{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T13:11:15Z","timestamp":1789996275991,"version":"4.0.1"},"reference-count":45,"publisher":"MDPI AG","issue":"18","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: Fruit and vegetable purchase intention may reflect personal, normative, and access-related factors, yet evidence from Peru remains limited. This study aimed to examine associations of health consciousness, family influence, perceived behavioral control, and perceived convenience and availability with attitude and fruit and vegetable purchase intention, including indirect statistical associations through attitude. Methods: This cross-sectional study used non-probability convenience sampling to recruit 458 adults residing in Peru; 73.8% were female, 76.9% had university education, and 66.2% resided in Lima. Standardized composite scores were analyzed in a path model adjusted for sex, age group, education, marital status, household income, and region. HC3 robust standard errors and 5000 bootstrap resamples were used. Results: Health consciousness (\u03b2 = 0.331), perceived behavioral control (\u03b2 = 0.228), and perceived convenience and availability (\u03b2 = 0.096) were positively associated with attitude, whereas family influence was not. Attitude was positively associated with purchase intention (\u03b2 = 0.568), while direct associations of the four antecedents with purchase intention were not supported. Positive indirect statistical associations through attitude were observed for health consciousness (\u03b2 = 0.188, 95% CI: 0.117\u20130.265), perceived behavioral control (\u03b2 = 0.130, 95% CI: 0.073\u20130.190), and perceived convenience and availability (\u03b2 = 0.055, 95% CI: 0.010\u20130.104). The model explained 29.4% of attitude and 43.2% of purchase-intention variance. Conclusions: Health consciousness and perceived behavioral control showed the most consistent associations. Given the non-random and demographically imbalanced sample, findings should not be generalized to all Peruvian adults or interpreted as causal pathways or actual purchasing behavior.<\/jats:p>","DOI":"10.3390\/nu18183033","type":"journal-article","created":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T13:50:27Z","timestamp":1789566627000},"page":"3033","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Personal, Normative, and Access-Related Correlates of Fruit and Vegetable Purchase Intention in Peruvian Adults"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0685-2004","authenticated-orcid":false,"given":"Eliana","family":"Contreras-L\u00f3pez","sequence":"first","affiliation":[{"name":"Facultad de Farmacia y Bioqu\u00edmica, Universidad Nacional Mayor de San Marcos, Lima 15081, Peru"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7375-0270","authenticated-orcid":false,"given":"Rafael Orlando","family":"Flori\u00e1n-Castro","sequence":"additional","affiliation":[{"name":"Escuela de Posgrado, Universidad San Ignacio de Loyola, Lima 15024, Peru"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"methodology","vocabulary":"credit"},{"role":"validation","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"}]},{"given":"Jos\u00e9 Alberto Nu\u00f1ez","family":"Ramos","sequence":"additional","affiliation":[{"name":"Intihuatana Pharmaceutical SAC, Av. Jos\u00e9 Pardo 640 Dpto 801, Miraflores, Lima 15074, Peru"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"investigation","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"given":"Ana","family":"Veliz Barandiaran","sequence":"additional","affiliation":[{"name":"Servicio de Nutrici\u00f3n, British American Hospital, Lima 15073, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7340-7974","authenticated-orcid":false,"given":"Jacksaint","family":"Saintila","sequence":"additional","affiliation":[{"name":"Maestr\u00eda en Nutrici\u00f3n Humana, Escuela de Posgrado, Universidad Peruana Uni\u00f3n, Lima 15464, Peru"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"methodology","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Harris, J., de Steenhuijsen Piters, B., McMullin, S., Bajwa, B., de Jager, I., and Brouwer, I.D. (2023). Fruits and Vegetables for Healthy Diets: Priorities for Food System Research and Action. Science and Innovations for Food Systems Transformation, Springer.","DOI":"10.1007\/978-3-031-15703-5_6"},{"key":"ref_2","unstructured":"WHO (2025, August 31). Healthy Diet. News Room. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/healthy-diet."