scholarly journals Comparing food desert residents with non-food desert residents on grocery shopping behaviours, diet and BMI: results from a propensity score analysis

2020 ◽  
Vol 23 (5) ◽  
pp. 806-811
Author(s):  
Rebecca C Woodruff ◽  
Regine Haardörfer ◽  
Ilana G Raskind ◽  
April Hermstad ◽  
Michelle C Kegler
Keyword(s):  
Propensity Score Analysis ◽  
Grocery Store ◽  
Food Desert ◽  
Dietary Behaviour ◽  
Grocery Shopping ◽  
Healthy Foods ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Perceived Access ◽  
Access To Healthy Foods

AbstractObjective:To determine whether residence in a US Department of Agriculture-designated food desert is associated with perceived access to healthy foods, grocery shopping behaviours, diet and BMI among a national sample of primary food shoppers.Design:Data for the present study came from a self-administered cross-sectional survey administered in 2015. Residential addresses of respondents were geocoded to determine whether their census tract of residence was a designated food desert or not. Inverse probability of treatment-weighted regression was used to assess whether residence in a food desert was associated with dependent variables of interest.Setting:USA.Participants:Of 4942 adult survey respondents, residential addresses of 75·0 % (n 3705) primary food shoppers were included in the analysis.Results:Residence in a food desert (11·1 %, n 411) was not significantly associated with perceived access to healthy foods, most grocery shopping behaviours or dietary behaviour, but was significantly associated with primarily shopping at a superstore or supercentre v. a large grocery store (OR = 1·32; 95 % CI 1·02, 1·71; P = 0·03) and higher BMI (b = 1·14; 95 % CI 0·36, 1·93; P = 0·004).Conclusions:Results suggest that food desert residents shop at different food stores and have higher BMI than non-food desert residents.

scholarly journals What's in the lunchbox? Dietary behaviour of learners from disadvantaged schools in the Western Cape, South Africa

2011 ◽  
Vol 14 (10) ◽  
pp. 1752-1758 ◽  
Author(s):  
Zulfa Abrahams ◽  
Anniza de Villiers ◽  
Nelia P Steyn ◽  
Jean Fourie ◽  
Lucinda Dalais ◽  
...  
Keyword(s):  
South Africa ◽  
Self Efficacy ◽  
Primary Schools ◽  
Dietary Diversity ◽  
Standard Of Living ◽  
Dietary Behaviour ◽  
Processed Meat ◽  
Western Cape ◽  
Cross Sectional Survey ◽  
Cross Sectional

AbstractObjectiveTo identify and describe factors associated with food shop (known as tuck shop in South Africa) and lunchbox behaviours of primary-school learners in South Africa.DesignAnalysis of data collected in 2008 from a cross-sectional survey.SettingSixteen primary schools in the Western Cape, South Africa.SubjectsA total of 717 grade 4 learners aged 10–12 years.ResultsA 24 h recall established that 69 % of learners carried a lunchbox to school and 49 % had consumed at least one item purchased from the school food shop/vendor. Most lunchboxes contained white bread with processed meat, whereas the most frequent food shop/vendor purchase comprised chips/crisps. Learners who carried a lunchbox to school had significantly lower BMI percentiles (P = 0·002) and BMI-for-age (P = 0·034), compared with their counterparts. Moreover, they were younger, had higher standard-of-living and dietary diversity scores, consumed more meals per day, had greater self-efficacy and came from predominantly urban schools, compared with those who did not carry a lunchbox to school. Learners who ate food shop/vendor purchases had a lower standard-of-living score and higher dietary diversity and meal scores. Only 2 % of learners were underweight, whereas 19 % were stunted and 21 % were overweight/obese (BMI ≥ 25 kg/m2).ConclusionsChildren who carried a lunchbox to school appeared to have greater dietary diversity, consumed more regular meals, had a higher standard of living and greater nutritional self-efficacy compared with those who did not carry a lunchbox to school.

scholarly journals Where do food desert residents buy most of their junk food? Supermarkets

