研究生: |
魏米秀 Mi-Hsiu Wei |
---|---|
論文名稱: |
大學生蔬果攝取行為影響因素模式發展之研究 Study on the Development of the Model of Factors Influencing Fruit and Vegetable Intake Behavior among College Students |
指導教授: |
呂昌明
Lu, Chang-Ming |
學位類別: |
博士 Doctor |
系所名稱: |
健康促進與衛生教育學系 Department of Health Promotion and Health Education |
論文出版年: | 2006 |
畢業學年度: | 94 |
語文別: | 中文 |
論文頁數: | 235 |
中文關鍵詞: | 蔬果攝取 、健康行為 、大學生 、焦點團體 、結構方程模式 |
英文關鍵詞: | fruit & vegetable intake, health behavior, college student, focus group, structural equation modeling |
論文種類: | 學術論文 |
相關次數: | 點閱:371 下載:87 |
分享至: |
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
本研究旨在發展切合本土大學生蔬果攝取行為的影響因素模式。採質量結合方式,第一階段為焦點團體訪談,以質性研究結果發展假設模式及量化測量工具;第二階段為量性問卷調查,以結構方程模式檢驗假設模式的適配性。
焦點團體訪談共進行六場,質性資料分析結果,影響大學生蔬果攝取行為的因素分為個人因素影響力、人際社會影響力及物質環境影響力。量性問卷調查共回收1071份有效問卷,重要結果如下:
一、研究對象的蔬菜攝取頻率為平均2.17次/日,水果為0.94次/日。處於較高行為改變階段者,蔬果攝取頻率有較高的趨勢。
二、研究假設模式在經過修正後,整體模式與資料的適配度達可接受水準,且套用至效度樣本的嚴謹複核效度可成立。模式自變項對蔬果攝取行為的解釋力達75%,影響力最大的為蔬果可獲性,其次為蔬果攝取自我效能。
三、「蔬果攝取自我效能」在「蔬果攝取社會支持」影響「蔬果攝取行為」的關係中,具有部分中介作用。「蔬果可獲性」在「蔬果口味喜好」、「蔬果攝取自我效能」影響「蔬果攝取行為」的關係中,具有調節作用。
研究發現影響大學生蔬果攝取行為的因素為多層面影響力。本研究也針對蔬果攝取議題的未來研究提出建議。
The purpose of this research was to develop the model of factors influencing fruit and vegetable(f&v) intake behavior among college students in Taiwan. Qualitative and quantitative methods were combined in this research. In study one, focus group interviews were conducted to help develop conceptual model and quantitative measures. In study two, a questionnaire survey was used to collect the quantitative data. Structural Equation Modeling was employed for model testing and parameter estimations.
Six focus group interviews were conducted. Three levels of influence were identified: intra-personal influences, inter-personal influences and physical environmental influences. The sample of questionnaire survey included 1071 students. The results were as follows:
1.The average daily vegetable/fruit consumption frequencies were 2.17/.94 times. F&V consumption was positively associated with more advanced stages of change.
2.After model modification, the proposed model was tested with two random splits of the data. Results indicated adequate fit of the model for each of the data sets. 75% of the variation in f&v intake behavior was explained by the model. The strongest correlate of f&v intake was availability, and self-efficacy next.
3.The relationship between social support and f&v intake was partially mediated by self-efficacy. The moderating effects of availability were demonstrated.
In conclusion, college students’ f&v intake is affected by multiple levels of influence. Recommendations for the future research are made as well.
