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AJPH First Look, published online ahead of print Dec 4, 2008
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99/2/355    most recent
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February 2009, Vol 99, No. 2 | American Journal of Public Health 355-361
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2007.131367


RESEARCH AND PRACTICE

Changes in Knowledge, Beliefs, and Behaviors Related to Fruit and Vegetable Consumption Among Western Australian Adults from 1995 to 2004

Christina Pollard, MPH, GCertPSectMgt, GDipDiet, Margaret Miller, MAppSci, GDipPAdm, GDipDiet, Richard John Woodman, PhDMed, MMedSci(Sport/Exc), MBiostats, Rosie Meng, MAppE and Colin Binns, MPH, MBBS, FRACGP, FACOM, FAFPHM

At the time of the study, Christina Pollard and Margaret Miller were with the Department of Health, Perth, Australia. Rosie Meng, Colin Binns, and Richard John Woodman were with Curtin University of Technology, Bentley, Australia.

Correspondence: Requests for reprints should be sent to Christina Pollard, Curtin University of Technology, GPO Box U1987, Perth, WA 6845 (e-mail: c.pollard{at}curtin.edu.au).

Objectives. We monitored changes in self-reported knowledge, attitudes, and behaviors regarding fruit and vegetable consumption in Western Australia prior to and after a healthful-eating campaign.

Methods. We obtained telephone survey data from 2854 adults in Perth from Nutrition Monitoring Surveys conducted in 1995, 1998, 2001, and 2004. The "Go for 2&5" fruit and vegetable campaign was implemented from 2002 to 2005.

Results. We observed changes in knowledge, attitudes, and behaviors regarding fruit and vegetable intake. In 2004, respondents were more likely than in 1995 to report 2 servings of fruit (odds ratio [OR] = 3.66; 95% confidence interval [CI] = 2.85, 4.70) and 5 servings of vegetables (OR = 4.50; 95% CI = 3.49, 5.80) per day as optimal. Despite this, vegetable consumption in 2004 was less than in 1995 (rate ratio = 0.88; 95% CI = 0.82, 0.96; P = .003). Perceived adequacy of vegetable (59.3%) or fruit (34.5%) intake and insufficient time for vegetable preparation (14.3%) were the main barriers.

Conclusions. Knowledge of the recommended fruit and vegetable intake increased following the Go for 2&5 campaign. Perceptions of the adequacy of current intake and time scarcity should be considered when designing nutrition interventions.







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