Does food store access modify associations between intrapersonal factors and fruit and vegetable consumption?
- Select a language for the TTS:
- UK English Female
- UK English Male
- US English Female
- US English Male
- Australian Female
- Australian Male
- Language selected: (auto detect) - EN
Play all audios:

ABSTRACT BACKGROUND/OBJECTIVES: Existing theoretical frameworks suggest that healthy eating is facilitated by an individual’s ability, motivation and environmental opportunities. It is
plausible, although largely untested, that the importance of factors related to ability and motivation differ under varied environmental conditions. This study aimed to determine whether the
magnitude of associations between fruit and vegetable consumption and intrapersonal factors (ability and motivation) were modified by differences in access to stores selling these items
(environmental opportunities). SUBJECTS/METHODS: Cross-sectional analysis of 4335 women from socioeconomically disadvantaged neighbourhoods in the state of Victoria, Australia.
Self-reported fruit and vegetable consumption was assessed against a number of ability- and motivation-related factors. To examine whether associations were modified by store access,
interactions with access to supermarkets and greengrocers within 2 km of participants’ households were tested. RESULTS: Of the two factors related to ability and seven factors related to
motivation, almost all were associated with fruit and vegetable consumption. In general, associations were not modified by store access suggesting that these factors were not tempered by
environmental opportunities. CONCLUSIONS: This study provides little support for the hypothesis that the importance of intra-personal factors to fruit and vegetable consumption is modified
by food store access. Further research on this topic is required to inform behaviour change interventions. Access through your institution Buy or subscribe This is a preview of subscription
content, access via your institution ACCESS OPTIONS Access through your institution Subscribe to this journal Receive 12 print issues and online access $259.00 per year only $21.58 per issue
Learn more Buy this article * Purchase on SpringerLink * Instant access to full article PDF Buy now Prices may be subject to local taxes which are calculated during checkout ADDITIONAL
ACCESS OPTIONS: * Log in * Learn about institutional subscriptions * Read our FAQs * Contact customer support SIMILAR CONTENT BEING VIEWED BY OTHERS THE MODERATING ROLE OF EATING BEHAVIOUR
TRAITS IN THE ASSOCIATION BETWEEN EXPOSURE TO HOT FOOD TAKEAWAY OUTLETS AND BODY FATNESS Article Open access 14 March 2023 THE MODULATION OF SUSTAINABILITY KNOWLEDGE AND IMPULSIVITY TRAITS
ON THE CONSUMPTION OF FOODS OF ANIMAL AND PLANT ORIGIN IN ITALY AND TURKEY Article Open access 21 November 2022 HEALTHY EATING: A PRIVILEGE FOR THE BETTER-OFF? Article 13 May 2021 REFERENCES
* King T, Kavanagh AM, Jolley D, Turrell G, Crawford D . Weight and place: a multilevel cross-sectional survey of area-level social disadvantage and overweight/obesity in Australia. _Int J
Obes (Lond)_ 2006; 30: 281–287. Article CAS Google Scholar * Krokstad S, Ernstsen L, Sund ER, Bjorngaard JH, Langhammer A, Midthjell K _et al_. Social and spatial patterns of obesity
diffusion over three decades in a Norwegian county population: the HUNT Study. _BMC Public Health_ 2013; 13: 973. Article Google Scholar * McLaren L . Socioeconomic status and obesity.