丁志音(2000) 。食的大千世界—以健康為名,但以誰的法則為依據?健康促進通訊,13,1-2。
丁志音、江東亮(1996)。以健康行為型態分類台灣地區之成年人口群—群聚分析之應用。中華民國公共衛生雜誌,15(3),175-187。
行政院農業委員會(2005a)。93年糧食供需年報。台北:作者。
行政院農業委員會(2005b)。農情調查資訊。2005年10月1日,取自http://agr.afa.gov.tw/afa/afa_frame.jsp
行政院衛生署(2002)。每日飲食指南。台北:行政院衛生署。
行政院衛生署(2004)。成人肥胖定義及處理原則。2004年12月28日,取自http://food.doh.gov.tw/healthbite/eat_health/control_weight01.htm
行政院衛生署(2005)。食物份量代換表。2005年9月20日,取自http://food.doh.gov.tw/Chinese/health/health_3_2.htm
行政院衛生署(2006)。中華民國九十四年死因統計結果摘要。台北:行政院衛生署。
李蘭、陸玓玲、李隆安、黃美維、潘怜燕、鄧肖琳(1995)。台灣地區成人的健康行為探討:分佈情形、因素結構和相關因素。中華民國公共衛生雜誌,14(4),358-368。
吳幸娟、章雅惠、方佳雯、潘文涵(1999)。Food sources of weight, colories, and three macro-nutrients—NAHSIT 1993-1996。中華民國營養學會雜誌,24(1),41-58。
吳佩樺(2000)。月經期相關飲食行為研究。國立台灣大學衛生政策與管理研究所碩士論文。台北。
林東泰(1996)。社會行銷的理論與實務。社會教育學刊,25,49-75。
林育如(2003)。增加年輕人飲食中蔬果的攝取對血漿類胡蘿蔔素濃度的影響。台北醫學大學保健營養學系碩士論文。台北。
林清山(1988)。 多變項分析統計法。台北:東華。
林清山(1992)。心理與教育統計學。台北:東華。
林彩岫(1993)。教育研究的兩個典範:質與量之討論。載於賈馥茗、楊深坑(主編),教育學方法論(頁209-226)。台北:五南。
邱皓政(2002)。量化研究與統計分析:SPSS中文視窗版資料分析範例解析。台北:五南。
邱皓政(2003)。結構方程模式:LISREL的理論技術與應用。台北:雙葉書廊。
胡幼慧(1996a)。焦點團體法。載於胡幼慧(主編),質性研究 : 理論、方法及本土女性研究實例(頁223-237)。台北:巨流。
胡幼慧(1996b)。質性研究的分析與寫成。載於胡幼慧(主編),質性研究 : 理論、方法及本土女性研究實例(頁159-170)。台北:巨流。
胡幼慧、姚美華(1996)。一些質性方法上的思考。載於胡幼慧(主編),質性研究 : 理論、方法及本土女性研究實例(頁141-158)。台北:巨流。
施奠邦(1992):中醫食療營養學。台北:知音。
高美丁(1992)。國民營養調查先驅性研究:飲食評估方法有效性及再現性研究。台北:行政院衛生署。
張春興(1989)。張氏心理學辭典。台北:東華。
張彩秀(1998)。不同居位型態學生健康促進行為之差異。弘光學報,32,47-64。
教育部(2005a)。大專院校概況統計(九十四學年度)。2005年12月24日,取自http://www.edu.tw/EDU_WEB/EDU_MGT/STATISTICS/
EDU7220001/data/serial/u.htm?FILEID=130551&open
教育部(2005b)。大專院校名錄。2005年10月26日。取自http://www.edu.tw/EDU_WEB/EDU_MGT/STATISTICS/EDU7220001/data/school/u1.htm
黃伯超、潘文涵(1994)。國民營養健康狀況變遷調查。台北:行政院衛生署。
黃芳銘(2004)。結構方程模式理論與應用。台北:五南。
陳向明(2002)。社會科學質的研究。台北:五南。
曾明淑、高美丁、葉文婷、潘文涵(1999)。Food consumption frequency and eating habit among Taiwanese—NAHSIT 1993-1996。中華民國營養學會雜誌,24(1),59-80。
游恒山(譯)(1996)。A.W. Logue著。飲食心理學。台北:五南。
葉志嶸(2003)。以多層次分析模式探討家庭層次及個人層次因素對肥胖指標之影響。國立台灣大學流行病學研究所博士論文。台北。
鄭惠美(2000)。學童家長與學童蔬果攝取行為研究。衛生教育學報,13,91-106。
潘文涵、游素玲、徐近平、周雲嬌、黃伯超(1991a)。民國69-70年間台灣地區民眾攝取之各種營養素之主要食物來源(Ⅰ)熱量、蛋白質、碳水化合物、脂肪、膽固醇及粗纖維。中華民國營養學會雜誌,16,1-19。
潘文涵、游素玲、徐近平、周雲嬌、黃伯超(1991b)。民國69-70年間台灣地區民眾攝取之各種營養素之主要食物來源(Ⅱ)維生素及礦物質。中華民國營養學會雜誌,16,21-38。
劉仲冬(1996)。量與質社會研究的爭議及社會研究未來的走向及出路。載於胡幼慧(主編),質性研究 : 理論、方法及本土女性研究實例(頁121-139)。台北:巨流。
蔣立琦(1999)。氣喘兒童父母自我處理行為及其相關因素之研究。國立台灣師範大學衛生教育學系博士論文。台北。
魏米秀、陳建宏、呂昌明(2005)。應用市場區隔分析大專生蔬果攝取行為之研究—以某技術學院二專部學生為例。衛生教育學報,23 , 1-18。
羅惠筠、陳秀珍(譯)(1992)。C. G. Morris著。現代心理學:生活適應與人生成長。台北:美亞出版。
Ajzen, I. (1988). Attitudes, personality, and behavior. Chicago: Dorsey Press.
Amanatidis, S., Mackerras, D. & Simpson, J.M. (2001). Comparison of two frequency questionnaires for quantifying fruit and vegetable intake. Public Health Nutrition, 4(2), 233-239.
Axelson, M.L., Federline, T.L. & Bringberg, D. (1985). A meta-analysis of food- and nutrition-related research. Journal of Nutrition Education, 17(2), 51-54.
