Factors affecting access to fruit and vegetables in Chester and the importance of eating healthily: A case study of Blacon and Hoole

The link between diet and the aetiology of chronic diseases such as cancer and coronary heart disease is widely accepted. Consumption of fruit and vegetables is known to have a protective effect on such health issues. Research shows that access to and availability of such foods are key to facilitating change and sustainable healthy behaviours. This study examines the access to fruit and vegetables at a community level using the Chester wards of Blacon and Hoole. A phenomenological perspective was adopted to explore the attitudes, perceptions and behaviours of a sample of Chester based female adults living in Blacon, a ward characteristic of multiple deprivation, or Hoole, a ward characteristic of only health deprivation. Qualitative data was collected using semi-standardised interviews and data was analysed using a framework approach. Few differences emerged between the two wards across all aspects of access. Intakes of fruit and vegetables were consistent with national averages. Access to healthy food in both wards was percived to be 'good'. Time and cost were the barriers most frequently stated to fruit and vegetable consumption. Participants were aware of the need to consume fruit and vegetables but the desire to include them in their diets was equally positive and negative. Information available and level of access was percieved to be good in both wards, however, a lack of follow-up initiatives has meant that a majority of participants were unaware of ways to integrate such information and behaviours into their busy lifestyles