Cayetano Heredia, Lima, Peru
| |
Collapse
|
4
|
Cook AS, O'Leary F, Chey T, Bauman A, Allman-Farinelli M. Prevalence of and intention to change dietary and physical activity health risk behaviours. Appetite 2013; 71:150-7. [PMID: 23962404 DOI: 10.1016/j.appet.2013.07.016] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2013] [Revised: 07/13/2013] [Accepted: 07/28/2013] [Indexed: 11/29/2022]
Abstract
Poor nutrition and insufficient physical activity contribute to high rates of obesity. Prevalence, intention to change and co-occurrence of four health risk behaviours (inadequate fruit and vegetables, excessive dietary fat, excessive sugary beverages and inadequate physical activity in comparison to public health recommendations) were investigated in an Australian population of working adults. Participants (n=105) completed sociodemographic and stage of change questionnaires. A subsample (n=40) were assessed twice to estimate test-retest repeatability. In the full sample, 73% were female, mean age was 33.8 years and mean BMI was 23.8 kg/m(2). Eighty-seven percent of participants consumed inadequate fruit and vegetables, 43% had excessive dietary fat, 42% had excessive sugary beverages and 29% had inadequate physical activity. The proportions intending to change each behaviour were 57%, 25%, 18% and 24%, respectively. Two-thirds exhibited multiple risk behaviours and 38% intended to change multiple risk behaviours. Fruit and vegetables and dietary fat were the most commonly paired risk behaviours (39%) and the pair most intended to change (19%). Occurrence of multiple risk behaviours was associated with being male (OR 3.10, 95% CI 1.06-9.03) or overweight/obese (OR 2.66, 95% CI 1.02-6.93). Targeting two risk behaviours, particularly fruit and vegetables and dietary fat, may be appropriate when designing health promotion programs in working populations.
Collapse
Affiliation(s)
- Amelia S Cook
- Department of Nutrition & Metabolism, School of Molecular Bioscience, The University of Sydney, Camperdown, Australia; The University of Sydney, Room 453, Molecular Bioscience Building GO8, Camperdown 2006, Australia.
| | | | | | | | | |
Collapse
|