Individual and food environmental factors: association with diet

Menezes, Mariana Carvalho de; Roux, Ana V. Diez; Costa, Bruna Vieira de Lima; Lopes, Aline Cristine Souza

doi:10.1017/s1368980018001623

Cited by 31 publications

(28 citation statements)

References 36 publications

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“…An ecological study undertaken in Belo Horizonte revealed that the neighbourhood of a HAP had low quality of stores with limited access to healthy foods (48) . Besides, previous findings in Belo Horizonte and São Paulo showed that living in neighbourhoods with stores/markets selling fresh foods was associated with fruit and vegetable consumption (13,40) .…”

Section: Disparities In Food Consumptionmentioning

confidence: 90%

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Disparities in food consumption between economically segregated urban neighbourhoods

Lopes

Caiaffa

Andrade

et al. 2019

Public Health Nutr.

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Objective:To examine associations between economic residential segregation and prevalence of healthy and unhealthy eating markers.Design:Cross-sectional. A stratified sample was selected in a three-stage process. Prevalence of eating markers and their 95 % CI were estimated according to economic residential segregation: high (most segregated); medium (integrated) and low (less segregated or integrated). Segregation was measured at the census tract and assessed using the Getis–Ord local $G_i^{\rm{\ast}}$ statistic based on the proportion of heads of household in a neighbourhood earning a monthly income of 0–3 minimum wages. Binary logistic regression using generalized estimating equations were used to model the associations.Setting:Belo Horizonte, Brazil.Participants:Adults (n 1301) residing in the geographical environment (178 census tracts) of ten units of the Brazilian primary-care service known as the Health Academy Program.Results:Of the 1301 participants, 27·7 % lived in highly segregated neighbourhoods, where prevalence of regular consumption of fruit was lower compared with more affluent areas (34·6 v. 53·2 %, respectively). Likewise, regular consumption of vegetables (70·1 v. 87·6 %), fish (23·6 v. 42·3 %) and replacement of lunch or dinner with snacks (0·8 v. 4·7 %) were lower in comparison to more affluent areas. In contrast, regular consumption of beans was higher (91·0 v. 79·5 %). The associations of high-segregated neighbourhood with consumption of vegetables (OR = 0·62; 95 % CI 0·39, 0·98) and beans (OR = 1·85; 95 % CI 1·07, 3·19) remained significant after adjustments.Conclusions:Economic residential segregation was associated with healthy eating markers even after adjustments for individual-level factors and perceived food environment.

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Section: Disparities In Food Consumptionmentioning

confidence: 90%

“…Low perceived food environments were considered when the answers to all questions about fruit and vegetable availability (variety, quality and price) were 'no'. foods, which, in turn, can also modulate residents' eating behaviour or shape their food preferences (40)(41)(42)(43)(44) .…”

Section: Disparities In Food Consumptionmentioning

confidence: 99%

Disparities in food consumption between economically segregated urban neighbourhoods

Lopes

Caiaffa

Andrade

et al. 2019

Public Health Nutr.

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“…It was reported that the food environment within stores, as it relates to healthy food availability, quality, and price, may contribute to the dietary intake disparities in many countries [10,11,12]. Specifically, higher quality food stores, such as specialized fruit and vegetable (F&V) markets, were associated with greater F&V intake after controlling for individual-level characteristics, according to a study conducted in a Brazilian city [10]. The proportion of in-store shelf space for skim, 1% fat, and 2% fat milk was reported by a study conducted in the United States to be associated with low-fat milk consumption [11].…”

Section: Introductionmentioning

confidence: 99%

Adaptation and Validation of the Chinese Version of the Nutrition Environment Measurement Tool for Stores

Liu

Song

Gittelsohn

et al. 2019

IJERPH

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Changes in lifestyle and food environment have created a heavy burden of obesity and chronic disease in China. However, measurements of the food environment have been rarely reported in China or other countries with similar food cultures; this measurement shortage is partially due to the lack of valid and reliable measurement tools. The aim of the present study was to adapt and validate a Chinese version of the Nutritional Environment Measurement Survey for Stores (C-NEMS-S). Categories and items of the NEMS-S were culturally adapted to fit the Chinese population and included grains, dry beans, starchy tubers, vegetables, fruits, seafood, meat and poultry, dietary oils, milk, bread, instant noodles, and beverages. A scoring sheet for each food category was created to measure availability, quality, and pricing. Then, the C-NEMS-S was validated in 10 large-sized supermarkets and 10 convenience stores in Shenyang, China. Two trained raters performed their evaluations separately at the same store. The intra-class correlation coefficient (ICC) of the availability composite score was 0.98. All food measures had a moderate or good ICC (0.41 to 1.00). The kappa for each food measure ranged from 0.52 to 1.00. C-NEMS-S was able to show the difference in healthy food availability between large-sized supermarkets and convenience stores, as well as the price differences between healthier options and regular options. Large-sized supermarkets had a significantly higher total score (p < 0.001) and healthier option availability for all food measures (all items were statistically significant (p < 0.05), except sugar-free beverages). Healthier options cost more than regular options for grains, milk, bread, and instant noodles (from 4% to 153%). The adapted C-NEMS-S can be used to measure the consumer food environment in stores in China.

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“…contextual and culturally varying (15)(16)(17)(18)(19) . They include differing attitudes towards food and eating in general (20,21) and towards specific products such as UPF and fast foods (21) .…”

mentioning

confidence: 99%

Dietary health perceptions and sources of nutritional knowledge in an urban food environment: a qualitative study from Indonesia

Colozza

2020

Public Health Nutr.

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Objective: To investigate dietary health understandings; healthy foods access perceptions; and the main sources of nutritional knowledge of residents in three urban communities of varying socio-economic make-up. Design: An ethnographic approach to primary qualitative data collection, involving frequent visits to study areas over four months and in-depth interviews. Interviews were recorded, transcribed verbatim, and analysed through an iterative approach. Setting: Yogyakarta, Indonesia. Participants: A purposive sample of 45 participants divided equally among the three communities. Participants were mostly female (93%), aged between 27-75 years (mean 47.7), and largely identified as the person responsible for household food-related decisions (93%). Results: Three overarching themes emerged: i) dietary health understandings, ii) healthy foods access perceptions, and iii) sources of nutritional knowledge. Participants employed multi-faceted conceptualisation of dietary health. Most identified healthy foods with traditional plant-based foods, inexpensive and locally-available from multiple sources. Thus, all participants perceived healthy foods as highly available in the local environment and most (80%) as affordable. Reported affordability issues referred to specific foods (particularly animal-source products) and were independent of income levels. Participants acquired nutritional knowledge from multiple sources, including many community-based initiatives. These were overall perceived as useful, but also as presenting some limitations. Conclusions: The variety in dietary health understandings reported by study participants, and their high perceptions of healthy foods availability in the local environment reinforce the idea that individual- and food environment-level determinants of nutritional behaviours are highly contextual.

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Individual and food environmental factors: association with diet

Cited by 31 publications

References 36 publications

Disparities in food consumption between economically segregated urban neighbourhoods

Disparities in food consumption between economically segregated urban neighbourhoods

Adaptation and Validation of the Chinese Version of the Nutrition Environment Measurement Tool for Stores

Dietary health perceptions and sources of nutritional knowledge in an urban food environment: a qualitative study from Indonesia

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