Retail Food Store Access in Rural Appalachia: A Mixed Methods Study.
Retail Food Store Access in Rural Appalachia: A Mixed Methods Study.
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阿巴拉契亚农村地区的零售食品店准入：混合方法研究。
DOI：
10.1111/phn.12302
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
Kulbok,Pamela
中科院分区：
文献类型：
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作者：
Thatcher,Esther;Johnson,Cassandra;Zenk,ShannonN;Kulbok,Pamela
Objectives描述食品零售店的特征（潜在的访问）和其他因素如何影响低收入，阿巴拉契亚中部农村妇女自我报告的食品购物行为（实现的食品访问）。通过商店地图和店内食品审计评估了潜在访问。通过深入访谈评估了影响消费者实现访问的因素。使用收敛并行混合方法方法合并结果。食品商店（n= 50）和成年妇女（n= 9）在农村阿巴拉契亚县中部。ResultsPotential和实现的粮食获取五个方面进行了描述：可用性，可及性，可负担性，可接受性和住宿。超市有更好的健康食品供应，其次是杂货店，一元店和便利店。平均而言，参与者居住在3.9家超市或杂货店的10英里范围内，并旅行7.5英里购买主要食品。参与者通常在最近的商店购物，满足他们对食物供应，价格，服务和氛围的期望。参与者对商店的看法彼此不同，并从店内审计findings.ConclusionsFindings从这项研究可以帮助公共卫生护士与社区参与，使负担得起的，健康的食品更容易获得。建议教育低收入消费者和与食品商店合作。
ObjectiveTo describe how characteristics of food retail stores (potential access) and other factors influence self‐reported food shopping behavior (realized food access) among low‐income, rural Central Appalachian women.Design and SampleCross‐sectional descriptive. Potential access was assessed through store mapping and in‐store food audits. Factors influencing consumers' realized access were assessed through in‐depth interviews. Results were merged using a convergent parallel mixed methods approach. Food stores (n= 50) and adult women (n= 9) in a rural Central Appalachian county.ResultsPotential and realized food access were described across five dimensions: availability, accessibility, affordability, acceptability, and accommodation. Supermarkets had better availability of healthful foods, followed by grocery stores, dollar stores, and convenience stores. On average, participants lived within 10 miles of 3.9 supermarkets or grocery stores, and traveled 7.5 miles for major food shopping. Participants generally shopped at the closest store that met their expectations for food availability, price, service, and atmosphere. Participants' perceptions of stores diverged from each other and from in‐store audit findings.ConclusionsFindings from this study can help public health nurses engage with communities to make affordable, healthy foods more accessible. Recommendations are made for educating low‐income consumers and partnering with food stores.