Promoters and Barriers to Fruit and Vegetable 11.4.08
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Author: Sean Lucan
![Promoters & barriers to fruit & vegetable (F&V), & fast food (FF) consumption in urban, low-income, African Americans Sean C. Lucan, MD, MPH 1,2,3 , Frances K. Barg, PhD, Med 2,4 , Judith A Long, MD 1,3,5 1 Robert Wood Johnson Clinical Scholars Program, University of Pennsylvania, Philadelphia, PA 2 Department of Family Medicine and Community Health, University of Pennsylvania, Philadelphia, PA 3 Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA 4 Department of Anthropology, University of Pennsylvania, Philadelphia, PA 5 Veterans Affairs Center for Health Equity Research and Promotion (CHERP), Philadelphia, PA ,[object Object],[object Object],[object Object],[object Object],Background ,[object Object],[object Object],[object Object],[object Object],[object Object],Abstract Design: interview study in West Philadelphia Neighborhood: 98% AA, avg. income $22K, 20% ≤ FPL Inclusion: ≥18 yrs, African American, live in Philadelphia Sampling: purposive; equal men/women, younger/older (33 of 40 planned interviews completed - subgroups about equal) Partners: school program and neighborhood church Incentive: $15 Visa gift card Interviews: ~30 minutes, at school, at evening events Data: audio-recorded interviews, verbatim transcripts Questions: free-lists + semi-structured questions free-lists: tell me all the reasons you can think of that make it likely/unlikely for you to have fruits/vegetables/fast foods ( reasons likely = promoters, reasons unlikely = barriers) Analysis: saliencies (each item's importance based on item frequency, rankings, and lengths of lists) and consensus (solidarity around a single construct based on inter-item clustering) calculated using Anthropac 4.983 software Methods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Implications Saliency SALIENCY - most important terms Raw List: bad flavor cost ----- ----- ----- price ----- taste gross ----- ----- ----- ----- ----- ----- ----- bitter ----- expensive Items Cleaned: Taste Cost *** *** *** Cost *** Taste *** *** *** *** *** *** *** Taste *** Cost A Free-list Process: Example - unlikely to have vegetables CONSENSUS - whether terms cluster as a single construct Promoters VEGETABLES* Barriers VEGETABLES 35 unique items (mean 3.9 items/list) 31 unique items (mean 2.9 items/list) Promoters FRUIT** Barriers FRUIT 31 unique items (mean 2.6 items/list) 35 unique items (mean 4.2 items/list) Barriers VEGETABLES* Promoters FAST FOOD* Barriers FAST FOOD* 42 unique items (mean 3.6 items/list) 34 unique items (mean 3.9 items/list) GENERALLY IMPORTANT IDEAS: Men: hunger, having food on hand, friends and family Women: treating self, cheating on diet, weight concerns Older: nutrition, body function, prep. knowledge Younger: cravings, skin health, monotony EVERYONE: taste, health, cost, convenience ,[object Object],[object Object],[object Object],Next Steps ,[object Object],[object Object],[object Object],Interviewer Software Objectives Listed below: salient items for promoters and barriers in descending order of saliency with listed frequency . (** = consensus, * = borderline consensus) Results Conclusions HEALTH / NUTRITION 24 TASTE / FLAVOR 14 VITAMINS / MINERALS 12 PREFERENCES 10 COST / FINANCES 9 AVAILABILITY / CONVENIENCE 9 TASTE / FLAVOR 5 FRESHNESS 6 IF OUT / ORDERING OUT 5 HEALTH / NUTRITION 28 TASTE / FLAVOR 22 VITAMINS / MINERALS 15 PREFERENCE 9 FIBER / BOWEL FUNCTION 7 COST / FINANCES 9 AVAILABILITY / CONVENIENCE 8 HAVING AT HOME / ON HAND 6 TASTE / FLAVOR 6 FRESHNESS 8 CRAVING / MOOD 5 PREFERENCE 4 ALLERGIES / SENSITIVITY 3 VARIETY / KINDS 3 HEALTH / NUTRITION 22 WEIGHT CONCERN 13 COST / FINANCES 13 TASTE / FLAVOR 16 AVAILABILITY / CONVENIENCE 13 TIME / SCHEDULE 13 CRAVING / MOOD 11 EASE / TIME IN PREPARATION 9 LAZY / DON’T WANT TO COOK 7 COST / FINANCES 8 PREFERENCE 6 WEEK-END 4 IF OUT / ORDERING OUT 6](https://image.slidesharecdn.com/lucansean-promotersandbarrierstofruitandvegetable-11-4-08-100819091415-phpapp01/85/promoters-and-barriers-to-fruit-and-vegetable-11408-1-320.jpg)
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Notes de l'éditeur
- Hi Sean, This looks good. Consensus should probably not be pluralized. And I only need one MEd ************************************** Frances K. Barg, PhD Assistant Professor Department of Anthropology Hello all, Attached, you should find the poster templates for use at the National Meeting. There is one for VA scholars and one for Penn scholars. Lissy Madden at LDI will coordinating the printing of our posters. In order to insure that your poster is ready by Friday, November 14th (the Friday before you leave for the meeting) you must send your poster to Lissy by Monday, November 3rd . Lissy's e-mail address is [email_address] . These templates should be used for the CSP National Meeting only. If you need to print a poster for another meeting, you should use the LDI poster template found on the LDI website at http://www.upenn.edu/ldi/research.html . The template link is about halfway down the page. Please let me know if you have any questions. Thanks, Mark -- -- Mark Garcia Christie Program Coordinator Robert Wood Johnson Clinical Scholars Program University of Pennsylvania 1310 Blockley Hall 423 Guardian Drive Philadelphia, PA 19104 215-573-9359 Fax: 215-573-2742 [email_address]