Volume 5, Issue 2 (September 2018)                   J Educ Community Health 2018, 5(2): 18-25 | Back to browse issues page

DOI: 10.21859/jech.5.2.18

XML Persian Abstract Print

1- Social Determinants of Health Research Center, Kurdestan University of Medical Sciences, Sanandaj, Iran.
2- Kurdestan University of Medical Sciences, Sanandaj, Iran.
3- Kurdestan University of Medical Sciences, Sanandaj, Iran. , shararehb79@gmail.com
Abstract:   (3531 Views)
Background and Objective: Adolescence is one of the most important periods of life, in which the lifestyle is formed and established. On the other hand, the use of appropriate amounts of fruits and vegetables in daily diet is one of the important strategies for preventing illness and promoting health, especially during adolescence. This study was conducted with the aim of investigating barriers and strategies of fruit and vegetable consumption in high school students.
Participants and Methods: This qualitative study was conducted, using a semi-structured questionnaire in a focused group discussion among high school students (male and female) in Snandaj in 2017. The participants included 20 females and 16 males, who participated in 4 group discussions in the high schools. All group discussions were recorded, analyzed, and categorized immediately after completion. Due to the similarity of the propositions extracted from the group discussions with the Pen-3 pattern, this model was used for analysis.
Results: The concepts extracted based on the model were categorized in six sections including positive and negative perceptions, positive and negative enablers, and positive and negative amplifiers. Some of the findings of the present study were low nutritional knowledge, beliefs and values, the impact of peers, the role of parents, the media, and access.
Conclusion: Adolescent barriers to the consumption of fruits and vegetables are not merely dependent on the person themselves and are influenced by external factors. Therefore, in designing interventions to improve the consumption of fruits and vegetables, all effective factors should be addressed.
Persian Full-Text [PDF 219 kb]   (855 Downloads)    
Type of Study: Research Article | Subject: Nutritional Behaviors
Received: 2018/05/28 | Accepted: 2018/09/18

