Spatial inequalities of retail food stores may determine availability of healthful food choices in a Brazilian metropolis

2021 ◽  
pp. 1-25
Author(s):  
Mariana Souza Lopes ◽  
Waleska Teixeira Caiaffa ◽  
Amanda Cristina de Souza Andrade ◽  
Ariene Silva do Carmo ◽  
Sharrelle Barber ◽  
...  

Abstract Objective: To examine the association between economic residential segregation and food environment. Design: Ecological. Food stores categorized according to the NOVA classification were geocoded, and absolute availability was calculated for each neighborhood. Segregation was measured using local Gi* statistic, a measure of the standard deviation (SD) between the economic composition of a neighborhood (the proportion of heads of households in neighborhoods earn monthly income of 0 to 3 minimum wages) and larger metropolitan area, weighted by the economic composition of surrounding neighborhoods. Segregation was categorized as high [most segregated], medium [integrated], and low [less segregated or integrated]. A proportional odds models were used to model the association between segregation and food environment. Setting: Belo Horizonte, Brazil. Participants: Food stores. Results: After adjustment for covariates, neighborhoods characterized by high economic segregation had fewer food stores overall compared to neighborhoods characterized by low segregation [OR=0.56;CI95%=0.45-0.69]. In addition, high segregated neighborhoods were 49% (OR=0.51;95%CI=0.42–0.61) and 45% (OR=0.55;95% CI=0.45–0.67) less likely to have a high number of food stores that predominantly marketed ultra-processed foods and mixed food stores, respectively, as compared to their counterparts. Conclusions: Economic segregation is associated with differences in the distribution of food stores. Both low and high segregation territories should be prioritized by public policies to ensure healthy and adequate nutrition as a right for all communities. The former must continue to be protected from access to unhealthy commercial food outlets while the latter must be the locus of actions that limit the availability of unhealthy commercial food store.

2014 ◽  
Vol 18 (6) ◽  
pp. 977-982 ◽  
Author(s):  
Pasquale E Rummo ◽  
Penny Gordon-Larsen ◽  
Sandra S Albrecht

AbstractObjectiveObtaining valid, reliable measures of food environments that serve Latino communities is important for understanding barriers to healthy eating in this at-risk population.DesignThe primary aim of the study was to examine agreement between retail food outlet data from two commercial databases, Nielsen TDLinx (TDLinx) for food stores and Dun & Bradstreet (D&B) for food stores and restaurants, relative to field observations of food stores and restaurants in thirty-one census tracts in Durham County, NC, USA. We also examined differences by proportion of Hispanic population (</≥23·4 % Hispanic population) in the census tract and for outlets classified in the field as ‘Latino’ on the basis of signage and use of Spanish language.SettingOne hundred and seventy-four food stores and 337 restaurants in Durham County, NC, USA.ResultsWe found that overall sensitivity of food store listings in TDLinx was higher (64 %) than listings in D&B (55 %). Twenty-five food stores were characterized by auditors as Latino food stores, with 20 % identified in TDLinx, 52 % in D&B and 56 % in both sources. Overall sensitivity of restaurants (68 %) was higher than sensitivity of Latino restaurants (38 %) listed in D&B. Sensitivity did not differ substantially by Hispanic composition of neighbourhoods.ConclusionsOur findings suggest that while TDLinx and D&B commercial data sources perform well for total food stores, they perform less well in identifying small and independent food outlets, including many Latino food stores and restaurants.


Author(s):  
Alyssa Moran ◽  
Christina Roberto

Food retailers, manufacturers, and distributors exert powerful influence on our food choices through decisions about stocking, pricing, marketing, and promotional practices [...]


