Neighborhood Disorder, Collective Efficacy, Social Support, and Diet: A Systematic Review / The Role of Neighborhood Disorder, Collective Efficacy, and Social Support on Fruit and Vegetable Intake in Low Income Communities

Zhao, Anne

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Year:: 2020
Contributor:: Zhao, Anne (creator); Dulin, Akilah (Advisor); Gans, Kim (Reader); Brown University. School of Public Health (sponsor)
Genre:: theses
Subject:: social determinants of health; Food habits; health disparities
Extent:: vi, 48 p.
DOI: https://doi.org/10.26300/fg59-2848

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Abstract:: Background Adults living in low income neighborhoods in the United States are at great risk for low fruit and vegetable (FV) intake and diet-related diseases. This study examines whether neighborhood disorder, neighborhood collective efficacy, and neighborhood social support for healthy eating were associated with FV intake among residents of low income subsidized housing communities. We examined ancillary baseline data from the Live Well/Viva Bien intervention in Providence County, RI. Participants (n=293) were 18 years of age or older, without major medical conditions that would prevent them from study participation, and spoke English or Spanish. Methods We conducted multivariable linear regression to examine associations between fruit, vegetable, and combined FV intake with neighborhood characteristics adjusting for covariates. Results Mean FV intake was significantly higher for those who had high neighborhood social support versus low social support. Mean combined FV intake was significantly higher for those who had high social support compared to both low and moderate social support. Social support for healthy eating was significantly associated with a 0.25 cup increase in vegetable intake and a 0.38 cup increase in combined fruit and vegetable intake. Discussion We found that in low income neighborhoods, neighborhood social support was significantly associated with increased vegetable intake and FV intake. This indicates that neighborhood social support is an important factor in the relationship between neighborhood environments and health. Future studies, interventions, and policies should consider the neighborhood environment when addressing neighborhood-level disparities in FV intake.
Notes:: Thesis (M. P. H.)--Brown University, 2020

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Rights: In Copyright
Restrictions on Use: Collection is open for research.

Citation

Zhao, Anne, "Neighborhood Disorder, Collective Efficacy, Social Support, and Diet: A Systematic Review / The Role of Neighborhood Disorder, Collective Efficacy, and Social Support on Fruit and Vegetable Intake in Low Income Communities" (2020). Public Health Theses and Dissertations. Brown Digital Repository. Brown University Library. https://doi.org/10.26300/fg59-2848

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Public Health Theses and Dissertations

Theses and Dissertations for the Public Health department.
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