A cross-sectional study of US rural adults' consumption of fruits and vegetables: do they consume at least five servings daily?
A cross-sectional study of US rural adults' consumption of fruits and vegetables: do they consume at least five servings daily?
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DOI：
10.1186/1471-2458-12-280
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发表时间：
2012-06-01
影响因子：
4.5
通讯作者：
Lipsky MS
中科院分区：
文献类型：
--
作者：
Lutfiyya MN;Chang LF;Lipsky MS
越来越多的人认为，农村居民面临健康差距的风险更大。这些不平等可能与健康行为有关，如足够的水果和蔬菜消费。关于美国农村成年人水果和蔬菜消费的流行程度，几乎没有国家层面的基于人口的研究。这项研究的目的是检查美国农村和非农村成年人之间的患病率差异，每天至少食用五份水果和蔬菜。采用双变量和多变量技术对2009年行为风险因素监测调查（BRFSS）数据进行加权横断面分析。52，259，789名美国成年人每天至少食用五份水果和蔬菜，其中8，983，840人生活在农村地区。双变量分析显示，与非农村美国成年人相比，农村成年人不太可能每天食用五份或更多份水果和蔬菜（OR = 1.161，95%CI 1.160-1.162）。Logistic回归分析显示，美国农村成年人每天至少食用5份水果和蔬菜，更有可能是女性，非高加索人，已婚或与伴侣生活，生活在没有孩子的家庭中，生活在年收入> 35，000美元的家庭中，并且至少进行适度的体育活动。他们也更有可能有一个BMI <30，有一个私人医生，在过去的12个月里有一个常规的医疗检查，自我定义他们的健康为良好到优秀，并推迟医疗保健，因为成本。当比较一个州内农村和非农村美国成年人之间的患病率差异时，37个州的农村成年人每天至少食用5份水果和蔬菜的患病率较低，11个州的患病率较高。这一对水果和蔬菜消费的进一步了解应证明对那些寻求减少农村和非农村成年人之间的差距或不平等的人是有用的。此外，那些负责与健康有关的规划的人可以受益于了解他们的国家在农村成年人水果和蔬菜消费方面与其他国家相比的排名情况-这一人口越来越被确定为面临健康差距的风险。
Rural residents are increasingly identified as being at greater risk for health disparities. These inequities may be related to health behaviors such as adequate fruits and vegetable consumption. There is little national-level population-based research about the prevalence of fruit and vegetable consumption by US rural population adults. The objective of this study was to examine the prevalence differences between US rural and non-rural adults in consuming at least five daily servings of combined fruits and vegetables. Cross-sectional analysis of weighted 2009 Behavioral Risk Factor Surveillance Survey (BRFSS) data using bivariate and multivariate techniques. 52,259,789 US adults were identified as consuming at least five daily servings of fruits and vegetables of which 8,983,840 were identified as living in rural locales. Bivariate analysis revealed that in comparison to non-rural US adults, rural adults were less likely to consume five or more daily servings of fruits and vegetables (OR = 1.161, 95% CI 1.160-1.162). Logistic regression analysis revealed that US rural adults consuming at least five daily servings of fruits and vegetables were more likely to be female, non-Caucasian, married or living with a partner, living in a household without children, living in a household whose annual income was > $35,000, and getting at least moderate physical activity. They were also more likely to have a BMI of <30, have a personal physician, have had a routine medical exam in the past 12 months, self-defined their health as good to excellent and to have deferred medical care because of cost. When comparing the prevalence differences between rural and non-rural US adults within a state, 37 States had a lower prevalence of rural adults consuming at least five daily servings of fruits and vegetables and 11 States a higher prevalence of the same. This enhanced understanding of fruit and vegetable consumption should prove useful to those seeking to lessen the disparity or inequity between rural and non-rural adults. Additionally, those responsible for health-related planning could benefit from the knowledge of how their state ranks in comparison to others vis-à-vis the consumption of fruits and vegetables by rural adults---a population increasingly being identified as one at risk for health disparities.
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影响因子：
7.1
作者：
Dubowitz, Tamara;Heron, Melonie;Escarce, Jose J.
通讯作者：
Escarce, Jose J.
影响因子：
--
作者：
Gans, KM;Burkholder, GJ;Lasater, TM
通讯作者：
Lasater, TM
DOI：
10.3122/jabfm.2010.01.090119
发表时间：
2010-01
期刊：
Journal of the American Board of Family Medicine : JABFM
影响因子：
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通讯作者：
Berke EM
DOI：
10.1007/s11524-005-9016-3
发表时间：
2006-03-01
影响因子：
6.6
作者：
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通讯作者：
Ricketts, TC
影响因子：
37.8
作者：
Aatola, Heikki;Koivistoinen, Teemu;Kahonen, Mika
通讯作者：
Kahonen, Mika