2016 ◽  
Vol 20 (14) ◽  
pp. 2608-2616 ◽  
Author(s):  
Christine A Vaughan ◽  
Deborah A Cohen ◽  
Madhumita Ghosh-Dastidar ◽  
Gerald P Hunter ◽  
Tamara Dubowitz
Keyword(s):  
Low Income ◽  
Food Desert ◽  
Healthy Foods ◽  
Food Retail ◽  
Limited Access ◽  
Food Purchases ◽  
Convenience Stores ◽  
Food And Beverage ◽  
Predominantly Female ◽  
Access To Healthy Foods

Abstract Objective To examine where residents in an area with limited access to healthy foods (an urban food desert) purchased healthier and less healthy foods. Design Food shopping receipts were collected over a one-week period in 2013. These were analysed to describe where residents shopped for food and what types of food they bought. Setting Two low-income, predominantly African-American neighbourhoods with limited access to healthy foods in Pittsburgh, PA, USA. Subjects Two hundred and ninety-three households in which the primary food shoppers were predominantly female (77·8 %) and non-Hispanic black (91·1 %) adults. Results Full-service supermarkets were by far the most common food retail outlet from which food receipts were returned and accounted for a much larger proportion (57·4 %) of food and beverage expenditures, both healthy and unhealthy, than other food retail outlets. Although patronized less frequently, convenience stores were notable purveyors of unhealthy foods. Conclusions Findings highlight the need to implement policies that can help to decrease unhealthy food purchases in full-service supermarkets and convenience stores and increase healthy food purchases in convenience stores.

scholarly journals Identifying Participants Who Would Benefit the Most from an Adult Food-literacy Program

2019 ◽  
Vol 16 (7) ◽  
pp. 1272 ◽  
Author(s):  
Begley ◽  
Butcher ◽  
Bobongie ◽  
Dhaliwal
Keyword(s):  
Negative Attitude ◽  
Literacy Programs ◽  
Dietary Behaviour ◽  
Literacy Program ◽  
Dietary Intakes ◽  
Healthy Foods ◽  
Cross Sectional ◽  
Cooking Skills ◽  
Food Literacy ◽  
Sugary Drinks

Food literacy programs aim to improve behaviours required to achieve a quality diet. The objectives of this study were to assess the demographic, food literacy related and dietary behaviour of participants enrolling in Food Sensations® for Adults, a free four-week food literacy program and identify the subgroup of participants who benefit most. Cross-sectional pre-program questionnaire data (n = 1626) from participants enrolling in the program was used to stratify into low, middle and high food-literacy tertiles. Factor scores from a reliability analysis of food literacy behaviours were then used to produce a composite score). Participants were 80.2% female, 56% aged 26 to 45 years and 73.3% from low to middle socio-economic areas. Demographic characteristics were not a significant predictor of the lowest composite food-literacy group. Those with the lowest composite food-literacy tertile score were more likely to have lower self-rated cooking skills, a negative attitude to the cost of healthy foods, lower intakes of fruits and vegetables and a higher frequency of consuming takeaway food and sugary drinks. Food literacy programs must focus on recruiting those who have low self-rated cooking skills, who consider healthy foods expensive and have poor dietary intakes and will most likely to benefit from such programs.

scholarly journals Food supply and actions to improve dietary behaviour of students – a comparison between secondary schools participating or not participating in the ‘Healthy School Canteen Program’

2014 ◽  
Vol 18 (2) ◽  
pp. 198-207 ◽  
Author(s):  
Ivon EJ Milder ◽  
Jochen Mikolajczak ◽  
Saskia W van den Berg ◽  
Madelon van de Veen-van Hofwegen ◽  
Wanda JE Bemelmans
Keyword(s):  
Secondary Schools ◽  
Food Supply ◽  
Eating Behaviour ◽  
Cross Sectional Study ◽  
Soft Drinks ◽  
Dietary Behaviour ◽  
Healthy Foods ◽  
Cross Sectional ◽  
School Canteen ◽  
Set Up