Baranowski, T., Cullen, K.W. & Baranowski, J. (1999). Psychosocial correlates of dietary intake: advancing dietary intervention. Annual Review of Nutrition, 19, 17-40.
Baranowski, T., Domel, S., Gould, R., Baranowski, J., Leonard, S., Treiber, F. et al. (1993). Increasing fruit and vegetable consumption among 4th and 5th grade students: results from focus groups using reciprocal determinism. Journal of Nutrition Education, 25, 114-120.
Baranowski, T., Smith, M., Newman, M., Hearn, M.D., Lin, L.S., Baranowski, J.C. et al. (1998). Adult consumption of fruit and vegetables and fat-related practices by meal and day. American Journal of Health Promotion, 12(3), 162-165.
Baron, D.F., Maddux, J.E. & Snyder, C.R. (1997). Social Cognitive Psychology: History and Current Domains. New York: Plenum Press.
Baron, R.M. & Kenny, D.A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182.
Bauer, K.W., Yang, Y.W. & Austin, S.B. (2004). “How can we stay healthy when you’re throwing all of this in front of us?” findings from focus groups and interviews in middle schools on environmental influences on nutrition and physical activity. Health Education & Behavior, 31(1), 34-46.
Bazzano, L.A., He, J., Ogden, L.G., Loria, C.M., Vupputuri, S., Myers, L. et al. (2002). Fruit and vegetable intake and risk of cardiovascular disease in US adults: the first National Health and Nutrition Examination Survey Epidemiologic Follow-up Study. American Journal of Clinical Nutrition, 76, 93-99.
Bentler, P.M. & Chou, C.P. (1987). Practical issues in structural modeling. Sociological Methods & Research, 16(1), 78-117.
Birch, L.L., Fisher, J.O., Grimm-Thomas, K., Markey, C.N., Sawyer, R. & Johnson, S.L. (2001). Confirmatory factor analysis of the child feeding questionnaire: a measure of parental attitudes, beliefs and practices about child feeding and obesity proneness. Appetite, 36, 201-210.
Block, G. (1982). A review of validations of dietary assessment methods. American Journal of Epidemiology, 115(4), 492-505.
Block, G., Patterson, B. & Subar, A. (1992). Fruit, Vegetables, and cancer prevention: a review of the epidemiological evidence. Nutrition and Cancer, 18(1), 1-29.
Broekmans, W.M.R., Klopping-Ketelaars, I.A.A., Schuurman, C.R.W.C., Verhagen, H., van den Berg, H., Kok, F.J et al. (2000). Fruits and vegetables increases plasma carotenoids and vitamins and decrease homocysteine in humans. Journal of Nutrition, 130, 1578-1583.
Brown, R.L. (1997). Assessing specific mediational effects in complex theoretical models. Structural Equation Modeling, 4(2), 142-156.
Brug, J., Debie, S., van Assema, P. & Weijts, W. (1995). Psychosocial determinants of fruit and vegetable consumption among adults: results of focus group interviews. Food Quality and Preference, 6, 99-107.
Brug, J., Lechner, L. & de Vries, H. (1995). Psychosocial determinants of fruit and vegetable consumption. Appetite, 25, 285-296.
Buchanan, D.R. (1992). An uneasy alliance: combining qualitative and quantitative research methods. Health Education Quarterly, 19(1). 117-135.
Campbell, M.K., Reynolds, K.D., Havas, S., Curry, S., Bishop, D., Nicklas, T. et al. (1999). Stages of change for increasing fruit and vegetable consumption among adults and young adults participating in the national 5-a-Day for Better Health community studies. Health Education and Behavior, 26(4), 513-534.
Cohen, N.L., Stoddard, A.M., Sarouhkhanians, S. & Sorensen, G. (1998). Barriers toward fruit and vegetable consumption in a multiethnic worksite population. Journal of Nutrition Education, 30, 381-386.
Corwin, S.J., Sargent, R.G., Rheaume, C.E. & Saunders, R.P. (1999). Dietary behaviors among fourth graders: A Social Cognitive Theory study approach. American Journal of Health Behavior, 23(3), 182-197.
Cottrell, R.R., Girvan, J.T. & Mckenzie, J.F. (2002). Principles & Foundations of Health Promotion and Education(2nd ed.). San Francisco: Benjamin Cummings.
Cox, D.N., Anderson, A.S., Lean, M.E.J. & Mela, D.J. (1998). UK consumer attitudes, beliefs and barriers to increasing fruit and vegetable consumption. Public Health Nutrition, 1, 61-68.
Cullen, K.W., Baranowski, T., Owens, E., Marsh, T., Rittenberry, L. & de Moor, C. (2003). Availability, accessibility, and preferences for fruit, 100% fruit juice, and vegetables influence children’s dietary behavior. Health Education and Behavior, 30(5), 615-626.
