Document Detail

The impact of cost on the availability of fruits and vegetables in the homes of schoolchildren in Birmingham, Alabama.
MedLine Citation:
PMID:  17138914     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: Fruit and vegetable cost is a presumed barrier to intake. We sought to determine whether fruit and vegetable cost and consumers' race and income would predict availability of fruits and vegetables in homes of schoolchildren in the Birmingham, Ala, area. METHODS: Data on availability of 27 fruit and vegetable items were obtained from homes of 1355 children (32% African American) in the Birmingham area. Fruit and vegetable costs were obtained from the US Department of Agriculture. We used discrete choice analysis with the dependent variable represented as presence or absence of the fruit or vegetable item. Explanatory variables included fruit and vegetable price per serving; child's gender, race, and age; and parent's body mass index and income. RESULTS: Higher cost was inversely related to fruit and vegetable availability. Higher income, African American race, and female gender were positively related to availability. Cost per serving was stratified into 3 categories-low, medium, and high. Relative to low-cost items, only high-cost items decreased the odds of availability significantly. CONCLUSIONS: Fruit and vegetable cost does impact availability and has the greatest impact for high-cost items. Although cost was inversely related to availability, African Americans reported higher fruit and vegetable availability than Whites. Additional studies are needed to determine whether food items of lower nutritive value and comparable cost impact availability.
Jamy D Ard; Stephanie Fitzpatrick; Renee A Desmond; Bryce S Sutton; Maria Pisu; David B Allison; Frank Franklin; Monica L Baskin
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2006-11-30
Journal Detail:
Title:  American journal of public health     Volume:  97     ISSN:  1541-0048     ISO Abbreviation:  Am J Public Health     Publication Date:  2007 Feb 
Date Detail:
Created Date:  2007-01-24     Completed Date:  2007-02-01     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  367-72     Citation Subset:  AIM; IM    
Department of Nutrition Sciences, University of Alabama, Birmingham, USA.
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MeSH Terms
African Americans / psychology
Choice Behavior
Costs and Cost Analysis / trends*
European Continental Ancestry Group / psychology
Family Characteristics* / ethnology
Food Preferences* / ethnology
Fruit / economics,  supply & distribution*
Health Behavior* / ethnology
Health Promotion*
Obesity / economics,  prevention & control
School Health Services
Socioeconomic Factors
Urban Health*
Vegetables / economics,  supply & distribution*
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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