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1642","DOI":"10.1161\/CIRCULATIONAHA.120.048996","article-title":"Fruit and Vegetable Intake and Mortality: Results From 2 Prospective Cohort Studies of US Men and Women and a Meta-Analysis of 26 Cohort Studies","volume":"143","author":"Wang","year":"2021","journal-title":"Circulation"},{"key":"ref_4","unstructured":"Instituto Nacional de Estad\u00edstica e Inform\u00e1tica (INEI) (2026, July 14). Per\u00fa: Enfermedades No Transmisibles y Transmisibles, 2024, Available online: https:\/\/www.inei.gob.pe\/media\/MenuRecursivo\/publicaciones_digitales\/Est\/Lib2017\/libro.pdf?."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Wang, D.H., Kogashiwa, M., Mori, N., Yamashita, S., Fujii, W., Ueda, N., Homma, H., Suzuki, H., and Masuoka, N. (2016). Psychosocial Determinants of Fruit and Vegetable Consumption in a Japanese Population. Int. J. Environ. Res. Public Health, 13.","DOI":"10.3390\/ijerph13080786"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1186\/1479-5868-7-12","article-title":"Psychosocial determinants of fruit and vegetable intake in adult population: A systematic review","volume":"7","author":"Guillaumie","year":"2010","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Wei, Y., Wang, C., Zhu, S., Xue, H., and Chen, F. (2018). Online purchase intention of fruits: Antecedents in an integrated model based on technology acceptance model and perceived risk theory. Front. Psychol., 9.","DOI":"10.3389\/fpsyg.2018.01521"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1037\/0022-3514.49.3.843","article-title":"Intention, perceived control, and weight loss: An application of the theory of planned behavior","volume":"49","author":"Schifter","year":"1985","journal-title":"J. Personal. Soc. Psychol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/0749-5978(91)90020-T","article-title":"The theory of planned behavior","volume":"50","author":"Ajzen","year":"1991","journal-title":"Organ. Behav. Hum. Decis. Process."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"135506","DOI":"10.1016\/j.jclepro.2022.135506","article-title":"\u2018Mind will not mind\u2019\u2014Decoding consumers\u2019 green intention-green purchase behavior gap via moderated mediation effects of implementation intentions and self-efficacy","volume":"383","author":"Tawde","year":"2023","journal-title":"J. Clean. Prod."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Conner, M., and Norman, P. (2022). Understanding the intention-behavior gap: The role of intention strength. Front. Psychol., 13.","DOI":"10.3389\/fpsyg.2022.923464"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Al-Sayyed, H.F., AbuZeinah, Z.F., and Al-Awwad, N.J. (2025). Food purchasing pattern is correlated to gender, educational level, and income: Results from the food purchasing habits survey. PLoS ONE, 20.","DOI":"10.1371\/journal.pone.0322781"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"920","DOI":"10.1177\/0146167218801363","article-title":"Causality in the Theory of Planned Behavior","volume":"45","author":"Sussman","year":"2019","journal-title":"Personal. Soc. Psychol. Bull."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/j.appet.2017.02.007","article-title":"Predicting organic food consumption: A meta-analytic structural equation model based on the theory of planned behavior","volume":"112","author":"Scalco","year":"2017","journal-title":"Appetite"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1016\/j.ypmed.2015.08.020","article-title":"The Theory of Planned Behaviour and dietary patterns: A systematic review and meta-analysis","volume":"81","author":"McDermott","year":"2015","journal-title":"Prev. Med."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Li, Y., and Shan, B. (2025). Exploring the role of health consciousness and environmental awareness in purchase intentions for green-packaged organic foods: An extended TPB model. Front. Nutr., 12.","DOI":"10.3389\/fnut.2025.1528016"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Escobar-Farf\u00e1n, M., Garc\u00eda-Salirrosas, E.E., Guerra-Vel\u00e1squez, M., Veas-Gonz\u00e1lez, I., G\u00f3mez-Bayona, L., and Gallardo-Canales, R. (2025). Psychological Determinants of Healthy Food Purchase Intention: An Integrative Model Based on Health Consciousness. Nutrients, 17.","DOI":"10.3390\/nu17071140"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1016\/j.appet.2015.09.017","article-title":"Intention to purchase organic food among young consumers: Evidences from a developing nation","volume":"96","author":"Yadav","year":"2016","journal-title":"Appetite"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Tsakni, G.J., Tsaknis, J., Tsaknis, P.A., Tsakni, A.A., Sahinidis, A.G., Kavoura, A., Briciu, V.