Cullen, K.W., Baranowski, T., Rittenberry, L., Cosart, C., Hebert, D. & de Moor, C. (2001). Child-reported family and peer influences on fruit, juice and vegetable consumption: reliability and validity of measures. Health Education Research, 16(2), 187-200.
Cullen, K.W., Baranowski, T., Rittenberry, L., & Olvera, N. (2000). Social-environmental influences on children’s diets: results from focus groups with African-, Euro- and Mexican-American children and their parents. Health Education Research, 15(5), 581-590.
Devine, C.M., Connors, M., Bisogni, C.A. & Sobal, J. (1998). Life-course influences on fruit and vegetable trajectories: qualitative analysis of food choices. Journal of Nutrition Education, 30, 361-370.
Diamantopoulos, A. & Siguaw, J.A. (2000). Introducing LISREL. Thousand Oaks, California: Sage.
Dibsdall, L.A., Lambert, N., Bobbin, R.F. & Frewer, L.J. (2003). Low-income consumers’ attitudes and behaviour towards access, availability and motivation to eat fruit and vegetables. Public Health Nutrition, 6(2), 159-168.
Dittus, K.L., Hillers, V.N. & Beerman, K.A. (1995). Benefits and barriers to fruit and vegetable intake: relationship between attitudes and consumption. Journal of Nutrition Education, 27, 120-126.
Drewnowski, A.(1997). Taste preferences and food intake. Annual Review of Nutrition, 17, 237-253.
Edmonds, J., Baranowski, T., Baranowski, J., Cullen, K.W. & Myres, D. (2001). Ecological and socioeconomic correlates of fruit, juice, and vegetable consumption among African-American boys. Preventive Medicine, 32, 476-481.
Field, A.E., Colditz, G.A., Fox, M.K., Byers, T., Serdula, M., Bosch, R.J. et al. (1998). Comparison of 4 questionnaires for assessment of fruit and vegetable intake. American Journal of Public Health, 88(8), 1216-1218.
Fisher, J.O., Mitchell, D.C., Smiciklas-Wright, H. & Birch, L.L. (2002). Parental influences on young girls’ fruit and vegetable, micronutrient, and fat intakes. Journal of the American Dietetic Association, 102, 58-64.
Frazier, P.A., Tix, A.P. & Barron, K.E. (2004). Testing moderator and mediator effects in counseling psychology research. Journal of Counseling Psychology, 51(1), 115-134.
French, S.A., Story, M. & Jeffery, R.W. (2001). Environmental influences on eating and physical activity. Annual Review of Public Health, 22, 309-335.
French, S.A., Story, M., Jeffery, R.W., Snyder, P., Eisenberg, M., Sidebottom, A. et al. (1997). Pricing strategy to promote fruit and vegetable purchase in high school cafeterias. Journal of the American Dietetic Association, 97(9), 1008-1010.
French, S.A. & Wechsler, H. (2004). School-based research and initiatives: fruit and vegetable environment, policy, and pricing workshop. Preventive Medicine, 39, 101S-107S.
Gana, K. (2001). Is sense of coherence a mediator between adversity and psychological well-being in adults? Stress and Health, 17, 77-83.
Garrett, N.A., Alesci, N.L., Schultz, M.M., Foldes, S.S., Magnan, S.J. & Manley, M.W. (2004). The relationship of stage of change for smoking cessation to stage of change for fruit and vegetable consumption and physical activity in a health plan population. American Journal of Health Promotion, 19(2), 118-127.
Gibson, E.L., Wardle, J. & Watts, C.J. (1998). Fruit and vegetable consumption, nutritional knowledge and beliefs in mothers and children. Appetite, 31, 205-228.
Glanz, K., Basil, M., Maibach, E., Goldberg, J. & Snyder, D. (1998). Why Americans eat what they do: taste, nutrition, cost, convenience, and weight control concerns as influences on food consumption. Journal of the American Dietetic Association, 98(10), 1118-1126.
Haire-Joshu, D., Kreuter, M.K., Holt, C. & Steger-May, K. (2004). Estimates of fruit and vegetable intake in childhood and adult dietary behaviors of African American women. Journal of Nutrition Education and Behavior, 36(6), 309-314.
Hanson, N., Neumark-Sztainer, D., Eisenberg, M., Story, M. & Wall, M. (2005). Associations between parental report of the home food environment and adolescent intakes of fruits, vegetables and dairy foods. Public Health Nutrition, 8(1), 77-85.
Harnack, L., Block, G., Subar, A., Lane, S. & Brand, R. (1997). Association of cancer prevention-related nutrition knowledge, beliefs, and attitudes to cancer prevention dietary behavior. Journal of the American Dietetic Association, 97, 957-965.
Harris, J. E. & Murray, L. (1997). The relationship between social cognitive model variables and fruit and vegetable consumption among college students. American Journal of Health Studies, 13(3), 133-140.
