ArticleBMC public health2019
Low intake of commonly available fruits and vegetables in socio-economically disadvantaged communities of South Africa: influence of affordability and sugary drinks intake.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.
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Who cites it
31 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Factors affecting fruit and vegetable consumption and purchase behavior of adults in sub-Saharan Africa: A rapid review.Frontiers in nutrition · 2023Pooled it
- The Healthy Aging Adult South Africa report card: a systematic review of the evidence between 2013 and 2020 for middle-aged South African men and women.Cardiovascular journal of AfricaPooled it
- Association Between Sugar-Sweetened Beverage Consumption and Psychological Distress: Analysis of the Nutrition and Health Survey in Taiwan.Nutrients · 2026Article
- Built environmental characteristics, physical activity, diet, and nutritional status in Accra, Ghana: a cross-sectional study.BMC public health · 2026Article
- Leveraging the potential of wild food for healthy, sustainable, and equitable local food systems: learning from a transformation lab in the Western Cape region.Sustainability science · 2026Article
- Dietary intake adequacy among Iranian older adults: evidence from national household survey data and two population-based cohorts.Frontiers in nutrition · 2026Article
- Food environments provide availability and physical access to vegetables in urban Benin and Mali.Public health nutrition · 2025Article
- Perspectives in the Scientific Literature on the Barriers and Benefits of the Transition to a Plant-Based Diet: A Bibliometric Analysis.Foods (Basel, Switzerland) · 2025Review
- Weight underestimation and high cardiovascular disease risk among South African adults with obesity: implications for integrated obesity prevention.BMC public health · 2025Article
- Prevalence and factors associated with inadequate intake of fruits and vegetables in a population from Northern Angola.African health sciences · 2025Observational
- Policy landscape analysis for fruits and vegetables in four low- and middle-income countries through a food systems approach.PloS one · 2025Article
- A comparative study of fruit and vegetable consumption and its association with metabolic risk factors for non communicable diseases among rural and urban males in Zimbabwe.Frontiers in nutrition · 2025Article
- Article
- Household economic burden of type-2 diabetes and hypertension comorbidity care in urban-poor Ghana: a mixed methods study.BMC health services research · 2024Article
- Behavioural risk factors for non-communicable diseases among South African Durban-based refugees: a cross-sectional study.Global health promotion · 2024Article
- Relationship between home garden ownership and the consumption of fruits and vegetables.Public health nutrition · 2024Article
- Addressing knowledge and behavior gaps in breast cancer risks: implications for health promotion and intervention strategies.Frontiers in oncology · 2024Article
- Did socioeconomic inequalities in overweight and obesity in South African women of childbearing age improve between 1998 and 2016? A decomposition analysis.PLOS global public health · 2024Article
- The potential repositioning of South African underutilised plants for food and nutrition security: A scoping review.Heliyon · 2023Article
- Contribution of Fruits and Vegetables to the Household Food Security Situation of Rural Households in Limpopo.Nutrients · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundConsumption of fruits and vegetables reduces the risk of obesity, diabetes, cancer, cardiovascular mortality and all-cause mortality. The study assessed the pattern of intake and the factors that influence daily intake of commonly available fruits and vegetables in economically disadvantaged South African communities.
methodsThis is a cross-sectional study nested on an ongoing longitudinal study in South Africa. Two communities (a rural and urban) of low socio-economic status were purposely selected from two of the nine provinces. A sample of 535 participants aged 30-75 years was randomly selected from the longitudinal cohort of 1220; 411 (78%) women. Data were collected using validated food frequency and structured interviewer-administered questionnaires. Descriptive and multivariate regression analysis were undertaken.
resultsA higher proportion of participants in the urban township compared to their rural community counterparts had purchased fruits (93% vs. 51%) and vegetables (62% vs. 56%) either daily or weekly. Only 37.8% of the participants consumed at least two portions of commonly available fruits and vegetables daily, with no differences in the two communities. Daily/weekly purchase of sugar sweetened beverages (SSBs) was associated with daily intake of fruits and vegetables (p = 0.014). Controlling for age and gender, analysis showed that those who spent R1000 (USD71.4) and more on groceries monthly compared to those who spent less, and those who travelled with a personal vehicle to purchase groceries (compared to those who took public transport) were respectively 1.6 times (AOR, 95% CI: 1.05-2.44; p = 0.030) and 2.1 times (AOR, 95% CI: 1.06-4.09; p = 0.003) more likely to consume at least two or more portions of fruits and vegetables daily. Those who purchased SSBs daily or weekly were less likely (AOR, 95% CI: 0.54, 0.36-0.81, p = 0.007) to consume two or more portions of fruits and vegetables daily. The average household monthly income was very low (only 2.6% of households earned R5000 (US$357.1); and education level, attitude towards fruits and vegetables and owning a refrigerator had no significant association with fruits and vegetable daily intake.
conclusionThese findings indicate that affordability and frequency of purchase of sugary drinks can influence daily intake of fruits and vegetables in resource-limited communities.
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What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.