AbstractObjective(i) To identify determinants of participation in the ‘Healthy School Canteen Program’, a programme that encourages schools to set up their canteen in a way that promotes healthy dietary behaviour. (ii) To compare food supply and actions between participating and non-participating schools. (iii) To investigate what reasons schools have to increase attention for nutrition in the curriculum.DesignA cross-sectional study based on information from questionnaires performed in 2010/2011.SettingAll secondary schools (age group 12–18 years) in the Netherlands (n 1145).SubjectsResponse was 33 % (n 375). Analyses included all schools with a canteen in which food is offered (28 %, n 325).ResultsNone of the investigated determinants was associated with participation. Participating schools offered significantly (P < 0·001) more of eleven inventoried healthy foods (e.g. sandwiches, (butter)milk, fruit, light soft drinks, yoghurt and salad) than non-participating schools. However, there was no difference in the number of less healthy products offered (e.g. candy bars, cakes and regular soft drinks). Participating schools reported more often that they took actions to improve dietary behaviour and more often had a policy on nutrition. Participating schools more often increased attention for nutrition in the curriculum in recent years than non-participating schools (57 % v. 43 %, P = 0·01). Reported reasons were similar and included media attention, eating behaviour of students and ‘overweight’.ConclusionsSchools that participate in the programme seemed to offer more healthy products in their canteens and took more actions to improve dietary behaviour than non-participating schools. However, at all schools less healthy foods were also available.

Knowledge of healthy foods does not translate to healthy snack consumption among exercise science undergraduates

2017 ◽  
Vol 23 (2) ◽  
pp. 103-110 ◽  
Author(s):  
Laura H McArthur ◽  
Antonette Valentino ◽  
Donald Holbert
Keyword(s):  
Food Choices ◽  
Healthy Food ◽  
Survey Study ◽  
Similar Data ◽  
Healthy Foods ◽  
Exercise Science ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Snack Consumption

This cross-sectional survey study compared the on- and off-campus snack choices and related correlates of convenience samples of exercise science (ES) ( n = 165, M = 45%, F = 55%) and non-exercise science (NES) ( n =160, M = 43%, F = 57%) undergraduates. The hypothesis posed was that knowledge of healthy foods will not translate to healthier snack consumption by the ES students, and that the snack choices and related correlates of ES and NES students will be similar. Data were collected using self-administered questionnaires completed in classrooms (ES sample) and at high-traffic locations on-campus (NES sample). Chi-square and t-test analyses compared ES and NES students on snack correlates. Snacks consumed most often by the ES and NES students on-campus were health bars/squares ( n = 56 vs. n = 48) and savory snacks ( n = 55 vs. n = 71), and off-campus were savory snacks ( n = 60 vs. n = 71) and fruits ( n = 41 vs. n = 34). Over half of both samples believed their snack choices were a mix of unhealthy and healthy. Fruits were considered healthier snacks and chips less healthy by both samples, and fruits were the most often recommended snack. About 20% believed these choices would impact their health unfavorably, and about two thirds self-classified in the action stages for healthy snacking. Since knowledge about healthy food choices did not translate to healthy snack selection, these students would benefit from interventions that teach selection and preparation of healthy snacks on a restricted budget.

scholarly journals Food at checkouts in non-food stores: a cross-sectional study of a large indoor shopping mall

2015 ◽  
Vol 18 (15) ◽  
pp. 2786-2793 ◽  
Author(s):  
James Wright ◽  
Erin Kamp ◽  
Martin White ◽  
Jean Adams ◽  
Sarah Sowden
Keyword(s):  
Nutrient Content ◽  
Cross Sectional Study ◽  
Shopping Mall ◽  
Healthy Foods ◽  
Cross Sectional Survey ◽  
Price Promotions ◽  
Cross Sectional ◽  
Food Stores ◽  
Child Height ◽  
The Uk

AbstractObjectiveTo investigate the display of food at non-food store checkouts; and to classify foods by type and nutrient content, presence of price promotions and whether food was at child height.DesignCross-sectional survey of checkout displays at non-food stores. Foods were classified as ‘less healthy’ or healthier using the UK Food Standards Agency’s Nutrient Profile Model. Written price promotions were recorded. Child height was defined as the sight line of an 11-year-old approximated from UK growth charts.SettingA large indoor shopping mall, Gateshead, UK, February–March 2014.SubjectsTwo hundred and five out of 219 non-food stores in the shopping mall directory which were open for trading.ResultsThirty-two (15·6 %) of 205 non-food stores displayed food at the checkout. All displayed less healthy foods, and fourteen (43·8 %) had healthier foods. Overall, 5911 checkout foods were identified. Of these, 4763 (80·6 %) were ‘less healthy’. No fruits, vegetables, nuts or seeds were found. Of 4763 less healthy foods displayed, 195 (4·1 %) were subject to price promotions, compared with twelve of 1148 (1·0 %) healthier foods (χ2(df=1)=25·4, P<0·0001). There was no difference in the proportion of less healthy (95·1 %) and healthier (96·2 %) foods displayed at child height.ConclusionsAlmost one-sixth of non-food stores displayed checkout food, the majority of which was ‘less healthy’ and displayed at child height. Less healthy food was more likely to be subject to a written price promotion than healthier food. Further research into the drivers and consequences of checkout food in non-food stores is needed. Public health regulation may be warranted.

