Abstract:
:People who do not eat enough fruit and vegetables (F&V) have incremental health risks. Most Europeans do not comply with health recommendations relating to F&V consumption and this is especially true for those with lower-level education, which reinforces structural inequalities in health and wellbeing among Europeans. This study investigated the role of key behavioural triggers - capabilities, opportunities and motivation (in the COM-B model) - as pathways for educational differentials in F&V intake in Europe. A cross-sectional survey-based study was conducted in five European countries differing widely in their consumption habits, wealth, and climatic conditions. A structural equation model was designed to study how capabilities (diet perceived knowledge, health purchase criteria), opportunities (financial availability, social norms), and motivations (health value, habits strength) affect educational inequalities in the intake of F&V (5 portions a day) as mediators. Multi-group comparisons assessed country differences. People with higher levels of education were more likely to eat the recommended diet, i.e., at least 5 portions of F&V a day. Countries in the sample vary significantly in the percentage of people complying with the recommendation, but not significantly in terms of relative education differentials. The educational gap in the intake of F&V is mainly explained by education differentials in financial availability, diet knowledge, and habits in inserting F&V in main meals. Policies targeting dietary inequalities should address behavioural triggers affecting dietary intake, for example by subsidising F&V, developing targeted dietary awareness campaigns, or by intervening in mass catering contexts to facilitate the implementation of healthy habits.
journal_name
Appetitejournal_title
Appetiteauthors
Craveiro D,Marques S,Zvěřinová I,Máca V,Ščasný M,Chiabai A,Suarez C,Martinez-Juarez P,García de Jalón S,Quiroga S,Taylor Tdoi
10.1016/j.appet.2021.105283keywords:
["Diet","Education","Fruits and vegetables","Health","Inequality"]subject
Has Abstractpub_date
2021-10-01 00:00:00pages
105283eissn
0195-6663issn
1095-8304pii
S0195-6663(21)00190-2journal_volume
165pub_type
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