1. Ilderabadi E. Text book of community health nursing. 1st Edition. Tehran: Jameeh Negar; 2006. [Persian]
2. Rolfes SR, , Whitney EN. Life span nutrition. Belmont: West/Wades worth; 1998. P. 294
3. Hatami H, Razavi M, Eftekhar Ardabili H, Majlesi F, Seyed Nozadi M, Parizadeh MJ. Textbook of public health. 3rd Volume. 2nd Edition. Tehran: Arjmand; 2008. pp. 1823-4. [Persian]
4. Hosseini S, Jafari Verjoshani N, Salmani Hajiagha N, Rohani M. Public health nursing. Tehran: Jameeh Negar; 2009. [Persian]
5. Behnoudi Z. Principles of community health 1. 1st Edition. Tehran: Boshra; 2007. pp. 21-37. [Persian]
6. Jadid Milani M, Soheyl Arshadi F, Asadi Noghabi AA. Textbook of community health nursing. 4th Edition. Tehran: Andisheh Rafie; 2008. pp. 226-67. [Persian]
7. Hatami H, Razavi M, Eftekhar Ardabili H, Majlesi F, Seyed Nozadi M, Parizadeh MJ. Textbook of public health. 1st Volume. 2nd Edition. Tehran: Arjmand; 2008. p. 184. [Persian]
8. Van Duyn MA, Pivonka E. Overview of the health benefits of fruit and vegetable consumption for the dietetics professional: Selected literature. J Am Diet Assoc. 2000;100(12):1511-21. DOI: 10.1016/S0002-8223(00)00420-X
9. Liu RH. Health-promoting components of fruits and vegetables in the diet. Adv Nutr. 2013;4(3):384S-92. PMID: 23674808 DOI: 10.3945/an.112.003517
10. Reiss R, Johnston J, Tucker K, De Sesso JM, Keen CL. Estimation of cancer risks and benefits associated with a potential increased consumption of fruits and vegetables. Food Chem Toxicol. 2012;50(12):4421-7. PMID: 22981907 DOI: 10.1016/j.fct.2012.08.055
11. Mirmiran P, Nouri N, Beheshti Zavareh M, Azizi F. Fruit and vegetable consumption and risk factors for cardiovascular disease. Iran J Diabetes Lipid Disord. 2007;6(4):377-88. [Persian]
12. Namakin K, Moasheri N, Khosravi S. Studying Birjand girls' secondary school students' nutritional pattern. Mod Care J. 2012;9(3):264-72. [Persian]
13. Por Mehr Yabandeh A, Nejatizadeh AA, Hamayeli Mehrabani H, Dabiri F, Kamjoo A, Shahi A, et al. Assessment of nutritional status, dietary habits and physical activity of adolescents in Bandar Abbas, Iran. Hormozgan Med J. 2014;17(6):455-63. [Persian]
14. Moeini B, Taheri M, Roshanaei Gh, Vahidinia AA, Rostamimoez M. High school girl's adherence to 5-a-day serving's fruits and vegetables: An application theory of planned behavior. J Educ Community Health. 2014;1(2):10-9. [Persian] DOI: 10.20286/jech-010210
15. Granner ML, Sargent RG, Calderon KS, Hussey JR, Evans AE, Watkins KW. Factors of fruit and vegetable intake by race, gender, and age among young adolescents. J Nutr Educ Behav. 2004;36(4):173-80. DOI: 10.1016/S1499-4046(06)60231-5
16. Webber CB, Sobal J, Dollahite JS. Shopping for fruits and vegetables, food and retail qualities of importance to low-income households at the grocery store. Appetite. 2010;54(2):297-303. PMID: 19961886 DOI: 10.1016/j.appet.2009.11.015
17. Reicks M, Smith C, Henry H, Reimer K, Atwell J, Thomas R. Use of the think aloud method to examine fruit and vegetable purchasing behaviors among low-income African American women. J Nutr Educ Behav. 2003;35(3):154-60. DOI: 10.1016/S1499-4046(06)60200-5
18. Zenk SN, Odoms-Young AM, Dallas C, Hardy E, Watkins A, Hoskins-Wroten J, et al. “You have to hunt for the fruits, the vegetables”: Environmental barriers and adaptive strategies to acquire food in a low-income African American neighborhood. Health Educ Behav. 2011;38(3):282-92. PMID: 21511955 DOI: 10.1177/1090198110372877
19. Hendrickson D, Smith C, Eikenberry N. Fruit and vegetable access in four low-income food deserts communities in Minnesota. Agric Hum Values. 2006;23(3):371-83. DOI: 10.1007/s10460-006-9002-8
20. Lucan SC, Barg FK, Karasz A, Palmer CS, Long JA. Perceived influences on diet among urban, low-income African Americans. Am J Health Behav. 2012;36(5):700-10. PMID: 22584097 DOI: 10.5993/AJHB.36.5.12
21. Smith C, Morton LW. Rural food deserts: Low-income perspectives on food access in Minnesota and Iowa. J Nutr Educ Behav. 2009;41(3):176-87. PMID: 19411051 DOI: 10.1016/j.jneb.2008.06.008
22. Heshmati H, Khajavi S, Alizadehsiuki H. An investigation of the perceived barriers of fruit and vegetable consumption among female high school students in Gochan. J Torbat Heydariyeh Univ Med Sci. 2014;1(4):67-77. [Persian]
23. Middaugh AL, Fisk PS, Brunt A, Rhee YS. Few associations between income and fruit and vegetable consumption. J Nutr Educ Behav. 2012;44(3):196-203. PMID: 22445812 DOI: 10.1016/j.jneb.2011.10.003
24. Nago ES, Verstraeten R, Lachat CK, Dossa RA, Kolsteren PW. Food safety is a key determinant of fruit and vegetable consumption in urban Beninese adolescents. J Nutr Educ Behav. 2012;44(6):548-55. PMID: 22113106 DOI: 10.1016/j.jneb.2011.06.006
25. Tavassoli E, Reisi M, Javadzade H, Mazaheri M, Gharli Pour Z, Ghasemi S, et al. The effect of the health belief model-based education & improvement of consumption of fruits and vegetables: An interventional study. J Health Field. 2013;1(2):29-35. [Persian]
26. Yeh MC, Ickes SB, Lowenstein LM, Shuval K, Ammerman AS, Farris R, et al. Understanding barriers and facilitators of fruit and vegetable consumption among a diverse multi-ethnic population in the USA. Health Promot Int. 2008;23(1):42-51. PMID: 18182418 DOI: 10.1093/heapro/dam044
27. Amiri P, Ghofranipour F, Ahmadi F, Hooman HA, Hossinpanah F, Jalali Farahani S. Personal barriers to life style modification in overweight/obese adolescents: A qualitative study. Iran J Endocrinol Metab. 2010;11(5):521-9. [Persian]
28. Mohseni M, Bahadoran P, Abedi H. The quality of postpartum care from mothers’ viewpoint. Hakim Health Syst Res J. 2009;12(1):27-34. [Persian]
29. Chemuru NR, Srinivas SC. Application of the PEN-3 cultural model in assessing factors affecting adolescent pregnancies in Rural Eastern Cape, South Africa. Int J Reprod Fertil Sex Health. 2015;S1(1):1-8. DOI: 10.19070/2377-1887-SI01001
30. Didarlo A, Shojaee zade D, Mohamadian H. Planning health promotion based on behavioral change models. Tehran: Sobhan; 2009. [Persian]
31. Jalalinia Sh, Ramezani Tehrani F, Baradaran Eftekhari M, Malek Afzali H, Peykari N. Qualitative study of adolescences opinion among nutritional habits and believes. Med Sci J Islam Azad Univ. 2011;20(4):258-64. [Persian]
32. Hazavehei MM, Pirzade A, Entezari MH, Hasanzadeh A, Bahraynian N. Investigating the knowledge, attitude and nutritional practice of female middle school second graders in Isfahan in 2008. Knowl Health. 2009;4(3):24-7. [Persian]
33. Azadbakht L, Mirmiran P, Moemenan AA, Azizi F. Evaluation of knowledge, attitude and practice of secondary and high school students in district-13 of Tehran about healthy diet. Iran J Endocrinol Metab. 2004;5(Suppl 4):409-16. [Persian]