Examining community and consumer food environments for children: An urban-suburban-rural comparison in Southwestern Ontario

DuBreck, Catherine; Sadler, Richard C.; Arku, Godwin; Gilliland, Jason A.

doi:10.1016/j.socscimed.2018.05.004

Cited by 27 publications

(35 citation statements)

References 35 publications

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“…Our interdisciplinary research at the HEAL collectively aims to improve the health of young people. We study how a diversity of environmental conditions shapes youth health issues, ranging from mental health and quality of life [48,49], to participation in physical activity and active transportation [50,51], to nutrition and food purchasing patterns [52,53]. The impetus for our YAC is rooted in our values as a lab.…”

Section: Creating Our Youth Advisory Council: a Youth-driven Develmentioning

confidence: 99%

Conceptualizing Youth Participation in Children’s Health Research: Insights from a Youth-Driven Process for Developing a Youth Advisory Council

et al. 2018

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Given the power asymmetries between adults and young people, youth involvement in research is often at risk of tokenism. While many disciplines have seen a shift from conducting research on youth to conducting research with and for youth, engaging children and teens in research remains fraught with conceptual, methodological, and practical challenges. Arnstein’s foundational Ladder of Participation has been adapted in novel ways in youth research, but in this paper, we present a new rendering: a ‘rope ladder.’ This concept came out of our youth-driven planning process to develop a Youth Advisory Council for the Human Environments Analysis Laboratory, an interdisciplinary research laboratory focused on developing healthy communities for young people. As opposed to a traditional ladder, composed of rigid material and maintaining a static position, the key innovation of our concept is that it integrates a greater degree of flexibility and mobility by allowing dynamic movement beyond a 2D vertical plane. At the same time, the pliable nature of the rope makes it both responsive and susceptible to exogenous forces. We argue that involving youth in the design of their own participatory framework reveals dimensions of participation that are important to youth, which may not be captured by the existing participatory models.

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Section: Creating Our Youth Advisory Council: a Youth-driven Develmentioning

confidence: 99%

Conceptualizing Youth Participation in Children’s Health Research: Insights from a Youth-Driven Process for Developing a Youth Advisory Council

et al. 2018

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“…exploring what options are available from which children then make their choices). Although there has been much less research on children's FE in the City of Rochester, data from the New York State Department of Health show the * These are in contrast to measurements of the community FE, which typically estimate the number or density of stores within certain distances from homes, schools or activity spaces (11) . percentages of overweight and obese children (influenced by dietary behaviours) in Rochester over the last decade have been as high as nearly 50 % (29) .…”

Section: Study Settingmentioning

confidence: 99%

A comparative analysis of the restaurant consumer food environment in Rochester (NY, USA) and London (ON, Canada): assessing children’s menus by neighbourhood socio-economic characteristics

DuBreck

Sadler

Arku

et al. 2019

Public Health Nutr.

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Objective: To assess restaurant children's menus for content and nutritional quality; and to investigate the relationship between the restaurant consumer food environment for children and neighbourhood-level socio-economic characteristics within and between one Canadian city and one US city. Design: Cross-sectional observational study. Setting: London, ON, Canada and Rochester, NY, USA. Participants: Restaurant children's menus were assessed, scored and compared using the Children's Menu Assessment tool. We quantified neighbourhood accessibility to restaurants by calculating 800 m road-network buffers around the centroid of each city census block and created a new Neighbourhood Restaurant Quality Index for Children (NRQI-C) comprising the sum of restaurant menu scores divided by the total number of restaurants within each area. After weighting by population, we examined associations between NRQI-C and neighbourhood socio-economic characteristics using correlations and multiple regression analyses. Results: Nutritional quality of children's menus was greater, on average, in Rochester compared with London. Only one variable remained significant in the regression analyses for both cities: proportion of visible minorities had a positive effect on neighbourhood NRQI-C scores in London, whereas the reverse was true in Rochester. Conclusions: Results suggest the presence of a socio-economic disparity within Rochester, where children in more disadvantaged areas have poorer access to better nutritional quality restaurant choices. In London, results suggest an inverse relationship across the city where children in more disadvantaged areas have better access to better nutritional quality restaurant choices. Given these disparate results, research on restaurant nutritional quality for children requires additional consideration.

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“…Employing a mix of assessment techniques across both the community and consumer food environments is considered vital to accurately depict the complexity of food environments and to identify multiple points for potential intervention [10,25]. Seven of the reviewed studies described both food environments [40,46,47,48,49,50,52]; two studies described the community food environment only [39,53]; and the remaining 16 studies described the consumer food environment only (Table 2).…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies measured aspects of the community food environment; the most common being type and location of food outlet (8 studies) [39,40,47,48,49,50,52,53], followed by accessibility of food outlet (4 studies) [46,48,49,52]. Three studies [40,46,52] employed a conceptual model. Four studies [40,46,48,52] reported on the reliability or validity of the tools/methodologies employed.…”

Section: Resultsmentioning

confidence: 99%

Measuring Rural Food Environments for Local Action in Australia: A Systematic Critical Synthesis Review

Love

Whelan

Bell

et al. 2019

IJERPH

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Poor diet is a significant contributor to obesity and chronic disease. With all being more prevalent in rural than urban Australia, modifying the food environment is a potential intervention point to improve the health of rural populations. This review examined the applicability of measurement tools used in rural food environment research for rural Australia. Six electronic databases were searched for peer-reviewed literature, published in English between 2006 and 2018, including at least one objective measure of the Community or Consumer Food Environment in a rural or mixed rural/urban context. One-hundred and seventy-seven papers were returned after removal of duplicates, with a final review of 25. Most studies were cross-sectional, with one intervention study of quasi-experimental design. Nine studies employed a conceptual model; there was considerable variability in tools used; and few described psychometric testing. The most common attribute measured was price, followed by available healthy options. The findings of this review do not offer a suite of ‘gold standard’ measurement tools known to be reliable, valid and sensitive to change to assess the community or consumer food environments in rural Australian towns. However, recommendations are proposed to progress this important area of research within a rural context.

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Examining community and consumer food environments for children: An urban-suburban-rural comparison in Southwestern Ontario

Cited by 27 publications

References 35 publications

Conceptualizing Youth Participation in Children’s Health Research: Insights from a Youth-Driven Process for Developing a Youth Advisory Council

Conceptualizing Youth Participation in Children’s Health Research: Insights from a Youth-Driven Process for Developing a Youth Advisory Council

A comparative analysis of the restaurant consumer food environment in Rochester (NY, USA) and London (ON, Canada): assessing children’s menus by neighbourhood socio-economic characteristics

Measuring Rural Food Environments for Local Action in Australia: A Systematic Critical Synthesis Review

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