Journal
JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR
Volume 43, Issue 4, Pages 219-228Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jneb.2010.03.008
Keywords
fonio; Theory of Planned Behavior; Health Belief Model; women of reproductive age; Mali
Funding
- European Union [0015043]
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Objective: To identify factors influencing intention to consume an indigenous nutritious grain, fonio (Digitaria exilis), among women in Mali. Design: A cross-sectional questionnaire survey based on the Theory of Planned Behavior and the Health Belief Model. Setting and Participants: One hundred and eight women (31.5 +/- 10.5 years), randomly selected by a 3-stage cluster sampling, Bamako, Mali. Main Outcome Measures: Model constructs scores, intention to consume fonio, and fonio consumption. Analysis: Correlation and multiple regression, Wilcoxon signed rank and Mann-Whitney tests for score comparison. Results: Attitudes toward behavior (beta = .32, P < .05) was the best predictor of intention to consume fonio, which was significantly correlated with fonio consumption (rho = .78, P < .001). Health value (beta = .23, P < .05) was a significant predictor of health behavior identity, which was significantly correlated with attitudes toward behavior (rho = .67, P < 0.001) and perceived barriers (rho = .33, P < .001). The latter formed a significant interaction term between intention and behavior (beta = -.72, P < .05). Conclusions and Implications: Fonio consumption could be increased in Bamako through stimulation of positive attitudes, changing men's beliefs, influencing family and neighbors' opinions, and improving the processing and the skills of women who prepare fonio.
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