-A., and Briciu, A. (2025). The Influence of Health Consciousness, Environmental Concern, and Theory of Planned Behavior (TPB) on the Intention to Purchase Organic Food. Strategic Innovative Marketing and Tourism, Springer.","DOI":"10.1007\/978-3-031-81962-9_50"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Pan, J., Wu, K.S., Huang, D.M., and Sun, S.-W. (2025). Role of Health-Consciousness on Purchase Intention of Health and Wellness Food: The Serial Mediating Effect of Attitude and Desire. Nutrients, 17.","DOI":"10.3390\/nu17050746"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"104609","DOI":"10.1016\/j.foodqual.2022.104609","article-title":"Determinants and moderators of organic food purchase intention","volume":"100","author":"Eberle","year":"2022","journal-title":"Food Qual. Prefer."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1108\/BFJ-11-2021-1208","article-title":"The influence of consumer ethnocentrism on purchase of domestic fruits and vegetables: Application of the extended theory of planned behaviour","volume":"124","author":"Miguel","year":"2022","journal-title":"Br. Food J."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"104191","DOI":"10.1016\/j.foodqual.2021.104191","article-title":"Extending the theory of planned behavior to understand consumer purchase behavior for organic vegetables in Brazil: The role of perceived health benefits, perceived sustainability benefits and perceived price","volume":"91","author":"Dorce","year":"2021","journal-title":"Food Qual. Prefer."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Aljehany, B.M., Aljadani, H., Abusalih, H., and Abduljawad, E.A. (2025). Exploring the determinants of fruits and vegetables consumption among adults in Saudi Arabia: Integrating habit strength in theory of planned behavior. Front. Nutr., 12.","DOI":"10.3389\/fnut.2025.1568912"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1300\/J052v23n04_03","article-title":"Applying the theory of planned behavior to fruit and vegetable consumption by older adults","volume":"23","author":"Sjoberg","year":"2004","journal-title":"J. Nutr. Elder."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"3469","DOI":"10.1002\/fsn3.4015","article-title":"Factors affecting purchase intention of organic food products: Evidence from a developing nation context","volume":"12","author":"Bazhan","year":"2024","journal-title":"Food Sci. Nutr."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"100121","DOI":"10.1016\/j.clrc.2023.100121","article-title":"Examining consumer purchase intention towards organic food: An empirical study","volume":"9","author":"Kamboj","year":"2023","journal-title":"Clean. Responsible Consum."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"123","DOI":"10.25176\/RFMH.v20i1.2660","article-title":"Prevalencia y factores asociados al bajo consumo de frutas y verduras en alumnos de la carrera profesional de medicina humana de una Universidad Peruana","volume":"20","year":"2020","journal-title":"Rev. Fac. Med. Humana"},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Saintila, J., Flori\u00e1n-Castro, R.O., Macedo-Barrera, E.M., P\u00e9rez-Facundo, R.P., and Calizaya-Milla, Y.E. (2025). Health Consciousness, Sensory Appeal, and Perception of Front-of-Package Food Labels as Predictors of Purchase Intention for Unhealthy Foods in Peruvian University Students. Nutrients, 17.","DOI":"10.3390\/nu17111921"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1177\/1559827613492092","article-title":"Getting Our Children to Eat More Fruits and Vegetables","volume":"7","author":"Luppold","year":"2013","journal-title":"Am. J. Lifestyle Med."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"591","DOI":"10.5993\/AJHB.35.5.8","article-title":"Variables associated with fruit and vegetable intake in adolescents","volume":"35","author":"Granner","year":"2011","journal-title":"Am. J. Health Behav."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1080\/10454446.2019.1697980","article-title":"Marketing and Socio-psychological Factors Influencing Organic Food Purchase and Post-Purchase Outcomes","volume":"25","author":"Chauke","year":"2019","journal-title":"J. Food Prod. Mark."