Understanding barriers to fruit and vegetable intake in the Australian Longitudinal Study of Indigenous Children: a mixed-methods approach

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dc.contributor.authorThurber, Katherine
dc.contributor.authorBanwell, Cathy
dc.contributor.authorNeeman, Teresa
dc.contributor.authorDobbins, Timothy
dc.contributor.authorPescud, Melanie
dc.contributor.authorLovett, Raymond
dc.contributor.authorBanks, Emily
dc.date.accessioned2021-10-11T04:07:46Z
dc.date.available2021-10-11T04:07:46Z
dc.date.issued2017
dc.date.updated2020-11-23T11:24:50Z
dc.description.abstractTo identify barriers to fruit and vegetable intake for Indigenous Australian children and quantify factors related to these barriers, to help understand why children do not meet recommendations for fruit and vegetable intake. We examined factors related to carer-reported barriers using multilevel Poisson models (robust variance); a key informant focus group guided our interpretation of findings. Eleven diverse sites across Australia. Australian Indigenous children and their carers (N 1230) participating in the Longitudinal Study of Indigenous Children. Almost half (45 %; n 555/1230) of carers reported barriers to their children’s fruit and vegetable intake. Dislike of fruit and vegetables was the most common barrier, reported by 32·9 % of carers; however, we identified few factors associated with dislike. Carers were more than ten times less likely to report barriers to accessing fruit and vegetables if they lived large cities v. very remote areas. Within urban and inner regional areas, child and carer well-being, financial security, suitable housing and community cohesion promoted access to fruit and vegetables. In this national Indigenous Australian sample, almost half of carers faced barriers to providing their children with a healthy diet. Both remote/outer regional carers and disadvantaged urban/inner regional carers faced problems accessing fruit and vegetables for their children. Where vegetables were accessible, children’s dislike was a substantial barrier. Nutrition promotion must address the broader family, community, environmental and cultural contexts that impact nutrition, and should draw on the strengths of Indigenous families and communities.en_AU
dc.description.sponsorshipThis work was supported by the Australian National University (K.A.T., University Research Scholarship); the National Health and Medical Research Council of Australia (E.B., grant number 1042717), (R.L., grant 1088366), (M.P., grant number 9100001 – The Australian Prevention Partnership Centre).en_AU
dc.format.mimetypeapplication/pdfen_AU
dc.identifier.issn1368-9800en_AU
dc.identifier.urihttp://hdl.handle.net/1885/250612
dc.language.isoen_AUen_AU
dc.provenanceThis is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons. org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.en_AU
dc.publisherCABI Publishingen_AU
dc.relationhttp://purl.org/au-research/grants/nhmrc/1042717en_AU
dc.relationhttp://purl.org/au-research/grants/nhmrc/1088366en_AU
dc.relationhttp://purl.org/au-research/grants/nhmrc/9100001en_AU
dc.rights© The Authors 2016en_AU
dc.rights.licenseCreative Commons License (Attribution 4.0 International)en_AU
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en_AU
dc.sourcePublic Health Nutritionen_AU
dc.subjectDiet, food and nutritionen_AU
dc.subjectChild healthen_AU
dc.subjectHolistic healthen_AU
dc.subjectHealth behaviouren_AU
dc.titleUnderstanding barriers to fruit and vegetable intake in the Australian Longitudinal Study of Indigenous Children: a mixed-methods approachen_AU
dc.typeJournal articleen_AU
dcterms.accessRightsOpen Accessen_AU
local.bibliographicCitation.issue5en_AU
local.bibliographicCitation.lastpage847en_AU
local.bibliographicCitation.startpage832en_AU
local.contributor.affiliationThurber, Katherine, College of Health and Medicine, ANUen_AU
local.contributor.affiliationBanwell, Cathy, College of Health and Medicine, ANUen_AU
local.contributor.affiliationNeeman, Teresa, Administrative Portfolio, ANUen_AU
local.contributor.affiliationDobbins, Timothy, University of New South Walesen_AU
local.contributor.affiliationPescud, Melanie, College of Asia and the Pacific, ANUen_AU
local.contributor.affiliationLovett, Raymond, College of Health and Medicine, ANUen_AU
local.contributor.affiliationBanks, Emily, College of Health and Medicine, ANUen_AU
local.contributor.authoremailu4981256@anu.edu.auen_AU
local.contributor.authoruidThurber, Katherine, u4981256en_AU
local.contributor.authoruidBanwell, Cathy, u9702061en_AU
local.contributor.authoruidNeeman, Teresa, u4321232en_AU
local.contributor.authoruidPescud, Melanie, u1003286en_AU
local.contributor.authoruidLovett, Raymond, u3047913en_AU
local.contributor.authoruidBanks, Emily, u4106314en_AU
local.description.notesImported from ARIESen_AU
local.identifier.absfor111701 - Aboriginal and Torres Strait Islander Healthen_AU
local.identifier.absfor111712 - Health Promotionen_AU
local.identifier.absseo920401 - Behaviour and Healthen_AU
local.identifier.ariespublicationu4860843xPUB352en_AU
local.identifier.citationvolume20en_AU
local.identifier.doi10.1017/S1368980016003013en_AU
local.identifier.scopusID2-s2.0-84997830713
local.identifier.thomsonID000398199000009
local.identifier.uidSubmittedByu4860843en_AU
local.publisher.urlhttp://www.cambridge.org/uk/en_AU
local.type.statusPublished Versionen_AU

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