scholarly journals The Ontario Food and Nutrition Strategy: identifying indicators of food access and food literacy for early monitoring of the food environment

2017 ◽  
Vol 37 (9) ◽  
pp. 313-319 ◽  
Author(s):  
Beatrice A. Boucher ◽  
Elizabeth Manafò ◽  
Meaghan R. Boddy ◽  
Lynn Roblin ◽  
Rebecca Truscott
Keyword(s):  
Food Environment ◽  
Selection Criteria ◽  
Food Access ◽  
Healthy Food ◽  
System Level ◽  
Level Indicator ◽  
Individual Level ◽  
Food Literacy ◽  
Food And Nutrition ◽  
Nutrition Strategy

Introduction To address challenges Canadians face within their food environments, a comprehensive, multistakeholder, intergovernmental approach to policy development is essential. Food environment indicators are needed to assess population status and change. The Ontario Food and Nutrition Strategy (OFNS) integrates the food, agriculture and nutrition sectors, and aims to improve the health of Ontarians through actions that promote healthy food systems and environments. This report describes the process of identifying indicators for 11 OFNS action areas in two strategic directions (SDs): Healthy Food Access, and Food Literacy and Skills. Methods The OFNS Indicators Advisory Group used a five-step process to select indicators: (1) potential indicators from national and provincial data sources were identified; (2) indicators were organized by SD, action area and data type; (3) selection criteria were identified, pilot tested and finalized; (4) final criteria were applied to refine the indicator list; and (5) indicators were prioritized after reapplication of selection criteria. Results Sixty-nine potential indicators were initially identified; however, many were individual-level rather than system-level measures. After final application of the selection criteria, one individual-level indicator and six system-level indicators were prioritized in five action areas; for six of the action areas, no indicators were available. Conclusion Data limitations suggest that available data may not measure important aspects of the food environment, highlighting the need for action and resources to improve system-level indicators and support monitoring of the food environment and health in Ontario and across Canada.

scholarly journals Linking the Flint Food Store Survey: Is Objective or Perceived Access to Healthy Foods Associated with Glycemic Control in Patients with Type 2 Diabetes?

2021 ◽  
Vol 18 (19) ◽  
pp. 10080
Author(s):  
Richard Casey Sadler ◽  
Amanda Y. Kong ◽  
Zachary Buchalski ◽  
Erika Renee Chanderraj ◽  
Laura A. Carravallah
Keyword(s):  
Glycemic Control ◽  
Food Environment ◽  
Food Access ◽  
Diabetes Management ◽  
Healthy Food ◽  
Food Store ◽  
Healthy Foods ◽  
Objectively Measured ◽  
Healthy Food Access

Type 2 diabetes mellitus (DM-2) remains a significant public health concern, particularly in low-income neighborhoods where healthy foods may be scarcer. Despite the well-known relationship between diet and diabetes, little evidence exists on the connections among the objectively measured community and consumer food environment, perception of food access, and diabetes management or outcomes. This cross-sectional, ecological study represents the first example of combining a GIS-based, objectively measured food store audit considering quality, variety, and price of foods in stores with a clinical survey of patients with DM-2 (n = 126). In this way, we offer evidence on the relationship between healthy food access—measured more robustly than proximity to or density of certain store types—and diabetes management knowledge, medication adherence, and glycemic control. Better glycemic control was not correlated with better overall food store score, meaning that people in neighborhoods with better access to healthy foods are not necessarily more likely to manage their diabetes. While perceived healthy food access was not correlated with glycemic control, it was strongly correlated with objective healthy food access at shorter distances from home. These results have great importance both for clinical understanding of the persistence of poor diabetes management outcomes and for the understanding of the influence of the food environment on health behaviors.

scholarly journals Influence of the Local Food Environment on Hispanics’ Perceptions of Healthy Food Access in New York City

2018 ◽  
Vol 16 (2) ◽  
pp. 76-84 ◽  
Author(s):  
Manuel C. Co ◽  
Suzanne Bakken
Keyword(s):  
New York ◽  
Food Environment ◽  
Food Access ◽  
Fruits And Vegetables ◽  
Local Food ◽  
Healthy Food ◽  
Food Environments ◽  
Large Size ◽  
Healthy Food Access

Introduction: Studies have characterized food environments and documented its impact on access and consumption of healthy foods as well as diet-related health conditions. This study aims to characterize the local food environment in New York City’s Washington Heights and Inwood community and to examine its influence on Hispanics’ perceptions of healthy food access. Methods: Person-level local food environments were created by spatially modeling food retailers selling fresh fruits and vegetables or low-fat products within a participant’s 400- and 800-m residential radius buffers. Data were analyzed using multivariate binary logistic regression. Results: Fruit/vegetable markets significantly increased participants’ odds of perceiving the availability of a large selection as well as the high quality of fresh fruits and vegetables in their neighborhood. Medium-/large-size supermarkets/groceries within 400-m radius significantly increased participants’ odds of perceiving the high quality of fresh fruits and vegetables in their neighborhood, whereas meat markets significantly lowered the odds. Fruit/vegetable markets and medium-/large-size supermarkets/groceries significantly increased participants’ odds of perceiving the availability of a large selection of low-fat products in their neighborhood. Conclusion: Study findings advance our understanding of the relationships between local food environment and perceived healthy food access among urban Hispanics.

