Author:
Shikany James M.,Carson Tiffany L.,Hardy Claudia M.,Li Yufeng,Sterling Samara,Hardy Sharonda,Walker Cordie M.,Baskin Monica L.
Abstract
AbstractThe nutrition environment, including food store type, may influence dietary choices, which in turn can affect risk of obesity and related chronic diseases such as CHD, diabetes and cancer. The objective of the present study was to elucidate the extent to which healthy foods are available and affordable in various rural food outlets. A subset of the nutrition environment was assessed using the Nutrition Environment Measures Survey in Stores (NEMS-S). The NEMS-S instrument assessed the availability and price of healthy foods (e.g. low-fat/non-fat milk, lean meats and reduced-fat dinner entrées) compared with less healthy counterparts (e.g. whole milk, non-lean meats and regular dinner entrées). The NEMS-S also assessed the quality of fresh fruits and vegetables. Availability, prices and quality of healthy foods were compared between grocery stores (n 24) and convenience stores (n 67) in nine rural counties in Alabama. Mean availability subscale score (possible range 0 to 30; higher score indicates a greater number of healthier foods were available) for grocery stores was 22·6 (sd 8·1), compared with 6·6 (sd 5·2) in convenience stores (P < 0·0001); and mean price subscale score (possible range −9 to 18; higher score indicates that healthier options were less expensive than the less healthy options) for grocery stores was 2·4 (sd 2·7), compared with 0·7 (sd 1·2) in convenience stores (P = 0·0080). Mean total NEMS-S score (possible range −9 to 54) in grocery stores was 29·8 (sd 10·9) compared with 7·3 (sd 7·1) in convenience stores (P < 0·0001). Both grocery and convenience stores could be strategic points of intervention to improve the nutrition environment in the counties that were surveyed.
Publisher
Cambridge University Press (CUP)
Subject
Endocrinology, Diabetes and Metabolism,Food Science,Nutrition and Dietetics
Reference19 articles.
1. Food Store Types, Availability, and Cost of Foods in a Rural Environment
2. Formative evaluation for a healthy corner store initiative in Pitt County, North Carolina: assessing the rural food environment, part 1;Pitts;Prev Chron Dis,2013
3. The Contextual Effect of the Local Food Environment on Residents’ Diets: The Atherosclerosis Risk in Communities Study
4. Supermarkets, Other Food Stores, and Obesity
5. Centers for Disease Control and Prevention (2009) Differences in prevalence of obesity among Black, White, and Hispanic adults—United States 2006–2008. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5827a2.htm (accessed September 2014).
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