Havas, S., Treiman, K., Langenberg, P., Ballesteros, M., Anliker, J., Damron, D. et al. (1998). Factors associated with fruit and vegetable consumption among women participating in WIC. Journal of the American Dietetic Association, 98(10), 1141-1148.
Hearn, M.D., Baranowski, T., Baranowski, J., Doyle, C., Smith, M., Lin, L.S. et al. (1998). Environmental influences on dietary behavior among children: availability and accessibility of fruits and vegetables enable consumption. Journal of Health Education, 29(1), 26-32.
Heatey, K.R. & Thombs, D.L. (1997). Fruit-vegetable consumption self-efficacy in youth. American Journal of Health Behavior, 21(3), 172-177.
Hill, L., Casswell, S., Maskill, C., Jones, S. & Wyllie, A. (1998). Fruit and vegetables as adolescent food choices in New Zealand, Health Promotion International, 13(1), 55-65.
Holmbeck, G.N. (1997). Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: examples from the child-clinical and pediatric psychology literatures. Journal of Consulting and Clinical Psychology, 65(4), 599-610.
Horacek, T.M. & Betts, N.M. (1998). Students cluster into 4 groups according to the factors influencing their dietary intake. Journal of the American Dietetic Association, 98(12), 1464-1467.
Horacek, T.M., Greene, G., Georgiou, C., White, A. & Ma, J. (2002). Comparison of three methods for assessing fruit, vegetable, and grain stage of change for young adults. Topics in Clinical Nutrition, 17(5), 36-61.
Irving, L.M. & Neumark-Sztainer, D. (2002). Integrating the prevention of eating disorders and obesity: feasible or futile? Preventive Medicine, 34, 299-309.
James, L.R. & Brett, J.M. (1984). Mediators, moderators, and tests for mediation. Journal of Applied Psychology, 69(2), 307-321.
Jansen, M.C.J.F., Bueno-de-Mesquita, H.B., Feskens, E.J.M., Streppel, M.T., Kok, F.J. & Kromhout, D. (2004). Quantity and variety of fruit and vegetable consumption and cancer risk. Nutrition and Cancer, 48(2), 142-148.
Janz, N.K. & Becker, M.H. (1984). The Health Belief Model: a decade later. Health Education Quarterly, 11(1), 1-47.
Keim, K.S., Stewart, B. & Voichick, J. (1997). Vegetable and fruit intake and perceptions of selected young adults. Journal of Nutrition Education, 29(2), 80-85.
Kirby, S.D., Baranowski, T., Reynolds, K.D., Taylor, G. & Binkley, D. (1995). Children’s fruit and vegetable intake: socioeconomic, adult-child, regional, and urban-rural influences. Journal of Nutrition Education, 27(5), 261-271.
Kline, R.B. (1998). Principles and Practice of Structural Equation Modeling. New York: The Guilford Press.
Kline, R.B. (2005). Principles and Practice of Structural Equation Modeling(2nd ed.). New York: The Guilford Press.
Kloek, G.C., van Lenthe, F.J., van Nierop, P.W.M. & Mackenbach, J.P. (2004). Stages of change for fruit and vegetable consumption in deprived neighborhoods. Health Education and Behavior, 31(2), 223-241.
Kohlmeier, L. & Hastings, S.B. (1995). Epidemiologic evidence of a role of carotenoids in cardiovascular disease prevention. American Journal of Clinical Nutrition, 62, 1370S-1376S.
Kotler, P. & Zaltman, G. (1971). Social marketing: an approach to planned social change. Journal of Marketing, 35, 3-12.
Kotz, K. & Story M. (1994). Food advertisements during children’s Saturday morning television programming: are they consistent with dietary recommendations? Journal of the American Dietetic Association, 94(11), 1296-1300.
Kratt, P., Reynolds, K. & Shewchuk, R. (2000). The role of availability as a moderator of family fruit and vegetable consumption. Health Education and Behavior, 27(4), 471-482.
Krebs-Smith, S.M., Heimendinger, J., Patterson, B.H., Subar, A.F., Kessler, R. & Pivonka, E. (1995). Psychosocial factors associated with fruit and vegetable consumption. American Journal of Health Promotion, 10(2), 98-104.
Kubik, M.Y., Lytle, L.A., Hannan, P.J., Perry, C.L. & Story, M. (2003). The association of the school food environment with dietary behaviors of young adolescents. American Journal of Public Health, 93(7), 1168-1173.
Lechner, L., Brug, J., de Vries, H., van Assema, P. & Mudde, A. (1998). Stages of change for fruit, vegetable and fat intake: consequences of misconception. Health Education Research, 13(1), 1-11.
