Fruit and vegetable consumption is low compared to recommendations worldwide. Few studies have investigated intakes of fruit and vegetables and barriers to meeting recommendations in a mixed-method design. Moreover, there is a need to better understand differences in these barriers by population subgroups. This study aimed to examine fruit and vegetable intake and barriers to meeting recommendations and differences by sex, age and socioeconomic groups. Data on adults from the cross-sectional Greater Bendigo Active Living Census 2014 were used. Participants self-reported intake of fruit and vegetables and completed an open ended question on barriers to meeting recommended intakes. Logistic regression analyses were used to examine odds of meeting recommended intakes. Leximancer was used for thematic analyses of barriers. A total of 13,788 individuals (54% female, 52.1 (SD 17.7) years) were included in the quantitative analyses. Qualitative data were available for 5649 of these individuals. Only seven percent of participants met recommended intakes for fruit and vegetables. Barriers were lack of time, that guidelines were perceived as unachievable, the wide variety of other foods available and the high cost and limited availability of fresh fruit and vegetables. The most relevant barriers by subgroups were: taste (12%) and lack of appetite (18%) for males and females, respectively; lack of time (26-28%) and lack of appetite (70%) for young to middle aged adults and older adults, respectively and cost (35%) and availability of fresh fruits and vegetables (22%) for rural and disadvantaged groups. Findings have implications for the design of healthy eating strategies, which may benefit from being tailored to key population groups.

中文翻译：

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探索满足偏远地区成年人水果和蔬菜摄入量建议的障碍：跨社会人口统计学差异的混合方法分析

与世界范围内的建议相比，水果和蔬菜的消费量较低。很少有研究调查水果和蔬菜的摄入量以及在混合方法设计中达到建议的障碍。此外，需要更好地了解人口亚群在这些障碍方面的差异。本研究旨在检查水果和蔬菜的摄入量以及满足建议的障碍以及性别、年龄和社会经济群体的差异。使用了来自 2014 年大本迪戈积极生活人口普查横断面的成年人数据。参与者自我报告了水果和蔬菜的摄入量，并完成了一个关于达到推荐摄入量的障碍的开放式问题。逻辑回归分析用于检查达到推荐摄入量的几率。Leximancer 被用于障碍的专题分析。一共13个，788 个人（54% 女性，52.1 (SD 17.7) 岁）被纳入定量分析。其中 5649 人可获得定性数据。只有 7% 的参与者达到了水果和蔬菜的推荐摄入量。障碍是时间不够，准则被认为无法实现，其他食物种类繁多，新鲜水果和蔬菜的成本高且供应有限。亚组最相关的障碍是：男性和女性的味觉 (12%) 和食欲不振 (18%)；中青年和老年人分别缺乏时间 (26-28%) 和缺乏食欲 (70%)，农村和弱势群体的成本 (35%) 和新鲜水果和蔬菜的供应量 (22%) . 研究结果对健康饮食策略的设计有影响，