Lilian E Okogba¹, John E Moyegbone²* and Josiah O Adjene¹

¹Department of Public and Community Health, Novena University, Ogume, Delta State, Nigeria
²Department of Public Health, Wellspring University, Benin City, Edo State, Nigeria

*Corresponding Author: John E Moyegbone, Department of Public Health, Wellspring University, Benin City, Edo State, Nigeria.

Received: December 11, 2023; Published: February 12, 2024

Abstract

Vegetables provide key nutrients essential to promoting and maintaining good health. This study aimed to determine the barriers, and factors that improve consumption of vegetables among pregnant women attending Primary Health Care facilities in Patani Local Government Area (L.G.A) of Delta State, Nigeria. This study was a population-based descriptive cross-sectional survey of 368 pregnant women aged 15-49 years conducted in Patani L.G.A, Plateau State, Nigeria using a multi-stage cluster random sampling design. Data were collected by face-to-face interview using a structured questionnaire. The results were expressed as frequency and percentage, level of significance was calculated at a confidence interval of 95% and P<0.05. Of the 368 pregnant women, age group 21-25 years and 26-30 years with a prevalence of 95 (25.8%) and 90 (24.5%) respectively were the highest age groups. Seventy (29.2%) of respondents with secondary education consumed vegetables seven times. There was a significant association between educational status and the number of times vegetables were consumed (P = 0.037). Eight (50.0%) of respondents with no formal education spent N50 – N 100, while 17 (30.9%) of respondents with tertiary education spent above N 400 respectively to purchase vegetables. The association between educational status and the cost of vegetables purchased was statistically significant (P = 0.009). Insufficient income (31.0%), Distance to market (26.4%), and price of vegetables (20.9%) were the most common barriers to vegetable consumption. Educational and financial status significantly influences the number of times vegetables are consumed by respondents. Having your household vegetable garden is recommended to improve vegetable consumption.

Keywords:Vegetables; Pregnancy; Primary Health Care; Barriers; Consumption

References

1. Amusa O., et al. “Effect of Cooking Time on the Mineral Contents of Some Commonly-Consumed Green Leafy Vegetables in Lagos State, Nigeria”. Agric. Food Environ. 8 (2021): 39-48.
2. Celep G., et al. “Biochemical functions of micronutrients”. Adv. Obesity, Weight Manag. Control. 6 (2017): 43-45.
3. Essack H., et al. “Screening of traditional south African leafy vegetables for specific anti-nutritional factors before and after processing”. Food Sci. Technol. 37 (2017): 462-471.
4. Asase A., et al. “Availability, Cost, and Popularity of African Leafy Vegetables in Availability , Cost , and Popularity of African Leafy Vegetables in Accra Markets, Ghana”. Bot. 72 (2018): 450-460. https://doi.org/10.1007/s12231-019-9442-x.
5. Kraak V., et al. “Addressing barriers to improve children’s fruit and vegetable intake”. J. Clin. Nutr. 97 (2015): 653-655. https://doi.org/10.3945/ajcn.112.052605.
6. Odukoya O., et al. “Barriers and Facilitators of Fruit and Vegetable Consumption among Nigerian Adults in a Faith-Based Setting : A Pre-Intervention Qualitative Inquiry”. Asian Pac J Cancer Prev. 23 (2022): 1505-1511. https://doi.org/10.31557/APJCP.2022.23.5.1505.
7. Haynes-maslow L., et al. “A Qualitative Study of Perceived Barriers to Fruit and Vegetable Consumption Among Low-Income, Prev. Chronic Dis. 10 (2013): 1-10.
8. Ijewere A and E Odia. “Cultural influences on product choice of the Nigerian consumer”. Indian J Econ. 11 (2012): 23-34.
9. Chopra H., et al. “Effect of a daily snack containing green leafy vegetables on women ’ s fatty acid status : a randomized controlled trial in Mumbai, India”. Asia Pac J Clin Nutr. 27 (2018): 804-817. https://doi.org/10.6133/apjcn.032018.01.
10. Prattala R., et al. “Association between educational level and vegetable use in nine European countries”. Public Heal. Nutr. 12 (2009): 2174-2182.
11. De Irala-Estevez J., et al. “A systematic review of socio-economic differences in food habits in Europe: consumption of fruit and vegetables”. Eur J Clin Nutr. 54 (2000): 706-714.
12. Poscia A., et al. “Eating episode frequency and fruit and vegetable consumption among Italian university students”. Ann. IST Super Sanita. 53 (2017): 199-204.
13. Franchini B., et al. “Fruit and vegetables: intake and sociodemographic determinants among Portuguese mothers”. Ann Nutr Metab. 63 (2013): 131-138.
14. Li Y., et al. “Vegetable and fruit consumption among Chinese adults and associated factors: a nationally representative study of 170,847 adults”. Biomed Env. Sci. 30 (2017): 863-874.
15. John J., et al. “Reported barriers to eating more fruit and vegetables before and after participation in a ran_domized controlled trial: a qualitative study”. Health Educ. Res. 19 (2004): 165-174.
16. Lim Z., et al. “Knowledge of nutrition during pregnancy and associated factors among antenatal mothers”. Int. J. Public Heal. Clin. Sci. 5 (2018): 117-128.
17. Ridberg R., et al. “Additional Fruit and Vegetable Vouchers for Pregnant WIC Clients : An Equity-Focused Strategy to Improve Food Security and Diet Quality”. J. 14 (2022): 2328.
18. Hromi-Fiedler A., et al. “Barriers and facilitators to improve fruit and vegetable intake among WIC eligible pregnant Latinas: An application of the Health Action Process Approach framework”. J Nutr Educ Behav. 48 (2016): 468-477. https://doi.org/10.1016/j.jneb.2016.04.398.Barriers.
19. Thornton P., et al. “Weight, diet, and physical activity-related beliefs and practices among pregnant and postpartum Latino women: the role of social support”. Matern Child Heal. J. 10 (2006): 95-104.
20. Shah M., et al. “Mediators and Moderators of the Effectiveness of a Community Health Worker Intervention That Improved Dietary Outcomes in Pregnant Latino Women, Heal. Educ Behav. (2015).
21. Mustafa S., et al. “Facilitators and Barriers to Fruit and Vegetable Consumption : A Qualitative Study of the Perceptions of the Public and Experts / Policymakers”. Int J Nutr Sci. 7 (2022): 1-12.
22. Meyer-Rochow V. “Food taboos: their origins and purposes”. J Ethnobiol Ethnomed. 5 (2009): 18-26.
23. Onuorah C and J Ayo. “Food taboos and their nutritional implications on developing nations like Nigeria-a review”. Nutr Food Sci. 33 (2003): 235-240.

Citation

Citation: John E Moyegbone., et al. “Factors Associated with Vegetable Consumption among Pregnant Women Attending Primary Health Care Facilities in Patani Local Government Area of Delta State, Nigeria".Acta Scientific Women's Health 6.3 (2024): 12-19.

Copyright

Copyright: © 2024 John E Moyegbone., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.