_Epidemiol Rev_ 2007; 29: 29–48. Article Google Scholar * Wang Y, Beydoun MA . The obesity epidemic in the United States–gender, age, socioeconomic, racial/ethnic, and geographic
characteristics: a systematic review and meta-regression analysis. _Epidemiol Rev_ 2007; 29: 6–28. Article CAS Google Scholar * World Health Organization (WHO) _Diet, nutrition, and the
prevention of chronic diseases_. World Health Organisation: Geneva. WHO Technical Report Series 916, 2003. * Giskes K, Turrell G, Patterson C, Newman B . Socio-economic differences in fruit
and vegetable consumption among Australian adolescents and adults. _Public Heath Nutr_ 2002; 5: 663–669. Google Scholar * Giskes K, Avendano M, Brug J, Kunst AE . A systematic review of
studies on socioeconomic inequalities in dietary intakes associated with weight gain and overweight/obesity conducted among European adults. _Obes Rev_ 2010; 11: 413–429. Article CAS
Google Scholar * Mishra G, Ball K, Arbuckle J, Crawford D . Dietary patterns of Australian adults and their association with socioeconomic status: results from the 1995 National Nutrition
Survey. _Eur J Clin Nutr_ 2002; 56: 687–693. Article CAS Google Scholar * Steinmetz KA, Potter JD . Vegetables, Fruit, and Cancer Prevention: a Review. _J Am Diet Assoc_ 1996; 96:
1027–1039. Article CAS Google Scholar * Tamers SL, Agurs-Collins T, Dodd KW, Nebeling L . US and France adult fruit and vegetable consumption patterns: an international comparison. _Eur J
Clin Nutr_ 2009; 63: 11–17. Article CAS Google Scholar * Swan G . Findings from the latest National Diet and Nutrition Survey. _Proc Nutr Soc_ 2004; 63: 505–512. Article CAS Google
Scholar * Australian Bureau of Statistics _Australian Health survey: First Results, 2011-12 Cat no 4364055001_. ABS: Canberra, 2012. * Thornton LE, Crawford DA, Ball K . Neighbourhood
socioeconomic variation in women's diet: the role of nutrition environments. _Eur J Clin Nutr_ 2010; 64: 1423–1432. Article CAS Google Scholar * Dubowitz T, Heron M, Bird CE, Lurie
N, Finch BK, Basurto-Dávila R _et al_. Neighborhood socioeconomic status and fruit and vegetable intake among whites, blacks, and Mexican Americans in the United States. _Am J Clin Nutr_
2008; 87: 1883–1891. Article CAS Google Scholar * Stokols D . Establishing and maintaining healthy environments. Toward a social ecology of health promotion. _Am Psychol_ 1992; 47: 6–22.
Article CAS Google Scholar * Brug J . Determinants of healthy eating: motivation, abilities and environmental opportunities. _Fam Pract_ 2008; 25: i50–i55. Article Google Scholar * Ball
K, Crawford D, Mishra G . Socio-economic inequalities in women's fruit and vegetable intakes: a multilevel study of individual, social and environmental mediators. _Public Heath Nutr_
2006; 9: 623–630. Google Scholar * Thornton LE, Bentley RJ, Kavanagh AM . Individual and area-level socioeconomic predictors of fast food purchasing. _J Epidemiol Community Health_ 2011;
65: 873–880. Article Google Scholar * Caspi CE, Sorensen G, Subramanian SV, Kawachi I . The local food environment and diet: A systematic review. _Health Place_ 2012; 18: 1172–1187.
Article Google Scholar * Rothschild ML . Carrots, sticks, and promises: A conceptual framework for the management of public health and social issue behaviors. _J Mark_ 1999; 63: 24–37.
Article Google Scholar * Kremers SP, de Bruijn GJ, Visscher TL, van Mechelen W, de Vries NK, Brug J . Environmental influences on energy balance-related behaviors: a dual-process view.
_Int J Behav Nutr Phys Act_ 2006; 3: 9. Article Google Scholar * Brug J, Kremers SP, Lenthe F, Ball K, Crawford D . Environmental determinants of healthy eating: in need of theory and
evidence. _Proc Nutr Soc_ 2008; 67: 307–316. Article Google Scholar * Ball K, Cleland V, Salmon J, Timperio A, McNaughton SA, Thornton L _et al_. Cohort Profile: the Resilience for Eating
and Activity Despite Inequality (READI) study. _Int J Epidemiol_ 2013; 42: 1629–1639. Article Google Scholar * Australian Bureau of Statistics _Census of Population and Housing:
Socio-Economic Indexes for Areas (SEIFA)_. (Australian Bureau of Statistics: Canberra): Australian Bureau of Statistics: Canberra, 2003. * Thornton LE, Pearce JR, Kavanagh AM . Using
Geographic Information Systems (GIS) to assess the role of the built environment in influencing obesity: a glossary. _Int J Behav Nutr Phys Act_ 2011; 8: 71. Article Google Scholar * Glanz
K, Basil M, Maibach E, Goldberg J, Snyder D . Why Americans eat what they do: taste, nutrition, cost, convenience, and weight control concerns as influences on food consumption. _J Am Diet
Assoc_ 1998; 98: 1118–1126. Article CAS Google Scholar * Lunenburg FC . Expectancy theory of motivation: motivating by altering expectations. _Int J Manag Bus Adm_ 2011; 15: 1–6. Google
Scholar * ESRIArcGIS 9.3. Redlands, CA 2008. * Thornton LE, Pearce JR, Macdonald L, Lamb KE, Ellaway A . Does the choice of neighbourhood supermarket access measure influence associations
with individual-level fruit and vegetable consumption? A case study from Glasgow. _Int J Health Geogr_ 2012; 11: 29. Article Google Scholar * Charreire H, Casey R, Salze P, Simon C, Chaix
B, Banos A _et al_. Measuring the food environment using geographical information systems: a methodological review. _Public Health Nutr_ 2010; 13: 1773–1785. Article Google Scholar *
Cummins S, Flint E, Matthews SA . New neighborhood grocery store increased awareness of food access but did not alter dietary habits or obesity. _Health Aff_ 2014; 33: 283–291. Article
Google Scholar * Sadler RC, Gilliland JA, Arku G . A food retail-based intervention on food security and consumption. _Int J Environ Res Public Health_ 2013; 10: 3325–3346. Article Google
Scholar * Michie S, van Stralen MM, West R . The behaviour change wheel: a new method for characterising and designing behaviour change interventions. _Implement Sci_ 2011; 6: 42. Article
Google Scholar * Matthews SA, Moudon AV, Daniel M . Work group II: using geographic information systems for enhancing research relevant to policy on diet, physical activity, and weight. _Am
J Prev Med_ 2009; 36: S171–S176. Article Google Scholar * McKinnon RA, Reedy J, Handy SL, Rodgers AB . Measuring the food and physical activity environments: shaping the research agenda.
