Godrich Stephanie L, Lo Johnny, Davies Christina R, Darby Jill, Devine Amanda
School of Medical and Health Sciences, Edith Cowan University, 270 Joondalup Drive, Joondalup 6027, Australia.
School of Science, Edith Cowan University, 270 Joondalup Drive, Joondalup 6027, Australia.
Int J Environ Res Public Health. 2017 Jan 3;14(1):40. doi: 10.3390/ijerph14010040.
Improving the suboptimal vegetable consumption among the majority of Australian children is imperative in reducing chronic disease risk. The objective of this research was to determine whether there was a relationship between food security determinants (FSD) (i.e., food availability, access, and utilisation dimensions) and adequate vegetable consumption among children living in regional and remote Western Australia (WA). Caregiver-child dyads ( = 256) living in non-metropolitan/rural WA completed cross-sectional surveys that included questions on FSD, demographics and usual vegetable intake. A total of 187 dyads were included in analyses, which included descriptive and logistic regression analyses via IBM SPSS (version 23). A total of 13.4% of children in this sample had adequate vegetable intake. FSD that met inclusion criteria ( ≤ 0.20) for multivariable regression analyses included price; promotion; quality; location of food outlets; variety of vegetable types; financial resources; and transport to outlets. After adjustment for potential demographic confounders, the FSD that predicted adequate vegetable consumption were, variety of vegetable types consumed ( = 0.007), promotion ( = 0.017), location of food outlets ( = 0.027), and price ( = 0.043). Food retail outlets should ensure that adequate varieties of vegetable types (i.e., fresh, frozen, tinned) are available, vegetable messages should be promoted through food retail outlets and in community settings, towns should include a range of vegetable purchasing options, increase their reliance on a local food supply and increase transport options to enable affordable vegetable purchasing.
改善大多数澳大利亚儿童蔬菜摄入量未达最佳水平的状况对于降低慢性病风险至关重要。本研究的目的是确定粮食安全决定因素（FSD）（即粮食供应、获取和利用维度）与西澳大利亚州（WA）偏远和农村地区儿童充足的蔬菜摄入量之间是否存在关联。居住在西澳大利亚州非大都市/农村地区的照顾者-儿童二元组（n = 256）完成了横断面调查，其中包括有关FSD、人口统计学和通常蔬菜摄入量的问题。共有187个二元组纳入分析，包括通过IBM SPSS（版本23）进行的描述性和逻辑回归分析。该样本中共有13.4%的儿童蔬菜摄入量充足。符合多变量回归分析纳入标准（p≤0.20）的FSD包括价格；促销；质量；食品店位置；蔬菜种类；财政资源；以及前往商店的交通。在对潜在的人口混杂因素进行调整后，预测充足蔬菜摄入量的FSD为所消费蔬菜的种类（p = 0.007）、促销（p = 0.017）、食品店位置（p = 0.027）和价格（p = 0.043）。食品零售店应确保提供充足种类的蔬菜（即新鲜、冷冻、罐装），应通过食品零售店和社区环境来推广蔬菜信息，城镇应提供一系列蔬菜购买选择，增加对当地粮食供应的依赖，并增加交通选择以实现可负担得起的蔬菜购买。