Levine, E. (1999). Intergenerational influences on teenagers’ healthy food choices (Doctoral Dissertation, the George Washington University, 1999). Dissertation Abstracts International, 60(2), 485A. (UMI No. 9921623)
Lewis, F.M. (2002). Perspectives on models of interpersonal health behavior. In K. Glanz, B.K. Rimer & F.M. Lewis (Eds.), Health Behavior and Health Education: Theory, Research, and Practice. (3rd ed, pp.265-273). San Francisco, CA: Jossey-Bass.
Li, R., Serdula, M., Bland, S., Mokdad, A., Bowman, B. & Nelson, D. (2000). Trends in fruit and vegetable consumption among adults in 16 US states: Behavioral Risk Factor Surveillance System, 1990-1996. American Journal of Public Health, 90(5), 777-781.
Liebman, M., Propst, K., Moore, S.A., Pelican, S., Holmes, B., Wardlaw, M.K. et al. (2003). Gender differences in selected dietary intakes and eating behaviors in rural communities in Wyoming, Montana, and Idaho. Nutrition Research, 23, 991-1002.
Lien, N., Lytle, L.A. & Klepp, K.I. (2001). Stability in consumption of fruit, vegetable, and sugary foods in a cohort from age 14 to age 21. Preventive Medicine, 33, 217-226.
Lien, N., Lytle, L.A. & Komro, K.A. (2002). Applying Theory of Planned Behavior to fruit and vegetable consumption of young adolescents. American Journal of Health Promotion, 16(4), 189-197.
Lindström, M., Hanson, B.S., Wirfält, E. & Östergren, P. (2001). Socioeconomic differences in the consumption of vegetables, fruit and fruit juices. European Journal of Public Health, 11(1), 51-59.
Lock, K., Pomerleau, J., Causer, L., Altmann, D.R. & McKee, M. (2005). The global burden of disease attributable to low consumption of fruit and vegetables: implications for the global strategy on diet. Bulletin of the World Health Organization, 83(2), 100-108.
Lupton, D. (2000). Food, risk and subjectivity. In S.J. Williams, J. Gabe & M. Calnan(Eds.), Health, Medicine and Society: Key Theories, Future Agendas(pp.205-218). London: Routledge.
Lytle, L.A., Seifert, S., Greenstein, J. & McGovern, P. (2000). How do children’s eating patterns and food choices change over time? results from a cohort study. American Journal of Health Promotion, 14(4), 222-228.
Lytle, L.A., Varnell, S., Murray, D.M., Story, M., Perry, C., Birnbaum, A.S. et al. (2003). Predicting adolescents’ intake of fruits and vegetables. Journal of Nutrition Education and Behavior, 35(4), 170-178.
Ma, J., Betts, N.M., Horacek, T., Georgiou, C., White, A., & Nitzke, S. (2002). The importance of decisional balance and self-efficacy in relation to stages of change for fruit and vegetable intakes by young adults. American Journal of Health Promotion, 16(3), 157-166.
MacCallum, R.C., Browne, M.W. & Sugawara, H.M. (1996). Power analysis and determination of sample size for covariance structure modeling. Psychological Methods, 1(2), 130-149.
MacCallum, R.C., Roznowski, M., Mar, C.M. & Reith, J.V. (1994). Alternative strategies for cross-validation of covariance structure models. Multivariate Behavioral Research, 29(1), 1-32.
Maddux, J.E. & Barnes, J.A. (1984). Cognitive Processes in Psychotherapy and Behavior Change: Self-Efficacy Expectancy, Outcome Expectancy, and Outcome Value. Paper presented at the Annual Convention of the American Psychological Association, Toronto, Canada. (ERIC Document Repoduction Service No. Ed. 251738).
Marsh, T., Cullen, K.W. & Baranowski, T. (2003). Validation of a fruit, juice, and vegetable availability questionnaire. Journal of Nutrition Education and Behavior, 35(2), 100-104.
McGinnis, M. & Foege, W.H. (1993). Actual causes of death in the United States. Journal of the American Medical Association, 270(18), 2207-2212.
Neumark-Sztainer, D., Butler R. & Palti, H. (1996). Personal and socioenvironmental predictors of disordered eating among adolescent females. Journal of Nutrition Education, 28(3), 195-201.
Neumark-Sztainer, D., Hannan, P.J., Story, M., Croll, J. & Perry, C.(2003). Family meal patterns: associations with sociodemographic characteristics and improved dietary intake among adolescents. Journal of the American Dietetic Association, 103, 317-322.
Neumark-Sztainer, D., Story, M., Ackard, D., Moe, J. & Perry, C. (2000). Family meals among adolescents: findings from a pilot study. Journal of Nutrition Education, 32(6), 335-340.
Neumark-Sztainer, D., Story, M., Dixon, L.B., Resnick, M.D. & Blum, R.W. (1997). Correlates of inadequate consumption of dairy products among adolescents. Journal of Nutrition Education, 29, 12-20.
Neumark-Sztainer, D., Story, M., Hannan, P.J. & Croll, J.(2002). Overweight status and eating patterns among adolescents: where do youths stand in comparison with the Healthy People 2010 objectives? American Journal of Public Health, 92(5), 844-852.