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1066","DOI":"10.1108\/BFJ-12-2013-0361","article-title":"Decisional factors driving organic food consumptionGeneration of consumer purchase intentions","volume":"117","author":"Teng","year":"2015","journal-title":"Br. Food J."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1206","DOI":"10.1017\/S1368980012003461","article-title":"Is there an association between the home food environment, the local food shopping environment and children\u2019s fruit and vegetable intake? Results from the Dutch INPACT study","volume":"16","author":"Schrijvers","year":"2013","journal-title":"Public Health Nutr."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1124","DOI":"10.1017\/S1368980012000523","article-title":"Perceptions of the food shopping environment are associated with greater consumption of fruits and vegetables","volume":"15","author":"Blitstein","year":"2012","journal-title":"Public Health Nutr."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.healthplace.2013.07.005","article-title":"Do perceptions of the neighbourhood food environment predict fruit and vegetable intake in low-income neighbourhoods?","volume":"24","author":"Flint","year":"2013","journal-title":"Health Place"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1368","DOI":"10.1017\/S1368980015002864","article-title":"Geographic measures of retail food outlets and perceived availability of healthy foods in neighbourhoods","volume":"19","author":"Barnes","year":"2016","journal-title":"Public Health Nutr."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1177\/1524839919877172","article-title":"Harnessing Knowledge for Improving Access to Fruits and Vegetables at Farmers Markets: Interactive Data Visualization to Inform Food Security Programs and Policy","volume":"21","author":"Johnson","year":"2020","journal-title":"Health Promot. Pract."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Stadlmayr, B., Tr\u00fcbswasser, U., McMullin, S., Karanja, A., Wurzinger, M., Hundscheid, L., Riefler, P., Lemke, S., Brouwer, I.D., and Sommer, I. (2023). Factors affecting fruit and vegetable consumption and purchase behavior of adults in sub-Saharan Africa: A rapid review. Front. Nutr., 10.","DOI":"10.3389\/fnut.2023.1113013"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1007\/s11002-013-9227-4","article-title":"The process by which product availability triggers purchase","volume":"24","author":"Steinhart","year":"2013","journal-title":"Mark. Lett."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.jneb.2007.12.006","article-title":"Understanding Adherence to 5 Servings of Fruits and Vegetables Per Day: A Theory of Planned Behavior Perspective","volume":"41","author":"Blanchard","year":"2009","journal-title":"J. Nutr. Educ. Behav."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"168","DOI":"10.4163\/jnh.2018.51.2.168","article-title":"Food consumption behaviors of women by marital status: Focus on the 2015 consumers survey data on food consumption behaviors","volume":"51","author":"Kim","year":"2018","journal-title":"J. Nutr. Health"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"e32492","DOI":"10.1016\/j.heliyon.2024.e32492","article-title":"Understanding food choice: A systematic review of reviews","volume":"10","author":"Fernqvist","year":"2024","journal-title":"Heliyon"},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"M\u00fcller-P\u00e9rez, J., Acevedo-Duque, \u00c1., Garc\u00eda-Salirrosas, E.E., Escobar-Farf\u00e1n, M., Esponda-P\u00e9rez, J.A., Cachicatari-Vargas, E., \u00c1lvarez-Becerra, R., and De Fortoul, S.A. (2025). Factors influencing healthy product consumer behavior: An integrated model of purchase intention. Front. Public Health, 13.","DOI":"10.3389\/fpubh.2025.1576427"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"105615","DOI":"10.1016\/j.foodqual.2025.105615","article-title":"The role of health, nutrition, and origin claims in shaping consumers\u2019 choice for fresh produce: A choice experiment on white Asparagus","volume":"133","author":"Beltramo","year":"2025","journal-title":"Food Qual. Prefer."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/18\/3033\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T12:51:54Z","timestamp":1789995114000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/18\/18\/3033"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,16]]},"references-count":45,"journal-issue":{"issue":"18","published-online":{"date-parts":[[2026,9]]}},"alternative-id":["nu18183033"],"URL":"https:\/\/doi.org\/10.3390\/nu18183033","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,16]]}}}