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The Diabetes Educator

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Health Education & Behavior
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The Relationship Between the Social Environment Within Religious Organizations and Intake of Fat Versus Fruits and Vegetables

Alton Hart, JR, MD, MPH

Virginia Commonwealth University, Richmond

Deborah J. Bowen, PhD

Fred Hutchinson Cancer Research Center, Seattle, Washington, dbowen{at}fhcrc.org

Alan Kuniyuki, MS

Fred Hutchinson Cancer Research Center, Seattle, Washington

Peggy Hannon, PhD

University of Washington, Health Services, Seattle

Marci K. Campbell, PhD

University of North Carolina, Chapel Hill

The authors explored associations of social environment with dietary behavior among participants in the Eating for a Healthy Life study, a randomized, low-fat, high-fruit-and-vegetable dietary intervention trial in religious organizations. Data in this report are from baseline telephone surveys of 1,520 persons that assessed dietary behaviors (Fat- and Fiber-Related Diet Behavior Questionnaire) and social environment (Moos Group Environment Scale). After adjusting for demographic characteristics, higher scores on the Cohesion and Order/Organization subscales were associated with higher fruit/vegetable scores (indicating higher fruit and vegetable consumption). Higher scores on the Cohesion, Leader Support, and Order/Organization subscales were also associated with lower fat scores (indicating lower fat intake). Dietary behaviors within religious organizations may be related to positive perceptions of the social environment. These results support further exploration of the potential influence of religious organizations' social environment on health behaviors and its applicability to dietary change interventions.

Key Words: social climate • dietary behaviors • fat intake • fruit and vegetable intake • Moos Group Environment Scale

This version was published on June 1, 2007

Health Education & Behavior, Vol. 34, No. 3, 503-516 (2007)
DOI: 10.1177/1090198106295916
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