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This is a Cross-Sectional Study study.

September 24, 2025Open Access

Factors Associated with Fruit and Vegetable Intake Among Women of Reproductive Age in Flint, Michigan: A Cross-Sectional Analysis

Key Points

Low adherence to fruit (22.8%) and vegetable (20.3%) recommendations highlights dietary challenges for women in Flint.
Key factors tied to recommended F&V intake include education, income, homeownership, and perceived health.
Cross-sectional analysis leveraged Flint Registry data to evaluate sociodemographic influences on dietary behaviors.
Understanding environmental and socioeconomic associations can inform interventions aimed at enhancing nutritional status.

Abstract

Background/Objectives: There is a paucity of research evaluating factors associated with healthy eating behaviors in reproductive-age, non-pregnant women. This study aims to examine the association between sociodemographic, perceived health, and environmental factors with fruit and vegetable (F&V) consumption and adherence to dietary recommendations among women of reproductive age who lived, worked, or attended school in Flint, Michigan, during the Flint water crisis (April 2014–October 2015). Methods: This cross-sectional study used data collected from enrollment surveys completed by participants in the Flint Registry (December 2019–2021). Inclusion criteria were females aged 18–55 having complete data on sociodemographic indicator, general health perception, and dietary assessment data (n = 1239). Pearson chi-square measures of association were used to compare frequencies within groups between sociodemographic characteristics, perceived health and wellbeing (PHW), F&V quality/selection, adherence to recommendations, and total F&V intake. Results: Few participants met recommendations for fruits (22.8%) and vegetables (20.3%). Approximately 50.5% reported having access to a wide variety of F&Vs in their neighborhood and perceived F&V quality to be high. Factors significantly associated with meeting F&V recommendations included education, income, homeownership status, and PHW (p < 0.05). Conclusions: Associations between environmental and socioeconomic factors and daily F&V intake among women of reproductive age offer important considerations for designing interventions to improve this demographic’s nutritional status. Results indicate low adherence to recommended F&V intake but perceived access and quality as high in this population. Targeted interventions addressing key components of socioeconomic barriers, perceived access and quality, and perceived wellbeing are needed to improve F&V intake.

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