scholarly journals A household food inventory for North American Chinese

2001 ◽  
Vol 4 (2) ◽  
pp. 241-247 ◽  
Author(s):  
Jessie A Satia ◽  
Ruth E Patterson ◽  
Alan R Kristal ◽  
T Gregory Hislop ◽  
Michele Pineda
Keyword(s):  
Assessment Tool ◽  
Dietary Behaviour ◽  
High Fat ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Chinese Populations ◽  
Reduced Fat ◽  
Household Food Inventory ◽  
Behaviour Changes ◽  
Behaviour Score

AbstractObjectiveTo determine whether a short set of questions about foods in the household can provide information about the fat-related dietary behaviour of individual household members in less-acculturated Chinese populations.DesignCross-sectional survey.ParticipantsThe study population included 244 adult females of Chinese ethnicity in Seattle, WA, and Vancouver, BC, Canada.SettingBilingual interviewers collected information on the presence of 14 high-fat foods and seven reduced-fat foods in the household. Respondents were also asked about the consumption of foods and behaviour reflective of adoption of Western dietary practices, fat-related dietary behaviour, changes in consumption of high-fat foods since immigration, and sociodemographic characteristics.ResultsAlthough this was a less-acculturated sample, many households had Western foods such as butter (58%), lunchmeats (36%), snack chips (43%), and 1% or skim milk (48%). Households with respondents who were younger, married, employed outside the home, and lived with young children had significantly more high-fat foods, while high education and longer percentage of life in North America were significantly associated with having more reduced-fat foods (P ≤ = 0.05). Participants living in households with more high-fat foods had higher-fat dietary behaviour than those with fewer high-fat foods (fat-related dietary behaviour score, 1.54 versus 1.28; P < 0.001). Women in households with more reduced-fat foods had a significantly decreased consumption of high-fat foods since immigration compared with those in households with fewer reduced-fat foods (P < 0.001). Western dietary acculturation was higher among women in households both with more high-fat foods and more reduced-fat food counterparts (P ≤ 0.05).ConclusionsOur inventory of household foods was strongly associated with current dietary behaviour, changes in food consumption, and westernization of dietary patterns. This simple, practical measure may be a useful alternative dietary assessment tool in less-acculturated Chinese populations.

scholarly journals Involvement in home meal preparation is associated with food preference and self-efficacy among Canadian children

2012 ◽  
Vol 16 (1) ◽  
pp. 108-112 ◽  
Author(s):  
Yen Li Chu ◽  
Anna Farmer ◽  
Christina Fung ◽  
Stefan Kuhle ◽  
Kate E Storey ◽  
...  
Keyword(s):  
Health Promotion ◽  
Self Efficacy ◽  
Dietary Habits ◽  
Healthy Foods ◽  
Fruit And Vegetable ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Meal Preparation ◽  
Grade 5 ◽  
At Home

AbstractObjectiveTo examine the association between frequency of assisting with home meal preparation and fruit and vegetable preference and self-efficacy for making healthier food choices among grade 5 children in Alberta, Canada.DesignA cross-sectional survey design was used. Children were asked how often they helped prepare food at home and rated their preference for twelve fruits and vegetables on a 3-point Likert-type scale. Self-efficacy was measured with six items on a 4-point Likert-type scale asking children their level of confidence in selecting and eating healthy foods at home and at school.SettingSchools (n151) located in Alberta, Canada.SubjectsGrade 5 students (n3398).ResultsA large majority (83–93 %) of the study children reported helping in home meal preparation at least once monthly. Higher frequency of helping prepare and cook food at home was associated with higher fruit and vegetable preference and with higher self-efficacy for selecting and eating healthy foods.ConclusionsEncouraging children to be more involved in home meal preparation could be an effective health promotion strategy. These findings suggest that the incorporation of activities teaching children how to prepare simple and healthy meals in health promotion programmes could potentially lead to improvement in dietary habits.

