Format

Send to

Choose Destination
Am J Public Health. 1998 Aug;88(8):1161-7.

Final results of the Maryland WIC 5-A-Day Promotion Program.

Author information

1
Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore 21201, USA. shavas@epi.umaryland.edu

Abstract

OBJECTIVES:

This National Cancer Institute-funded study sought to increase fruit and vegetable consumption among women served by the WIC program in Maryland.

METHODS:

Over a 2-year period, a multifaceted intervention program using a randomized crossover design sought to increase fruit and vegetable consumption at 16 WIC program sites in Baltimore City and 6 Maryland counties. Participants were surveyed at baseline, 2 months postintervention, and 1 year later.

RESULTS:

Two months postintervention, mean daily consumption had increased by 0.56 +/- 0.11 servings in intervention participants and 0.13 +/- 0.07 servings in control participants (P = .002). Intervention participants also showed greater changes in stages of change, knowledge, attitudes, and self-efficacy. Changes in consumption were closely related to number of nutrition sessions attended, baseline stage of change, race, and education. One year later, mean consumption had increased by an additional 0.27 servings in both intervention and control participants.

CONCLUSIONS:

Dietary changes to prevent cancer can be achieved and sustained in this hard-to-reach, low-income population. However, many obstacles must be overcome to achieve such changes.

PMID:
9702141
PMCID:
PMC1508288
DOI:
10.2105/ajph.88.8.1161
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Atypon Icon for PubMed Central
Loading ...
Support Center