Food shopping, home food availability, and food insecurity among customers in small food stores: an exploratory study.
Food shopping, home food availability, and food insecurity among customers in small food stores: an exploratory study.
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小型食品店顾客的食品购物、家庭食品供应和食品不安全：一项探索性研究。
DOI：
10.1093/tbm/ibaa005
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发表时间：
2020
影响因子：
3.6
通讯作者：
Laska,MelissaN
中科院分区：
文献类型：
--
作者：
Lenk,KathleenM;Winkler,MeganR;Caspi,CaitlinE;Laska,MelissaN
经常在小型食品店购物的顾客（例如，便利店）在为家庭采购健康食品方面可能面临许多挑战，这些挑战可能因食品安全状况而异。本研究的目的是探讨食品安全和食品购物相关行为之间的关联频繁购物者在小商店。我们的样本包括参与者从客户拦截采访在城市地区的小食品店。对报告经常在这些商店购物（≥1次/周;n= 78）的一部分顾客进行的随访家庭访视包括调查和研究人员管理的家庭食品库存。粮食安全状况通过美国家庭粮食安全调查六项简表确定。结果包括购物频率和商店类型的花费（例如，小与大），家到商店的距离，以及观察到的水果、蔬菜和致肥胖食物的家庭可用性。我们估计了粮食安全状况和每个结果之间的关联，调整了人口统计学和贫困相关的混杂因素。参与者中56%为女性，65%为有色人种; 45%的人在过去一年中获得了补充营养援助计划的福利，54%的人经历了粮食不安全。未经调整的模型表明了几个重要的关联：与那些粮食安全的人相比，粮食不安全的参与者每月在小商店购买食品/饮料的次数更多，在一元店购买食品/饮料的花费更多，并且水果和致肥胖食品的家庭可用性更少。在调整后的模型中，粮食不安全和购物频率之间的关联仍然显着（p= 0.04）。要求或鼓励小型食品商店储存健康产品的干预措施对于改善粮食无保障者获得营养食品的机会可能很重要。
Customers who frequently shop in small food stores (e.g., convenience stores) may face numerous challenges to procuring healthful food for their household, and these may vary by food security status. The purpose of this study is to examine associations between food security and food shopping-related behaviors among frequent shoppers at small stores. Our sample included participants from customer intercept interviews at small food stores in an urban area. A follow-up in-home visit with a subset of customers who reported frequently shopping in these stores (≥1/week;n= 78) included a survey and researcher-administered home food inventory. Food security status was identified via the U.S. Household Food Security Survey Six-Item Short Form. Outcomes included shopping frequency and money spent by store type (e.g., small vs. large), home-to-store distance, and observed home availability of fruits, vegetables, and obesogenic foods. We estimated associations between food security status and each outcome, adjusting for demographic and poverty-related confounders. Participants were 56% female and 65% people of color; 45% received Supplemental Nutrition Assistance Program benefits and 54% experienced food insecurity in the past year. Unadjusted models indicated several significant associations: compared to those who were food secure, food-insecure participants shopped for food/beverages at small stores more times per month, spent more on food/beverages at dollar stores, and had less home availability of fruit and obesogenic foods. Associations remained significant (p= .04) between food insecurity and shopping frequency in adjusted models. Interventions requiring or incentivizing small food stores to stock healthful products could be important for improving access to nutritious food for food-insecure persons.
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