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. 2022 Dec 26;19(1):158.
doi: 10.1186/s12966-022-01396-9.

What are the determinants of vegetable intake among adolescents from socioeconomically disadvantaged urban areas? A systematic review of qualitative studies

Silvia Bel-Serrat  1 , Antje von der Schulenburg  2 , Maria Marques-Previ  2 , Amy Mullee  3 , Celine M Murrin  2
Affiliations

What are the determinants of vegetable intake among adolescents from socioeconomically disadvantaged urban areas? A systematic review of qualitative studies

Silvia Bel-Serrat et al. Int J Behav Nutr Phys Act. .

Abstract

Background: Evidence available on the determinants of vegetable intake in young populations is inconsistent. Vegetable intake is particularly low in adolescents from less-affluent backgrounds, yet no systematic review of qualitative studies investigating determinants for vegetable intake specifically has been conducted to date in this group. This systematic review aimed to identify determinants of vegetable intake in adolescents from socioeconomically disadvantaged urban areas located in very high-income countries reported in qualitative studies.

Methods: Five electronic databases (PubMed, Web of Science, CINAHL, PsycINFO and ERIC) were searched until August 2022. The search strategy used combinations of synonyms for vegetable intake, adolescents, and qualitative methodologies. Main inclusion criteria were studies exploring views and experiences of motivators and barriers to vegetable intake in a sample of adolescents aged 12-18 years from socioeconomically disadvantaged urban areas in very high income countries. Study quality assessment was conducted using criteria established in a previous review.

Results: Sixteen studies were included out of the 984 screened citations and 63 full texts. The synthesis of findings identified the following determinants of vegetable intake: sensory attributes of vegetables; psychosocial factors (nutrition knowledge, preferences/liking, self-efficacy, motivation); lifestyle factors (cost/price, time, convenience); fast food properties (taste, cost, satiety); home environment and parental influence; friends' influence; school food environment, nutrition education and teachers' support; and availability and accessibility of vegetables in the community and community nutrition practices. Studies attained between 18 and 49 out of 61 quality points, with eleven of 16 studies reaching ≥ 40 points. One main reason for lower scores was lack of data validation.

Conclusion: Multiple determinants of vegetable intake were identified complementing those investigated in quantitative studies. Future large scale quantitative studies should attempt to examine the relative importance of these determinants in order to guide the development of successful interventions in adolescents from socioeconomically disadvantaged backgrounds.

Keywords: Adolescents; Determinants; Qualitative methods; Socioeconomically disadvantaged; Vegetable intake.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Fig. 1
Fig. 1
Flow chart of the study selection process
See this image and copyright information in PMC

References

    1. World Health Organization. Noncommunicable diseases: World Health Organization.; 2021 [Available from: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases.
    1. World Health Organization. Increasing fruit and vegetable consumption to reduce the risk of noncommunicable diseases. e-Library of Evidence for Nutrition Actions (eLENA) 2019 [Available from: https://www.who.int/elena/titles/fruit_vegetables_ncds/en/.
    1. World Health Organization. Regional Office for Europe. Spotlight on adolescent health and well-being. Findings from the 2017/2018 Health Behaviour in School-Aged children (HBSC) survey in Europe and Canada. International report. Volumen 1. Key findings.; 2020.
    1. Johnson JA, III, Johnson AM. Urban-rural differences in childhood and adolescent obesity in the United States: a systematic review and meta-analysis. Child Obes. 2015;11(3):233–41. doi: 10.1089/chi.2014.0085. - DOI - PubMed
    1. Lenardson JD, Hansen AY, Hartley D. Rural and remote food environments and obesity. Curr Obes Rep. 2015;4(1):46–53. doi: 10.1007/s13679-014-0136-5. - DOI - PubMed

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