Herbal and Nonherbal Alternative Medicine Use in Northwest Ohio

2002 ◽  
Vol 36 (12) ◽  
pp. 1862-1869 ◽  
Author(s):  
Karen J Martin ◽  
Timothy R Jordan ◽  
Alisha D Vassar ◽  
Donald B White
Keyword(s):  
Alternative Medicine ◽  
Herbal Remedy ◽  
Healthcare Providers ◽  
Grocery Store ◽  
Medicine Use ◽  
Health Food ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Food Stores ◽  
English Speaking

OBJECTIVE: To determine the prevalence and characteristics of herbal and nonherbal alternative medicine use among adults living in northwest Ohio. DESIGN: Cross-sectional survey. SETTING: Three grocery store intercepts in northwest Ohio. SUBJECTS: A consecutive sample of 326 English-speaking persons ≥18 years old. METHODS: A 26-item survey self-administered to participants over a 6-month period. OUTCOME MEASURES: Prevalence of herbal remedy use. RESULTS: Forty percent of respondents have used an herbal remedy during the last 12 months. The average number of herbs used was 2.3 per person. Herbal remedy use was not associated with specific sociodemographic variables. Desire to improve general health was the most common reason for use of an herbal remedy (16%). Herbal users cited “herbals are natural” as the most common benefit. Magazines (17%), health food stores (16%), and friends (14%) were the most common sources of herbal remedy information. Only 50% of the population informed their physician of such use. Forty-one percent used an herbal remedy sometimes to always to self-treat before seeking medical care from a physician. Fifteen percent of adults treated their children with herbs. Nearly all (86%) respondents believed the herb was helpful or very helpful. CONCLUSIONS: A significant number of the adults surveyed in the Toledo metropolitan area commonly used complementary and alternative medicine (CAM). There were no independent factors associated with herbal remedy use. It is important for healthcare providers to acknowledge this growing trend of CAM therapy use and begin to incorporate open discussion about CAM into the patient—provider relationship.

scholarly journals Influence of nutritional status on eating habits and food choice determinants among Brazilian women during the COVID-19 pandemic

2020 ◽  
Author(s):  
Bruna Caruso Mazzolani ◽  
Fabiana Infante Smaira ◽  
Gabriel Perri Esteves ◽  
Heloísa C. Santo André ◽  
Milla Cordeiro Amarante ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Affect Regulation ◽  
Food Choice ◽  
Eating Habits ◽  
Normal Weight ◽  
Overweight And Obesity ◽  
Grocery Shopping ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Weight Regression

ABSTRACTWe aimed to evaluate the influence of nutritional status on eating habits and food choice determinants among Brazilian women during the COVID-19 outbreak. This cross-sectional survey was conducted between June and September, 2020, period in which social distancing measures were in place. Participants (n=1,183) were classified as normal weight (60.4%), overweight (26.2%) and obese (13.4%). Eating habits changed during quarantine irrespective of nutritional status. The number of women participating in grocery shopping was reduced by 34% during quarantine (p<0.001, OR=0.55, 0.79), whereas participation in cooking and ordering delivery service increased by 28% (p=0.004, OR=1.08, 1.51) and 146% (p<0.001, OR=2.06, 2.95), respectively. The number of participants reporting the habit of snacking (p=0.005, OR=1.07, 1.43) and eating at the table increased by 24% and 40% (p<0.001, OR=1.20, 1.64). Interestingly, the number of participants reporting the habit of dieting decreased by 41% (p<0.001, OR=0.59 [0.50, 0.70]). During the quarantine, “liking”, “need and hunger”, and “habits” were the most commonly reported determinants of food choice overall. “Health”, “natural concerns” and “need and hunger” were less important determinants for participants with overweight/obesity compared to those with normal weight. Regression models showed that (i) “health”, “natural concerns” and “affect regulation”; (ii) “health”, “pleasure”, “convenience”, and “natural concerns”; and (iii) “visual appeal” and “pleasure” were the food choice determinants more associated with eating habits among women with normal weight, overweight and obesity, respectively. In conclusion, eating habits were influenced during the pandemic despite nutritional status, whereas food choice determinants differed between overweight/obesity and normal weight women.

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