New Neighborhood Grocery Store Increased Awareness Of Food Access But Did Not Alter Dietary Habits Or Obesity

New Neighborhood Grocery Store Increased Awareness Of Food Access But Did Not Alter Dietary Habits Or Obesity
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DOI:
10.1377/hlthaff.2013.0512
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发表时间:
2014-02-01
期刊:
影响因子:
9.7
通讯作者:
Matthews, Stephen A.
Matthews, Stephen A.
中科院分区:
医学1区
文献类型:
--
作者:
Cummins, Steven;Flint, Ellen;Matthews, Stephen A.

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改善美国低收入人群饮食的国家和地方政策包括在服务不足的社区增加杂货店和超市的物理访问。在一项试点研究中,评估了在费城社区开设一家新超市的影响,该社区被认为是“食品沙漠”-宾夕法尼亚州新鲜食品融资计划的一部分-我们发现,干预措施适度改善了居民对食品可及性的看法。然而,它并没有导致报告的水果和蔬菜摄入量或体重指数的变化。因此,通过鼓励超市设在服务不足的地区来改善实际获得食物和减少肥胖的干预措施的有效性仍不清楚。然而,目前的研究结果表明,仅仅改善社区的零售食品基础设施可能不会产生预期的变化,在食品购买和消费模式。可能需要补充性的政策变化和干预,以帮助消费者弥合观念与行动之间的差距。迫切需要在其他环境中复制我们的研究结果,并研究影响社区居民接受改善粮食供应的因素。
National and local policies to improve diet in low-income US populations include increasing physical access to grocery stores and supermarkets in underserved neighborhoods. In a pilot study that evaluated the impacts of opening a new supermarket in a Philadelphia community considered a "food desert"-part of the Pennsylvania Fresh Food Financing Initiative-we found that the intervention moderately improved residents' perceptions of food accessibility. However, it did not lead to changes in reported fruit and vegetable intake or body mass index. The effectiveness of interventions to improve physical access to food and reduce obesity by encouraging supermarkets to locate in underserved areas therefore remains unclear. Nevertheless, the present findings suggest that simply improving a community's retail food infrastructure may not produce desired changes in food purchasing and consumption patterns. Complementary policy changes and interventions may be needed to help consumers bridge the gap between perception and action. The replication of our findings in other settings and research into the factors that influence community residents' receptivity to improved food access are urgently required.