scholarly journals Impacts of fast food and the food retail environment on overweight and obesity in China: a multilevel latent class cluster approach

2011 ◽  
Vol 15 (1) ◽  
pp. 88-96 ◽  
Author(s):  
Xiaoyong Zhang ◽  
Ivo van der Lans ◽  
Hans Dagevos

AbstractObjectiveTo simultaneously identify consumer segments based on individual-level consumption and community-level food retail environment data and to investigate whether the segments are associated with BMI and dietary knowledge in China.DesignA multilevel latent class cluster model was applied to identify consumer segments based not only on their individual preferences for fast food, salty snack foods, and soft drinks and sugared fruit drinks, but also on the food retail environment at the community level.SettingThe data came from the China Health and Nutrition Survey (CHNS) conducted in 2006 and two questionnaires for adults and communities were used.SubjectsA total sample of 9788 adults living in 218 communities participated in the CHNS.ResultsWe successfully identified four consumer segments. These four segments were embedded in two types of food retail environment: the saturated food retail environment and the deprived food retail environment. A three-factor solution was found for consumers’ dietary knowledge. The four consumer segments were highly associated with consumers’ dietary knowledge and a number of sociodemographic variables.ConclusionsThe widespread discussion about the relationships between fast-food consumption and overweight/obesity is irrelevant for Chinese segments that do not have access to fast food. Factors that are most associated with segments with a higher BMI are consumers’ (incorrect) dietary knowledge, the food retail environment and sociodemographics. The results provide valuable insight for policy interventions on reducing overweight/obesity in China. This study also indicates that despite the breathtaking changes in modern China, the impact of ‘obesogenic’ environments should not be assessed too strictly from a ‘Western’ perspective.

2009 ◽  
Vol 12 (9) ◽  
pp. 1384-1391 ◽  
Author(s):  
Laura M Seliske ◽  
William Pickett ◽  
William F Boyce ◽  
Ian Janssen

AbstractIntroductionThere is growing interest in how the physical environment influences obesity. Few studies have considered how the food retail environment surrounding schools influences overweight in students.ObjectiveTo determine whether there is a relationship between food retailers surrounding schools and overweight among Canadian youth.DesignCross-sectional study.Setting/methods/subjectsThe number of food retailers was obtained within a 1 km and 5 km radius around 178 schools in Canada. Retailers included full-service restaurants, fast-food restaurants, sub/sandwich retailers, doughnut/coffee shops, convenience stores and grocery stores. An index of total food retailer exposure was also created. Multilevel analyses were used to control for individual- and area-level covariates.ResultsNone of the individual food retailers was associated with an increased likelihood of overweight. The total food retailer index was most strongly related to overweight, but in the opposite direction to that hypothesized. At 1 km, students attending schools with at least one food retailer had a lower relative odds of overweight (OR = 0·70, 95 % CI 0·61, 0·81). At 5 km, students attending schools with the highest exposure to the total food retailer index had a lower relative odds of overweight (OR = 0·56, 95 % CI 0·47, 0·68) compared with students attending schools with no exposure.ConclusionsExposure to various types of food retailers in school neighbourhoods was not associated with an increased likelihood of overweight in Canadian school-aged youth. The opportunity to make healthy choices from a variety of options and the unique Canadian context may explain the findings.


Author(s):  
Stella S. Yi ◽  
Shahmir H. Ali ◽  
Rienna G. Russo ◽  
Victoria Foster ◽  
Ashley Radee ◽  
...  

2020 ◽  
pp. 1-9
Author(s):  
Stella S Yi ◽  
Rienna G Russo ◽  
Bian Liu ◽  
Susan Kum ◽  
Pasquale Rummo ◽  
...  