_Am J Prev Med_ 2009; 36: S81–S85. Article Google Scholar * Story M, Giles-Corti B, Yaroch AL, Cummins S, Frank LD, Huang TT _et al_. Work group IV: future directions for measures of the
food and physical activity environments. _Am J Prev Med_ 2009; 36: S182–S188. Article Google Scholar * Pearson AL, Pearce J, Kingham S . Deprived yet healthy: neighbourhood-level
resilience in New Zealand. _Soc Sci Med_ 2013; 91: 238–245. Article Google Scholar * Ball K, Abbott G, Cleland V, Timperio A, Thornton L, Mishra G _et al_. Resilience to obesity among
socioeconomically disadvantaged women: the READI study. _Int J Obesity_ 2012; 36: 855–865. Article CAS Google Scholar * Thornton LE, Jeffery RW, Crawford DA . Barriers to avoiding fast
food consumption in an environment supportive of unhealthy eating. _Public Health Nutr_ 2012; 16: 2105–2113. Article Google Scholar * Boone-Heinonen J, Gordon-Larsen P, Kiefe CI, Shikany
JM, Lewis CE, Popkin BM . Fast food restaurants and food stores: longitudinal associations with diet in young to middle-aged adults: the CARDIA study. _Arch Intern Med_ 2011; 171: 1162–1170.
Article Google Scholar * Thornton LE, Lamb KE, Ball K . Employment status, residential and workplace food environments: associations with women's eating behaviours. _Health Place_
2013; 24: 80–89. Article Google Scholar Download references ACKNOWLEDGEMENTS The READI study was funded by an Australian National Health and Medical Research Council Strategic Award, ID
374241. KEL is supported by a Deakin University Alfred Deakin Postdoctoral Research Fellowship. KB is supported by an Australian National Health and Medical Research Council Principal
Research Fellowship, ID 1042442. We are grateful to the READI research staff who assisted with the management of the survey data and the GIS measures used in this study. DISCLOSURE The
funding agencies had no role in the study design, collection, analysis and interpretation of data, writing the report and the decision to submit the report for publication. AUTHOR
INFORMATION AUTHORS AND AFFILIATIONS * Centre for Physical Activity and Nutrition Research, Deakin University, Melbourne, Victoria, Australia L E Thornton, K E Lamb, D A Crawford & K
Ball * Kinesiology Department, California Polytechnic State University, San Luis Obispo, CA, USA M Tseng Authors * L E Thornton View author publications You can also search for this author
inPubMed Google Scholar * K E Lamb View author publications You can also search for this author inPubMed Google Scholar * M Tseng View author publications You can also search for this author
inPubMed Google Scholar * D A Crawford View author publications You can also search for this author inPubMed Google Scholar * K Ball View author publications You can also search for this
author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to L E Thornton. ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no conflict of interest. ADDITIONAL
INFORMATION Supplementary Information accompanies this paper on European Journal of Clinical Nutrition website SUPPLEMENTARY INFORMATION SUPPLEMENTARY TABLE S1 (DOC 99 KB) RIGHTS AND
PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Thornton, L., Lamb, K., Tseng, M. _et al._ Does food store access modify associations between intrapersonal factors
and fruit and vegetable consumption?. _Eur J Clin Nutr_ 69, 902–906 (2015). https://doi.org/10.1038/ejcn.2014.287 Download citation * Received: 30 July 2014 * Revised: 01 December 2014 *
Accepted: 02 December 2014 * Published: 21 January 2015 * Issue Date: August 2015 * DOI: https://doi.org/10.1038/ejcn.2014.287 SHARE THIS ARTICLE Anyone you share the following link with
will be able to read this content: Get shareable link Sorry, a shareable link is not currently available for this article. Copy to clipboard Provided by the Springer Nature SharedIt
content-sharing initiative