2015 ◽  
Vol 18 (18) ◽  
pp. 3278-3286 ◽  
Author(s):  
Allison W Watts ◽  
Chris Y Lovato ◽  
Susan I Barr ◽  
Rhona M Hanning ◽  
Louise C Mâsse

AbstractObjectiveTo explore perceived factors that impede or facilitate healthful eating within the home environment among overweight/obese adolescents.DesignIn the present qualitative photovoice study, participants were instructed to take photographs of things that made it easier or harder to make healthful food choices at home. Digital photographs were reviewed and semi-structured interviews were conducted to promote discussion of the photographs. Data were analysed using constant comparative analysis.SettingVancouver, Canada, in 2012–2013.SubjectsTwenty-two overweight/obese adolescents who completed a family-based lifestyle modification intervention.ResultsThe mean age of participants was 14 (sd 1·9) years, 77 % were female and their mean BMI Z-score was 2·4 (sd 0·6). Adolescents talked about six aspects of the home environment that influenced their eating habits (in order of frequency): home cooking, availability and accessibility of foods/beverages, parenting practices, family modelling, celebrations and screen use/studying. In general, homes with availability of less healthful foods, where family members also liked to eat less healthful foods and where healthier foods were less abundant or inaccessible were described as barriers to healthful eating. Special occasions and time spent studying or in front of the screen were also conducive to less healthful food choices. Home cooked meals supported adolescents in making healthier food choices, while specific parenting strategies such as encouragement and restriction were helpful for some adolescents.ConclusionsAdolescents struggled to make healthful choices in their home environment, but highlighted parenting strategies that were supportive. Targeting the home food environment is important to enable healthier food choices among overweight/obese adolescents.


2012 ◽  
Vol 15 (11) ◽  
pp. 2026-2039 ◽  
Author(s):  
Geneviève Mercille ◽  
Lucie Richard ◽  
Lise Gauvin ◽  
Yan Kestens ◽  
Bryna Shatenstein ◽  
...  

AbstractObjectiveTo examine associations between the availability of residential-area food sources and dietary patterns among seniors.DesignCross-sectional analyses. Individual-level data from the NuAge study on nutrition and healthy ageing were merged with geographic information system data on food store availability and area-level social composition. Two dietary patterns reflecting lower- and higher-quality diets (respectively designated ‘western’ and ‘prudent’) were identified from FFQ data. Two food source relative availability measures were calculated for a 500 m road-network buffer around participants’ homes: (i) proportion of fast-food outlets (%FFO) relative to all restaurants and (ii) proportion of stores potentially selling healthful foods (%HFS, healthful food stores) relative to all food stores. Associations between dietary patterns and food source exposure were tested in linear regression models accounting for individual (health and sociodemographic) and area-level (socio-economic and ethnicity) covariates.SettingMontréal metropolitan area, Canada.SubjectsUrban-dwelling older adults (n 751), aged 68 to 84 years.Results%FFO was inversely associated with prudent diet (β = −0·105; P < 0·05) and this association remained statistically significant in models accounting for %HFS. %HFS was inversely associated with lower western diet scores (β = −0·124; P < 0·01). This latter association no longer reached significance once models were adjusted for area-level covariates.ConclusionsIn Montréal, the food environment is related to the diet of older adults but these links are more complex than straightforward. The absence of significant relationships between healthful food stores and prudent diets, and between fast-food outlets and western diets, deserves further investigation.


2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Matthew Lee Smith ◽  
T. S. Sunil ◽  
Camerino I. Salazar ◽  
Sadaf Rafique ◽  
Marcia G. Ory

The American Diabetes Association (ADA) recommends healthful food choices; however, some geographic areas are limited in the types of foods they offer. Little is known about the role of convenience stores as viable channels to provide healthier foods in our “grab and go” society. The purposes of this study were to (1) identify foods offered within convenience stores located in two Bexar County, Texas, ZIP Codes and (2) compare the availability and cost of ADA-recommended foods including beverages, produce, grains, and oils/fats. Data were analyzed from 28 convenience store audits performed in two sociodemographically diverse ZIP Codes in Bexar County, Texas. Chi-squared tests were used to compare food availability, andt-tests were used to compare food cost in convenience stores between ZIP Codes. A significantly larger proportion of convenience stores in more affluent areas offered bananas (χ2=4.17,P=0.003), whole grain bread (χ2=8.33,P=0.004), and baked potato chips (χ2=13.68,P<0.001). On average, the price of diet cola (t=−2.12,P=0.044) and certain produce items (e.g., bananas, oranges, tomatoes, broccoli, and cucumber) was significantly higher within convenience stores in more affluent areas. Convenience stores can play an important role to positively shape a community’s food environment by stocking healthier foods at affordable prices.


BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e044904
Author(s):  
Samukelisiwe Sthokozisiwe Madlala ◽  
Jillian Hill ◽  
Ernesta Kunneke ◽  
Mieke Faber

IntroductionThe local retail food environment influences dietary patterns and food choices, as suggested in the literature. The lack of access to healthy food within this environment may result in unhealthy food choices which may lead to obesity and the development of non-communicable diseases. Evidence suggests that resource-poor communities may have unhealthy food environments, therefore, preventing residents from making healthy food choices. A systematic scoping review will be conducted to provide an overview of the evidence on adult food choices in association with the local retail food environment and food access in resource-poor communities.Methods and analysisThis protocol for the scoping review was developed following the Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines and the framework process by Arksey and O’Malley. Observational studies, published from July 2005 to January 2021, will be searched and screened. Keywords and medical subject headings (MeSH) terms will be used to search several multidisciplinary databases. Two independent reviewers will screen identified articles using the selection criteria and extract data using the PRISMA-ScR checklist. Descriptive numerical and thematic analysis will be performed to evaluate and categorise quantitative and qualitative data.Ethics and disseminationEthical approval will not be required for the review, as data from published studies will be used. The results of this scoping review will form part of a PhD thesis that will be submitted to the University of the Western Cape, South Africa. The review findings will also be presented at conferences and published in a peer-reviewed journal.Open science framework registration numberhttps://osf.io/shf93.


Author(s):  
Ting Zhang ◽  
Bo Huang

Outside of western countries, the study of the local food environment and evidence for its association with dietary behavior is limited. The aim of this paper was to examine the association between the local retail food environment and consumption of fruit and vegetables (FV) among adults in Hong Kong. Local retail food environment was measured by density of different types of retail food outlets (grocery stores, convenience stores, and fast food restaurants) within a 1000 m Euclidean buffer around individual’s homes using a geographic information system (GIS). The Retail Food Environment Index (RFEI) was calculated based on the relative density of fast-food restaurants and convenience stores to grocery stores. Logistic regressions were performed to examine associations using cross-sectional data of 1977 adults (18 years or older). Overall, people living in an area with the highest RFEI (Q4, >5.76) had significantly greater odds of infrequent FV consumption (<7 days/week) after covariates adjustment (infrequent fruit consumption: OR = 1.36, 95% CI 1.04–1.78; infrequent vegetable consumption: OR = 1.72, 95% CI 1.11–2.68) in comparison to the lowest RFEI (Q1, <2.25). Highest density of fast food restaurants (Q4, >53) was also significantly associated with greater odds of infrequent fruit consumption (<7 days/week) (unadjusted model: OR = 1.34, 95% CI 1.04–1.73), relative to lowest density of fast food restaurants (Q1, <13). No significant association of density of grocery stores or convenience stores was observed with infrequent FV consumption regardless of the covariates included in the model. Our results suggest that the ratio of fast-food restaurants and convenience stores to grocery stores near people’s home is an important environmental factor in meeting fruit and vegetable consumption guidelines. “Food swamps” (areas with an abundance of unhealthy foods) rather than “food deserts” (areas where there is limited access to healthy foods) seems to be more of a problem in Hong Kong’s urban areas. We advanced international literature by providing evidence in a non-western setting.


Obesity ◽  
2018 ◽  
Vol 26 (6) ◽  
pp. 1063-1071 ◽  
Author(s):  
Mary T. Gorski Findling ◽  
Julia A. Wolfson ◽  
Eric B. Rimm ◽  
Sara N. Bleich

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