Abstract Objective: The food retail environment is an important determinant of food access and the ability to achieve a healthy diet. However, immigrant communities may procure their food in different ways than the mainstream population owing to preferences for specific cultural products or limited English language proficiency. The objective of this analysis was to describe the grocery shopping patterns and behaviours of one of the largest immigrant groups in New York City, Chinese Americans – a group experiencing high poverty and cardio-metabolic disparities. Design: Cross-sectional survey data. Setting: Community-based sample. Participants: Self-identified Chinese Americans in the New York metropolitan area (n 239). Results: Three shopping patterns were identified: type 1: shopped weekly at an ethnic grocery store – and nowhere else; type 2: shopped weekly at a non-ethnic grocery store, with occasional shopping at an ethnic store and type 3: did not perform weekly shopping. Type 1 v. type 2 shoppers tended to have lower education levels (37·5 v. 78·0 % with college degree); to be on public insurance (57·6 v. 22·8 %); speak English less well (18·4 v. 41·4 %); be food insecure (47·2 v. 24·2 %; P < 0·01 for all) and to travel nearly two miles further to shop at their primary grocery store (β = −1·55; 95 % CI −2·81, −0·30). Discussion: There are distinct grocery shopping patterns amongst urban-dwelling Chinese Americans corresponding to demographic and sociocultural factors that may help inform health interventions in this understudied group. Similar patterns may exist among other immigrant groups, lending preliminary support for an alternative conceptualisation of how immigrant communities interact with the food retail environment.


2014 ◽  
Vol 9 (2) ◽  
pp. 210-229 ◽  
Author(s):  
Shauna M. Downs ◽  
Anne Marie Thow ◽  
Suparna Ghosh-Jerath ◽  
Stephen R. Leeder

2019 ◽  
Vol 47 (6) ◽  
pp. 590-604
Author(s):  
David Marshall

Purpose The purpose of this paper is to look at perceptions of young Japanese consumers towards the convenience store, or konbini, with a view to understanding what attracts them to this retail format and exploring well-being in a new way that is more relevant the retail experience. Design/methodology/approach The study looks at the emergence of the konbini as part of the Japanese food retail environment and reports on an online survey (n=453) of young Japanese consumer’s (>18 years old) attitudes towards this retail format. Findings The preliminary analysis of the data finds the konbini is a popular choice for young consumers for specific types of everyday goods. The main appeal lies in the ease of access, location of the stores and the ambience of the space that appeal to young consumer’s sense of well-being. Research limitations/implications This is a purposeful sample of young Japanese consumers surveyed across several academic institutions. Practical implications Konbini must continue to innovate to attract young consumer while acknowledging the implications of their stocking policy on consumer well-being. Originality/value This offers a unique insight into the ways in which young Japanese consumers avail themselves of the food retail provision and provides a broader perspective on well-being in a retail environment that resonates with consumer practice.


2017 ◽  
Vol 31 (1) ◽  
pp. 16-34 ◽  
Author(s):  
Hayley G. Janssen ◽  
Ian G. Davies ◽  
Lucinda D. Richardson ◽  
Leonard Stevenson

AbstractOut-of-home foods (takeaway, take-out and fast foods) have become increasingly popular in recent decades and are thought to be a key driver in increasing levels of overweight and obesity due to their unfavourable nutritional content. Individual food choices and eating behaviours are influenced by many interrelated factors which affect the results of nutrition-related public health interventions. While the majority of research based on out-of-home foods comes from Australia, the UK and USA, the same issues (poor dietary habits and increased prevalence of non-communicable disease) are of equal concern for urban centres in developing economies undergoing ‘nutrition transition’ at a global scale. The present narrative review documents key facets, which may influence out-of-home food consumption, drawn from biological, societal, environmental, demographic and psychological spheres. Literature searches were performed and references from relevant papers were used to find supplementary studies. Findings suggest that the strongest determinants of out-of-home food availability are density of food outlets and deprivation within the built environment; however, the association between socio-economic status and out-of-home food consumption has been challenged. In addition, the biological and psychological drives combined with a culture where overweight and obesity are becoming the norm makes it ‘fashionable’ to consume out-of-home food. Other factors, including age group, ethnicity and gender demonstrate contrasting effects and a lack of consensus. It is concluded that further consideration of the determinants of out-of-home food consumption within specific populations is crucial to inform the development of targeted interventions to reduce the impact of out-of-home foods on public health.


Public Health ◽  
2014 ◽  
Vol 128 (4) ◽  
pp. 360-366 ◽  
Author(s):  
V. Sauveplane-Stirling ◽  
D. Crichton ◽  
S. Tessier ◽  
A. Parrett ◽  
A.L. Garcia

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