scholarly journals A method for assessing links between objectively measured food store scores and store & neighborhood favorability

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Richard C. Sadler ◽  
Ashley N. Sanders-Jackson ◽  
Josh Introne ◽  
Robyn Adams
Keyword(s):  
Food Environment ◽  
Food Access ◽  
Healthy Lifestyle ◽  
Local Level ◽  
Objective Measure ◽  
Small Sample ◽  
Healthy Food ◽  
Grocery Store ◽  
Food Store ◽  
Objectively Measured

AbstractWorldwide, interest in research on methods to define access to healthy food at the local level has grown, given its central connection to carrying out a healthy lifestyle. Within this research domain, papers have examined the spatial element of food access, or individual perceptions about the food environment. To date, however, no studies have provided a method for linking a validated, objective measure of the food environment with qualitative data on how people access healthy food in their community. In this study, we present a methodology for linking scores from a modified Nutrition Environment Measures Survey in Stores (conducted at every store in our study site of Flint, Michigan) with perceptions of the acceptability of food stores and shopping locations drawn from seven focus groups (n = 53). Spatial analysis revealed distinct patterns in visiting and avoidance of certain store types. Chain stores tended to be rated more highly, while stores in neighborhoods with more African-American or poor residents were rated less favorably and avoided more frequently. Notably, many people avoided shopping in their own neighborhoods; participants traveled an average of 3.38 miles to shop for groceries, and 60% bypassed their nearest grocery store when shopping. The utility of our work is threefold. First, we provide a methodology for linking perceived and objective definitions of food access among a small sample that could be replicated in cities across the globe. Second, we show links between perceptions of food access and objectively measured food store scores to uncover inequalities in access in our sample to illustrate potential connections. Third, we advocate for the use of such data in informing the development of a platforms that aim to make the process of accessing healthy food easier via non-food retail based interventions. Future work can replicate our methods to both uncover patterns in distinct food environments and aid in advocacy around how to best intervene in the food environment in various locales.

scholarly journals Beyond Health & Nutrition: Re-framing school food programs through integrated food pedagogies

2020 ◽  
Vol 7 (2) ◽  
pp. 48-71
Author(s):  
Barbara Parker ◽  
Mario Koeppel
Keyword(s):  
Food Environment ◽  
Food Access ◽  
Integrative Approach ◽  
Food Environments ◽  
School Food ◽  
Community Based Research ◽  
Food Literacy ◽  
Cultural Aspects ◽  
School Food Environment ◽  
K 12

In this paper, we present findings from a community-based research project on school food environments in 50 elementary and high schools in a mid-sized city in Ontario, Canada. Our findings highlight that schools' privilege five intersecting domains in the school food environment: 1) health and nutrition; 2) food access; 3) education and food literacy; 4) environment and sustainability; and 5) the socio-cultural aspects of food. These results illustrate that the dominant discourses about school food mainly revolve around health, nutrition and food access, yet many of the K-12 principals also identified food literacy and learning about sustainable food systems and the environment, in addition to the relational or socio-cultural aspects of foods as important elements of their school food environments. This integrative approach to food extends our understanding of food beyond charity, and opens up conversations about food as a human right. Ouranalysis shows the need to go beyond a health or nutrition school food program and consider integrative food pedagogies which will promote social and environmental food justice in the school food environment.

scholarly journals System models for resilience in gerontology: application to the COVID-19 pandemic

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Katarzyna Klasa ◽  
Stephanie Galaitsi ◽  
Andrew Wister ◽  
Igor Linkov
Keyword(s):  
The Elderly ◽  
System Level ◽  
Improve Quality ◽  
Care Needs ◽  
Individual Level ◽  
Chronic Stressors ◽  
The World ◽  
Aging Adults ◽  
The Individual

AbstractThe care needs for aging adults are increasing burdens on health systems around the world. Efforts minimizing risk to improve quality of life and aging have proven moderately successful, but acute shocks and chronic stressors to an individual’s systemic physical and cognitive functions may accelerate their inevitable degradations. A framework for resilience to the challenges associated with aging is required to complement on-going risk reduction policies, programs and interventions. Studies measuring resilience among the elderly at the individual level have not produced a standard methodology. Moreover, resilience measurements need to incorporate external structural and system-level factors that determine the resources that adults can access while recovering from aging-related adversities. We use the National Academies of Science conceptualization of resilience for natural disasters to frame resilience for aging adults. This enables development of a generalized theory of resilience for different individual and structural contexts and populations, including a specific application to the COVID-19 pandemic.

scholarly journals Food Environments and Hepatocellular Carcinoma Incidence

2021 ◽  
Vol 18 (11) ◽  
pp. 5740
Author(s):  
Mimi Ton ◽  
Michael J. Widener ◽  
Peter James ◽  
Trang VoPham
Keyword(s):  
Hepatocellular Carcinoma ◽  
Food Environment ◽  
Variance Estimation ◽  
Cancer Registries ◽  
County Level ◽  
Individual Level ◽  
Retail Food Environment ◽  
Food Retailers ◽  
Environment Index ◽  
Rate Ratios