Neumark-Sztainer, D., Story, M., Perry, C. & Casey, M.A. (1999). Factors influencing food choices of adolescents: findings from focus-group discussions with adolescents. Journal of the American Dietetic Association, 99(8), 929-934, 937.
Neumark-Sztainer, D., Story, M., Resnick, M.D. & Blum, R.W.M. (1996). Correlates of inadequate fruit and vegetable consumption among adolescents. Preventive Medicine, 25, 497-505.
Neumark-Sztainer, D., Story, M., Toporoff, E., Himes, J.H., Resnick, M.D. & Blum, R.W. (1997). Covariations of eating behaviors with other health-related behaviors among adolescents. Journal of Adolescent Health, 20(6), 450-458.
Neumark-Sztainer, D., Wall, M., Perry, C. & Story, M. (2003). Correlates of fruit and vegetable intake among adolescents: findings from Project EAT. Preventive Medicine, 37, 198-208.
Nielsen, S.J., Siega-Riz, A.M. & Popkin, B.M. (2002). Trends in food locations and sources among adolescents and young adults. Preventive Medicine, 35, 107-113.
Norman, R.M.G. (1985). Studies of the interrelationships amongst health behaviours. Canadian Journal of Public Health, 76, 407-410.
Nystrom, A.A., Schmitz, K.H., Perry, C.L., Lytle, L.A. & Neumark-Szainner, D. (2005). The relationship of weight-related perceptions, goals, and behaviors with fruit and vegetable consumption in young adolescents. Preventive Medicine, 40, 203-208.
Oliveria, S.A., Ellison, R.C., Moore, L.L., Gillman, M.W., Garrahie, E.J. & Singer, M.R. (1992). Parent-child relationships in nutrition intake: the Framingham Children’s Study. American Journal of Clinical Nutrition, 56, 593-598.
Paisley, J. & Skrzypczyk, S. (2005). Qualitative investigation of differences in benefits and challenges of eating fruits versus vegetables as perceived by Canadian Women. Journal of Nutrition Education and Behavior, 37(2), 77-82.
Pesa, J.A. & Turner, L.W. (2001). Fruit and vegetable intake and weight-control behaviors among US youth. American Journal of Health Behavior, 25(1), 3-9.
Prochaska, J.O., Velicer, W.F., Rossi, J.S., Golstein, M.G. Marcus, B.H., Rakowski, W. et al. (1994). Stages of change and decisional balance for 12 problem behaviors. Health Psychology, 13(1), 39-46.
Reynolds, K.D., Hinton, A.W., Shewchuk, R.M. & Hickey, C.A. (1999). Social cognitive model of fruit and vegetable consumption in elementary school children. Journal of Nutrition Education, 31, 23-30.
Richter, K.P., Harris, K.J., Paine-Andrews, A., Fawcett, S.B., Schmid, T.L., Lankenau, B.H. et al. (2000). Measuring the health environment for physical activity and nutrition among youth: a review of the literature and applications for community initiatives.Preventive Medicine, 31, S98-S111.
Rimer, B.K. (2002). Perspectives on intrapersonal theories of health behavior. In K. Glanz, B.K. Rimer & F.M. Lewis (Eds.), Health Behavior and Health Education: Theory, Research, and Practice. (3rd ed, pp.144-159). San Francisco, CA: Jossey-Bass.
Rodgers, W.M. & Brawley, L.R. (1991). The role of outcome expectancies in participation motivation. Journal of Sport and Exercise Psychology, 13, 411-427.
Sallis, J.F. & Owen, N. (2002). Ecological models of health behavior. In K. Glanz, B.K. Rimer & F.M. Lewis (Eds.), Health Behavior and Health Education: Theory, Research, and Practice. (3rd ed, pp.462-484). San Francisco, CA: Jossey-Bass.
Schröder, H., Covas, M.I., Marrugat, J., Vila, J., Pena, A., Alcántara, M. et al. (2001). Use of a three-day estimated food record, a 72-hour recall and a food-frequency questionnaire for dietary assessment in a Mediterranean Spanish population. Clinical Nutrition, 20(5), 429-437.
Seymour, J.D., Yaroch, A.L., Serdula, M., Blanck, H.M. & Khan, L.K. (2004). Impact of nutrition environmental interventions on point-of-purchase behavior in adults: a review. Prevention Medicine, 39, 108S-136S.
Sherwood, N.E. & Neumark-Sztainer, D. (2001). Internalization of the sociocultural ideal: weight-related attitudes and dieting behaviors among young adolescent girls. American Journal of Health Promotion, 15(4), 228-231.
Steckler, A., McLeroy, K.R., Goodman, R.M., Bird, S.T. & McCormick, L. (1992). Toward integrating qualitative and quantitative methods: an introduction. Health Education Quarterly, 19(1), 1-8.