Research into the potential impact of the food environment on liver cancer incidence has been limited, though there is evidence showing that specific foods and nutrients may be potential risk or preventive factors. Data on hepatocellular carcinoma (HCC) cases were obtained from the Surveillance, Epidemiology, and End Results (SEER) cancer registries. The county-level food environment was assessed using the Modified Retail Food Environment Index (mRFEI), a continuous score that measures the number of healthy and less healthy food retailers within counties. Poisson regression with robust variance estimation was used to calculate incidence rate ratios (IRRs) and 95% confidence intervals (CIs) for the association between mRFEI scores and HCC risk, adjusting for individual- and county-level factors. The county-level food environment was not associated with HCC risk after adjustment for individual-level age at diagnosis, sex, race/ethnicity, year, and SEER registry and county-level measures for health conditions, lifestyle factors, and socioeconomic status (adjusted IRR: 0.99, 95% CI: 0.96, 1.01). The county-level food environment, measured using mRFEI scores, was not associated with HCC risk.

scholarly journals Qualitative perspectives of the North Carolina healthy food small retailer program among customers in participating stores located in food deserts

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lindsey Haynes-Maslow ◽  
Stephanie B. Jilcott Pitts ◽  
Kathryn A. Boys ◽  
Jared T. McGuirt ◽  
Sheila Fleischhacker ◽  
...  
Keyword(s):  
North Carolina ◽  
Low Income ◽  
Rural Areas ◽  
Food Access ◽  
Qualitative Interviews ◽  
Food Deserts ◽  
State Legislature ◽  
Healthy Food ◽  
The State ◽  
The North

Abstract Background The North Carolina Healthy Food Small Retailer Program (NC HFSRP) was established through a policy passed by the state legislature to provide funding for small food retailers located in food deserts with the goal of increasing access to and sales of healthy foods and beverages among local residents. The purpose of this study was to qualitatively examine perceptions of the NC HFSRP among store customers. Methods Qualitative interviews were conducted with 29 customers from five NC HFSRP stores in food deserts across eastern NC. Interview questions were related to shoppers’ food and beverage purchases at NC HFSRP stores, whether they had noticed any in-store efforts to promote healthier foods and beverages, their suggestions for promoting healthier foods and beverages, their familiarity with and support of the NC HFSRP, and how their shopping and consumption habits had changed since implementation of the NC HFSRP. A codebook was developed based on deductive (from the interview guide questions) and inductive (emerged from the data) codes and operational definitions. Verbatim transcripts were double-coded and a thematic analysis was conducted based on code frequency, and depth of participant responses for each code. Results Although very few participants were aware of the NC HFSRP legislation, they recognized changes within the store. Customers noted that the provision of healthier foods and beverages in the store had encouraged them to make healthier purchase and consumption choices. When a description of the NC HFSRP was provided to them, all participants were supportive of the state-funded program. Participants discussed program benefits including improving food access in low-income and/or rural areas and making healthy choices easier for youth and for those most at risk of diet-related chronic diseases. Conclusions Findings can inform future healthy corner store initiatives in terms of framing a rationale for funding or policies by focusing on increased food access among vulnerable populations.

scholarly journals A community-based system dynamics approach suggests solutions for improving healthy food access in a low-income urban environment

PLoS ONE ◽  
2019 ◽  
Vol 14 (5) ◽  
pp. e0216985 ◽  
Author(s):  
Yeeli Mui ◽  
Ellis Ballard ◽  
Eli Lopatin ◽  
Rachel L. J. Thornton ◽  
Keshia M. Pollack Porter ◽  
...  
Keyword(s):  
System Dynamics ◽  
Urban Environment ◽  
Low Income ◽  
Food Access ◽  
Healthy Food ◽  
Community Based ◽  
Healthy Food Access

Individual effects in variation analysis: Model, software, and research design

2013 ◽  
Vol 25 (1) ◽  
pp. 89-118 ◽  
Author(s):  
John C. Paolillo
Keyword(s):  
Research Design ◽  
Fixed Effects ◽  
Selection Criteria ◽  
Current Approach ◽  
Variation Analysis ◽  
Analysis Model ◽  
Individual Level ◽  
Mixed Effects Modeling ◽  
Variationist Sociolinguistics ◽  
Selection Of

AbstractIndividual-level variation is a recurrent issue in variationist sociolinguistics. One current approach recommends addressing this via mixed-effects modeling. This paper shows that a closely related model with fixed effects for individual speakers can be directly estimated using Goldvarb. The consequences of employing different approaches to speaker variation are explored by using different model selection criteria. We conclude by discussing the relation of the statistical model to the assumptions of the research design, pointing out that nonrandom selection of speakers potentially violates the assumptions of models with random effects for speaker, and suggesting that a model with fixed effects for speakers may be a better alternative in these cases.

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