Steinmetz, K.A. & Potter, J.D. (1996). Vegetables, fruit, and cancer prevention: a review. Journal of the American Dietetic Association, 96(10), 1027-1039.
Stewart, D.W. & Shamdasani, P.N. (1990). Focus Group: Theory and Practice. California: Sage Publications.
Story, M., Neumark-Sztainer, D. & French, S. (2002). Individual and environmental influences on adolescent eating behaviors. Journal of the American Dietetic Association, 102(3), 40S-51S.
Story, M., Neumark-Sztainer, D., Resnick, M.D. & Blum, R.W. (1998). Psychosocial factors and health behaviors associated with inadequate fruit and vegetable intake among American-Indian and Alaska-Native adolescents. Journal of Nutrition Education, 30(2), 100-106.
Thackeray, R., Neiger, B.L., Leonard, H., Ware, J. & Stoddard, G.J. (2002). Comparison of a 5-a-day social marketing intervention and school-based curriculum. American Journal of Health Studies, 18(1), 46-54.
Thompson, F.E. & Byers, T. (1994). Dietary assessment resource manual. Journal of Nutrition, 124, 2245S-2317S.
Tohill, B.C., Seymour, J., Serdula, M., Kettel-Khan, L. & Rolls, B. (2004). What epidemiologic studies tell us about the relationship between fruit and vegetable consumption and body weight. Nutrition Reviews, 62(10), 365-374.
Trudeau, E., Kristal, A.R., Li, S. & Patterson, R.E. (1998). Demographic and psychosocial predictors of fruit and vegetable intakes differ: implications for dietary interventions. Journal of the American Dietetic Association, 98, 1412-1417.
Uetrecht, C.L., Greenberg, M., Dwyer, J.J.M., Sutherland, S. & Tobin, S. (1999). Factors influencing vegetable and fruit use: Implications for promotion. American Journal of Health Behavior, 23(3), 172-181.
U.S. Department of Health and Human Services (1991). Healthy People 2000: National Health Promotion and Disease Prevention Objectives. Washington, D.C.: U.S. Government Printing Office.
U.S. Department of Health and Human Services (1997). Guidelines for school health programs to promote lifelong healthy eating. Journal of School Health, 67(1), 9-26.
Utter, J., Neumark-Sztainer, D., Wall, M. & Story, M. (2003). Reading magazine articles about dieting and associated weight control behaviors among adolescents. Journal of Adolescent Health, 32(1), 78-82.
van Duyn, M.A.S., Heimendinger, J., Russek-Cohen, E., Diclemente, C.C. & Sims, L.S. (1998). Use of the transtheoretical models of change to successfully predict fruit and vegetable consumption. Journal of Nutrition Education, 30, 371-380.
Vereecken, C.A., Damme, W.V. & Maes, L. (2005). Measuring attitudes, self-efficacy, and social and environmental influences on fruit and vegetable consumption of 11- and 12-year-old children: Reliability and validity. Journal of the American Dietetic Association, 105(2), 257-261.
Vereecken, C.A., Keukelier, E. & Maes, L. (2004). Influence of mother’s educational level on food parenting practices and food habits of young children. Appetite, 43, 93-103.
World Health Organization (1986). WHO Ottawa Charter for Health Promotion. Retrieved June, 2004, from http://www.monash.edu.au/
health/course-manual/health.html
Williams, A.F. & Wechsler, H. (1972). Interrelationship of preventive actions in health and other area. Health Services Reports, 87(10), 969-976.
Williams, J. (2000). A study to determine actual consumption, awareness of health benefits and factors influencing fruit and vegetable consumption in first-year undergraduate students. Journal of Human Nutrition Dietetics, 13, 370-371.
Woodward, D.R., Boon, J.A., Cumming, F.J., Ball, P.J., Williams, H.M. & Hornsby, H. (1996). Adolescents’ reported usage of selected foods in relation to their perceptions and social norms for those foods. Appetite, 27, 109-117.
Young, E. (1988). Social marketing: where it’s come from? where it’s going? Retrieved June, 2004, from Social Marketing Network, http://www.hc-sc.gc.ca/English/socialmarketing/social_marketing/
somarhpe/smhpo4e.htm
Young, E.M., Fors, S.W. & Hayes, D.M. (2004). Associations between perceived parent behaviors and middle school student fruit and vegetable consumption. Journal of Nutrition Education and Behavior, 36(1), 2-12.
Zenk, S.N., Schulz, A.J., Hollis-Neely, T., Campbell, R.T., Holmes, N., Watkins, G. et al. (2005). Fruit and vegetable intake in African Americans: income and store characteristics. American Journal of Preventive Medicine, 29(1), 1-9.
Zulkifli, S.N. & Yu, S.M. (1992). The food frequency method for dietary assessment. Journal of the American Dietetic Association, 92(6), 681-685.